A violência sexual é um crime praticado contra a integridade e a liberdade sexual de uma pessoa. Atinge mulheres de todos os níveis socioeconômicos, e o agressor não escolhe a cor e nem a idade da vítima para agredi-las. É causa de elevado custo financeiro ao país e grave problema de saúde pública. Este estudo teve como objetivo avaliar a evolução da adesão de mulheres vítimas de violência sexual ao seguimento ambulatorial, as quais foram atendidas no Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas, entre janeiro de 2000 a dezembro de 2006. Observamos um aumento significativo no retorno às consultas agendadas. Em 2000, 41% das mulheres completavam o seguimento de seis meses, e, em 2006, o índice aumentou para 70%. Cerca de 70% das mulheres compareceram nas primeiras 24 horas após serem agredidas; a agressão por conhecidos triplicou ao longo dos anos. Houve mudanças na forma de intimidação e diminuição significativa na prescrição da anticoncepção de emergência.

RESUMOObjetivo: Avaliar a tendência secular da menarca de acordo com o índice de massa corporal (IMC). Sujeitos e métodos: Seiscentos e oitenta e cinco meninas (7-18 anos) ABSTRACTObjective: To evaluate the secular trend of menarche according to body mass index (BMI). Subjects and methods: Six hundred and eighty five girls (7-18 years) assessed in 2001 were compared with 750 evaluated in 2010. They were grouped by BMI Z-score: (thin + normal) and (overweight + obese). Menarche was reported by status quo and age at menarche estimated by a logit model. We used the Qui-square test, Mann-Whitney test, and Logistic Regression, at a 5% significance level. Results: Menarche advanced 3.24 months. There was an increase in obesity, and a decrease of the prevalence of normal girls. Menarche was anticipated by 1.44 month in the thin + normal group and by 5.76 months in the overweight + obese group. There was no interaction between the effects determined by the evaluated period and nutritional diagnosis. Conclusions: Although both the period and BMI influence the menarche, one cannot attribute this advance only to changes in the nutritional profile of the sample. Other factors that were not tested may also contribute to this finding. INTRODUÇÃO A menarca corresponde a um evento tardio da puberdade e é importante indicador da maturação sexual. A tendência à antecipação da idade em que ela ocorre, observada por décadas nos países desenvolvidos, sempre foi relacionada à melhora das condições de vida e saúde da população, particularmente do acesso aos alimentos (1-3).

Body composition did not change significantly, although overweight increased.

(n¼1925). Mean levels of aggression, anger and fear were analysed by gender and alcohol involvement. Multinomial models estimated associations of drinking patterns with aggression to and from the respondent. Results The response rate was 49%. Men and women reported similar prevalence of victimisation and perpetration of aggression (11%e15%). Alcohol was involved in more than a quarter of incidents, and reported more often by women than men, particularly male-only drinking when the respondent was victimised. Women reported more severity, anger and fear accompanying victimisation than men, and these scores differed significantly by involvement of alcohol. Heavy episodic drinking by respondents was associated with a threefold increase in victimisation involving alcohol, and doubling of perpetration of aggression involving alcohol. Conclusion In a cross-section of households, "counts" of aggressive acts do not reflect the reality of gender differences. The frequency of heavy drinking episodes is associated with the occurrence of aggression involving alcohol within relationships, and the involvement of alcohol in an incident of aggression is associated with increased severity, fear and anger particularly for women. Objective To examine the association between socioeconomic status (SES) and eight selected surgical outcomes after hysterectomy and asses the role of lifestyle, co-morbidity and clinical conditions on the relationship. Methods All 22 150 women registered with a benign elective hysterectomy code in the national Danish Hysterectomy Database (DHD) from 2004 to 2008 were included in the study. Data from DHD were linked to several central registers providing information on education, employment, income, lifestyle factors, co-morbidities and surgical outcome. Data were analysed using multilevel logistic regression models. Results Overall 17% of the women experienced a clinical complication in relation to hysterectomy. Four per cent were re-operated, 6% readmitted and 6% experienced prolonged hospitalisation $5 days. Women with short education had a higher risk of complications than women with higher education after adjusting for patient characteristics (OR¼1.15, 95% CI 1.02 to 1.31). They also had a higher risk of peroperative bleeding after adjusting for lifestyle factors and comorbidity (OR¼1.60, CI 1.15 to 2.22). Furthermore, a higher risk of infection and readmission was observed however, these relations seemed fully explained by lifestyle factors and co-morbidity. Women out of employment had a higher risk of infection, organ lesion, prolonged hospitalisation and readmission than women in employment. We found no association between income and surgical outcome after hysterectomy. Conclusion This study suggests that women with low SES have a significant worse surgical outcome after hysterectomy than women with high SES when differences in lifestyle factors and co-morbidity are taking into account. Introduction Although already of high prevalence, overweight and obesity are still increasing in many parts of the...

The recommendations for adult immunisation in Portugal’s Programa Nacional de Vacinação (PNV, national vaccination programme) (1) include the following.