Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility

Detalhes bibliográficos
Autor(a) principal: Pimentel, Dayane da Rocha
Data de Publicação: 2024
Outros Autores: Souza, Wayner Vieira de, Silva, Amanda Priscila de Santana Cabral
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3973
Resumo: Feminicide is a phenomenon resulting from the sexist patriarchal heritage and social structures historically permeated by unequal gender relations. The objective of this dissertation was to analyze the epidemiological aspects of feminicides registered in Pernambuco between 2016 and 2019. This is an ecological study. The records of homicides and undetermined causes of death of women in the Mortality Information System were the proxy for feminicide events and accepted as a reference. Search stages were established with probabilistic linkage in health databases, as well as manual reviews on the Pernambuco Court of Justice (Portuguese acronym: TJPE) platform and online news media in a complementary way. Data were described through the distribution of frequencies, measures of central tendency and dispersion. The local empirical Bayesian method and Moran’s autocorrelation index were used in the analysis of the spatial pattern of femicide rates. Hierarchical logistic regression was applied to assess the association between femicide and interpersonal violence. Logistic regression was used to estimate the odds ratio (OR) with 95% confidence intervals (95%CI). A total of 490 feminicides were found, corresponding to a rate of 2.5 per 100,000 women. The highest proportion of feminicides was identified by manual search in online news media and in the database of court documents of the TJPE (n=247; 50.41%). The victims’ characteristics reveal age between 20 and 39 years (n=286; 58.37%), black race/color (n=400; 81.63%), no partner (n=407; 83.06%) and schooling of over eight years (n=303; 61.84%). The spatial autocorrelation of the event was confirmed by the Global Moran Index of smoothed rates (I=0.3; p=0.001); the local autocorrelation reinforces the interiorization of the event by pointing to a critical area (Q1) formed by municipalities located in the macroregion of Vale do São Francisco and Araripe. At the distal determination level, the following variables increase the chances of feminicide: living in a small town (OR=2.10); the unavailability of police stations specialized in assisting women (OR=1.11); and absence of referrals to the assistance and protection network in the event of a previous aggression (OR=1.32). In relation to intermediate determinants, the greater the intensity of the means of action used in the practice of violence, the greater the chance of a fatal outcome, emphasizing the use of sharp objects (OR=3.93) and firearms (OR=11.14). Regarding proximal determinants, victims included in the age group 10-19 years were less likely to suffer a femicide (OR=0.51). The characterization of the study population can expand knowledge about structural violence against women, aspects of notification and the assistance and protection network. The spatial analysis identified the interiorization of the event and transition areas in Pernambuco, which requires prioritization of interventions. The modeling showed that women are exposed to multiple risk factors for the occurrence of feminicide and the discussion at all levels of determination in a particular way is even more necessary.
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spelling Analysis of femicides in the state of Pernambuco: gender-based violence and invisibilityAnálisis de los feminicidios en el estado de Pernambuco: violencia de género e invisibilidadAnálise dos feminicídios no estado de Pernambuco: violência de gênero e invisibilidadeViolência de GêneroHomicídioAnálise espacialEstatísticas vitaisSistemas de informaçãoViolencia de géneroHomicidioAnálisis espacialEstadísticas vitalesSistemas de informaciónGender-based violenceHomicideSpatial analysisVital statisticsInformation systemsFeminicide is a phenomenon resulting from the sexist patriarchal heritage and social structures historically permeated by unequal gender relations. The objective of this dissertation was to analyze the epidemiological aspects of feminicides registered in Pernambuco between 2016 and 2019. This is an ecological study. The records of homicides and undetermined causes of death of women in the Mortality Information System were the proxy for feminicide events and accepted as a reference. Search stages were established with probabilistic linkage in health databases, as well as manual reviews on the Pernambuco Court of Justice (Portuguese acronym: TJPE) platform and online news media in a complementary way. Data were described through the distribution of frequencies, measures of central tendency and dispersion. The local empirical Bayesian method and Moran’s autocorrelation index were used in the analysis of the spatial pattern of femicide rates. Hierarchical logistic regression was applied to assess the association between femicide and interpersonal violence. Logistic regression was used to estimate the odds ratio (OR) with 95% confidence intervals (95%CI). A total of 490 feminicides were found, corresponding to a rate of 2.5 per 100,000 women. The highest proportion of feminicides was identified by manual search in online news media and in the database of court documents of the TJPE (n=247; 50.41%). The victims’ characteristics reveal age between 20 and 39 years (n=286; 58.37%), black race/color (n=400; 81.63%), no partner (n=407; 83.06%) and schooling of over eight years (n=303; 61.84%). The spatial autocorrelation of the event was confirmed by the Global Moran Index of smoothed rates (I=0.3; p=0.001); the local autocorrelation reinforces the interiorization of the event by pointing to a critical area (Q1) formed by municipalities located in the macroregion of Vale do São Francisco and Araripe. At the distal determination level, the following variables increase the chances of feminicide: living in a small town (OR=2.10); the unavailability of police stations specialized in assisting women (OR=1.11); and absence of referrals to the assistance and protection network in the event of a previous aggression (OR=1.32). In relation to intermediate determinants, the greater the intensity of the means of action used in the practice of violence, the greater the chance of a fatal outcome, emphasizing the use of sharp objects (OR=3.93) and firearms (OR=11.14). Regarding proximal determinants, victims included in the age group 10-19 years were less likely to suffer a femicide (OR=0.51). The characterization of the study population can expand knowledge about structural violence against women, aspects of notification and the assistance and protection network. The spatial analysis identified the interiorization of the event and transition areas in Pernambuco, which requires prioritization of interventions. The modeling showed that women are exposed to multiple risk factors for the occurrence of feminicide and the discussion at all levels of determination in a particular way is even more necessary.El feminicidio es un fenómeno derivado de la herencia patriarcal machista y de estructuras sociales históricamente permeadas por relaciones desiguales de género. El objetivo de esta disertación fue analizar los aspectos epidemiológicos de los feminicidios registrados en Pernambuco, entre 2016 y 2019. Se trata de un estudio ecológico. Como proxy de los eventos de feminicidio, se admitió como referencia el registro de homicidios y de causas indeterminadas de muertes de mujeres en el Sistema de Informaciones sobre Mortalidad. Se establecieron etapas de búsquedas con linkage probabilístico en bases de datos de sanidad y, de forma complementaria, revisiones manuales en plataforma del Tribunal de Justicia de Pernambuco (TJPE) y medios de prensa online. Se realizó la descripción de datos mediante la distribución de frecuencias, medidas de tendencia central y dispersión. Para analizar el padrón espacial de las tasas de feminicidio se empleó el método bayesiano empírico local y el índice de auto-correlación de Morán. Se aplicó la regresión logística jerarquizada para verificar la asociación entre el feminicidio y la violencia interpersonal. Se empleó la regresión logística para estimar la razón de posibilidades (OddsRatio) con intervalos de confianza del 95% (IC95%). Se localizaron 490 feminicidios, lo que correspondió a una tasa del 2,5 por 100.000 mujeres. La mayor proporción de feminicidios se identificó mediante la búsqueda manual en prensa online y en la base procesal del TJPE (n=247; 50,41%). Las características de las víctimas revelan la edad entre 20 y 39 años (n=286; 58,37%), raza/color negro (n=400; 81,63%), sin compañero(a) (n=407; 83,06%) y escolaridad superior a 8 años de estudio (n=303; 61,84%). La auto-correlación espacial del evento se confirmó mediante el Índice de Morán Global de las tasas suavizadas (I=0,3, p=0,001); la auto-correlación local refuerza la interiorización del evento al señalar área crítica (Q1) formada por municipios situados en la Macrorregión del Valle de São Francisco y Araripe. En el nivel de determinación distal se identificó que las siguientes variables elevan las posibilidades de ocasión de feminicidio: residir en municipio de pequeño tamaño, (OR=2,10); la indisponibilidad de comisarías especializadas en la atención a la mujer (OR=1,1); y ausencia de remisiones a la red asistencial y protectora en la ocasión de agresión anterior (OR=1,32). En los determinantes intermediarios, se destacó que cuanto mayor es la intensidad del medio de acción empleado en la práctica de la violencia mayor es la posibilidad de desenlace fatal, destacándose el empleo de objeto corto-punzante (OR=3,93) y arma de fuego (OR=11,14). Y, acerca de los determinantes proximales, las víctimas comprendidas en el tramo de edad comprendido entre los 10 y los 19 años, presentaron menos posibilidad de incidencia de feminicidio (OR=0,51). La caracterización de la población de estudio puede proporcionar la ampliación de los conocimientos sobre violencia estructural contra las mujeres, aspectos de la notificación y de la red asistencial protectora. El análisis espacial identificó la interiorización del evento y áreas de transición en Pernambuco, las cuales requieren priorización de las intervenciones. Y el modelaje evidenció que las mujeres están expuestas a múltiples factores de riesgo para la incidencia de feminicidio y la discusión, de modo particularizado de todos los niveles de determinación, se hace todavía más necesaria.O feminicídio é um fenômeno decorrente da herança patriarcal machista e de estruturas sociais historicamente permeadas por relações desiguais de gênero. O objetivo desta dissertação foi analisar os aspectos epidemiológicos dos feminicídios registrados em Pernambuco, entre 2016 e 2019. Trata-se de um estudo ecológico. Como proxy dos eventos de feminicídio, foi admitido como referência o registro de homicídios e de causas indeterminadas de mortes de mulheres no Sistema de Informações sobre Mortalidade. Foi estabelecido etapas de buscas com o linkage probabilístico em bases de dados da saúde e, de forma complementar, revisões manuais em plataforma do Tribunal de Justiça de Pernambuco (TJPE) e mídias noticiosas online. Realizou-se a descrição dos dados mediante a distribuição de frequências, medidas de tendência central e dispersão. Para analisar o padrão espacial das taxas de feminicídio foram utilizados o método bayesiano empírico local e o índice de autocorrelação de Moran. Aplicou-se a regressão logística hierarquizada para verificar a associação entre o feminicídio e a violência interpessoal. Empregou-se a regressão logística para estimar a razão de chances (Odds Ratio) com intervalos de confiança de 95% (IC95%). Foram localizados 490 feminicídios, o que correspondeu a uma taxa de 2,5 por 100.000 mulheres. A maior proporção de feminicídios foi identificada pela busca manual em mídias noticiosas online e na base processual do TJPE (n=247; 50,41%). As características das vítimas relevam idade entre 20 e 39 anos (n=286; 58,37%), raça/cor negra (n=400; 81,63%), sem companheiro(a) (n=407; 83,06%) e escolaridade superior a 8 anos de estudo (n=303; 61,84%). A autocorrelação espacial do evento foi confirmada pelo Índice de Moran Global das taxas suavizadas (I=0,3; p=0,001); a autocorrelação local reforça a interiorização do evento ao apontar área crítica (Q1) formada por municípios localizados na Macrorregião do Vale do São Francisco e Araripe. No nível de determinação distal, foi identificado que as seguintes variáveis elevam as chances de ocorrência do feminicídio: residir em município de pequeno porte (OR=2,10); a indisponibilidade de delegacias especializadas no atendimento à mulher (OR=1,11); e ausência de encaminhamentos para rede assistencial e protetiva na oportunidade de agressão anterior (OR=1,32). Nos determinantes intermediários, destacou-se que quanto maior é a intensidade do meio de ação empregado na prática da violência maior é a chance do desfecho fatal, ressaltando-se o uso de objeto perfurocortante (OR=3,93) e arma de fogo (OR=11,14). E, acerca dos determinantes proximais, as vítimas inseridas na faixa etária entre 10 e 19 anos apresentaram menos chance de ocorrência do feminicídio (OR=0,51). A caracterização da população de estudo pode proporcionar a ampliação dos conhecimentos sobre violência estrutural contra as mulheres, aspectos da notificação e da rede assistencial e protetiva. A análise espacial identificou a interiorização do evento e áreas de transição em Pernambuco, as quais requerem priorização de intervenções. E a modelagem evidenciou que as mulheres estão expostas à múltiplos fatores de riscos para ocorrência de feminicídio e a discussão, de modo particularizado de todos os níveis de determinação, se faz ainda mais necessária.SESAB2024-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/397310.22278/2318-2660.2024.v47.n4.a3973Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 342-3462318-26600100-023310.22278/2318-2660.2024.v47.N4reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3973/3268Copyright (c) 2024 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessPimentel, Dayane da Rocha Souza, Wayner Vieira deSilva, Amanda Priscila de Santana Cabral 2024-04-02T13:52:28Zoai:ojs.pkp.sfu.ca:article/3973Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-04-02T13:52:28Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
Análisis de los feminicidios en el estado de Pernambuco: violencia de género e invisibilidad
Análise dos feminicídios no estado de Pernambuco: violência de gênero e invisibilidade
title Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
spellingShingle Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
Pimentel, Dayane da Rocha
Violência de Gênero
Homicídio
Análise espacial
Estatísticas vitais
Sistemas de informação
Violencia de género
Homicidio
Análisis espacial
Estadísticas vitales
Sistemas de información
Gender-based violence
Homicide
Spatial analysis
Vital statistics
Information systems
title_short Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
title_full Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
title_fullStr Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
title_full_unstemmed Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
title_sort Analysis of femicides in the state of Pernambuco: gender-based violence and invisibility
author Pimentel, Dayane da Rocha
author_facet Pimentel, Dayane da Rocha
Souza, Wayner Vieira de
Silva, Amanda Priscila de Santana Cabral
author_role author
author2 Souza, Wayner Vieira de
Silva, Amanda Priscila de Santana Cabral
author2_role author
author
dc.contributor.author.fl_str_mv Pimentel, Dayane da Rocha
Souza, Wayner Vieira de
Silva, Amanda Priscila de Santana Cabral
dc.subject.por.fl_str_mv Violência de Gênero
Homicídio
Análise espacial
Estatísticas vitais
Sistemas de informação
Violencia de género
Homicidio
Análisis espacial
Estadísticas vitales
Sistemas de información
Gender-based violence
Homicide
Spatial analysis
Vital statistics
Information systems
topic Violência de Gênero
Homicídio
Análise espacial
Estatísticas vitais
Sistemas de informação
Violencia de género
Homicidio
Análisis espacial
Estadísticas vitales
Sistemas de información
Gender-based violence
Homicide
Spatial analysis
Vital statistics
Information systems
description Feminicide is a phenomenon resulting from the sexist patriarchal heritage and social structures historically permeated by unequal gender relations. The objective of this dissertation was to analyze the epidemiological aspects of feminicides registered in Pernambuco between 2016 and 2019. This is an ecological study. The records of homicides and undetermined causes of death of women in the Mortality Information System were the proxy for feminicide events and accepted as a reference. Search stages were established with probabilistic linkage in health databases, as well as manual reviews on the Pernambuco Court of Justice (Portuguese acronym: TJPE) platform and online news media in a complementary way. Data were described through the distribution of frequencies, measures of central tendency and dispersion. The local empirical Bayesian method and Moran’s autocorrelation index were used in the analysis of the spatial pattern of femicide rates. Hierarchical logistic regression was applied to assess the association between femicide and interpersonal violence. Logistic regression was used to estimate the odds ratio (OR) with 95% confidence intervals (95%CI). A total of 490 feminicides were found, corresponding to a rate of 2.5 per 100,000 women. The highest proportion of feminicides was identified by manual search in online news media and in the database of court documents of the TJPE (n=247; 50.41%). The victims’ characteristics reveal age between 20 and 39 years (n=286; 58.37%), black race/color (n=400; 81.63%), no partner (n=407; 83.06%) and schooling of over eight years (n=303; 61.84%). The spatial autocorrelation of the event was confirmed by the Global Moran Index of smoothed rates (I=0.3; p=0.001); the local autocorrelation reinforces the interiorization of the event by pointing to a critical area (Q1) formed by municipalities located in the macroregion of Vale do São Francisco and Araripe. At the distal determination level, the following variables increase the chances of feminicide: living in a small town (OR=2.10); the unavailability of police stations specialized in assisting women (OR=1.11); and absence of referrals to the assistance and protection network in the event of a previous aggression (OR=1.32). In relation to intermediate determinants, the greater the intensity of the means of action used in the practice of violence, the greater the chance of a fatal outcome, emphasizing the use of sharp objects (OR=3.93) and firearms (OR=11.14). Regarding proximal determinants, victims included in the age group 10-19 years were less likely to suffer a femicide (OR=0.51). The characterization of the study population can expand knowledge about structural violence against women, aspects of notification and the assistance and protection network. The spatial analysis identified the interiorization of the event and transition areas in Pernambuco, which requires prioritization of interventions. The modeling showed that women are exposed to multiple risk factors for the occurrence of feminicide and the discussion at all levels of determination in a particular way is even more necessary.
publishDate 2024
dc.date.none.fl_str_mv 2024-04-02
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url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3973
identifier_str_mv 10.22278/2318-2660.2024.v47.n4.a3973
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3973/3268
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
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publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 342-346
2318-2660
0100-0233
10.22278/2318-2660.2024.v47.N4
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
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instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
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