Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 10.306
Filtrar
1.
BMJ Open ; 11(4): e045872, 2021 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-33827844

RESUMO

OBJECTIVES: This study aims to explore the strategies that governments and civil society organisations implemented to prevent and respond to the anticipated rise in violence against women and/or children (VAWC) during the 2019 novel coronavirus (COVID-19) pandemic. DESIGN: A scoping review and content analysis of online media reports. SETTING: WHO European region. METHODS: A scoping review of media reports and publications and a search of other grey literature (published from 1 January to 17 September 2020). Primary and secondary outcome measures included measures implemented by governments, public services and non-governmental and civil organisations to prevent or respond to VAWC during the early months of the COVID-19 pandemic. RESULTS: Our study found that in 52 of the 53 member states there was at least one measure undertaken to prevent or respond to VAWC during the pandemic. Government-led or government-sponsored measures were the most common, reported in 50 member states. Non-governmental and other civil society-led prevention and response measures were reported in 40 member states. The most common measure was the use of media and social media to raise awareness of VAWC and to provide VAWC services through online platforms, followed by measures taken to expand and/or maintain helpline services for those exposed to violence. CONCLUSION: The potential increase in VAWC during COVID-19-imposed restrictions and lockdowns resulted in adaptations and/or increases in prevention and response strategies in nearly all member states. The strength of existing public health systems influenced the requirement and choice of strategies and highlights the need for sustaining and improving violence prevention and response services. Innovative strategies employed in several member states may offer opportunities for countries to strengthen prevention and responses in the near future and during similar emergencies.


Assuntos
Violência Doméstica/prevenção & controle , Meios de Comunicação de Massa , Pandemias , Criança , Controle de Doenças Transmissíveis , Europa (Continente) , Feminino , Humanos , Internet , Organização Mundial da Saúde
2.
Artigo em Inglês | PAHO-IRIS | ID: phr-53354

RESUMO

[ABSTRACT]. Objective. To determine predictors associated with physical violence during pregnancy, and to determine the relationship between exposure to intimate partner violence during pregnancy and women’s health and suicide ideation in Guyana. Methods. A secondary data analysis of a cross-sectional household survey. Multivariate logistic regression models were fitted to the data to estimate the association between physical violence during pregnancy, controlling partner behavior, and other predictors. Ordered logistic regression models were fitted to estimate the association between physical violence during pregnancy and women’s health, and lifetime physical partner violence and overall health. Logistic regression models were fitted to estimate associations between physical violence during pregnancy and lifetime physical partner violence and overall health and suicide ideation. Results. The prevalence of lifetime physical/sexual intimate partner violence was 38.8%, current physical/sexual intimate partner violence 11.1%, and violence during pregnancy 9.2%. Controlling partner behavior was significantly and positively associated with maternal experience of physical violence during pregnancy. Experiencing physical partner violence during pregnancy, but not lifetime physical partner violence, was associated with significantly increased odds of poor overall health. Physical violence during pregnancy and lifetime physical violence were both significantly associated with increased odds of suicide ideation. Conclusions. The prevalence of violence during pregnancy in Guyana is high and is associated with adverse health outcomes. These findings suggest the need for intimate partner violence prevention, and for integrating intimate partner violence screening and treatment into antenatal care, reproductive health services, and maternal and child health programs and services to identify and treat at-risk women.


[RESUMEN]. Objetivo. Determinar los factores predictivos relacionados con la violencia física durante el embarazo y determinar la relación entre la exposición a la violencia de pareja durante el embarazo y la ideación suicida y la salud de las mujeres en Guyana. Métodos. Se realizó un análisis secundario de los datos obtenidos de una encuesta domiciliaria transversal. Se adaptaron modelos multifactoriales de regresión logística a los datos para calcular la asociación entre la violencia física durante embarazo, comportamiento controlador de la pareja y otros factores predictivos. Se emplearon modelos ordenados de regresión logística para calcular la asociación entre la violencia física durante el embarazo y la salud de la mujer, y la violencia de pareja a lo largo de la vida y la salud en general. Se aplicaron modelos de regresión logística para calcular la asociación entre la violencia física durante el embarazo y la violencia de pareja a lo largo de la vida y la ideación suicida y la salud en general. Resultados. La prevalencia de la violencia física o sexual infligida por la pareja a lo largo de la vida fue 38,8%, la violencia física o sexual infligida por la pareja en la actualidad fue 11,1% y la violencia durante el embarazo fue 9,2%. El comportamiento controlador de la pareja mostró una asociación positiva y significativa con una experiencia materna de violencia física durante el embarazo. Sufrir violencia física durante el embarazo, aunque no a lo largo de la vida, se asoció significativamente con mayores probabilidades de un estado de salud general deficiente. Tanto la violencia física durante el embarazo como la violencia física a lo largo de la vida se asociaron significativamente con mayores probabilidades de ideación suicida. Conclusiones. La prevalencia de la violencia durante el embarazo en Guyana es alta y está relacionada con consecuencias adversas en materia de salud. Estos resultados ponen de manifiesto la necesidad de prevenir la violencia de pareja y de integrar su detección y tratamiento en la atención prenatal, los servicios de salud reproductiva y los programas y servicios de salud maternoinfantil para detectar y tratar a las mujeres en riesgo.


[RESUMO]. Objetivo. Determinar as variáveis preditivas associadas à violência física contra mulheres na gravidez e avaliar a relação entre exposição à violência por parceiro íntimo na gravidez e saúde e ideação suicida em mulheres na Guiana. Métodos. Foi realizada uma análise dos dados secundários de uma pesquisa transversal domiciliar. Modelos de regressão logística multivariada foram ajustados ao conjunto de dados para estimar a associação entre violência física na gravidez, controlando-se o efeito do comportamento do parceiro e outras variáveis preditivas. Modelos de regressão logística ordinal foram ajustados para estimar a associação entre violência física na gravidez e saúde das mulheres e violência física por parceiro íntimo ao longo da vida e saúde geral. Modelos de regressão logística foram ajustados para estimar a associação entre violência física na gravidez e violência física por parceiro íntimo ao longo da vida e saúde geral e ideação suicida. Resultados. Observou-se uma prevalência de 38,8% de violência física/sexual por parceiro íntimo ao longo da vida, 11,1% de violência física/sexual por parceiro íntimo no momento presente e 9,2% de violência física/sexual na gravidez. Controlando-se o efeito do comportamento do parceiro, verificou-se uma associação positiva significativa com experiência materna de violência física na gravidez. Sofrer violência física por parceiro íntimo na gravidez, mas não violência física por parceiro íntimo ao longo da vida, foi associado a uma chance significativamente maior de saúde geral ruim. Verificou-se uma associação significativa entre violência física na gravidez e violência física ao longo da vida e uma maior chance de ideação suicida. Conclusões. A prevalência da violência contra mulheres na gravidez na Guiana é alta e está associada a desfechos de saúde adversos. Esses resultados apontam para a necessidade de prevenir a violência por parceiro íntimo e integrar a avaliação da violência por parceiro íntimo e o tratamento das mulheres aos serviços de assistência pré-natal e de saúde reprodutiva e programas e serviços de saúde materno-infantil para identificar e tratar as mulheres em risco.


Assuntos
Violência por Parceiro Íntimo , Gravidez , Violência Doméstica , Abuso Físico , Saúde Mental , Infecções por Coronavirus , Infecções por Coronavirus , Coronavirus , Betacoronavirus , Guiana , Violência por Parceiro Íntimo , Gravidez , Violência Doméstica , Abuso Físico , Saúde Mental , Infecções por Coronavirus , Violência por Parceiro Íntimo , Gravidez , Violência Doméstica , Saúde Mental , Violência contra a Mulher , Violência contra a Mulher , Violência contra a Mulher , Delitos Sexuais , Delitos Sexuais , Delitos Sexuais , Guiana
3.
Artigo em Espanhol | PAHO-IRIS | ID: phr-53351

RESUMO

[RESUMEN]. Objetivo. Describir lo que se sabe acerca de la prevalencia nacional de la violencia por parte de la pareja íntima (VPI) contra las mujeres en las Américas, en los diversos países y en el transcurso del tiempo, incluida la cobertura geográfica, calidad y comparabilidad de los datos nacionales. Métodos. Se realizó una revisión sistemática y reanálisis de las estimativas nacionales de la VPI basadas en la población de 1998 a 2017 en las Américas. Las cifras se reanalizaron para comparabilidad o se extrajeron de los informes, incluida la prevalencia por tipo (física; sexual; o física y/o sexual), marco temporal (alguna vez; durante el último año) y perpetrador (cualquiera pareja en la vida; pareja actual/más reciente). En los países con tres (3+) rondas de datos, se aplicaron las pruebas de Cochran-Armitage y de ji cuadrada de Pearson para evaluar si los cambios en el transcurso del tiempo fueron significativos (p < 0,05). Resultados. Se encontraron encuestas elegibles en 24 países. Las mujeres reportaron haber sufrido alguna vez violencia física y/o sexual por parte de la pareja íntima con tasas que variaron desde el 14% a 17% en Brasil, Panamá y Uruguay hasta más de la mitad (58,5%) en Bolivia. La prevalencia de violencia física y/o sexual por parte de la pareja íntima durante el último año varió desde 1,1% en el Canadá hasta 27,1% en Bolivia. La evidencia preliminar sugiere una posible disminución en la prevalencia reportada para ciertos tipos de VPI en ocho países; sin embargo, algunos cambios fueron pequeños, ciertos indicadores no se modificaron significativamente y se observaron incrementos significativos en la prevalencia reportada de violencia física por parte de la pareja íntima durante el último año en la República Dominicana. Conclusiones. La VPI contra las mujeres sigue siendo un problema de salud pública y de derechos humanos en las Américas; sin embargo, la base de evidencia al respecto tiene deficiencias, lo que apunta a la necesidad de datos de mejor calidad y más comparables, a fin de movilizar y monitorear a la prevención y la respuesta ante la violencia.


[ABSTRACT]. Objectives. To describe what is known about the national prevalence of intimate partner violence (IPV) against women in the Americas across countries and over time, including the geographic coverage, quality, and comparability of national data. Methods. This was a systematic review and reanalysis of national, population-based IPV estimates from 1998-2017 in the Americas. Estimates were reanalyzed for comparability or extracted from reports, including IPV prevalence by type (physical; sexual; physical and/or sexual), timeframe (ever; past year), and perpetrator (any partner in life; current/most recent partner). In countries with 3+ rounds of data, Cochran-Armitage and Pearson chi-square tests were used to assess whether changes over time were significant (p <0.05). Results. Eligible surveys were found in 24 countries. Women reported ever having experienced physical and/or sexual IPV at rates that ranged from 14%-17% of women in Brazil, Panama, and Uruguay to over one-half (58.5%) in Bolivia. Past-year prevalence of physical and/or sexual IPV ranged from 1.1% in Canada to 27.1% in Bolivia. Preliminary evidence suggests a possible decline in reported prevalence of certain types of IPV in eight countries; however, some changes were small, some indicators did not change significantly, and a significant increase was found in the reported prevalence of past-year physical IPV in the Dominican Republic. Conclusions. IPV against women remains a public health and human rights problem across the Americas; however, the evidence base has gaps, suggesting a need for more comparable, high quality evidence for mobilizing and monitoring violence prevention and response.


[RESUMO]. Objetivo. Descrever o que se sabe sobre a prevalência nacional da violência por parceiro íntimo (VPI) contra a mulher na Região das Américas, nos diferentes países e ao longo do tempo, incluindo cobertura geográfica, qualidade e comparabilidade de dados nacionais. Métodos. Foi realizada uma revisão sistemática e reanálise das estimativas nacionais populacionais de VPI na Região das Américas no período de 1998 a 2017. As estimativas foram reanalisadas para fins de comparação ou obtidas de relatórios, incluindo a prevalência de VPI por tipo de violência (física; sexual; ou física e/ou sexual), ocorrência (alguma vez ou último ano) e agressor (qualquer parceiro na vida; parceiro atual ou mais recente). Nos países com mais de três ciclos de dados, os testes de Cochran-Armitage e qui-quadrado de Pearson foram usados para avaliar se as mudanças observadas ao longo do tempo foram significativas (p < 0,05). Resultados. Pesquisas que cumpriam os requisitos do estudo foram identificadas em 24 países. O percentual de mulheres que informaram alguma vez terem sofrido VPI física e/ou sexual variou de 14% a 17% no Brasil, Panamá e Uruguai a mais da metade (58,5%) na Bolívia. A prevalência de VPI física e/ou sexual sofrida no último ano variou de 1,1% no Canadá a 27,1% na Bolívia. As evidências preliminares indicam uma possível redução na prevalência registrada de certos tipos de VPI em oito países. Porém, algumas mudanças foram pequenas, alguns indicadores não variaram significativamente e se observou um aumento significativo na prevalência informada de VPI física recente (último ano) na República Dominicana. Conclusões. A VPI contra a mulher continua sendo um problema de saúde pública e uma questão de direitos humanos na Região das Américas. Porém, a base de evidências tem importantes lacunas, ressaltando a necessidade de dados de alta de qualidade e comparáveis para a mobilização e o monitoramento da prevenção e resposta à violência.


Assuntos
Violência por Parceiro Íntimo , Violência Doméstica , Violência contra a Mulher , Inquéritos e Questionários , América Latina , Região do Caribe , América , Violência por Parceiro Íntimo , Violência Doméstica , Violência contra a Mulher , Inquéritos e Questionários , América Latina , Região do Caribe , América , Violência por Parceiro Íntimo , Violência Doméstica , Violência contra a Mulher , Inquéritos e Questionários , Região do Caribe
5.
Rev Med Liege ; 76(3): 173-178, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33682386

RESUMO

The aim of this study was to analyse retrospectively the profile of female victims of intimate partner violence (IPV) within the population of victims of assault and battery seen in expertise at the Forensic Institute of Liège. Overall, 678 files were analysed. The proportion, nature and type of IPV were determined, as well as the profile of the victims. The link between the socio-economic profile and the seriousness of the sequelae was analysed on the basis of the Chi-square test. 8,4 % of the files concerned IPV, of which 93,0 % were female victims. All the victims had suffered physical domestic violence and 55,5 % of the victims cumulated at least two forms of violence. According to Johnson's typology, 56,6 % of IPV cases may be considered as «Situational Couple Violence¼ and 43,4 % as «Intimate Terrorism¼. There are differences between the profile of victims of IPV according to the literature and the profile of victims seen at the IML. Subject to these differences, we have not found a link between the socio-economic status and the severity of the sequelae of IPV victims.


Assuntos
Violência Doméstica , Violência por Parceiro Íntimo , Feminino , Humanos , Masculino , Estudos Retrospectivos , Fatores Socioeconômicos
8.
Soins Pediatr Pueric ; 42(318): 10-16, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33602419

RESUMO

International research literature documented two red threads of extreme violence, identified misogyny and dehumanisation as the roots of extreme and violent ideologies, and revealed that support for violence against women predicts support for violent extremism more than any other factor. Research evidence documented the lasting impact of violence against women and children. Considering the place and markers of domestic violence in violent extremist trajectories means to address their driving processes and the continuum of violence characterized by constant, cumulative, non-episodic strategies used by aggressors to control and dominate the victims.


Assuntos
Violência Doméstica , Criança , Feminino , Humanos
9.
BMC Med ; 19(1): 20, 2021 02 05.
Artigo em Inglês | MEDLINE | ID: mdl-33541357

RESUMO

BACKGROUND: There is little information on care-seeking patterns for sexual assault and domestic violence during the COVID-19 pandemic. The objective of this study was to examine the changes in emergency department (ED) admissions for sexual assault and domestic violence since the COVID-19 pandemic was declared. METHODS: Observational ED admissions data from The Ottawa Hospital were analyzed from March 4 to May 5 (62 days) in 2020 (COVID-19 period) and compared to the same period in 2018 (pre-COVID-19). Total and mean weekly admissions were calculated for all-cause ED admissions and for sexual and domestic violence cases. A Poisson regression (without offset term) was used to calculate the weekly case count ratio and 95% confidence intervals (CI) between the two time periods. Case characteristics were compared using chi-square tests, and percent differences were calculated. RESULTS: Compared to pre-COVID-19, total ED admissions dropped by 1111.22 cases per week (32.9% reduction), and the Sexual Assault and Domestic Violence Program cases dropped 4.66 cases per week. The weekly case count ratio for sexual assault cases was 0.47 (95% CI 0.79-0.27), equivalent of 53.49% reduction in cases, and 0.52 (95% CI 0.93-0.29), equivalent to a 48.45% reduction in physical assault cases. The characteristics of presenting cases were similar by age (median 25 years), sex (88.57% female), assault type (57.14% sexual assault, 48.57% physical assault), and location (31.43% patient's home, 40.00% assailant's home). There was a significant increase in psychological abuse (11.69% vs 28.57%) and assaults occurring outdoors (5.19% vs 22.86%). CONCLUSION: This study found a decrease in ED admissions for sexual assault and domestic violence during COVID-19, despite societal conditions that elevate risk of violence. Trends in care-seeking and assault patterns will require ongoing monitoring to inform the provision of optimal support for individuals experiencing violence, particularly as countries begin to re-open or lock-down again.


Assuntos
/epidemiologia , Violência Doméstica/tendências , Serviço Hospitalar de Emergência/tendências , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde , Delitos Sexuais/tendências , Adulto , Controle de Doenças Transmissíveis/tendências , Violência Doméstica/psicologia , Feminino , Humanos , Masculino , Ontário/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Delitos Sexuais/psicologia , Adulto Jovem
10.
Sci Adv ; 7(6)2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33547077

RESUMO

Despite numerous journalistic accounts, systematic quantitative evidence on economic conditions during the ongoing COVID-19 pandemic remains scarce for most low- and middle-income countries, partly due to limitations of official economic statistics in environments with large informal sectors and subsistence agriculture. We assemble evidence from over 30,000 respondents in 16 original household surveys from nine countries in Africa (Burkina Faso, Ghana, Kenya, Rwanda, Sierra Leone), Asia (Bangladesh, Nepal, Philippines), and Latin America (Colombia). We document declines in employment and income in all settings beginning March 2020. The share of households experiencing an income drop ranges from 8 to 87% (median, 68%). Household coping strategies and government assistance were insufficient to sustain precrisis living standards, resulting in widespread food insecurity and dire economic conditions even 3 months into the crisis. We discuss promising policy responses and speculate about the risk of persistent adverse effects, especially among children and other vulnerable groups.


Assuntos
/economia , Países em Desenvolvimento/economia , Emprego/tendências , Renda/tendências , Pandemias/economia , Adulto , África/epidemiologia , Agricultura/economia , Ásia/epidemiologia , Criança , Colômbia/epidemiologia , Violência Doméstica , Recessão Econômica , Características da Família , Feminino , Programas Governamentais/economia , Humanos , Masculino , Estações do Ano , Inquéritos e Questionários
11.
Artigo em Russo | MEDLINE | ID: mdl-33591654

RESUMO

The article presents the results of project targeted to identify specifics of transformation of domestic violence while anti-pandemic measures are in force. The sociological survey was organized on the basis of the Crisis center for women in difficult life situations (Belgorod region, Russia). The sampling consisted of 46 women aged from 20 to 45 years endured domestic violence. The primary information was collected using semi-structured interview technique. Also, semi-structured interviews of experts from among sociologists and crisis center personnel were carried out. It is established that COVID-19 pandemic significantly impacted on family relationships. The conditions of forced isolation and anti-pandemic measures observance significantly increase risk of domestic violence.


Assuntos
Violência Doméstica , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Pandemias , Federação Russa/epidemiologia , Adulto Jovem
12.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200631, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33533806

RESUMO

OBJECTIVE: to know the strategies to cope with domestic violence against women disseminated by digital media at the beginning of the COVID-19 pandemic. METHODS: a documentary study with a qualitative approach. The search took place from March 11 to April 30, 2020, from four sources: newspapers and online portals, social network, official government pages and third sector portals. Thematic content analysis of the findings was performed. RESULTS: seventy-seven strategies were identified in the journalistic press, 93 in the social network, 45 in government portals and 40 in third sector organizations. From analysis, three empirical categories emerged: Strategies for communication with women; Strategies adopted by customer service; Strategies to inform the population. FINAL CONSIDERATIONS: most of strategies were adaptations of existing services, centered on the reporting of violence by women.


Assuntos
Adaptação Psicológica , Comunicação , Violência Doméstica/psicologia , Disseminação de Informação/métodos , Internet/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
14.
Reprod Health ; 18(1): 10, 2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33461593

RESUMO

INTRODUCTION: The Covid-19 pandemic affects maternal health both directly and indirectly, and direct and indirect effects are intertwined. To provide a comprehensive overview on this broad topic in a rapid format behooving an emergent pandemic we conducted a scoping review. METHODS: A scoping review was conducted to compile evidence on direct and indirect impacts of the pandemic on maternal health and provide an overview of the most significant outcomes thus far. Working papers and news articles were considered appropriate evidence along with peer-reviewed publications in order to capture rapidly evolving updates. Literature in English published from January 1st to September 11 2020 was included if it pertained to the direct or indirect effects of the COVID-19 pandemic on the physical, mental, economic, or social health and wellbeing of pregnant people. Narrative descriptions were written about subject areas for which the authors found the most evidence. RESULTS: The search yielded 396 publications, of which 95 were included. Pregnant individuals were found to be at a heightened risk of more severe symptoms than people who are not pregnant. Intrauterine, vertical, and breastmilk transmission were unlikely. Labor, delivery, and breastfeeding guidelines for COVID-19 positive patients varied. Severe increases in maternal mental health issues, such as clinically relevant anxiety and depression, were reported. Domestic violence appeared to spike. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies implemented with little evidence. Women were more likely to lose their income due to the pandemic than men, and working mothers struggled with increased childcare demands. CONCLUSION: Pregnant women and mothers were not found to be at higher risk for COVID-19 infection than people who are not pregnant, however pregnant people with symptomatic COVID-19 may experience more adverse outcomes compared to non-pregnant people and seem to face disproportionate adverse socio-economic consequences. High income and low- and middle-income countries alike faced significant struggles. Further resources should be directed towards quality epidemiological studies. The Covid-19 pandemic impacts reproductive and perinatal health both directly through infection itself but also indirectly as a consequence of changes in health care, social policy, or social and economic circumstances. The direct and indirect consequences of COVID-19 on maternal health are intertwined. To provide a comprehensive overview on this broad topic we conducted a scoping review. Pregnant women who have symptomatic COVID-19 may experience more severe outcomes than people who are not pregnant. Intrauterine and breastmilk transmission, and the passage of the virus from mother to baby during delivery are unlikely. The guidelines for labor, delivery, and breastfeeding for COVID-19 positive patients vary, and this variability could create uncertainty and unnecessary harm. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies are implemented with little evidence in high and low/middle income countries. The social and economic impact of COVID-19 on maternal health is marked. A high frequency of maternal mental health problems, such as clinically relevant anxiety and depression, during the epidemic are reported in many countries. This likely reflects an increase in problems, but studies demonstrating a true change are lacking. Domestic violence appeared to spike. Women were more vulnerable to losing their income due to the pandemic than men, and working mothers struggled with increased childcare demands. We make several recommendations: more resources should be directed to epidemiological studies, health and social services for pregnant women and mothers should not be diminished, and more focus on maternal mental health during the epidemic is needed.


Assuntos
Serviços de Saúde Materna , Saúde Materna , Pandemias , Complicações Infecciosas na Gravidez , Aleitamento Materno , Parto Obstétrico , Violência Doméstica , Feminino , Equidade de Gênero , Humanos , Saúde Mental , Gravidez
15.
J Trauma Acute Care Surg ; 90(4): 714-721, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33395031

RESUMO

BACKGROUND: The COVID-19 pandemic resulted in a statewide stay-at-home (SAH) order in California beginning March 19, 2020, forcing large-scale behavioral changes and taking an emotional and economic toll. The effects of SAH orders on the trauma population remain unknown. We hypothesized an increase in rates of penetrating trauma, gunshot wounds, suicide attempts, and domestic violence in the Southern California trauma population after the SAH order. METHODS: A multicenter retrospective analysis of all trauma patients presenting to 11 American College of Surgeons levels I and II trauma centers spanning seven counties in California was performed. Demographic data, injury characteristics, clinical data, and outcomes were collected. Patients were divided into three groups based on injury date: before SAH from January 1, 2020, to March 18, 2020 (PRE), after SAH from March 19, 2020, to June 30, 2020 (POST), and a historical control from March 19, 2019, to June 30, 2019 (CONTROL). POST was compared with both PRE and CONTROL in two separate analyses. RESULTS: Across all periods, 20,448 trauma patients were identified (CONTROL, 7,707; PRE, 6,022; POST, 6,719). POST had a significantly increased rate of penetrating trauma (13.0% vs. 10.3%, p < 0.001 and 13.0% vs. 9.9%, p < 0.001) and gunshot wounds (4.5% vs. 2.4%, p = 0.002 and 4.5% vs. 3.7%, p = 0.025) compared with PRE and CONTROL, respectively. POST had a suicide attempt rate of 1.9% and a domestic violence rate of 0.7%, which were similar to PRE (p = 0.478, p = 0.514) and CONTROL (p = 0.160, p = 0.618). CONCLUSION: This multicenter Southern California study demonstrated an increased rate of penetrating trauma and gunshot wounds after the COVID-19 SAH orders but no difference in attempted suicide or domestic violence rates. These findings may provide useful information regarding resource utilization and a target for societal intervention during the current or future pandemic(s). LEVEL OF EVIDENCE: Epidemiological, level IV.


Assuntos
Violência Doméstica/estatística & dados numéricos , Tentativa de Suicídio/estatística & dados numéricos , Ferimentos por Arma de Fogo/epidemiologia , Ferimentos Penetrantes/epidemiologia , Adulto , /prevenção & controle , California/epidemiologia , Feminino , Estudo Historicamente Controlado , Humanos , Masculino , Estudos Retrospectivos
16.
BMC Pregnancy Childbirth ; 21(1): 88, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509103

RESUMO

BACKGROUND: During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic. METHODS: This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information. RESULTS: According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (ß = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002). CONCLUSIONS: The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.


Assuntos
/psicologia , Violência Doméstica/psicologia , Gestantes/psicologia , Qualidade de Vida , Adulto , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Saúde Mental , Abuso Físico/psicologia , Gravidez , Complicações na Gravidez/psicologia , Prevalência , Delitos Sexuais/psicologia , Inquéritos e Questionários , Adulto Jovem
17.
Nursing (Säo Paulo) ; 24(272): 5198-5209, jan.2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1148467

RESUMO

Objetivo: caracterizar como ocorrem e quais os efeitos das ações de Enfermagem na saúde de mulheres no momento do aborto. Método: Revisão integrativa, realizada nas bases de dados SciELO, LILACS e BDENF, a partir dos descritores: saúde da mulher, aborto e cuidados de Enfermagem. Resultados: Dezenove artigos foram selecionados, publicados no período de 2015 a 2020. Percebeu-se, na maioria das produções, prática fragmentada de profissionais de Enfermagem às mulheres em situação de abortamento, seja nos aspectos relacionais, de manejo da dor e da educação em saúde sobre o que fazer pós-alta. Embora conhecimento de protocolos e da humanização, o cuidado ainda é afetado por crenças e valores desses profissionais. Conclusão: Conclui-se que o cuidado de Enfermagem voltado ao aborto ainda visa problema e julgamentos, e exige, dentre outros aspectos, permanente qualificação profissional para que seja centrado na pessoa, supere os maus-tratos e garanta bem estar e segurança em futuras gestações.(AU)


Objectives: to characterize how they occur and what are the effects of nursing actions on women's health at the time of abortion. Methods: It is an integrative review. The search took place in the SciELO, LILACS and BDENF databases, based on the keywords: women's health, abortion and nursing care. Results: Nineteen articles were selected, published from 2015 to 2020. It was noticed, in most productions, a fragmented practice of nursing professionals to women in abortion situations, whether in the relational, pain management and health education aspects of what to do after discharge. Although knowledge of protocols and humanization, care is still affected by the beliefs and values of these professionals. Conclusions: It is concluded that nursing care aimed at abortion still aims at problems and judgments, and requires, among other aspects, permanent professional qualification so that it is centered on the person, overcomes the abuse and ensures well-being and safety in future pregnancies.(AU)


Objetivos: caracterizar cómo ocurren y cuáles son los efectos de las acciones de enfermería en la salud de las mujeres en el momento del aborto. Método: Es una revisión integradora. La búsqueda se realizó en las bases de datos SciELO, LILACS y BDENF, en base a las palabras clave: salud de la mujer, aborto y cuidados de enfermería. Resultados: Se notó, en la mayoría de las producciones, una práctica fragmentada de los profesionales de enfermería a las mujeres en situaciones de aborto, ya sea en los aspectos relacionales, manejo del dolor y educación para la salud de qué hacer después del alta. Aunque el conocimiento de los protocolos y la humanización, el cuidado sigue estando afectado por las creencias y valores de estos profesionales. Conclusión: Se concluye que el cuidado de enfermería orientado al aborto aún apunta a problemas y juicios, y requiere, entre otros aspectos, la calificación profesional permanente para que se centre en la persona, supere el abuso y garantice el bienestar y la seguridad en futuros embarazos.(AU)


Assuntos
Humanos , Feminino , Gravidez , Educação em Saúde , Saúde da Mulher , Aborto , Cuidados de Enfermagem , Violência Doméstica , Humanização da Assistência
18.
Av. enferm ; 39(1): 112-120, 01 de enero de 2021.
Artigo em Português | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1151189

RESUMO

Objetivo: refletir sobre a violência simbólica no campo familiar na (des)estruturação do habitus do adolescente a partir da série televisiva Sex education. Síntese de conteúdo: estudo teórico-reflexivo, tendo por base livros e artigos que demonstrem os conceitos de campo, capital, habitus, poder e violência simbólica do filósofo Pierre Bourdieu e a série de televisão Sex education, que possibilita um novo olhar das relações complexas e das estruturações identitárias existentes no contexto familiar. Reconhecendo que a violência simbólica se expressa por meio de relações de poder manifestadas entre o dominador e o dominado, é perceptível a incorporação e a legitimação de um discurso marginalizado, por parte de indivíduos pertencentes a uma classe de menor empoderamento, aceitando essa realidade social de forma natural. Conclusões: percebese que é necessário um olhar crítico sobre as relações interpessoais no contexto familiar, uma vez que é na socialização familiar que se tem o início da incorporação e da construção do habitus dos indivíduos, e que a violência simbólica, originada de um campo de submissão, pode ser tão prejudicial quanto os outros tipos de violência visíveis, já que afeta decisivamente a construção e o desenvolvimento dos adolescentes


Objective: To reflect on the symbolic violence in the family field and the (de)structuring of adolescent habitus based on the television series Sex education. Content synthesis: Theoretical and reflective study based on books and articles by philosopher Pierre Bourdieu, that address the concepts of field, capital, habitus, power and symbolic violence, and the television series Sex Education, which allows a new look at the complex relationships and existing identity structures in the family context. Recognizing that symbolic violence expresses itself through manifested power relations between the dominator and the dominated, it is noticeable the incorporation and legitimization of a marginalized discourse by individuals belonging to a less empowered class, who accept this social reality in a natural way. Conclusions:A critical look is required on interpersonal relation-ships in the family context, since it is in family socialization that the incorporation and construction of the habitus of individuals begins. Besides, it is observed that symbolic violence originated in a submission environment can be as damaging as other types of visible violence, since this decisively affects the construction and development of adolescents.


Objetivo: reflexionar sobre la violencia simbólica en el ámbito familiar y la (des)estructuración del habitus del adolescente con base en la serie de televisión Sex education. Síntesis de contenido: estudio teórico-reflexivo basado en libros y artículos del filósofo Pierre Bourdieu, que abordan los conceptos de campo, capital, habitus, poder y violencia simbólica, y la serie de tele-visión Sex education, la cual permite una nueva mirada a las complejas relaciones y estructuras de identidad existentes en el contexto familiar. Reconociendo que la violencia simbólica se expresa a través de las relaciones de poder manifestadas entre el dominador y el dominado, es notable la incorporación y la legitimación de un discurso marginado por parte de individuos pertenecientes a una clase menos empoderada, que acepta esta realidad social de forma natural. Conclusiones: se evidencia la necesidad de una mirada crítica de las relaciones interpersonales en el contexto familiar, ya que es en la socialización familiar que comienza la incorporación y construcción del habitus de los individuos. Así mismo, se observa que la violencia simbólica, originada en un entorno de sumisión, puede ser tan perjudicial como otros tipos de violencia visible, pues esta afecta decisivamente la construcción y el desarrollo de los adolescentes.


Assuntos
Humanos , Violência , Comportamento do Adolescente , Poder Familiar , Violência Doméstica
20.
Rev. enferm. UFPE on line ; 15(1): [1-20], jan. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1147651

RESUMO

Objetivo: apreender, nas lembranças de filhos em história de vida, o sentido e o significado da convivência familiar com pais alcoolistas. Método: trata-se de um estudo qualitativo, descritivo, exploratório, com ênfase na História Oral de Vida, realizado com cinco filhos de pais alcoolistas por meio de entrevistas semiestruturadas. Analisaram-se os dados pela Análise de Conteúdo. Resultados: percebeu-se que o adoecimento é concomitante, dos pais em virtude do uso abusivo do álcool e dos filhos que estão em convivência com ele e vivenciaram situações de conflitos e violência. Descreveram-se, ainda, os sentimentos ambíguos desenvolvidos pelos filhos a partir da relação com o pai, como vergonha, medo, estresse, angústia, mas, na fase adulta, houve a ressignificação da convivência no cuidado com o pai por meio da identificação dos sentimentos de tolerância e respeito. Conclusão: identificou-se que a reabilitação psicossocial dos filhos possibilitou a ressignificação da relação com o pai. Aponta-se para a importância de os profissionais de saúde estabelecerem estratégias de cuidado aos alcoolistas e aos filhos, que são cuidadores e vivenciam situações de codependência e sofrimentos emocionais na relação com o familiar alcoolista.(AU)


Objective: to learn, in the memories of children in their life history, the meaning and significance of family life with alcoholic parents. Method: this is a qualitative, descriptive, exploratory study, with emphasis on Oral History of Life, carried out with five children of alcoholic parents through semi-structured interviews. The data was analyzed through Content Analysis. Results: it was noticed that the illness is concomitant, of the parents due to the abusive use of alcohol and of the children who are in coexistence with it and have experienced situations of conflicts and violence. The ambiguous feelings developed by the children from the relationship with the father were also described, such as shame, fear, stress, anguish, but, in the adult phase, there was the resignification of the coexistence in the care with the father through the identification of the feelings of tolerance and respect. Conclusion: it was identified that the psychosocial rehabilitation of the children enabled the resignification of the relationship with the father. It was pointed out the importance of health professionals to establish strategies to care for alcoholics and their children, who are caregivers and experience situations of codependence and emotional suffering in the relationship with the alcoholic family member.(AU)


Objetivo: aprehender, en la memoria de los niños en la historia de vida, el sentido y el significado de la vida familiar con padres alcohólicos. Método: se trata de un estudio cualitativo, descriptivo, exploratorio, con énfasis en la Historia de Vida Oral, realizado con cinco hijos de padres alcohólicos mediante entrevistas semiestructuradas. Los datos se analizaron mediante Análisis de Contenido. Resultados: se notó que la enfermedad es concomitante, de los padres por el uso abusivo del alcohol y de los hijos que conviven con él y vivieron situaciones de conflicto y violencia. También se describieron los sentimientos ambiguos desarrollados por los hijos a partir de la relación con el padre, como vergüenza, miedo, estrés, angustia, pero, en la edad adulta, se dio un nuevo sentido de convivencia en el cuidado del padre al identificar sentimientos de tolerancia y respeto. Conclusión: se identificó que la rehabilitación psicosocial de los niños permitió redefinir la relación con el padre. Se señala la importancia de que los profesionales de la salud establezcan estrategias de atención para los alcohólicos y sus hijos, quienes son cuidadores y viven situaciones de codependencia y sufrimiento emocional en la relación con el familiar alcohólico.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Saúde Mental , Codependência Psicológica , Transtornos Relacionados ao Uso de Álcool , Alcoolismo , Relações Familiares , Relações Pai-Filho , Alcoólicos , Acontecimentos que Mudam a Vida , Memória , Epidemiologia Descritiva , Violência Doméstica , Pesquisa Qualitativa
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...