Co-occurrence of physical violence against partners and their children in health services

• Main Author: Reichenheim, Michael Eduardo
• Publication Date: 2006
• Other Authors: Dias, Alessandra Silva, Moraes, Claudia Leite
• Format: Article
• Language: por
• Source: Revista de Saúde Pública
• Download full: https://www.revistas.usp.br/rsp/article/view/32104
• topic: Violência doméstica; Violência contra a mulher; Maus-tratos conjugais; Maus-tratos infantis; Fatores de risco; Fatores socioeconômicos; Características da família; Estudos de casos e controles; Domestic violence; Violence against women; Spouse abuse; Child abuse; Risk factors; Socioeconomic factors; Family characteristics; Case-control studies

OBJECTIVE: To profile the co-occurrence of physical violence against partners and their children in a population attending a health care service, according to different socioeconomic and demographic characteristics. METHODS: A cross-sectional study on family violence and pre-term delivery was carried out in the city of Rio de Janeiro, Brazil, in 2000. Households of women living with a partner and at least one child (or stepchild) aged less than 18 years were eligible to the study (n=205). Socioeconomic, demographic, and life style variables for the family couple were considered as potential predictors of violence. The outcome variable was assessed at four levels: no physical violence in the household; physical violence against partners, physical violence against at least one child or co-occurrence of both. A multinomial logit model was used for projecting the respective prevalences according to a range of selected descriptors. RESULTS: The risk factors associated to greater risk of the outcome were: maternal age >;25; partner with less than eight years of schooling; presence of >;2 children under the age of five in the household; and alcohol/illicit drug abuse by the partner. In households with all those characteristics, the joint projected prevalence of violence against partners and their children was 90.2%, and as much as 60.6% accounted for the co-occurrence of both. In the absence of those factors, estimates were significantly lower (18.9% and 0.2%, respectively). CONCLUSIONS: Health providers should not only anticipate a situational gradient, but also be aware there is an increasingly higher risk of violence comprising the whole family group.