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Prevalence and factors associated with female genital mutilation among daughters using Somalia Demographic Health Survey Data, SDHS 2020 利用索马里 2020 年人口与健康调查数据，研究切割女性生殖器在女儿中的流行率和相关因素
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-05 DOI: 10.1016/j.aprim.2024.103113
{"title":"Prevalence and factors associated with female genital mutilation among daughters using Somalia Demographic Health Survey Data, SDHS 2020","authors":"","doi":"10.1016/j.aprim.2024.103113","DOIUrl":"10.1016/j.aprim.2024.103113","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence and associated factors of female genital mutilation (FGM) among daughters of women aged 15–49 in Somalia using data from the 2020 Somaliland Demographic and Health Survey (SDHS).</div></div><div><h3>Design</h3><div>A cross-sectional study utilizing data from the 2020 SDHS.</div></div><div><h3>Setting</h3><div>Data was collected across Somalia, including urban, rural, and nomadic areas.</div></div><div><h3>Main measurements</h3><div>FGM prevalence was presented as percentages. Logistic regression analysis was used to identify associated factors, presented as odds ratios with 95% confidence intervals.</div></div><div><h3>Results</h3><div>The prevalence of FGM among daughters was 24%. Factors significantly associated with FGM included age, region, residence, education, and wealth index. Younger daughters were more likely to be circumcised (<em>p</em> <!-->=<!--> <!-->0.000, 95% CI: 0.066–0.274). Rural residence increased the likelihood of FGM (OR<!--> <!-->=<!--> <!-->1.436, CI<!--> <!-->=<!--> <!-->1.257–1.64). Primary education increased the odds of FGM (OR<!--> <!-->=<!--> <!-->1.334, CI<!--> <!-->=<!--> <!-->1.127–1.58). Mothers who believed FGM should continue were more likely to have circumcised daughters (OR<!--> <!-->=<!--> <!-->1.464, CI<!--> <!-->=<!--> <!-->1.305–1.642).</div></div><div><h3>Conclusions</h3><div>FGM prevalence among daughters in Somalia is influenced by age, region, rural residency, and education. The findings highlight the need for targeted educational and intervention programs, particularly in rural areas, to effectively reduce FGM practices.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Violencia de género: situación actual, avances y desafíos pendientes en la respuesta del Sistema Sanitario 基于性别的暴力：卫生系统应对措施的现状、进展和有待应对的挑战
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102767
{"title":"Violencia de género: situación actual, avances y desafíos pendientes en la respuesta del Sistema Sanitario","authors":"","doi":"10.1016/j.aprim.2023.102767","DOIUrl":"10.1016/j.aprim.2023.102767","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contextos de especial vulnerabilidad para la violencia de género. Interseccionalidad: adaptando la respuesta a la diversidad de contextos y situaciones [基于性别的暴力极易发生。交叉性：适应环境和情况多样性的对策]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102834
{"title":"Contextos de especial vulnerabilidad para la violencia de género. Interseccionalidad: adaptando la respuesta a la diversidad de contextos y situaciones","authors":"","doi":"10.1016/j.aprim.2023.102834","DOIUrl":"10.1016/j.aprim.2023.102834","url":null,"abstract":"<div><div>Addressing gender violence from the health system effectively, still involves addressing numerous challenges. If gender violence is suffered by women with one or more situations of personal and social vulnerability, intervention is surrounded by formidable difficulties.</div><div>In these heterogeneous situations, early detection is urgent, as well as professional support adapted to each woman with her particular context. The intersectional approach to gender violence provides useful tools for actions in these complex scenarios, full of suffering and fragility.</div><div>This article mentions the common and specific needs of the most vulnerable women. Recommendations are offered to improve the intervention to be developed from the health system — a privileged space for this — to understand and accompany these women in their diversity, with the most effective services and resources, in coordination with the rest of the social protection systems and entities.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La violencia sexual y su abordaje en el sistema de salud [解决医疗服务中的性暴力问题]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102837
{"title":"La violencia sexual y su abordaje en el sistema de salud","authors":"","doi":"10.1016/j.aprim.2023.102837","DOIUrl":"10.1016/j.aprim.2023.102837","url":null,"abstract":"<div><div>Sexual violence is a very underdetected public health problem, with important short and long-term consequences on physical, mental, social, sexual and reproductive health, which must be taken into account by health services.</div><div>Health systems are part of the set of resources necessary for a comprehensive approach from the ecological model: prevention and promotion of healthy sexuality with equality, adequate and coordinated care in the event of sexual assault and subsequent support to prevent sequelae.</div><div>All sexual violence has health consequences, even those that may seem less serious such as sexual harassment or sexual cyberviolence.</div><div>We must know the needs of the victim and their possible emotional reactions. A risk assessment will be carried out, the victim will be referred to a hospital if necessary and comprehensive and integrated care will be provided.</div><div>Care and follow-up must focus on the survivor and with professionals trained in trauma to understand the consequences of sexual violence, offer a safe and trusting environment and know how to reinforce their qualities and support.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aspectos éticos y legales de la violencia sobre la mujer [暴力侵害妇女行为的伦理与法律问题]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102857
{"title":"Aspectos éticos y legales de la violencia sobre la mujer","authors":"","doi":"10.1016/j.aprim.2023.102857","DOIUrl":"10.1016/j.aprim.2023.102857","url":null,"abstract":"<div><div>Caring for female victims of violence presents health professionals with situations that require careful consideration due to the conflicts raised between the fundamental principles of bioethics. During this process, intermediate courses of action should be adopted in which none of the affected principles is totally compromised, yet always take into account due compliance with legal and deontological regulations.</div><div>Within these conflicts, the possible impact on the autonomy of the victim must be taken into consideration, conditioned by the relationship of dominance with respect to their aggressor, a fundamental characteristic of gender violence. However, the fact that there is a legal obligation to issue an injury report or to communicate a well-founded suspicion of abuse is not enough to ignore the fact that the person, in this case the victim, must be a participant in the process. As such, the doctor has the obligation to inform his or her patient about this legal requirement, dedicating all the time and attention necessary to ensure that the victim understands the purpose and benefits of complying with this.</div><div>In any case, and beyond the appropriate adaptation of the professional's conduct to current precepts, the ethical principle of care must be adhered to, by which the best thing the professional can do is to provide the victim with the means to avoid the repetition of new attacks, implementing prevention measures that have their origin in the accurate diagnosis of the situation of violence and in the communication of this to the authorities.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La respuesta necesaria de los servicios de salud ante la violencia de género. Atención integral y prestación de servicios integrados [医疗服务对性别暴力的必要反应。全面护理和提供综合服务]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102858
{"title":"La respuesta necesaria de los servicios de salud ante la violencia de género. Atención integral y prestación de servicios integrados","authors":"","doi":"10.1016/j.aprim.2023.102858","DOIUrl":"10.1016/j.aprim.2023.102858","url":null,"abstract":"<div><div>Gender violence has multiple and serious consequences for the health of victims and their families, hence the reason for the important role that the health system plays in addressing it. Health professionals have a key role in the response, which must include early detection, care, and follow-up; actions in which primary care, because of its privileged position in the system, can play a fundamental part. This article establishes the necessary characteristics for the intervention to be effective: comprehensive care, multidisciplinary approach, intersectoral coordination, and integrated service provision; all of it community-oriented, person-centered, and adapted to its context (social factors and vulnerabilities) with an intersectional approach. The woman, her sons and daughters, and other cohabitants, as well as the perpetrator, are considered the object of intervention in the response, and specific guidelines for action are provided for detection, care, and follow-up. Reorientation of interventions, with emphasis on a community approach, is also proposed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consecuencias para la salud de la violencia contra la mujer por la pareja [夫妻暴力侵害妇女的健康后果]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2024.102903
{"title":"Consecuencias para la salud de la violencia contra la mujer por la pareja","authors":"","doi":"10.1016/j.aprim.2024.102903","DOIUrl":"10.1016/j.aprim.2024.102903","url":null,"abstract":"<div><div>Intimate partner violence against women (IPV) has devastating effects on the healthcare and well-being of women and their children. Physical, psychological, and social consequences, a worse perception of their own health, and loss of quality of life are well-documented, while aftereffects persist in time even after the end of abuse. Psychological consequences of abuse last longer and are more serious. IPV also affects sons and daughters, disabled people, family, and the attacker himself.</div><div>Many health problems, both physical and mental, that lead women to go to healthcare services in search of help have an origin in the violence they experience. Treatment of the symptoms without awareness of its relation to such violence favours medicalization, iatrogenesis, and chronification.</div><div>Psychological violence poses a threat that is invisible, subtle, cumulative, and difficult to detect; it is, however, the most destructive.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacto de la violencia de género en las niñas y las adolescentes [性别暴力对女童和青少年的影响]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2024.102972
{"title":"Impacto de la violencia de género en las niñas y las adolescentes","authors":"","doi":"10.1016/j.aprim.2024.102972","DOIUrl":"10.1016/j.aprim.2024.102972","url":null,"abstract":"<div><div>Gender is an important determinant of health. Its relationship with inequality and violence allows us to consider being a woman as a risk factor for health. Girls and teenager girls are not exempt from this circumstance, which conditions their lives from before birth and can determine their health status throughout life. It can vary according to social contexts, as various factors intersect with gender, adding risk and vulnerability to being a woman. Gender-based violence is often identified as a problem for adult women; however, the experience of discriminatory gender-based violence is constructed throughout women's lives, producing serious individual and social consequences from childhood. Accepting this violence as a «private or domestic matter» often prevents seeing the true dimension of the problem, its consequences, and the need to address it as a global issue.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevención primaria de la violencia de género [性别暴力的初级预防]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102845
{"title":"Prevención primaria de la violencia de género","authors":"","doi":"10.1016/j.aprim.2023.102845","DOIUrl":"10.1016/j.aprim.2023.102845","url":null,"abstract":"<div><div>Gender-based violence is a serious public health problem and a violation of human rights. The vast scale of the problem indicates that it is necessary to advance in its primary prevention. The health sector has an important role to play, especially Primary Health Care, based on its community orientation and with the involvement of all members of the team.</div><div>The intervention framework defined by the acronym “RESPECT”, promoted by the World Health Organization, shows the 7 strategies that are currently promising to lead to reductions in gender-based violence, based on the best scientific evidence available to date.</div><div>Using a participatory, life-cycle approach, promoting coordination and partnership across sectors, and implementing combined interventions are some of the guiding principles from which to work today.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacto de la atención a las víctimas de violencia de género en los y las profesionales de la salud [为性别暴力受害者提供护理对卫生专业人员的影响]。
IF 1.8 4区 医学
Atencion Primaria Pub Date : 2024-11-01 DOI: 10.1016/j.aprim.2023.102856
{"title":"Impacto de la atención a las víctimas de violencia de género en los y las profesionales de la salud","authors":"","doi":"10.1016/j.aprim.2023.102856","DOIUrl":"10.1016/j.aprim.2023.102856","url":null,"abstract":"<div><div>Professionals who work with women victims of gender violence face difficult emotional situations, and it is important to be aware of the emotions and feelings that the attitudes and behaviour of victims and aggressors generate in them. These emotions can become barriers to communication and seriously affect the professional's relationship with victims. Furthermore, they can generate situations of sustained stress, lead to emotional exhaustion, and affect their health, life, and work performance. We describe the consequences, risk factors and warning signs, as well as protective or resilience factors, that are important to know, and we list the current challenges and some recommendations for professionals and management in order to help prevent such effects and improve professional performance without health risks.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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