Navegando por Palavras-chave "Domestic Violence"
Agora exibindo 1 - 11 de 11
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Adaptação transcultural e consistência interna do Early Trauma Inventory (ETI)(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2010-04-01) Mello, Marcelo Feijó de [UNIFESP]; Schoedl, Aline Ferri [UNIFESP]; Pupo, Mariana Cadrobbi [UNIFESP]; Souza, Altay Alves Lino de [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Bressan, Rodrigo Affonseca [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)Early life stress is a strong predictor of future psychopathology during adulthood. The Early Trauma Inventory (ETI) was developed to detect the presence and impact of traumatic experiences that occurred up to 18 years of age. The ETI was translated and cross-culturally adapted and had its consistency evaluated. Victims of violence that met the inclusion and exclusion criteria were submitted to SCID-I and ETI. Ninety-one patients with post-traumatic stress disorder (PTSD) were included. Cronbach's alpha in the different domains varied from 0.595 to 0.793, and the total score was 0.878. Except for emotional abuse, most of the various domains displayed inter-item correlation rates of 0.51 to 0.99. The adapted version was useful for clinical and research purposes and showed good internal consistency and inter-item correlation. The ETI is a valid instrument with good consistency for evaluating history of childhood and adolescent trauma in adults.
- ItemAcesso aberto (Open Access)A configuração da rede social de mulheres em situação de violência doméstica(Universidade Federal de São Paulo (UNIFESP), 2011) Dutra, Maria de Lourdes [UNIFESP]; Villela, Wilza Vieira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Esta pesquisa objetiva configurar a rede social das mulheres que vivem em situacao de violencia domestica, por meio da identificacao das estruturas e dinamicas relacionais presentes. Tal configuracao foi delineada a partir da analise de entrevistas e de observacoes dos espacos institucionais: Centro de Referencia u Casa Beth Lobo, na Delegacia Especializada de Atendimento a Mulher e na Casa Abrigo 1, para mulheres com risco de morte. Todos esses servicos estao localizados no municipio de Diadema, Estado de São Paulo, cenario da pesquisa. Para realizar a analise, utilizam-se os pressupostos teoricos de redes sociais formulados por Paulo Henrique Martins e a concepcao de violencia domestica que figura na Lei 11.340/06, segundo o seu artigo 5º. Participaram do estudo nove mulheres que sofreram violencia domestica, atendidas no Centro de Referencia, e sete profissionais que realizam o atendimento a estas mulheres em servicos especializados. A analise das entrevistas permitiu conhecer as repercussoes da violencia vivenciada por essas mulheres na configuracao de sua rede social. Verificou-se que a violencia impingida a mulher pelo parceiro impossibilita a manutencao dos vinculos que ela mantinha antes da vida conjugal e impede que esta estabeleca novas relacoes, colocando-a em uma situacao de isolamento e fragilidade. Alem disso, identificou-se que o cotidiano das mulheres e constituido de inumeras estrategias para superacao e enfrentamento das situacoes de ameaca e violencia. Observou-se tambem que as instituicoes e os profissionais podem exercer um papel fundamental para que a mulher saia do ciclo de violencia, a medida que estes se articulem em uma rede em que o fluxo possibilite o compartilhamento da oferta de servicos e conhecimentos. Vislumbra-se o estudo das redes sociais com o enfoque na natureza dos vinculos e das trocas entre os atores, como uma ferramenta capaz de ampliar o conhecimento sobre as dinamicas relacionais dos sujeitos e contribuir na organizacao dos servicos de assistencia
- ItemAcesso aberto (Open Access)Estudo sobre a violência doméstica contra a criança em unidades básicas de saúde do município de São Paulo - Brasil(Faculdade de Saúde Pública, Universidade de São Paulo.Associação Paulista de Saúde Pública., 2011-03-01) Ramos, Martha Lucia Cabrera Ortiz [UNIFESP]; Silva, Ana Lúcia da; Universidade Federal de São Paulo (UNIFESP); Secretaria de Estado da Saúde de São Paulo Instituto de SaúdeOBJECTIVE: To investigate how professionals with the Family Health Strategy act when confronted with situations of domestic violence against children. Method: This is a qualitative research. The data were collected through semi-structured interviews performed with twenty-one professionals, and thematic content analysis was used. The research was developed in the city of São Paulo, in five primary health care units located in five regions. RESULTS: The analysis pointed to four thematic categories: identification of domestic violence; types of domestic violence; assistance difficulties in domestic violence situations; and professionals' actions in domestic violence situations. Identification happens during visits made by professionals in the community, particularly the Community Health Agents, and is corroborated in clinical consultations through observation and physical examination of the child. One of the most present actions in the professionals' discourse is referring the victimized child to the Guardianship Council. CONCLUSIONS: The results reflect a reality within Primary Health Care that generates anguish in the professionals as they feel unprotected and unprepared to assist and solve demands of children who are victims of domestic violence. It was verified that Sistema Único de Saúde (SUS - National Health System) / Family Health Strategy has to advance in response to these situations. Intersectoriality, integrality and problem-solving capacity were present in the interviewees' discourse, showing that there are gaps that generate suffering and need to be re-conducted to the competent agencies.
- ItemAcesso aberto (Open Access)Mental health and psychiatric care in Bolivia: what do we know?(Biomed Central Ltd, 2014-05-15) Jaen-Varas, Denisse [UNIFESP]; Ribeiro, Wagner Silva [UNIFESP]; Whitfield, Jessie; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); St Louis UnivBackground: Recently Bolivia has implemented a universal health system, but their mental health policy is still emerging.Objectives: To investigate the current state of the mental health care system in Bolivia and discuss challenges for structuring a coordinated network of services that can effectively meet the needs of the Bolivian population.Methods: This review was conducted by searching for scholarly articles through the databases Lilacs, Medline OPS, HISA and IBECS REPIDISCA via the search portal in the Virtual Health Library - NLM (www.bireme.br).Results: Bolivia has a National Mental Health Plan that is intended to guide mental health promotion, prevention, treatment and rehabilitation of mental illness, but the resources for this area of health are limited. There are 1.06 psychiatrists and 0.46 psychologists per 100, 000 inhabitants. Information on psychiatric morbidity in Bolivia and the impact of mental disorders on the global burden of disease is scarce. Admission statistics reported by psychiatric hospitals in the country show that the main cause of hospitalization is substance abuse (30%). Alcohol consumption is responsible for 90% of these admissions, in addition to being a major cause of deaths in traffic and one of the main risk factors for domestic violence. Almost one in two women in Bolivia (47%) experienced some form of violence from their partner in the last year. Nineteen percent of women living with a partner reported being physically abused, while 7% were sexually abused by their partners. Isolated studies report that suicide rates are disproportionately high in Bolivia.Conclusions: Although there is a shortage of epidemiological data in Bolivia, it is clear the impact of alcohol addiction in psychiatric admissions, domestic violence and traffic accidents. Violence against women and suicides are important issues to be tackled. Among the proposed strategies to afford human resources for mental health in Bolivia, task shifting, the delegation of tasks to non-specialists should be extensively adopted in the country to improve mental health care.
- ItemAcesso aberto (Open Access)Um olhar dos agentes comunitários de saúde sobre a violência doméstica e saúde mental(Universidade Federal de São Paulo (UNIFESP), 2018-09-13) Gabricio, Claudia Pereira [UNIFESP]; Moreira, Maria Inês Badaró [UNIFESP]; http://lattes.cnpq.br/1186084305231587; http://lattes.cnpq.br/6318724322617903; Universidade Federal de São Paulo (UNIFESP)The Present Work Consists Of A Qualitative Research With The Objective Of Understanding The Conception Of Community Health Agents From São Bernardo Do Campo Of The Domestic Violence Involving People With Serious Mental Suffering. In Order For This Objective To Be Achieved Were Made Conversation Wheels With The Community Health Agents Of Three Basic Units Of Health Of The Districts: Demarchi, Batistini And Jardim Represa For Discussion On The Topic In Question. It Was Necessary To Raise With The Professionals What Is Their Conception About The Phenomenon Of Domestic Violence And The Existence Of That Problem In The Territory And Before This Context, To See How The Professionals Deal When They Realize That A Person Who Has Mental Suffering Is The Victim Of A Domestic Violence Situation, As Well As The Issues And Anguish Related To How These Professionals Deal With This Situation. It Was Used For The Processing Of Data The Content Analysis Recommended By Bardin, Through Systematic Procedures And Objectives Of De
- ItemAcesso aberto (Open Access)Padrões de violência domiciliar associada ao uso de álcool no Brasil(Faculdade de Saúde Pública da Universidade de São Paulo, 2009-10-01) Fonseca, Arilton Martins [UNIFESP]; Galduróz, José Carlos Fernandes [UNIFESP]; Tondowski, Cláudia Silveira [UNIFESP]; Noto, Ana Regina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To describe situations of domestic violence committed by perpetrators under the influence of alcohol in the largest Brazilian cities. METHODS: A household survey was carried out in the 108 Brazilian cities with more than 200,000 inhabitants in 2005. A multistage probabilistic self-weighted sample stratified in terms of conglomerate units was performed in three selection stages: census tracts, households, and respondents (population between 12 and 65 years old). The instrument to collect the data was the Substance Abuse and Mental Health Services Administration, with questions on sociodemographics and psychotropic drug abuse.. RESULTS: The survey encompassed 7,939 households. In 33.5% of them there were reports of domestic violence, 17.1% out of which involving intoxicated perpetrators. The most frequently reported types of violence associated with the use of alcohol were: arguments among the people in the household (81,8%), loud arguments not aimed at a specific person (70.9%), threats of assault (39.5%), and breaking households objects (38.7%). The respondents also reported physical assault (27.8%), physical assault with weapon (5.5%), and sexual abuse (3.2%). More than half of perpetrators lived in the household and 88.8% were male. Most of the victims were female (63.9%); 33.9% were wives and 18.2% were children. In terms of recidivism, 14.1% of the cases lasted for a period between 1 and 5 years, and in 14.3% they lasted for over a decade. Most of the victims (86%) and perpetrators (77.9%) did not look for the help of either the health services or the police. CONCLUSIONS: In addition to the considerable number of Brazilian households with a history of violence involving intoxicated abusers, this kind of abuse has many specific characteristics. The low rate for the search for help at the health services/police stations point to the importance of actively identifying cases of domestic violence.
- ItemAcesso aberto (Open Access)Prevalência de abuso físico na infância e exposição à violência parental em uma amostra brasileira(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2009-11-01) Zanoti-Jeronymo, Daniela Viganó; Zaleski, Marcos [UNIFESP]; Pinsky, Ilana [UNIFESP]; Caetano, Raul; Figlie, Neliana Buzi [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Universidade Estadual do Centro Oeste; Universidade Federal de Santa Catarina Núcleo de Psiquiatria; Instituto de Psiquiatria de Santa Catarina; Universidade Federal de São Paulo (UNIFESP); Unidade de Pesquisa em Álcool e Drogas; University of Texas School of Public HealthThe aim of this study was to investigate the prevalence of physical abuse and exposure to parental violence during childhood, in relation to socio-demographic characteristics. Multi-stage sampling was used to select 3,007 individuals 14 years or older in 2005-2006, from all regions of the country. The study detected cases of physical abuse (beating, striking with objects, burning or scalding, threatening and/or using knives or firearms) and exposure to parental violence (witnessing parental threats and/or actual physical aggression) during childhood. Analyses were performed with the Pearson chi-square test. Prevalence of history of physical abuse in childhood was 44.1% (33.8% moderate, 10.3% severe). Prevalence of exposure to parental violence was 26.1% (7.5% witnessed moderate parental violence and 18.6% severe). Combined analyses of these two types of violence showed significant associations between them. The findings may help implement intervention strategies to call the attention of health professionals to the high prevalence of this type of violence.
- ItemSomente MetadadadosPrevalência de problemas emocionais e comportamentais, uso de substâncias e violência doméstica em crianças, adolescentes e adultos jovens de baixa renda que convivem com a dependência química na família(Universidade Federal de São Paulo (UNIFESP), 2021) Vilela, Thais Dos Reis [UNIFESP]; Mari, Jair De Jesus [UNIFESP]; Universidade Federal de São PauloThis thesis investigated the prevalence of emotional and behavioral problems, substance use and exposure to domestic violence in children, adolescents and young adults who live with family members who suffer from disorders related to substance use, in a disadvantaged community in the city of Sao Paulo. Method: This is a prevalence study with a sample of 101 children between 6 and 11 years old, 102 adolescents between 12 and 17 years old and 90 young adults between 18 and 31 years old. Data were collected in the master's study and the following scales were analyzed in this doctoral study: Child Behavior Checklist (CBCL), Youth Self- Report (YSR), Adult Self-Report (ASR), Drug Use Screening Inventory (DUSI), Phrase Inventory in the Diagnosis of Domestic Violence (IFVD), Childhood Trauma Questionnaire (CTQ), Fagerström Test for Nicotine Dependence (FTND), Alcohol Dependence Data Questionnaire (SADD) and Drug Abuse Screening Test (DAST). Results: The results of the emotional and behavioral assessment questionnaires showed 27% of clinical scores for Internalizing Problems, 32.8% for Externalizing Problems, and 34.1% for Total Problems. This population has a high exposure to abuse and maltreatment: CTQ results pointed that 43.3% have experienced emotional abuse, 31.1% physical abuse, 11.1% sexual abuse, 80% emotional neglect and 83.3% physical neglect. Of the total, 20.4% are alcohol users and 7.3% are marijuana users. Alcohol and marijuana are more frequently used by males than females. Moreover, the male group presented higher rates of emotional and behavioral problems, greater exposure to stressful situations and higher problems with the law. Conclusion: Children exposed to substance abusers in their families have more mental health problems than the general population. This is a subgroup of the population whose risk of developing mental disorders is significantly higher than average and should be target of a selective intervention as part of the treatment plan of their parents.
- ItemAcesso aberto (Open Access)Quality of life of mothers whose children work on the streets of São Paulo, Brazil(Cadernos Saude Publica, 2015-04-01) Cavalcante-Nobrega, Luciana Porto [UNIFESP]; Mello, Andrea Feijó [UNIFESP]; Maciel, Mariana Rangel [UNIFESP]; Cividanes, Giuliana Claudia [UNIFESP]; Fossaluza, Victor; Mari, Jair Jesus [UNIFESP]; Mello, Marcelo Feijo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)The present study evaluated the perceived quality of life of the mothers of street children and investigated the association with their history of childhood violence, the occurrence of current domestic violence, their current mental states and that of their children, and family functioning. the applied instruments were as follows: Strengths and Difficulties Questionnaire, WorldSAFECore Questionnaire, Instrument for the Assessment of Quality of Life of the WHO, Global Assessment of Relational Functioning Scale, Childhood Trauma Questionnaire and a socio-demographic questionnaire. the sample of convenience consisted of 79 low-income mothers who raised their children alone, and most of whom had a positive screening for mental illness. the multiple regression analysis showed that the perception of quality of life of these women was associated with the presence of psychopathology either in themselves or their children and family dysfunction. Thus any program aimed at improving the quality of life of such mothers should consider addressing their mental problems as well as those of their children, besides offering educational and psychotherapeutic approaches to these families to improve the social environment.
- ItemAcesso aberto (Open Access)Violência doméstica contra mulheres e a atuação profissional na atenção primária à saúde: um estudo etnográfico em Matinhos, Paraná, Brasil(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2013-06-01) Signorelli, Marcos Claudio; Auad, Daniela [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; Universidade Federal do Paraná; Universidade Federal de Juiz de Fora; Universidade Federal de São Paulo (UNIFESP)Domestic violence has multiple repercussions on women's health and raises a challenging agenda for health professionals in Brazilian Unified National Health System (SUS). The aim of this study was to analyze how health professionals treat these women, problematizing the notion of acolhimento (receptiveness or openness to patients). A qualitative ethnographic research approach was used with health professionals from a primary care unit (PHU) in Matinhos, Paraná State, Brazil. The study revealed care that was focused on: (1) biologizing principles, with a focus on physical lesions and medicalization and (2) dialogue, active listening, psychosocial questions, and establishment of ties, especially featuring community health agents in this approach. The limited official local structure for handling domestic violence justifies treatment oriented by the grammar of acolhimento, recommended by the SUS, described in the literature, and verbalized in the PHU, but rarely problematized. This article thus proposed to contribute to this debate, not by establishing prescriptions for action, but by raising questions and mainly highlighting and translating the voices of those who deal with this challenge on a daily basis.
- ItemAcesso aberto (Open Access)Violência entre parceiros íntimos e consumo de álcool(Faculdade de Saúde Pública da Universidade de São Paulo, 2010-02-01) Zaleski, Marcos [UNIFESP]; Pinsky, Ilana [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Ramisetty-Mikler, Suhasini; Caetano, Raul; Universidade Federal de Santa Catarina Núcleo de Psiquiatria; Universidade Federal de São Paulo (UNIFESP); University of Texas Southwestern School of Public HealthOBJECTIVE: To estimate the prevalence of intimate partner violence and alcohol consumption during episodes of violence. METHODS: Cross-sectional study with a multi-stage probability sample, representative of the Brazilian population. Sample was comprised of 1,445 men and women, married or cohabitating, interviewed between November 2005 and April 2006. Interviews were conducted in the interviewees' homes, using a standardized closed questionnaire. Rates of prevalence of intimate partner violence were estimated and chi-square tests were used to assess gender differences in this prevalence. RESULTS: General prevalence of intimate partner violence was 10.7% in men and 14.6% in women. Men consumed alcohol in 38.1% of cases and women in 9.2%. As regards perception of alcohol consumption by intimate partner, men reported their female partners consumed alcohol in 30.8% of episodes of violence, while women reported that their male partners consumed it in 44.6% of episodes. CONCLUSIONS: Women were more frequently involved in mild and serious episodes of violence (perpetration, victimization or both) than men. The fact that episodes of violence reported were four times more frequent in intoxicated men enables the assumption that prevention of intimate partner violence may be promoted by public policies aimed at reducing alcohol consumption.