Epidemiological profile of care for violence in public urgency and emergency services in Brazilian capital, Viva 2014

Souto, Rayone Moreira Costa Veloso; Barufaldi, Laura Augusta; Nico, Lucélia Silva; Freitas, Mariana Gonçalves de

doi:10.1590/1413-81232017229.13342017

Rayone Moreira Costa Veloso Souto

Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde. SRTVN 701, Via W5 Norte, Ed. PO700, 6º andar – DANTPS. 70723-040 Brasília DF Brasil. rayone.costa@saude.gov.br

Laura Augusta Barufaldi

Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde. SRTVN 701, Via W5 Norte, Ed. PO700, 6º andar – DANTPS. 70723-040 Brasília DF Brasil. rayone.costa@saude.gov.br

Lucélia Silva Nico

Coordenação de Saúde da Pessoa Idosa, Departamento de Ações Programáticas Estratégicas, Secretaria de Atenção à Saúde, Ministério da Saúde. Brasília DF Brasil.

Mariana Gonçalves de Freitas

Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde. SRTVN 701, Via W5 Norte, Ed. PO700, 6º andar – DANTPS. 70723-040 Brasília DF Brasil. rayone.costa@saude.gov.br

Collaborators

RMCV Souto was responsible for the conception and scope of the study, article write-up and approval of the final version for publication. LA Barufaldi was responsible for data extraction and participated in the analysis and interpretation of data, critical revision of the article and approval of the final version for publication. LS Nico made a substantial contribution to write-up, analysis and approval of the final version of the article. MG Freitas participated in the critical revision of the article and approval of the final version for publication.

Characteristics	Male		Female		Total		P^##

	(n = 3.187)		(n = 1.219)		(n = 4.406)

	n	%^#	n	%^#	n	%^#
Sociodemographic data
Age group (years)							0.0008
0-9	255	10.3	149	15.4	404	11.8
10-19	580	17.9	235	17.3	815	17.7
20-39	1,716	51.5	605	47.1	2,321	50.2
40-59	510	16.5	184	16.9	694	16.6
60 and over	78	2.6	41	3.0	119	2.8
Not known	48	1.2	5	0.3	53	0.9
Race/skin color							0.0000
White	617	25.6	331	35.8	948	28.7
Black/mixed race	2,459	70.5	848	61.1	3,307	67.6
Indigenous/‘yellow’	68	1.8	29	1.2	97	1.6
Not known	43	2.1	11	1.9	54	2.1
Years of schooling							0.0152
0-8	1,779	54	645	50.7	2,424	53.0
9 and more	889	29.4	404	35.0	1,293	31.1
Not known	519	16.6	170	14.3	689	15.9
Zone of residence							0.0377
Urban	2,863	94.1	1.147	96.5	4,010	94.8
Rural	178	4.2	38	1.9	216	3.5
Perimeter of convocation	42	0.6	11	0.3	53	0.5
Not known	104	1.1	23	1.3	127	1.2
Has health plan							0.0122
Yes	189	7.5	75	7.9	264	7.7
No	2,708	82.9	1.075	86.3	3,783	83.9
Not known	290	9.6	69	5.8	359	8.4
Has any type of disability ^a							0.0405
Yes	96	2.8	29	2.1	125	2.6
No	2,906	91.2	1.141	94.1	4,047	92.1
Not known	185	6.0	49	3.8	234	5.3
Population in vulnerable situation ^b							0.0115
Yes	97	3.5	19	1.7	116	3.0
No	2,973	91.2	1.165	94.9	4,138	92.3
Not known	117	5.3	35	3.4	152	4.7
Ingestion of alcohol beverage within 6 hours before the occurrence							0.0000
Yes	1,190	36.1	253	18.8	1,443	32.7
No	1,722	54.5	890	75.2	2,612	59.2
Not known	275	9.4	76	6.0	351	7.5

Characteristics	Male		Female		Total		P^##

	(n = 3,187)		(n = 1,219)		(n = 4,406)

	n	%^#	n	%^#	n	%^#
Data on the event
Nature of the violent act							0,000
Physical	2,951	91.3	1,013	79.9	3,964	87.8
Sexual	10	0.4	41	4.1	51	1.5
Psychological	5	0.2	24	2.0	29	0.7
Negligent/abandonment	139	6.4	102	11.9	241	8.1
Other	9	0.1	3	0.2	12	0.2
Not known	73	1.6	36	1.9	109	1.7
Form of aggression							0.000
Bodily force/hitting	1,166	40.6	669	57.9	1,835	45.9
Firearms	629	17.7	68	4.5	697	13.7
Perforating or cutting object	804	21.4	183	11.3	987	18.3
Blunt instrument	358	11.0	125	8.8	483	10.3
Other ^a	201	8.2	158	16.7	359	10.8
Not known	29	1.1	16	0.8	45	1.0
Probable perpetrator							0.000
Father/mother	131	5.8	110	12.1	241	7.8
Present or former partner	156	5.1	350	26.9	506	11.8
Other family member	266	8.7	167	13.9	433	10.3
Friend/acquaintance	789	23.3	241	18.2	1,030	21.7
Public law agent	76	2.2	7	0.5	83	1.7
Unknown	1,551	48.3	288	23.8	1,839	40.7
Other	47	1.5	32	2.7	79	1.9
Not known	171	5.1	24	1.9	195	4.1
Nature of injury							0.000
No physical lesion	120	4.5	121	11.0	241	6.5
Contusion	305	11.7	204	19.2	509	14.0
Cut/laceration	1,816	51.6	496	34.2	2,312	46.3
Torsion/contusion	148	5.6	102	9.3	250	6.7
Fraction	202	6.4	83	6.7	285	6.5
Trauma (dental, cranial/cephalic, multiple)	360	12.0	115	10.7	475	11.6
Others ^b	162	5.4	79	7.1	241	5.9
Not known	74	2.8	19	1.8	93	2.5
Place of occurrence							0.000
Home	739	24.2	645	53.0	1,384	33.0
School/recreation area	206	6.4	70	6.1	276	6.3
Bar/similar	340	10.1	76	6.0	416	8.9
Street	1,532	48.4	357	29.0	1,889	42.5
Other ^c	274	8.0	56	5.2	330	7.1
Not known	96	2.9	15	0.7	111	2.2
Care given
Travel to the hospital							0.000
On foot/bus/minibus	406	16.9	255	26.2	661	19.7
Private vehicle	1,185	36.2	523	42.1	1,708	38.1
Samu/ambulance/rescue	1,198	33.3	286	17.1	1,484	28.3
Others ^d	332	11.3	129	12.8	461	11.8
Not known	66	2.2	26	1.8	92	2.1
Prior care in other service							0.463
Yes	763	23.7	276	24.6	1,039	24.0
No	2,322	72.9	914	72.9	3,236	72.9
Not known	102	3.4	29	2.5	131	3.1
Development							0.000
Discharge	1,841	60.0	869	76.4	2,710	62.0
Hospitalization	767	23.2	148	10.0	915	19.2
Referrals ^e	377	10.3	147	9.1	524	9.9
Others ^f	101	3.7	22	2.1	123	3.2
Not known	101	2.8	33	2.4	134	2.7

[1] Collaborators

RMCV Souto was responsible for the conception and scope of the study, article write-up and approval of the final version for publication. LA Barufaldi was responsible for data extraction and participated in the analysis and interpretation of data, critical revision of the article and approval of the final version for publication. LS Nico made a substantial contribution to write-up, analysis and approval of the final version of the article. MG Freitas participated in the critical revision of the article and approval of the final version for publication.

Brasil

Brasil

Epidemiological profile of care for violence in public urgency and emergency services in Brazilian capital, Viva 2014

Abstract