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1.
Texto & contexto enferm ; 29: e20180432, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1059134

RESUMO

ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.


RESUMEN Objetivos: identificar las situaciones de violencia en la rutina laboral de los profesionales de salud de la Estrategia de Salud de la Familia y describir las conductas que adoptan estos profesionales ante las situaciones de violencia identificadas. Método: estudio cualitativo, descriptivo y exploratorio que tuvo como escenario a una Clínica de Salud Familiar del municipio de Río de Janeiro. Participaron 18 profesionales de la salud. Los datos se recolectaron a través de entrevistas semiestructuradas y se los sometió a análisis de contenido. Resultados: surgieron tres categorías temáticas: Situaciones de violencia laboral en la Estrategia de Salud de la Familia; Consecuencias de la violencia laboral en la Estrategia de Salud de la Familia y Desempeño de los enfermeros como líderes de los equipos de Salud de la Familia y las estrategias adoptadas ante la violencia laboral. Conclusiones: se identificaron situaciones de violencia interpersonal y colectiva, ejemplificadas por el contacto con la violencia armada en el campo de acción, discriminación racial, violencia entre pares y violencia sufrida por el usuario, como ser la violencia doméstica, que afecta directamente al profesional. Se destaca la importancia del desempeño de los enfermeros como líderes de los equipos de la Estrategia de Salud de la Familia, con vistas a manejar las situaciones de violencia laboral, muchas veces desatendidas.


RESUMO Objetivos: identificar as situações de violência no cotidiano de trabalho dos profissionais de saúde da Estratégia de Saúde da Família e descrever as condutas adotadas por esses profissionais perante as situações de violência identificadas. Método: estudo qualitativo, descritivo e exploratório cujo cenário foi uma Clínica da Família do município do Rio de Janeiro. Participaram 18 profissionais da saúde. Os dados foram coletados através de entrevistas semiestruturadas e submetidos à análise de conteúdo. Resultados: emergiram três categorias temáticas: Situações de violência no trabalho na Estratégia de Saúde da Família; Consequências da violência no trabalho na Estratégia de Saúde da Família; Atuação do enfermeiro como líder da Equipe de Saúde da Família e as estratégias adotadas perante a violência no trabalho. Conclusões: foram identificadas situações de violência interpessoal e a violência coletiva, exemplificadas pelo contato com a violência armada no território, discriminação racial, violência entre os pares e violência sofrida pelo usuário, como a violência doméstica, afetando diretamente o profissional. Destaca-se a importância da atuação do enfermeiro como líder da equipe da Estratégia de Saúde da Família vislumbrando o gerenciamento das situações de violência no trabalho, muitas vezes negligenciadas.


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Violência , Saúde da Família , Pessoal de Saúde , Atenção Primária à Saúde , Papel do Profissional de Enfermagem , Violência no Trabalho , Liderança , Enfermeiras e Enfermeiros
2.
Eur. j. psychol. appl. legal context (Internet) ; 12(2): 61-68, jul.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-190650

RESUMO

School coexistence/violence is often the subject of social alarm. There is no consensus on the prevalence of violent behavior in the classroom, but there does seem to be about its differences according to sex, socioeconomic level, or the importance of preventive interventions for its reduction. Models consider attitudes towards violence as an indicator of risk for its expression. The objectives of this study are to explore the psychometric properties of the revised version of Cuestionario de Actitudes Hacia la Violencia [Attitudes towards Violence Questionnaire] (CAHV-25) in primary and secondary education students, proposing a version of four scales and a total of 28 items, along with the exploration of their significance as a function of sex and academic cycle. A qualitative review of CAHV-25 and a psychometric study of the revised version in each of its original dimensions was carried out, obtaining the fit indicators of exploratory and confirmatory factor analysis. In addition, the scale was studied as a function of sex and educational stage se in school children (N = 600) of the Region of Murcia (Spain). The four dimensions show better psychometric properties in their revised version. Attitudes towards violence are more present in males and in secondary school. As conclusions, the proposed version optimizes the detection of attitudes towards violence in schoolchildren and suggests more specific school violence prevention programs


La convivencia/violencia escolar, a menudo, es objeto de alarma social. No parece existir consenso en la prevalencia de conductas violentas en las aulas, pero sí en sus diferencias según sexo, nivel socioeconómico o la importancia de las intervenciones preventivas para su disminución. Los modelos sitúan a las actitudes hacia la violencia como un indicador de riesgo para la manifestación de dichas conductas. Los objetivos del presente estudio son explorar las propiedades psicométricas de la versión ampliada del Cuestionario de Actitudes Hacia la Violencia (CAHV-25) en alumnos de Educación Primaria y Secundaria, proponiendo una versión dividida en cuatro escalas y 28 ítems en total, junto a la exploración de la significación según sexo y etapa académica. Se ha llevado a cabo una revisión cualitativa del cuestionario CAHV-25 y se realizó un estudio psicométrico de la misma para cada una de sus dimensiones originales obteniendo los indicadores de ajuste de Análisis Factorial Exploratorio y Confirmatorio en menores de Educación Primaria y Secundaria (N = 600) de la Región de Murcia (España). Los resultados indican que las cuatro dimensiones tienen mejores propiedades psicométricas en su versión revisada. Las actitudes hacia la violencia son mayores en varones y en Secundaria. Se concluye que la versión propuesta permite maximizar la detección de actitudes hacia la violencia en menores escolarizados, sirviendo de base para el planteamiento de posibles programas de prevención de violencia escolar más específicos


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Inquéritos e Questionários , Estudantes/psicologia , Violência/psicologia , Atitude , Análise Fatorial , Comportamento do Adolescente , Estudos Transversais , Prevalência , Psicometria
5.
Psychiatr Danub ; 32(Suppl 3): 360-363, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030453

RESUMO

The establishment of the United Nations after World War II raised hopes of a new era of peace. This was over-optimistic. Between 1945 and 1992, there were 149 major wars, killing more than 23 million people. Recent developments in warfare have significantly heightened the dangers for children. During the last decade child war victims have included: 2 million killed; 4-5 million disabled; 12 million left homeless; more than 1 million orphaned or separated from their parents; some 10 million psychologically traumatized. Researches indicate that children do develop PTSD after experiencing very stressful, life-threatening events such as happen in war. Wars of 21st century are often guerrilla-type civil wars in which women and children are not only the main victims, but are deliberately targeted. Thousands are displaced both internally and across borders. Wars at the end of nineties of 20th century in the region of ex Yugoslavian countries brought all the cruelty of war vivid again on European ground. Population were exposed to death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence. During the War in Bosnia and Herzegovina 1992-1995 there were about 100 000 people killed (20% woman and 3.5% children) and about 18 000 children were orphaned because of war. Children are not capable to regulate their emotions and hyper-arousal on their own. It depends of the way how their parents (caretaker) regulate her/his own emotions. During the war weak child's ego is paralyzed with intensive stimuli and floating anxiety, it does not manage to make constructive solution for traumatic experiences in such a short time. Mothers with small children are especially vulnerable group during the war time: they are supposed to take care about children and feel happiness, what is almost impossible Severe war experiences could cause depressive symptoms in mothers, what reduce their emotional disposability and could lead in different form of the child's neglecting. PTSD symptoms were lasting longer in children if their mothers have had functioning problems. Traumatization of mothers is connected with different behavior problems in their children. Wars are continuing all over the world and there is a continuity of researches about their consequences on children. Any programs that intend to mitigate the psychological effects of such trauma need to adopt a public health approach aimed at reaching many thousands.


Assuntos
Transtornos de Estresse Pós-Traumáticos/epidemiologia , Guerra/psicologia , Guerra/estatística & dados numéricos , Bósnia e Herzegóvina/epidemiologia , Criança , Humanos , Mães/psicologia , Comportamento Problema , Transtornos de Estresse Pós-Traumáticos/psicologia , Violência/psicologia , Violência/estatística & dados numéricos , Lesões Relacionadas à Guerra/epidemiologia , Lesões Relacionadas à Guerra/psicologia
6.
Psychiatr Danub ; 32(Suppl 3): 371-377, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030456

RESUMO

INTRODUCTION: The problem of peer violence is increasingly discussed. It is noticeable that it is not sufficiently researched and there is no sufficient information about its prevalence, forms, prevention methods, repression and coping with the problem and its consequences. It seems that it gets discussed more intensively only in case of a traumatic incident whose consequences cannot be denied and if they make a large impact on the entire society. To show the prevalence and manifestation of peer violence as well as problems in the prevention and addressing consequences of peer violence. METHODS: Data are collected from several studies on peer violence conducted in Bosnia and Herzegovina and worldwide. RESULTS: Collected data indicate that the peer violence ranges from 15% to 50% depending on the development of the country where research is conducted. CONCLUSIONS: It is necessary to identify peer violence on time and respond in a timely manner. Any claim of a child needs to be taken seriously, because timely response prevents the child who experienced some form of violence to revenge or become violent. It is important to start raising awareness among children from their early age and train them on techniques of non-violent communication, forms of violence, the ways of expressing violence and its effects on victims and observers of violence and why it is important to talk about it. They need to know where to report violence and what the duties of relevant institutions are. In addition to children, it is important to raise awareness among parents, teachers, politicians as well as mental health professionals. The entire society needs to be involved in the prevention of peer violence.


Assuntos
Agressão , Grupo Associado , Violência/estatística & dados numéricos , Adolescente , Bósnia e Herzegóvina/epidemiologia , Criança , Feminino , Humanos , Internacionalidade , Masculino , Prevalência
7.
Washington, D.C.; OPS; 2020-10-08. (OPS/NMH/MN/20-0019).
em Francês | PAHO-IRIS | ID: phr-52816

RESUMO

Cette brochure a été élaborée par l'Organisation Panaméricaine de la Santé et la Banque de Développement des Caraïbes comme un outil pour vous aider à prendre soin de vous et de votre communauté durant les situations de crise grâce aux Premiers Secours Phychologiques (PSP). C'est une réponse simple, solidaire et pratique pour apporter le soutine nécessaire à un autre être humain en souffrance.


Assuntos
Saúde Mental , Violência , Infecções por Coronavirus , Coronavirus , Pandemias , Psicologia , Região do Caribe
8.
Washington, D.C.; PAHO; 2020-10-05. (PAHO/NMH/MN/20-0019).
| PAHO-IRIS | ID: phr-52796

RESUMO

This is a revision of an illustrated booklet developed by the Pan American Health Organization and the Caribbean Development Bank. It is meant as a tool to help the general population of the Caribbean care for themselves and their communities during crisis situation. The booklet explains in a simple language, with a simple language with the help of graphics, the main elements of psychological first aid (PFA). The revised edition includes special safety and disease prevention considerations due to the COVID-19 pandemic while providing PFA.


Assuntos
Saúde Mental , Infecções por Coronavirus , Violência , Coronavirus , Infecções por Coronavirus , Psicologia , Região do Caribe
9.
Washington, D.C.; OPS; 2020-10-02.
em Espanhol | PAHO-IRIS | ID: phr-52793

RESUMO

Este conjunto de herramientas se preparó a partir del módulo 4 de capacitación de la OMS sobre el fortalecimiento de los sistemas de salud para tratar la dependencia del tabaco a nivel de la atención primaria. La publicación está dirigida a los prestadores de atención primaria, y su objetivo es servir de guía de referencia rápida para ayudarles a suministrar intervenciones breves contra el consumo de tabaco como parte de su práctica habitual. El contenido de esta caja de herramientas se divide de la siguiente manera: 1. El consumo de tabaco: Una dependencia letal 2. Papel protagónico del personal de salud en el control del tabaco 3. Aspectos básicos del consumo y la dependencia del tabaco 4. Modelo de las 5A para ayudar a las personas que están listas para dejar de fumar 5. Modelo de las 5R para aumentar la motivación para dejar de fumar 6. Uso de las 5A para evitar la exposición al humo de tabaco


Assuntos
Doenças não Transmissíveis , Tabaco , Violência , Fumar , Fumar Tabaco , Prevenção do Hábito de Fumar
11.
Rev Prat ; 70(4): 385-391, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877090

RESUMO

Health issues in precarious people. Though if it is not possible to draw a single picture of the health of precarious people, many works on social inequalities in health underline their vulnerability and an increased frequency of a variety health problems. We can cite certain harmful behaviors for health (smoking, consumption of psychoactive substances, insufficient food or, conversely, too rich and not very diversified, sedentary lifestyle, delay in screening and prevention, violence, etc...), for certain diseases (cardiovascular diseases, skin diseases, dental problems, respiratory diseases, mental distress, infectious diseases including tuberculosis and HIV, etc.) and in terms of access to care and prevention. Thus, despite the resources to reduce social inequalities in health in France, the state of health of people in precarious situations continues to deteriorate and should constitute a public health priority for health authorities and for caregivers.


Assuntos
Tuberculose , França , Humanos , Programas de Rastreamento , Saúde Pública , Violência
12.
Rev Prat ; 70(4): 440-443, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877105

RESUMO

The child's conflictual family environment. Children and adolescents currently experience multiple family situations that feed their psychological construction towards adulthood. Conflicts between parents or the separation of the parental couple mark a change in the family system. Different psychological mechanisms can describe this impact, including the feeling of vigilance, the perception of a potential danger, or the belief that the person is at fault and responsible for the disputes. They can be articulated around cognitive skills (how the child assesses and understands the conflict), emotional possibilities (through his or her ability to regulate emotions in the face of conflict) and behavioural skills (how the child or adolescent is involved in the conflict). To create this environment, the use of family mediation centres makes it possible to create new opportunities for communication between parents. Child protection actors must be notified when acts of violence are committed against the child or adolescent, or if they are exposed to violent marital conflicts. Mental health systems offer specific care when characterized disorders have been identified. The commitment of both parents is sought to provide a space for everyone to express themselves.


Assuntos
Família , Relações Interpessoais , Adolescente , Adulto , Criança , Feminino , Humanos , Pais , Violência
13.
Rev Prat ; 70(4): 447-450, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877107

RESUMO

Dangerous practices and games at school. Three separate categories of dangerous games can be distinguished. The non-oxygenating or fainting games, which consist of mechanical compressions or strangulative mechanisms. These are performed in the search of pseudo-hallucinogenic sensations. There are several such games: from the simple but non-the-less dangerous "tomato game", performed by younger children (from 3-4 years of age), to the "choking game", between 7 and 14 years of age. "Aggressive" or "violent" games which use physical and psychological violence from a group of people towards a single individual. Acute neurological complications can be the consequence of such games, and their degree depends on the duration and intensity of the strangulation. These can vary from cerebral edema, loss of consciousness, long term cerebral damage (deafness, blindness, bedridden), irreversible coma and death. Physical consequences of aggressive games are equally important, such as vertebral fractures, cranial trauma, organ rupture. Victims of violence present repeated psycho-traumatic manifestations. Preventive messages associate information on the risks of such games with civic education (listening, solidarity and trust in others), the development of psychological and social skills, an active involvement in school-life and concrete responsibility taking. Early identification of symptoms of these practices by family members and professionals helps to avoid their repetition and increased danger, even addictive patterns.


Assuntos
Jogos de Vídeo , Violência , Adolescente , Agressão , Asfixia , Criança , Pré-Escolar , Humanos
15.
Rev Bras Epidemiol ; 23: e200097, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32997084

RESUMO

OBJECTIVE: To analyze sociodemographic, school, nutritional, and behavioral factors and body perception associated with being bullied in Brazilian students aged 13 to 17 years old. METHODS: This was a cross-sectional study based on data from sample 2 of the 2015 Brazilian School Health Survey. The sample for this study was composed of 10,699 teenagers from schools in each of the largest regions of Brazil. RESULTS: The prevalence of being bullied was 6.2%, with the highest chance of in teens who bully others (OR = 1.91 95%CI 1.48 - 2.45), who are 13 years old (OR = 1.76, 95%CI 1.04 - 2.97), who consider themselves fat (OR = 1.45, 95%CI 1.06 - 1.98) and who are not treated well by their schoolmates (OR = 2.78, 95%CI 2.17 - 3.45). CONCLUSION: Preventive efforts that include programs to encourage greater social support among students, as well as the implementation of practices that encourage respect for students' differences and singularities can contribute to reducing bullying practices.


Assuntos
Bullying/psicologia , Vítimas de Crime , Estudantes/psicologia , Violência/estatística & dados numéricos , Adolescente , Brasil , Bullying/estatística & dados numéricos , Estudos Transversais , Humanos , Prevalência , Instituições Acadêmicas , Estudantes/estatística & dados numéricos
17.
BMC Public Health ; 20(1): 1327, 2020 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-32907569

RESUMO

BACKGROUND: Adversity experienced during childhood manifests deleteriously across the lifespan. This study provides updated frequency estimates of ACEs using the most comprehensive and geographically diverse sample to date. METHODS: ACEs data were collected via BRFSS (Behavioral Risk Factor Surveillance System). Data from a total of 211,376 adults across 34 states were analyzed. The ACEs survey is comprised of 8 domains: physical/emotional/sexual abuse, household mental illness, household substance use, household domestic violence, incarcerated household member, and parental separation/divorce. Frequencies were calculated for each domain and summed to derive mean ACE scores. Findings were weighted and stratified by demographic variables. Group differences were assessed by post-estimation F-tests. RESULTS: Most individuals experienced at least one ACE (57.8%) with 21.5% experiencing 3+ ACEs. F-tests showed females had significantly higher ACEs than males (1.64 to 1.46). Multiracial individuals had a significantly higher ACEs (2.39) than all other races/ethnicities, while White individuals had significantly lower mean ACE scores (1.53) than Black (1.66) or Hispanic (1.63) individuals. The 25-to-34 age group had a significantly higher mean ACE score than any other group (1.98). Generally, those with higher income/educational attainment had lower mean ACE scores than those with lower income/educational attainment. Sexual minority individuals had higher ACEs than straight individuals, with significantly higher ACEs in bisexual individuals (3.01). CONCLUSION: Findings highlight that childhood adversity is common across sociodemographic, yet higher in certain categories. Identifying at-risk populations for higher ACEs is essential to improving the health outcomes and attainment across the lifespan.


Assuntos
Experiências Adversas da Infância/estatística & dados numéricos , Divórcio , Características da Família , Transtornos Mentais , Prisões , Transtornos Relacionados ao Uso de Substâncias , Violência , Adolescente , Adulto , Afro-Americanos , Idoso , Sistema de Vigilância de Fator de Risco Comportamental , Criança , Pré-Escolar , Grupos Étnicos , Feminino , Hispano-Americanos , Humanos , Masculino , Pessoa de Meia-Idade , Pais , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
18.
PLoS Med ; 17(9): e1003297, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32931504

RESUMO

BACKGROUND: The psychological health of female sex workers (FSWs) has emerged as a major public health concern in many low- and middle-income countries (LMICs). Key risk factors include poverty, low education, violence, alcohol and drug use, human immunodeficiency virus (HIV), and stigma and discrimination. This systematic review and meta-analysis aimed to quantify the prevalence of mental health problems among FSWs in LMICs, and to examine associations with common risk factors. METHOD AND FINDINGS: The review protocol was registered with PROSPERO, number CRD42016049179. We searched 6 electronic databases for peer-reviewed, quantitative studies from inception to 26 April 2020. Study quality was assessed with the Centre for Evidence-Based Management (CEBM) Critical Appraisal Tool. Pooled prevalence estimates were calculated for depression, anxiety, post-traumatic stress disorder (PTSD), and suicidal behaviour. Meta-analyses examined associations between these disorders and violence, alcohol/drug use, condom use, and HIV/sexually transmitted infection (STI). A total of 1,046 studies were identified, and 68 papers reporting on 56 unique studies were eligible for inclusion. These were geographically diverse (26 countries), representing all LMIC regions, and included 24,940 participants. All studies were cross-sectional and used a range of measurement tools; none reported a mental health intervention. Of the 56 studies, 14 scored as strong quality, 34 scored as moderate, and 8 scored as weak. The average age of participants was 28.9 years (age range: 11-64 years), with just under half (46%) having up to primary education or less. The pooled prevalence rates for mental disorders among FSWs in LMICs were as follows: depression 41.8% (95% CI 35.8%-48.0%), anxiety 21.0% (95% CI: 4.8%-58.4%), PTSD 19.7% (95% CI 3.2%-64.6%), psychological distress 40.8% (95% CI 20.7%-64.4%), recent suicide ideation 22.8% (95% CI 13.2%-36.5%), and recent suicide attempt 6.3% (95% CI 3.4%-11.4%). Meta-analyses found significant associations between violence experience and depression, violence experience and recent suicidal behaviour, alcohol use and recent suicidal behaviour, illicit drug use and depression, depression and inconsistent condom use with clients, and depression and HIV infection. Key study limitations include a paucity of longitudinal studies (necessary to assess causality), non-random sampling of participants by many studies, and the use of different measurement tools and cut-off scores to measure mental health problems and other common risk factors. CONCLUSIONS: In this study, we found that mental health problems are highly prevalent among FSWs in LMICs and are strongly associated with common risk factors. Study findings support the concept of overlapping vulnerabilities and highlight the urgent need for interventions designed to improve the mental health and well-being of FSWs.


Assuntos
Profissionais do Sexo/psicologia , Profissionais do Sexo/estatística & dados numéricos , Adolescente , Adulto , Ansiedade , Transtornos de Ansiedade , Criança , Estudos Transversais , Países em Desenvolvimento , Feminino , Infecções por HIV/epidemiologia , Humanos , Saúde Mental , Pessoa de Meia-Idade , Pobreza , Prevalência , Fatores de Risco , Sexo Seguro , Comportamento Sexual , Doenças Sexualmente Transmissíveis/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Ideação Suicida , Tentativa de Suicídio , Violência
20.
Rev Lat Am Enfermagem ; 28: e3341, 2020 Sep 07.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32901767

RESUMO

OBJECTIVE: to identify and analyze the perceptions and practices of health professionals and of the third sector regarding adolescence and violence between intimate adolescent partners. METHOD: an exploratory and descriptive study. Data was collected in two sessions of a Critical-Emancipatory Work Workshop carried out with 55 professionals who work in Primary Health Care services and services related to the third sector. Data was submitted to content analysis with the support of the WebQDA software. The categories of analysis used were gender and generation. RESULTS: the perceptions and practices in the face of violence between intimate adolescent partners are based on common sense and subjugate female adolescents in particular. In the health services, violence is perceived during consultations for other demands, under the biomedical paradigm. Third sector professionals understand the confrontation of violence as a responsibility of the health area. CONCLUSION: negative and stereotyped conceptions of violence between intimate adolescent partners are marked by gender and generation biases. The study highlights the need to promote networking actions in the professional practices that consider the historical and social understanding of adolescence to cope with the problem.


Assuntos
Violência por Parceiro Íntimo , Parceiros Sexuais , Adolescente , Feminino , Pessoal de Saúde , Humanos , Relações Interpessoais , Atenção Primária à Saúde , Violência
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