0007/2021 - Fatores associados ao óbito de mulheres com notificação de violência por parceiro íntimo no Brasil Factors associated with death in women with intimate partner violence notification in Brazil
A violência por parceiro íntimo (VPI) é um problema social e de saúde pública, com impactos nas condições de vida e saúde das mulheres. Objetivo: Identificar fatores associados ao óbito em mulheres com notificação de VPI. Metodologia: Estudo do tipo caso-controle a partir do relacionamento das bases de dados do Sistema de Informação sobre Mortalidade (SIM), 2011 a setembro/2017, e do Sistema de Informação de Agravos de Notificação (SINAN), 2011 a 2016. O grupo “caso” foi composto por mulheres de 15 a 59 anos com notificação de violência no SINAN, cujo autor era atual ou ex-parceiro íntimo e óbito por qualquer causa básica registrado no SIM. O grupo “controle” consistiu em mulheres da mesma faixa etária, com VPI registrada no SINAN e município de residência dos casos, mas sem registro de óbito no SIM. Foi utilizada a regressão logística múltipla a fim de estimar a razão de chance de óbito. Resultados: 151.826 brasileiras tiveram seus casos de VPI notificados, sendo que 2.538 morreram. A principal causa de óbito foi o homicídio. As seguintes características conferiram maior chance de óbito: raça/cor preta e amarela; ter deficiências; residir em área rural; violência física, tortura e múltiplos tipos combinados; violência perpetrada por arma de fogo, objeto perfurocortante e múltiplos meios combinados.
Palavras-chave:
violência por parceiro íntimo; violência de gênero; vigilância em saúde pública; monitoramento epidemiológico.
Abstract:
Introduction: Intimate partner violence (IPV) is a social and public health problem, with impact on women\'s living and health conditions. Objective: To identify associated factors with death in women with IPV notification. Methodology: Case-control study based on the record-linkage of the Mortality Information System (SIM), 2011 to September / 2017, and the Notifiable Diseases Information System (SINAN), 2011 to 2016. The “case” group consisted of women aged 15 to 59 years old with notification of violence at SINAN, whose author was current or former intimate partner and died by any cause registered at SIM. The “control” group consisted of women 15-59 years-old, living in the same municipality of the cases and victim of IPV registered in SINAN, but without a death record in the SIM. Multiple logistic regression was used to estimate the odds ratio of death. Results: 151,826 Brazilian women were victim of IPV and were notified by SINAN, and 2,538 died. The main cause of death was homicide. The following characteristics conferred a greater chance of death: having race/skin-color black or yellow; having disabilities; living in rural area; physical violence, torture and multiple types combined; violence perpetrated by a firearm, a sharp object and multiple means combined.
Keywords:
intimate partner violence; gender-based violence; public health surveillance; epidemiological monitoring.
Factors associated with death in women with intimate partner violence notification in Brazil
Resumo (abstract):
Introduction: Intimate partner violence (IPV) is a social and public health problem, with impact on women\'s living and health conditions. Objective: To identify associated factors with death in women with IPV notification. Methodology: Case-control study based on the record-linkage of the Mortality Information System (SIM), 2011 to September / 2017, and the Notifiable Diseases Information System (SINAN), 2011 to 2016. The “case” group consisted of women aged 15 to 59 years old with notification of violence at SINAN, whose author was current or former intimate partner and died by any cause registered at SIM. The “control” group consisted of women 15-59 years-old, living in the same municipality of the cases and victim of IPV registered in SINAN, but without a death record in the SIM. Multiple logistic regression was used to estimate the odds ratio of death. Results: 151,826 Brazilian women were victim of IPV and were notified by SINAN, and 2,538 died. The main cause of death was homicide. The following characteristics conferred a greater chance of death: having race/skin-color black or yellow; having disabilities; living in rural area; physical violence, torture and multiple types combined; violence perpetrated by a firearm, a sharp object and multiple means combined.
Palavras-chave (keywords):
intimate partner violence; gender-based violence; public health surveillance; epidemiological monitoring.
Pinto, I. V., Bernal, R. T. I., Souza, M. F. M., Malta, D.C.. Fatores associados ao óbito de mulheres com notificação de violência por parceiro íntimo no Brasil. Cien Saude Colet [periódico na internet] (2021/jan). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-obito-de-mulheres-com-notificacao-de-violencia-por-parceiro-intimo-no-brasil/17906?id=17906
