[巴西东北部预防对女童和妇女暴力行为的数据整合]

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Olívia L C Guaranha, Juliana Rocha Miranda, Fátima Marinho, Renato Teixeira, Erik Santos, Denise Guerra Wingerter, Paola da Costa Silva, Diana Paula de Souza Rego Pinto Carvalho, Gleidson Paulino Vitório, Sofia Reinach
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引用次数: 0

摘要

目标:整合和分析巴西东北地区北大巴西州关于暴力侵害女童和妇女行为的健康和公共安全数据。方法:从两个卫生信息系统(应通报卫生状况信息系统,司南;以及死亡信息系统(SIM)和警方报告。在Stata中开发了一种确定性链接算法,使用基于不同数据库中可用的关键变量的匹配规则。结果:在研究期间,共有43 626名女孩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%在思南,只有0.4%在两个系统中都出现。卫生服务部门处理的针对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比例更高。警方记录中有更多涉及成年受害者的心理暴力案件。在死亡人数中,仅在思南查明的群体死于与暴力有关的外部原因的人数更多。结论:各系统缺乏整合掩盖了暴力侵害女童和妇女行为的真实规模。旨在整合数据的政策,加上解决少报问题的努力,对于制定有效的干预措施以促进无暴力生活至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Data integration for the prevention of violence against girls and women in Northeastern BrazilIntegración de datos para la prevención de la violencia contra niñas y mujeres en el nordeste de Brasil].

Objective: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

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来源期刊
CiteScore
4.10
自引率
3.80%
发文量
222
审稿时长
20 weeks
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