Profile of intimate partner violence in Family Health Units

To estimate the profile of intimate partner violence involving women in a scenario of Family Health Strategy in the municipality of Nova Iguaçu (Rio de Janeiro).

Method:

A transversal study was conducted in four units with a sample of 640 women between the ages of 25 to 64. The phenomena of violence was determined using the tool Revised Conflict Tactics Scales, validated for Brazil. Statistical analysis took into consideration an estimation of prevalence in the calculation of the p values.

Results:

The situations of violence and the sociodemographic profiles demonstrated a statistically significant relationship with the variables of educational level and housing conditions. Age, ethnicity and economic class demonstrated an association with certain types of violence, varying in type and severity.

Conclusion:

The study investigated the profile of these situations of violence and enabled reflection regarding the approaches adopted by the Family Health Strategy teams.

Descriptors:
Violence; Domestic Violence; Violence Against Women; Intimate Partner Violence; Family Health

Sociodemographic variables	Physical assault % (n=134)	Psychological violence % (n=580)	Sexual coercion % (n=250)
Age group (yrs)
< 30	13.1	13.4	14.0
30 – 39	27.6	25.4	29.0
40 – 49	22.8	25.0	26.9
50 – 59	29.7	27.4	21.5
≥60	6.9	8.7	8.6
p value	0.878	0.149	0.722
Race/Color
Black/Brown	57.9	57.0	56.4
Mixed	42.1	43.0	43.6
p value	0.341	0.087	0.522
Years of education
Up to 8 years	63.4	60.2	58.5
Over 8 years	36.5	39.8	41.5
p value	0.071	< 0.001	0.488
Marital status
Married	44.1	55.9	55.3
Other	55.9	44.1	44.7
p value	0.001	0.247	0.531
Economic class
A/B	22.9	18.9	23.4
C	62.5	72.2	64.9
D/E	14.6	8.9	11.7
p value	0.014	0.016	0.334
Housing conditions
Good quality	18.1	14.8	7.4
Poor quality	81.9	85.2	92.6
p value	0.218	0.047	0.009

Sociodemographic variables	^* * MSPA% - prevalence of more severe physical assault; MSPA% (n=38)	^† † LSPA% - prevalence of less severe physical assault; LSPA% (n=126)	^‡ ‡ MSPV% - prevalence of more severe psychological violence; MSPV% (n=433)	^§ § LSPV% - prevalence of less severe psychological violence; MSSC% - LSPV% (n=576)	^{‖MSSC% (n=42)} ‖ prevalence of more severe sexual coercion.	^¶ ¶ LSSC% - prevalence of less severe sexual coercion. LSSC% (n=246)
Age group (yrs)
< 30	16.2	12.0	12.4	13.1	16.7	11.2
30 – 39	21.6	29.6	23.8	25.6	30.9	21.5
40 – 49	29.7	20.0	23.1	25.2	21.4	24.3
50 – 59	27.1	32.0	30.4	27.1	28.6	30.7
≥60	5.4	6.4	10.3	9.0	2.4	12.3
p value	0.879	0.386	0.002	0.078	0.614	0.005
Race/Color
Black/Brown	56.8	64.5	56.3	56.9	50.0	58.9
Other	43.2	36.5	43.6	43.1	50.0	41.0
p value	0.537	0.038	0.458	0.122	0.253	0.143
Years of education
Up to 8 years	62.2	76.2	62.4	60.2	42.8	62.2
Over 8 years	37.8	23.8	37.6	39.7	57.1	37.8
p value	0.355	<0.001	0.001	< 0.001	0.032	0.045
Marital status
Married	37.8	35.7	57.0	56.2	45.2	60.2
Other	62.2	64.3	43.0	43.7	54.8	39.8
p value	0.020	<0.001	0.141	0.145	0.112	0.035
Economic class
A/B	11.1	16.8	18.3	19.5	28.6	20.8
C	61.1	64.8	73.4	72.0	57.1	71.0
D/E	27.8	18.4	8.3	8.5	14.3	8.2
p value	0.001	0.001	0.101	0.087	0.112	0.809
Housing conditions
Good quality	30.6	16.0	13.4	14.4	2.4	8.2
Poor quality	69.4	84.0	86.6	85.6	97.6	91.8
p value	0.016	0.499	0.018	0.013	0.006	<0.001

Sociodemographic variables	Physical assault % (n=145)	Psychological violence % (n=588)	Sexual coercion % (n=94)
Age group (yrs)
< 30	12.6	13.0	14.2
30 – 39	26.9	25.4	26.1
40 – 49	23.6	26.0	24.2
50 – 59	30.3	27.0	27.2
≥60	6.6	8.6	8.3
p value	0.716	0.219	0.010
Race/Color
Black/Brown	60.7	57.1	58.7
Other	39.3	42.9	41.3
p value	0.083	0.050	0.157
Years of education
Up to 8 years	66.7	60.0	61.4
Over 8 years	33.3	40.0	38.6
p value	0.003	< 0.001	0.076
Marital status
Married	42.6	56.1	58.3
Other	57.4	43.9	41.7
p value	< 0.001	0.169	0.134
Economic class
A/B	18.0	19.0	19.8
C	69.0	72.2	71.3
D/E	13.0	8.8	8.9
p value	0.081	0.021	0.973
Housing conditions
Good quality	15.9	14.8	8.1
Poor quality	84.1	85.2	91.9
p value	0.493	0.034	< 0.001

Sociodemographic variables	^* * MSPA% - prevalence of more severe physical assault; MSPA% (n=37)	^† † LSPA% - prevalence of less severe physical assault; LSPA% (n=135)	^‡ ‡ MSPV% - prevalence of more severe psychological violence; MSPV% (n=455)	^§ § LSPV% - prevalence of less severe psychological violence; MSSC% - LSPV% (n=583)	^‖ ‖ prevalence of more severe sexual coercion. MSSC% (n=5)	^¶ ¶ LSSC% - prevalence of less severe sexual coercion. LSSC% (n=93)
Age group (yrs)
< 30 anos	16.2	13.3	13.1	13.1	20.0	14.1
30 – 39 anos	35.1	28.1	24.4	25.3	60.0	28.3
40 – 49 anos	18.9	20.0	23.6	25.3	0.0	27.1
50 – 59 anos	24.3	31.1	29.1	27.5	20.0	21.7
60 anos e mais	5.4	7.4	9.8	8.8	0.0	8.7
p value	0.712	0.616	0.065	0.044	0.487	0.759
Race/Color
Black/Brown	56.8	58.5	58.5	57.1	20.0	57.0
Others	43.2	41.5	41.5	42.9	80.0	43.0
p value	0.537	0.295	0.036	0.063	0.120	0.471
Years of education
Up to 8 years	64.9	65.2	60.7	60.4	40.0	59.1
Over 8 years	35.1	34.8	39.3	39.6	60.0	40.9
p value	0.236	0.031	0.014	< 0.001	0.355	0.435
Marital status
Married	37.8	43.0	57.8	56.1	40.0	55.9
Others	62.2	57.0	42.2	43.9	60.0	44.1
p value	0.020	0.001	0.038	0.192	0.398	0.509
Economic class
A/B	19.4	21.6	17.6	19.1	0.0	23.7
C	50.0	64.4	73.6	72.0	60.0	64.5
D/E	30.6	14.9	8.8	8.9	40.0	11.8
p value	< 0.001	0.025	0.031	0.058	0.085	0.302
Housing conditions
Good quality	33.3	18.7	14.1	14.9	0.0	7.5
Poor quality	66.7	81.3	85.9	85.1	100.0	92.5
p value	0.005	0.172	0.060	0.090	0.426	0.011

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E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR Ricardo de Mattos Russo Rafael E-mail: prof.ricardomattos@gmail.com