Guaranha Olívia L C, Miranda Juliana Rocha, Marinho Fátima, Teixeira Renato, Santos Erik, Wingerter Denise Guerra, da Costa Silva Paola, de Souza Rego Pinto Carvalho Diana Paula, Paulino Vitório Gleidson, Reinach Sofia
Vital Strategies Brasil São Paulo (SP) Brasil Vital Strategies Brasil, São Paulo (SP), Brasil.
Fundação Getúlio Vargas São Paulo (SP) Brasil Fundação Getúlio Vargas, São Paulo (SP), Brasil.
Rev Panam Salud Publica. 2025 Jun 17;49:e66. doi: 10.26633/RPSP.2025.66. eCollection 2025.
To integrate and analyze health and public safety data from the state of Rio Grande do Norte, located in Brazil's Northeast region, regarding violence against girls and women.
Individual-level data related to incidents of violence against girls and women in Rio Grande do Norte between 2019 and 2021 were obtained for linkage from two health information systems (the Notifiable Health Conditions Information System, Sinan; and the Mortality Information System, SIM) and from police reports. A deterministic linkage algorithm was developed in Stata, using matching rules based on key variables available in the different databases.
A total of 43 626 girls and women were identified as victims of violence during the study period. Of these, 83.5% were detected in police records, 16.5% in Sinan, and only 0.4% appeared in both systems. Health services captured proportionally more cases of violence against children and adolescents aged 0 to 19 years, as well as cases of physical and sexual violence. Police records included a higher number of psychological violence cases involving adult victims. Among the fatalities, the group identified exclusively in Sinan exhibited more deaths from external causes related to violence.
The lack of integration across systems conceals the true scale of violence against girls and women. Policies aimed at data integration, coupled with efforts to address underreporting, are essential for the development of effective interventions to promote a life free from violence.
整合并分析位于巴西东北地区的北里奥格兰德州关于暴力侵害女童和妇女的健康及公共安全数据。
获取了2019年至2021年期间北里奥格兰德州暴力侵害女童和妇女事件的个人层面数据,以便从两个健康信息系统(法定传染病信息系统,Sinan;以及死亡信息系统,SIM)和警方报告中进行关联。在Stata中开发了一种确定性关联算法,使用基于不同数据库中可用关键变量的匹配规则。
在研究期间,共有43626名女童和妇女被确定为暴力受害者。其中,83.5%在警方记录中被发现,16.5%在Sinan中被发现,只有0.4%出现在两个系统中。卫生服务部门按比例发现了更多针对0至19岁儿童和青少年的暴力案件,以及身体暴力和性暴力案件。警方记录中涉及成年受害者的心理暴力案件数量较多。在死亡案例中,仅在Sinan中识别出的群体因与暴力相关的外部原因导致的死亡更多。
各系统之间缺乏整合掩盖了暴力侵害女童和妇女的真实规模。旨在进行数据整合的政策,以及应对漏报问题的努力,对于制定有效的干预措施以促进无暴力生活至关重要。