Violência entre parceiros íntimos no Brasil e fatores associados
Data
2017-09-28
Autores
Ally, Elizabeth Zamerul 
Orientadores
Madruga, Clarice Sandi
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Comparar as taxas de prevalência da violência entre parceiros íntimos (VPI) em 2006 e 2012 em uma amostra de domicílios nacionalmente representativa no Brasil. As associações entre VPI e o uso de substâncias psicoativas, depressão, ideação e tentativas de suicídio, falta de suporte social e DST-HIV também foram investigados. As análises detalharam os achados para vítimas, agressores, envolvidos em VPI bidirecional, homens e mulheres. Métodos: Este estudo é transversal, baseado nos dados das duas ondas do Levantamento Nacional de Álcool e Drogas (2006/2012). VPI foi avaliada usando o Conflict Tactic Scale-R; para a Depressão, a escala CES-D (Center for Epidemiological Studies Depression Scale); o AUDIT (Alcohol Use Disorders Test) para o consumo do Álcool e o questionário APMS (Adult Psychiatric Morbidity Survey - England) para o uso do Tabaco, substâncias Ilícitas e Rede de Suporte Social. As taxas de prevalência ponderadas e o modelo de regressão logística ajustado foram calculados para as razões de chance (odds). Resultados: As taxas de prevalência da vitimização na VPI diminuíram significativamente entre as mulheres. As taxas de Agressão na VPI entre homens também diminuíram significativamente, bem como os índices de violência bidirecional. O abuso de bebidas alcoólicas aumentou a probabilidade de ser vítima e agressor na VPI. Usar drogas ilícitas quase quintuplicou a probabilidade de ser um agressor. As associações da VPI com sintomas depressivos, ideação suicida, tentativa de suicídio e contaminação por DST/HIV foram significantes para vítimas, agressores e envolvidos com violência bidirecional. Conclusões: Apesar da redução significativa na maioria dos tipos de VPI entre 2006 e 2012, a violência perpetrada pelas mulheres não foi significativamente reduzida e as taxas nacionais atuais ainda são altas. Além disso, este estudo sugere que o uso de álcool e outras drogas psicoativas desempenha um papel importante na VPI, assim como os desfechos de depressão, tentativas de suicídio e contaminação por DST/HIV. Iniciativas de prevenção devem levar em consideração o uso indevido de drogas e estes desfechos.
Objective: To compare intimate partner violence (IPV) prevalence rates in 2006 and 2012 in a nationally representative household sample in Brazil. The associations between IPV and substance use, depression, suicidal ideation and attempts, lack of social support and HIV-STD infection were also investigated. The analyzes detailed results for victims, offenders, involved in bidirectional IPV, men and women. Methods: This is a cross-sectional study, based on data from two waves (2006/2012) of the Brazilian National Alcohol and Drugs Survey (BNADS). IPV was assessed using the Conflict Tactic Scale-R. to the Depression, the CES-D scale (Center for Epidemiological Studies Depression Scale); AUDIT (Alcohol Use Disorders Test) for the consumption of alcohol and the questionnaire APMS (Adult Psychiatric Morbidity Survey - England) for the use of tobacco; illicit substances and Network Social Support. Weighted prevalence rates and adjusted logistic regression model were calculated for the odds ratio (odds). Results: Prevalence rates of IPV victimization decreased significantly, especially among women. The rates of IPV perpetration also decreased significantly for the overall sample and in men), as well as the rates of bidirectional violence (by individuals who were simultaneously victims and perpetrators of violence). Alcohol increased the likelihood of being a victim and perpetrator of IPV. Use of illicit drugs increased up to 4.5 times the likelihood of being a perpetrator. The associations between IPV and depressive symptoms, suicidal ideation and attempt and STD/HIV-positive were significant for victims, perpetrators and involved with bidirectional violence. Conclusions: In spite of the significant reduction in most types of IPV between 2006 and 2012, violence perpetrated by women was not significantly reduced, and the current national rates are still high. Further, this study suggests that use of alcohol and other psychoactive drugs plays a major role in IPV as well as the outcomes of depression, suicide attempts and STD/HIV infection. Prevention initiatives should take into account the misuse of drugs and these outcomes.
Objective: To compare intimate partner violence (IPV) prevalence rates in 2006 and 2012 in a nationally representative household sample in Brazil. The associations between IPV and substance use, depression, suicidal ideation and attempts, lack of social support and HIV-STD infection were also investigated. The analyzes detailed results for victims, offenders, involved in bidirectional IPV, men and women. Methods: This is a cross-sectional study, based on data from two waves (2006/2012) of the Brazilian National Alcohol and Drugs Survey (BNADS). IPV was assessed using the Conflict Tactic Scale-R. to the Depression, the CES-D scale (Center for Epidemiological Studies Depression Scale); AUDIT (Alcohol Use Disorders Test) for the consumption of alcohol and the questionnaire APMS (Adult Psychiatric Morbidity Survey - England) for the use of tobacco; illicit substances and Network Social Support. Weighted prevalence rates and adjusted logistic regression model were calculated for the odds ratio (odds). Results: Prevalence rates of IPV victimization decreased significantly, especially among women. The rates of IPV perpetration also decreased significantly for the overall sample and in men), as well as the rates of bidirectional violence (by individuals who were simultaneously victims and perpetrators of violence). Alcohol increased the likelihood of being a victim and perpetrator of IPV. Use of illicit drugs increased up to 4.5 times the likelihood of being a perpetrator. The associations between IPV and depressive symptoms, suicidal ideation and attempt and STD/HIV-positive were significant for victims, perpetrators and involved with bidirectional violence. Conclusions: In spite of the significant reduction in most types of IPV between 2006 and 2012, violence perpetrated by women was not significantly reduced, and the current national rates are still high. Further, this study suggests that use of alcohol and other psychoactive drugs plays a major role in IPV as well as the outcomes of depression, suicide attempts and STD/HIV infection. Prevention initiatives should take into account the misuse of drugs and these outcomes.
Descrição
Citação
ALLY, Elizabeth Zamerul. Violência entre parceiros íntimos no Brasil e fatores associados. São Paulo, 2017. [115] p. Dissertação (Mestrado em Psiquiatria e psicologia médica) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2017.