[Intimate partner violence. Types and risk in primary care health users in Cancun, Quintana Roo, Mexico]. / Violencia de pareja: tipo y riesgos en usuarias de atención primaria de salud en Cancún, Quintana Roo, México.

OBJECTIVE: To identify the prevalence and type of intimate partner violence in women assigned at primary care health and estimates the risks for violence. DESIGN: Case (incident cases)-control. LOCATION: Primary health care unit in Cancun, Quintana Roo, Mexico. PARTICIPANTS: Women over 18years old living in couple at last 12months. MAIN MEASUREMENTS: Validated violence scale for Mexican population was evaluated: total partner violence, physical, psychological and sexual violence. History of violence and sociodemographic variables. Chi square for categorical variables and odds ratio (OR) for risk estimate was determined. RESULTS: The total intimate partner violence was 15.05%, psychological violence in 37.3%. Overall violence, age differences, socioeconomic status, marital status, history of violence and alcohol intake by the partner (P<.05) were observed. The risk increased in over 40 years old (OR: 2.09; 95%CI: 1.07 to 4.11), history of violence (OR: 5.9; 95%CI: 2.8 to 12.44) and alcohol intake by partner (OR=12.38; 95%CI: 2.15 to 29.59). Low socioeconomic status (OR: 0.384; 95%CI: 0.19 to 0.74) and free union (OR: 0.507; 95%CI: 0.27 to 0.95) were relation factors to lower intimate violence partner. CONCLUSIONS: Sexual violence predominated among users of primary health care and the risk that present this behavior increases with the consumption of alcoholic beverages in the couple and a history of violence, but the free union and socioeconomic status were possibility protected for violence.

Violencia de pareja: tipo y riesgos en usuarias de atención primaria de salud en Cancún, Quintana Roo, México / Intimate partner violence. Types and risk in primary care health users in Cancun, Quintana Roo, Mexico

Objetivo: Identificar la prevalencia y el tipo de violencia de pareja en mujeres usuarias de una unidad de atención primaria y estimar los riesgos para cada tipo de violencia. Diseño: Casos (incidentes) y controles. Emplazamiento: Unidad de atención primaria en Cancún, Quintana Roo, México. Participantes: Mujeres mayores de 18 años con vida en pareja en los últimos 12 meses. Mediciones principales: Mediante escala para identificación de violencia validada para población mexicana, se evaluó: violencia de pareja total, violencia física, psicológica y sexual. Antecedente de violencia y variables sociodemográficas. Se determinó chi cuadrado para variables categóricas y odds ratio (OR) para la estimación de riesgo. Resultados: La violencia de pareja total fue del 15,05%, y la violencia psicológica, del 37,3%. En violencia total se observaron diferencias en edad, nivel socioeconómico, estado civil, antecedente de violencia y consumo de alcohol en la pareja (p < 0,05). El riesgo se incrementó en mayores de 40años (OR: 2,09; IC95%: 1,07-4,11), antecedente de violencia (OR: 5,9; IC95%: 2,8-12,44) y consumo de alcohol por parte de la pareja (OR: 12,38; IC95%: 2,15-29,59). Nivel socioeconómico bajo (OR: 0,384; IC95%: 0,19-0,74) y estar en unión libre (OR: 0,507; IC95%: 0,27-0,95) son factores relacionados con menor violencia de pareja. Conclusiones: La violencia sexual predominó en las usuarias de la atención primaria, y el riesgo de que se presente esta conducta se incrementa con el consumo de bebidas alcohólicas en la pareja y el antecedente de violencia, pero la unión libre y el nivel socioeconómico bajo están relacionados con menor violencia de pareja (AU)

Objective: To identify the prevalence and type of intimate partner violence in women assigned at primary care health and estimates the risks for violence. Design: Case (incident cases)-control. Location: Primary health care unit in Cancun, Quintana Roo, Mexico. Participants: Women over 18 years old living in couple at last 12 months. Main measurements: Validated violence scale for Mexican population was evaluated: total partner violence, physical, psychological and sexual violence. History of violence and sociodemographic variables. Chi square for categorical variables and odds ratio (OR) for risk estimate was determined. Results: The total intimate partner violence was 15.05%, psychological violence in 37.3%. Overall violence, age differences, socioeconomic status, marital status, history of violence and alcohol intake by the partner (P < .05) were observed. The risk increased in over 40 years old (OR: 2.09; 95%CI: 1.07 to 4.11), history of violence (OR: 5.9; 95%CI: 2.8 to 12.44) and alcohol intake by partner (OR=12.38; 95%CI: 2.15 to 29.59). Low socioeconomic status (OR: 0.384; 95%CI: 0.19 to 0.74) and free union (OR: 0.507; 95%CI: 0.27 to 0.95) were relation factors to lower intimate violence partner. Conclusions: Sexual violence predominated among users of primary health care and the risk that present this behavior increases with the consumption of alcoholic beverages in the couple and a history of violence, but the free union and socioeconomic status were possibility protected for violence (AU)