OBJECTIVE:To analyze the results from the "WHO Multi-country Study on Women's Health and Domestic Violence", on the prevalence of intimate partner violence against women found in Brazil. METHODS:This cross-sectional study was part of the "WHO Multi-country Study on Women's Health and Domestic Violence against women", which was carried out in ten countries between 2000 and 2003. All the countries used a standardized structured questionnaire, devised for this study. In order to obtain data from contrasting settings within each country, the biggest city and a rural region were investigated whenever feasible. A representative sample of women aged 15 to 49 years was selected from the city of São Paulo and 15 municipalities in a rural region of the northeast, the Zona da Mata de Pernambuco. The study included 940 women from São Paulo and 1,188 from Zona da Mata de Pernambuco who had had an intimate partner at some time in their lives. Violence was classifi ed as psychological, physical and sexual types, and was analyzed in relation to overlapping, recurrence of episodes, severity and when it occurred. RESULTS:The women in São Paulo and Pernambuco respectively reported the following at least once in their lifetimes: psychological (N=383; 41.8% and N=580; 48.9%); physical (N=266; 27.2% and N=401; 33.7%); sexual (N=95; 10.1% and N=170; 14.3%) violence. There was signifi cant overlapping among the types of violence, which seemed to be associated with the most severe types of violence. The greatest single type was psychological violence, in São Paulo and Pernambuco (N=164; 17.5% and N=206; 17.3%), and the smallest was sexual violence (N=2; 0.2% and N=12; 1.0%). CONCLUSIONS:The results show that violence is a very common phenomenon. The fi ndings reiterate previous international studies results with regard to high magnitude and overlapping of types of intimate partner violence.KEY WORDS: Battered women. Violence against women. Spouse abuse. Domestic violence. Cross-sectional studies.
Descritores ResumoObjetivo É escasso o conhecimento sobre a ocorrência de violência contra a mulher no contexto brasileiro. A questão raramente aparece nos diagnósticos e nas condutas realizados nos serviços de saúde, apesar da magnitude e das importantes repercussões dessa forma de violência nas condições de saúde da população. Buscou-se encontrar casos de violência contra a mulher, identificando a natureza do ato perpetrado, a qualidade/ gravidade da violência e a relação do(a) agressor(a) com a mulher. Métodos O estudo foi realizado no Município de São Paulo, entre usuárias de uma unidade básica de saúde, durante dois meses, em 1998. A busca ativa de casos de violência e sua freqüência foi realizada mediante entrevista padronizada, aplicada a todas as mulheres de 15 a 49 anos que foram atendidas no período da pesquisa. Foram entrevistadas 322 mulheres. Resultados Ao todo, 143 usuárias (44,4%; IC95%=38,9-49,8%) relataram pelo menos um episódio de violência física na vida adulta, sendo que, em 110 casos, o ato de violência partiu de companheiros ou familiares (34,1%; IC95%=28,9-39,3%). Relataram a ocorrência de pelo menos um episódio de violência sexual na vida adulta 37 mulheres (11,5%; IC95%=8,0-14,9%); em 23 casos, os autores da ação eram companheiros ou familiares (7,1%; IC95%=4,3-9,9%). Conclusões Assim como já demonstrado em outros países, a violência física e sexual teve alta magnitude entre as mulheres usuárias dos serviços básicos de saúde. Os companheiros e familiares são os principais perpetradores, e os casos são, em sua maioria, severos e repetitivos. Abstract ObjectivesThere is scarce information on violence against women in the Brazilian society. This fact is rarely reported in medical records as part of the diagnosis and case management, despite evidence showing the significant impact of violence on the population's health. The study aim was to estimate the occurrence of violence against
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