Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023
Notifications of physical, sexual and emotional violence and neglect against children in Brazil, 2011-2019: an ecological time-series study.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Sartori Letícia Regina Morello, Oliveira Kaila Andressa Dos Santos, Moura Kailany Freitas, Soares Pâmela de Oliveira, Matos Valéria Valério Garcia, Karam Sarah Arangurem
Аннотация
OBJECTIVE: To describe the temporal trend of notifications of physical, sexual and emotional violence and neglect against children in Brazil between 2011 and 2019.
METHODS: This was an ecological time-series study based on notifications of violence against children aged 0-9 years held on the Brazilian Notifiable Health Conditions Information System. Age-adjusted notification rates were calculated for Brazil as a whole, by national macro-region and by sex. Trends were assessed using Joinpoint Regression.
RESULTS: We analyzed 88,820 notifications of physical violence, 87,141 notifications of sexual violence, 52,359 notifications of emotional violence and 166,664 notifications of neglect. A rising trend was identified for notifications of physical, sexual and emotional violence and neglect for Brazil as a whole and for both sexes. Neglect accounted for the highest rate (95.24 notifications per 100,000 children in 2019). The Northeast and Southeast macro-regions had rising trends for all forms of violence.
CONCLUSION: Notifications of physical, sexual and emotional violence and neglect showed rising trends in Brazil in the period studied.
IMPLICATIONS FOR SERVICES: Increasing trends in notifications of violence against children highlight the continued need for capacity building in health services, crucial for early detection, effective prevention and coordinated intervention, taking regional variations into account.
PERSPECTIVES: Notification of violence against children by health services requires greater commitment by health workers. Future studies could combine multiple national databases and surveys to increase the accuracy of rates and trends.
METHODS: This was an ecological time-series study based on notifications of violence against children aged 0-9 years held on the Brazilian Notifiable Health Conditions Information System. Age-adjusted notification rates were calculated for Brazil as a whole, by national macro-region and by sex. Trends were assessed using Joinpoint Regression.
RESULTS: We analyzed 88,820 notifications of physical violence, 87,141 notifications of sexual violence, 52,359 notifications of emotional violence and 166,664 notifications of neglect. A rising trend was identified for notifications of physical, sexual and emotional violence and neglect for Brazil as a whole and for both sexes. Neglect accounted for the highest rate (95.24 notifications per 100,000 children in 2019). The Northeast and Southeast macro-regions had rising trends for all forms of violence.
CONCLUSION: Notifications of physical, sexual and emotional violence and neglect showed rising trends in Brazil in the period studied.
IMPLICATIONS FOR SERVICES: Increasing trends in notifications of violence against children highlight the continued need for capacity building in health services, crucial for early detection, effective prevention and coordinated intervention, taking regional variations into account.
PERSPECTIVES: Notification of violence against children by health services requires greater commitment by health workers. Future studies could combine multiple national databases and surveys to increase the accuracy of rates and trends.