Quality of records on sexual violence against women in the Information System for Notifiable Diseases (Sinan) in Santa Catarina, Brazil, 2008-2013

Delziovo, Carmem Regina; Bolsoni, Carolina Carvalho; Lindner, Sheila Rubia; Coelho, Elza Berger Salema

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLES • Epidemiol. Serv. Saúde 27 (1) • 2018 • https://doi.org/10.5123/S1679-49742018000100003 copy

Quality of records on sexual violence against women in the Information System for Notifiable Diseases (Sinan) in Santa Catarina, Brazil, 2008-2013^* * This article is part of Carmem Regina Delziovo’s PhD thesis, entitled 'Sexual violence against women: characteristics, consequences and procedures performed in health services, from 2008 to 2013, in Santa Catarina, Brazil', developed under the guidance of Profa. Dr. Elza Berger Salema Coelho and defended at the Postgraduate Program in Public Health of the Federal University of Santa Catarina, Florianópolis-SC, in 2015.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to describe the quality of records on cases of sexual violence against women, reported in the Information System for Notifiable Diseases (Sinan), in Santa Catarina State, Brazil, from 2008 to 2013.

Methods:

normative assessment with data from records of sexual violence cases against women (≥10 years old); data quality was described according to the dimensions ‘non-duplicity’ (acceptable when >95%), ‘completeness’ (good when >75%), and ‘consistency’ (excellent when >90.0%) of information.

Results:

2,010 cases of sexual violence against women were studied, after the exclusion of four duplicate records; the percentage of non-duplicity was 99.9% (acceptable); of completeness was 93.3% (good) and of consistency was 98.9% (excellent).

Conclusion:

the results presented point out the usefulness of Sinan as a source of information for the surveillance of sexual violence against women and for planning actions to tackle this type of aggression.

Keywords:
Sex Offenses; Women; Adolescent; Notification; Epidemiology, Descriptive

Age (in years)	2008		2009		2010		2011		2012		2013		Total
Age (in years)	N	%	N	%	N	%	N	%	N	%	N	%	N	%
10-14	19	70.4	70	50.0	125	50.5	202	47.2	237	44.9	297	46.7	950	47.3
15-19	4	14.8	30	21.4	51	20.5	101	23.6	115	21.7	149	23.3	450	22.4
≥20	4	14.8	40	28.6	72	29.0	125	29.2	177	33.4	192	30.0	610	30.3
Total	27	100.0	140	100.0	248	100.0	428	100.0	529	100.0	638	100.0	2,010	100.0
Notifying units	4		46		89		136		156		188

Variables/ Information fields	Notification year (number of cases)
	2008 (N=27)		2009 (N=140)		2010 (N=248)		2011 (N=428)		2012 (N=529)		2013 (N=638)		Average		p-value^a
	N	%	N	%	N	%	N	%	N	%	N	%	N	%
Ethnicity/skin color	26	96.3	138	98.5	242	97.5	419	97.9	519	98.1	616	96.5	327	97.5	0.676
Education level	23	85.1	117	83.5	213	85.8	361	84.3	455	86.0	527	82.6	283	84.6	0.109
Marital status	26	96.3	117	83.5	194	78.2	388	90.6	488	92.2	582	91.2	299	88.7	0.010
Disability/disorder	27	100.0	136	97.1	241	97.1	416	97.2	514	97.1	613	96.0	325	97.4	0.924
Occupation	26	96.3	105	75.0	166	66.9	309	72.1	406	76.7	520	81.5	255	78.1	0.878
Pregnant	23	85.1	124	88.5	218	87.9	397	92.7	502	94.8	588	92.1	309	90.2	0.010
Municipality of occurrence	26	96.3	127	90.7	207	83.4	416	97.2	513	96.9	613	96.0	317	93.4	0.010
Time of occurrence	14	51.8	105	75.0	169	68.1	302	70.5	371	70.1	433	67.8	322	67.2	0.928
Place of occurrence	27	100.0	135	96.4	235	94.7	397	92.7	507	95.8	610	95.6	319	95.9	0.961
Occurred other times	25	92.5	130	92.8	230	92.7	394	92.0	502	94.9	585	91.6	311	92.8	0.195
Other sexual violence	27	100.0	133	95.0	222	89.5	410	95.7	494	93.3	617	96.7	317	95.0	0.067
Sexual exploitation	27	100.0	136	97.1	233	93.9	413	96.5	497	93.9	621	97.3	321	96.4	0.405
Pornography	27	100.0	136	97.1	234	94.3	410	95.7	498	94.1	621	97.3	321	96.4	0.787
Sexual offense	20	74.0	135	96.4	234	94.3	409	95.5	500	94.5	622	97.4	320	92.0	0.002
Rape	18	66.6	107	76.4	231	93.1	415	96.9	510	96.4	629	98.5	318	88.0	0.006
Sexual harassment	25	92.5	134	95.7	231	93.1	412	96.2	522	98.6	622	97.4	324	95.6	0.256

Variables/ Information fields	Notification year (number of cases)
	2008 (N=27)		2009 (N=140)		2010 (N=248)		2011 (N=428)		2012 (N=529)		2013 (N=638)		Average		p-value^a
	N	%	N	%	N	%	N	%	N	%	N	%	N	%
Nature of lesion	7	25.9	107	76.4	214	86.2	348	81.3	421	79.5	525	82.2	270	71.9	0.009
Part of the body struck	15	55.5	122	87.1	238	95.9	395	92.2	497	93.9	594	93.1	310	86.3	0.027
Abortion provided by law	21	77.7	98	70.0	184	74.1	385	89.9	465	87.9	592	92.7	291	82.1	0.000
Emergency contraception	21	77.7	105	75.0	198	79.8	403	94.1	478	90.3	604	94.6	302	85.3	0.042
Collection of vaginal secretion	21	77.7	101	72.1	193	77.8	396	92.5	474	89.6	590	92.4	296	82.6	0.027
Semen collection	27	100.0	130	92.8	221	89.1	400	93.4	471	89.0	593	92.9	307	92.9	0.627
Blood collection	27	100.0	135	96.4	226	91.1	411	96.0	479	90.5	605	94.8	314	94.8	0.023
Hepatitis B prophylaxis	27	100.0	136	97.1	227	91.5	405	94.6	474	89.6	601	94.2	312	94.5	0.082
HIV^b prophylaxis	27	100.0	136	97.1	233	93.9	409	95.5	473	89.4	606	94.9	314	95.1	0.273
STI^c bacterial prophylaxis	27	100.0	136	97.1	233	93.9	407	95.0	474	89.6	601	94.2	313	95.0	0.020
Referral to the health sector	27	100.0	137	97.8	234	94.3	409	95.5	484	91.4	586	91.8	313	95.1	0.176
FMI^d	27	100.0	134	95.7	240	96.7	415	96.9	500	94.5	619	97.0	323	96.8	0.330
CREAS^e	27	100.0	132	94.2	236	95.1	416	97.2	500	94.5	620	97.1	322	96.3	0.429
Women’s reference center	27	100.0	132	94.2	239	96.3	414	96.7	501	94.7	620	97.1	322	96.5	0.205
Prosecution Office	27	100.0	130	92.8	237	95.5	416	97.2	506	95.6	620	97.1	323	96.3	0.007
Other office	26	96.3	135	96.4	239	96.3	418	97.6	510	96.4	622	97.4	325	96.7	0.458
DPCA^f	26	96.3	133	95.0	240	96.7	417	97.4	507	95.8	624	97.8	325	96.5	0.602
DAM^g	27	100.0	132	94.2	239	96.3	416	97.2	510	96.4	619	97.0	324	96.8	0.011
Sentinel service	27	100.0	131	93.5	237	95.5	416	97.2	501	94.7	621	97.3	322	96.4	0.031
Shelter House	27	100.0	132	94.2	239	96.3	416	97.2	504	95.2	620	97.1	323	96.7	0.908
Child and Youth Court	27	100.0	131	93.5	237	95.5	418	97.6	514	97.1	620	97.1	325	96.8	0.912
Guardianship Council	27	100.0	132	94.2	244	98.3	425	99.3	516	97.5	622	97.4	328	97.8	0.365
Evolution of the case	27	100.0	132	94.2	214	86.2	406	94.8	512	96.7	609	95.4	317	94.6	<0.001

Variables/ Information fields	Notification year (number of cases)
	2008 (N=27)		2009 (N=140)		2010 (N=248)		2011 (N=428)		2012 (N=529)		2013 (N=638)		Average		p-value^a
	N	%	N	%	N	%	N	%	N	%	N	%	N	%
Other relationships with the assaulted woman	27	100.0	135	96.4	230	92.7	413	96.5	501	94.7	613	96.0	320	96.0	0.452
Herself	27	100.0	138	98.5	236	95.1	416	97.2	498	94.1	619	97.0	322	97.0	0.287
Police Officer / Law Agent	27	100.0	138	98.5	237	95.5	415	96.9	497	93.9	617	96.7	322	96.9	0.133
Person with institutional relationship	27	100.0	138	98.5	237	95.5	413	96.5	494	93.3	619	97.0	321	96.8	0.123
Boss/Employer	27	100.0	138	98.5	237	95.5	414	96.7	496	93.7	618	96.8	322	96.9	0.028
Caregiver	26	96.3	138	98.5	237	95.5	413	96.5	496	93.7	617	96.7	321	96.2	0.193
Friends/acquaintances	27	100.0	138	98.5	237	95.5	414	96.7	500	94.5	616	96.5	322	96.9	0.309
Brother/sister	27	100.0	138	98.5	237	95.5	414	96.7	495	93.5	618	96.8	322	96.8	0.376
Unknown person	27	100.0	139	99.2	239	96.3	411	96.0	497	93.9	620	97.1	322	97.1	0.656
Son/daughter	27	100.0	138	98.5	236	95.1	416	97.2	497	93.9	618	96.8	322	96.9	0.079
Ex-boyfriend/ex-girlfriend	27	100.0	138	98.5	237	95.5	413	96.5	496	93.7	618	96.8	322	96.8	0.013
Boyfriend/girlfriend	27	100.0	138	98.5	238	95.9	412	96.2	500	94.5	618	96.8	322	97.0	0.200
Ex-partner	27	100.0	138	98.5	237	95.5	415	96.9	497	93.9	618	96.8	322	96.9	0.541
Partner	27	100.0	138	98.5	237	95.5	415	96.9	496	93.7	617	96.7	322	96.9	0.072
Stepfather	27	100.0	138	98.5	238	95.9	415	96.9	500	94.5	618	96.8	323	97.1	0.601
Mother	27	100.0	138	98.5	237	95.5	415	96.9	498	94.1	617	96.7	322	96.9	0.679
Father	27	100.0	138	98.5	238	95.9	409	95.5	496	93.7	618	96.8	321	96.7	0.117
Number of involved (aggressors)	27	100.0	138	98.5	239	96.3	410	95.7	515	97.3	618	96.8	325	97.4	0.150
Sex of the probable aggressor	27	100.0	139	99.2	243	97.9	421	98.3	524	99.0	624	97.8	330	98.7	0.050
Suspicion of alcohol use	23	85.1	116	82.8	192	77.4	344	80.3	427	80.7	506	79.3	268	80.9	0.290

Variables/ Information fields	Notification year (number of cases)
	2008 (N=27)		2009 (N=140)		2010 (N=248)		2011 (N=428)		2012 (N=529)		2013 (N=638)		Average
	N	%	N	%	N	%	N	%	N	%	N	%	%
Age (equal to 10 years) versus Education level (5 or more years of schooling)	27	100.0	137	97.8	246	99.1	419	97.9	516	97.5	628	98.4	98.4
Sexual violence (yes) versus Type of sexual violence (not for all types)	27	100.0	137	97.8	246	99.1	422	98.6	525	99.2	628	98.4	98.8
Type of sexual violence (child pornography) versus Age (>19 years)	27	100.0	140	100.0	247	99.6	426	99.5	529	100.0	638	100.0	99.8
Sex of the probable aggressor (male) versus Relationship (mother)	27	100.0	139	99.2	248	100.0	425	99.3	528	99.8	635	99.5	99.6
Sexual violence (yes) versus Final outcome(inconclusive/unknown/blank)	25	92.5	136	97.1	242	97.5	418	97.6	521	98.4	618	96.8	96.7
Relationship of the aggressor with the assaulted woman (unknown) versus Relationship (yes for any other relationship)	27	100.0	140	100.0	247	99.6	428	100.0	529	100.0	634	99.3	99.8
												Overall average:	98.9

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[1] Correspondence: Carmem Regina Delziovo - Av. Campeche, No. 1157, Bloco B2, Apto. 301, Florianópolis, SC, Brasil. CEP: 88063-300. E-mail: carmemdelziovo@hotmail.com