Stochero Luciane, Pinto Liana Wernersbach
Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca - Rio de Janeiro (RJ), Brazil.
Rev Bras Epidemiol. 2024 Dec 13;27:e240059. doi: 10.1590/1980-549720240059. eCollection 2024.
To describe and analyze notifications and the temporal trend of violence against women living in rural contexts in Brazil, from 2011 to 2020.
Ecological time-series study of a descriptive and analytical nature, with data from the Notifiable Diseases Information System on violence against women aged 18 to 59 years, in rural areas, from 2011 to 2020, in Brazil. The analyses were descriptive and trend-related, with the regression model using inflection points (joinpoint) and calculation of the annual percent change (APC) and the average annual percent change (AAPC).
A total of 79,229 notifications of violence against rural women were recorded. The most reported violence was physical (77.6%), psychological/moral (36.5%), and sexual (6.2%). They occurred, above all, among young, Black, married women with low levels of education. They were committed, in most cases, at home and, mainly, by a male partner. APC was statistically increasing throughout the studied period in Brazil, in the North, Midwest, South, and Northeast regions, including 18 states and the Federal District (DF). As for AAPC, all country, region, state, and DF rates showed a statistically increasing trend.
In view of the increasing reported cases of violence against rural women throughout the country, which are mainly committed by people they are related to and in their own home, it is encouraged to reinforce the training of health professionals to improve and expand the process of notification as an instrument of care for women in situations of violence.
描述并分析2011年至2020年巴西农村地区针对女性暴力行为的通报情况及时间趋势。
采用描述性和分析性的生态时间序列研究，数据来源于2011年至2020年巴西农村地区18至59岁女性暴力行为的法定传染病信息系统。分析包括描述性分析和趋势分析，回归模型使用拐点（连接点）并计算年度百分比变化（APC）和平均年度百分比变化（AAPC）。
共记录了79229起针对农村女性暴力行为的通报。报告最多的暴力行为是身体暴力（77.6%）、心理/精神暴力（36.5%）和性暴力（6.2%）。这些暴力行为主要发生在年轻、黑人、低教育水平的已婚女性中。在大多数情况下，暴力行为发生在家里，主要由男性伴侣实施。在巴西全国、北部、中西部、南部和东北部地区，包括18个州和联邦区（DF），整个研究期间APC在统计学上呈上升趋势。至于AAPC，所有国家、地区、州和DF的发生率在统计学上均呈上升趋势。
鉴于全国范围内针对农村女性暴力行为的报告病例不断增加，且主要由与其相关的人在其家中实施，鼓励加强对卫生专业人员的培训，以改进和扩大通报流程，作为为遭受暴力的女性提供护理的一种手段。
