Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190. 30130-100 Belo Horizonte MG Brasil.
Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
Cien Saude Colet. 2024 Oct;29(10):e07732023. doi: 10.1590/1413-812320242910.07732023. Epub 2023 Sep 3.
This article aims to estimate the underreporting of violence against women (VAW) in the Notifiable Diseases Information System (SINAN), based on data from the National Survey of Health (NSH), in Brazil and subnational units (SU). This work was an ecological study using SINAN and NSH, both from 2019. In SINAN, reports of sexual, physical, and psychological VAW, aged 18 years or older, were selected. In the NSH, women of the same age group who reported psychological, physical, or sexual violence, and who had sought health care due to consequences of the violence were selected. SINAN underreporting was calculated in reference to the NSH's estimated population, for Brazil and each SU. Underreporting of VAW in Brazil was 98.5%, 75.9%, and 89.4% for psychological, physical, and sexual violence, respectively. The North and Northeast states presented the lowest reporting rates among the states. VAW in Brazil is highly underreported by the health sector, showing the need for adequate training of health professionals to recognize situations of violence and raise awareness of the importance of reporting.
本文旨在基于巴西国家卫生调查（NSH）数据，对可报告疾病信息系统（SINAN）中针对妇女的暴力行为（VAW）漏报情况进行估计，该调查涉及亚单位（SU）。本研究采用生态研究方法，利用 SINAN 和 NSH 2019 年的数据。SINAN 中选择了报告的 18 岁及以上人群的性暴力、身体暴力和心理暴力病例。在 NSH 中，选择了报告心理、身体或性暴力且因暴力后果寻求医疗保健的同一年龄组女性。根据 NSH 估计的人口数，计算了巴西和每个 SU 的 SINAN 漏报率。巴西心理、身体和性暴力的 VAW 漏报率分别为 98.5%、75.9%和 89.4%。北部和东北部各州的报告率最低。巴西卫生部门对 VAW 的漏报率很高，这表明需要对卫生专业人员进行充分的培训，以识别暴力情况，并提高对报告重要性的认识。
