Marinho Neto Kelly Roberta Estrela, Tomazelli Jeane, Girianelli Vania Reis
Fundação Oswaldo Cruz, Programa de Pós-graduação em Saúde Pública, Rio de Janeiro, RJ, Brazil.
Instituto Nacional de Câncer, Divisão de Ensino Stricto Sensu, Rio de Janeiro, RJ, Brazil.
Epidemiol Serv Saude. 2024 Dec 6;33(spe1):e2024296. doi: 10.1590/S2237-96222024v33e2024296.especial.en. eCollection 2024.
To analyze the temporal trend and characteristics of notifications of violence among the transgender population from 2015 to 2022 in Brazilian municipalities.
This was a repeated panel epidemiological study, based on violence incidents reported among the transgender population aged 20 to 59 years, available in the Notifiable Health Conditions Information System. An annual temporal trend analysis was performed by means of generalized linear regression, using the Prais-Winsten method and spatial distribution of notifying municipalities in Brazil.
Notifications of violence in the transgender population decreased during the period (1.7%; β = -0.07; p = 0.010), but there was an increase in the number of notifying municipalities (45.8%), self-inflicted violence (28.9%; β = 2.21; p < 0.001) and sexual violence (β = 0.79; p < 0.001). The majority of perpetrators were male and in an affective relationship, especially with transgender women (43.4%; p < 0.001).
Notification of violence does not yet fully reflect the reality of this population, but it represents the first step towards visibility and addressing the issue.
Notifications of violence against transgender people accounted for 1.7% of the total. Self-inflicted and sexual violence increased from 2015 to 2022. Almost half of Brazilian municipalities have already been reporting cases of violence against this population.
Continuous and high-quality notification will contribute to monitoring and understand violence in this population group, enabling the adaptation of services to meet their specific needs.
The development of research on the transgender population will allow for a better understand and guidance of specific health actions for this group. Information on violence against this population is crucial for informing public policies.
分析2015年至2022年巴西各市跨性别群体暴力事件通报的时间趋势和特征。
这是一项重复面板流行病学研究，基于20至59岁跨性别群体报告的暴力事件，数据来自法定传染病信息系统。采用广义线性回归，运用普雷斯-温斯坦方法对年度时间趋势进行分析，并分析巴西通报各市的空间分布情况。
在此期间，跨性别群体的暴力事件通报有所减少（1.7%；β = -0.07；p = 0.010），但通报的城市数量有所增加（45.8%），自我伤害暴力事件增加（28.9%；β = 2.21；p < 0.001），性暴力事件增加（β = 0.79；p < 0.001）。大多数施暴者为男性且处于恋爱关系中，尤其是与跨性别女性（43.4%；p < 0.001）。
暴力事件通报尚未完全反映该群体的实际情况，但这是提高对该问题的认识并解决该问题的第一步。
针对跨性别者的暴力事件通报占总数的1.7%。2015年至2022年，自我伤害暴力事件和性暴力事件有所增加。巴西几乎一半的城市已经报告过针对该群体的暴力事件。
持续且高质量的通报将有助于监测和了解该群体中的暴力情况，从而使服务能够做出调整以满足他们的特定需求。
跨性别群体研究的发展将有助于更好地理解并指导针对该群体的具体健康行动。有关针对该群体暴力行为的信息对于制定公共政策至关重要。
