1705/2013 - Fatores associados à notificação de maus-tratos em crianças e adolescentes na atenção básica Factors associated with child and adolescent abuse report in primary healthcare
Objetivou-se analisar os fatores associados à notificação de maus-tratos em crianças e adolescentes na atenção básica. Estudo transversal com 381 profissionais (médicos, enfermeiros e cirurgiões-dentistas), de três Regiões de Saúde do Estado do Ceará, Brasil. Foi utilizado um questionário autoaplicável sobre dados sociodemográficos, formação profissional, instrumentação e conhecimento sobre o tema, identificação e notificação de casos de maus-tratos. Análises bivariada e multivariada por regressão logística foram realizadas. Verificou-se que a frequência da notificação de maus-tratos pelos profissionais da atenção básica foi de 17,0%. A análise multivariada mostrou que participar de treinamento sobre o tema (OR = 2,18; IC95% = 1,05–4,53), conhecer a ficha de notificação (OR = 3,03; IC95% = 1,47–6,24) e saber encaminhar os casos (OR = 2,55; IC95% = 1,01–6,43) aumentou a chance dos profissionais notificarem situações de maus-tratos em crianças e adolescentes. As variáveis identificadas no modelo final sinalizam associação direta do ato de notificar com questões relativas ao conhecimento e capacitação na temática. Sugerem-se investimentos na formação dos profissionais de saúde com a finalidade de favorecer a qualificação da prática diante desse problema de saúde pública.
This study aimed to analyze factors associated with child and adolescent abuse report in primary healthcare. It is a cross-sectional study conducted with professionals (physicians, nurses and dentist-surgeons) from three healthcare regions of the state of Ceara, Brazil. It used a self-administered questionnaire on socio-demographic data, vocational education and training, instrumentation and knowledge on the issue, identification and report of abuse cases. Bivariate and multivariate analyses using logistic regression were performed. There was a frequency of 17% of abuse report by basic healthcare professionals. The multivariate analysis showed that participating in the training on the issue (OR = 2.18; CI95% = 1.05–4.53), knowing the notification form (OR = 3.03; CI95% = 1.47–6.24) and knowing how to refer the case properly (OR = 2.55; CI95% = 1.01–6.43) increased the chance of professionals reporting child and adolescent abuse. The variables identified in the final model showed a direct association between the report and matters related to the knowledge and training on the issue. Investments on healthcare professionals’ education are required in order to favor the qualification of the practice for this public health problem.
Factors associated with child and adolescent abuse report in primary healthcare
Resumo (abstract):
This study aimed to analyze factors associated with child and adolescent abuse report in primary healthcare. It is a cross-sectional study conducted with professionals (physicians, nurses and dentist-surgeons) from three healthcare regions of the state of Ceara, Brazil. It used a self-administered questionnaire on socio-demographic data, vocational education and training, instrumentation and knowledge on the issue, identification and report of abuse cases. Bivariate and multivariate analyses using logistic regression were performed. There was a frequency of 17% of abuse report by basic healthcare professionals. The multivariate analysis showed that participating in the training on the issue (OR = 2.18; CI95% = 1.05–4.53), knowing the notification form (OR = 3.03; CI95% = 1.47–6.24) and knowing how to refer the case properly (OR = 2.55; CI95% = 1.01–6.43) increased the chance of professionals reporting child and adolescent abuse. The variables identified in the final model showed a direct association between the report and matters related to the knowledge and training on the issue. Investments on healthcare professionals’ education are required in order to favor the qualification of the practice for this public health problem.
Moreira, G.A.R., Vieira, L.J.E.S., Deslandes, S.F., Pordeus, M.A.J., Gama, I.S., Brilhante, A.V.M. Fatores associados à notificação de maus-tratos em crianças e adolescentes na atenção básica. Cien Saude Colet [periódico na internet] (2013/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-notificacao-de-maustratos-em-criancas-e-adolescentes-na-atencao-basica/14932?id=14932
