Milene Maria Xavier Veloso

Notificação da violência como estratégia de vigilância em saúde: perfil de uma metrópole do Brasil

A violencia e um problema de saude publica e sua notificacao e fundamental para a vigilância epidemiologica e para a definicao de politicas publicas de prevencao e promocao de saude. O estudo objetivou caracterizar a ocorrencia de violencia domestica, sexual e de outras, a partir das informacoes do banco de dados do Sistema Informacao de Agravos de Notificacao (SINAN), das fichas de notificacao de violencia da cidade de Belem (PA), no periodo de janeiro de 2009 a dezembro de 2011. Foram sistematizadas 3.267 notificacoes, representando um aumento de 240% de 2009 a 2011. Em relacao ao sexo das vitimas, observou-se que, em media, 83,2% dos casos atingiram as mulheres, proporcao esta semelhante nos tres anos analisados. A violencia sexual foi a mais presente com 41,8%; seguida da violencia psicologica com 26,3% e da violencia fisica com 24,0%. Os resultados demonstram a importância do conhecimento do perfil das violencias para intervencao e elaboracao de politicas publicas intersetoriais que promovam a saude e a qualidade de vida nesta regiao do Brasil.Interdisciplinarity in the work routine of professionals of a Residency Course on Family Health in Southern Brazil was investigated in a qualitative study involving 11 residents and 5 su- pervisors of seven professions. Through interviews, observations and focal groups the existence of in- terdisciplinarity in practice was analyzed, duly identifying favorable and unfavorable aspects for its implementation. Interdisciplinarity was ex- pressed as a complex process and concrete action, which occurs in the dramatic implications of its usage, in a dialectical relationship with the polit- ical and institutional context. The study revealed that working in family health care renders the work more complex and that the professionals ex- perience difficulties in sharing knowledge and making the transition between multidisciplinari- ty and interdisciplinarity. The study concludes that interdisciplinarity requires the integrated use of knowledge in the multi-professional practice, the crossing of disciplinary boundaries, the develop- ment of competencies to address the challenges of the work environment and personal attitude as a basic component for professional action. Key words Work, Oganization and administra- tion, Patient care team, Health Services, Human resources, Family health care, Ergology Magda Duarte dos Anjos Scherer 1

Notification of violence as a strategy for health surveillance: profile of a metropolis in Brazil

Violence is a serious public health problem and notification of incidents is fundamental for epidemic surveillance and for the definition of priorities and public politics of health prevention and promotion. The study sought to characterize the occurrence of domestic violence, sexual and other forms of violence, based on the information of the database of the Information System of Notification of Offences (Sinan), on the records of violence of the city of Belém in the state of Pará, in the period from January 2009 to December 2011. In this period 3,267 notifications were recorded, which represented an increase of 240% in the number of notifications of the year 2009 compared to 2011. In relation to the sex of the victims it was observed that, on average, 83.2% of cases against women and this proportion was similar in all three years analyzed. Sexual violence was the most prevalent with 41.8% of reported cases; followed by psychological violence at 26.3% and physical violence at 24%. The results show that notification is fundamental for understanding the profile of violence and for intervention and elaboration of integrated public politics that promote health and the quality of life in this area of Brazil.

Caracterização da revelação do abuso sexual de crianças e adolescentes: negação, retratação e fatores associados

The sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafamiThe sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafami1 Endereco para correspondencia: Laboratorio de Ecologia do Desenvolvimento, Universidade Federal do Para, Av. Augusto Correa, 01, Campus Universitario Guama, Belem, PA, Brasil 66075-900. E-mail: padbaia@yahoo.com.br, mveloso@ufpa.br, celinaufpa@gmail.com e dalbosco@cpovo.net Baia, P. A. D., Veloso, M. M. X., Magalhaes, C. M. C., Dell’Aglio, D. D. 194 lial sexual abuse. The biological mother made the notifi cations in most cases (n = 14). Sexual abuse was revealed by the victims in 87% of cases, and non-disclosure involved intrafamilial abuse. The denial prevalent among boys and children from fi ve to seven years. The only two cases of retraction occurred in the sample of boys. The disclosure, denial and retraction should be used as important indicators in evaluating and understanding of child sexual abuse cases.

Padrões de revelação e descoberta do abuso sexual de crianças e adolescentes

The study on child and adolescent dis- closure of sexual abuse is related to primary and secondary prevention, in addition to providing in- terventions for this type of violence. This article aims at characterizing the patterns of disclosure and discovery of sexual abuse, verifying its association to individual factors of the victims and perpetrators (age, sex) and relational factors (familiarity between victims and perpetrators, as well as with the recipi- ent of the disclosure). The study analyzed 232 cases of sexual abuse retrieved from records of three specialized services, one service was local- ized in the Brazilian state of Para (PA) and two in the state Rio Grande do Sul (RS). The patterns of disclosure and discovery were significantly associ- ated to the age and sex of the victims, and the place of the sample (PA and RS). Intentional disclosure was more frequent among female victims (33.5%) and accidental detection was more frequent among males (44.7%). In the sample from PA, accidental detection (46.9%) was predominant, whereas among the victims from RS intentional disclosure prevailed (31.1%). The importance of issues such as gender, developmental stage and influence of cultural and structural factors in public policies to prevent sexual abuse is also discussed.

Caracterização do suporte materno na descoberta e revelação do abuso sexual infantil

The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.

Characterization of maternal support in the discovery and disclosure of child sexual abuse

The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.

Caracterización de apoyo materno en el descubrimiento y develación de abuso sexual infantil

The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.The maternal support can act as a moderator of the effects of sexual abuse in the family microsystem victims, maximizing the chances of psychological adjustment in these contexts. This study aimed to characterize the materna l support of fi ve mothers of sexually abused girls. The following dimensions of maternal support were considered: believe the victim, emotional support, and protective action. Through the interviews, observed that the in itial lack of credibilit y of the participants in relation to the sexual abuse of their daughters, did not affect the protective actions. There was the report of changes in maternal practices after the discovery of sexual abuse. The emotional burden of these caregivers, the maintenance of the secrecy about sexual abuse, and the importance of family intervention strategies are discussed.

Caracterización de la revelación de abuso sexual de niños y adolescentes: negación, retractación y factores asociados

The sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafamiThe sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafami1 Endereco para correspondencia: Laboratorio de Ecologia do Desenvolvimento, Universidade Federal do Para, Av. Augusto Correa, 01, Campus Universitario Guama, Belem, PA, Brasil 66075-900. E-mail: padbaia@yahoo.com.br, mveloso@ufpa.br, celinaufpa@gmail.com e dalbosco@cpovo.net Baia, P. A. D., Veloso, M. M. X., Magalhaes, C. M. C., Dell’Aglio, D. D. 194 lial sexual abuse. The biological mother made the notifi cations in most cases (n = 14). Sexual abuse was revealed by the victims in 87% of cases, and non-disclosure involved intrafamilial abuse. The denial prevalent among boys and children from fi ve to seven years. The only two cases of retraction occurred in the sample of boys. The disclosure, denial and retraction should be used as important indicators in evaluating and understanding of child sexual abuse cases.

Child sexual abuse disclosure characterization: denial, recantation and associated factors

The sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafamiThe sexual abuse disclosure can ensure legal and psychosocial interventions for victims, offenders and families. This study aimed to characterize the disclosure, denial and recantation of sexual abuse by thirty-one records of reported cases of sexual abuse against children and adolescents treated at a specialized service in the city of Belem-Para. The following factors were analyzed: age and sex (victims / offenders), the relationship between victims and offenders (intrafamilial / extrafamilial), the individual who made the notifi cation. The results indicate the predominance of victims between eight and 11 years old, female, and offenders between 14 and 32 years, male. There was a higher occurrence of intrafami1 Endereco para correspondencia: Laboratorio de Ecologia do Desenvolvimento, Universidade Federal do Para, Av. Augusto Correa, 01, Campus Universitario Guama, Belem, PA, Brasil 66075-900. E-mail: padbaia@yahoo.com.br, mveloso@ufpa.br, celinaufpa@gmail.com e dalbosco@cpovo.net Baia, P. A. D., Veloso, M. M. X., Magalhaes, C. M. C., Dell’Aglio, D. D. 194 lial sexual abuse. The biological mother made the notifi cations in most cases (n = 14). Sexual abuse was revealed by the victims in 87% of cases, and non-disclosure involved intrafamilial abuse. The denial prevalent among boys and children from fi ve to seven years. The only two cases of retraction occurred in the sample of boys. The disclosure, denial and retraction should be used as important indicators in evaluating and understanding of child sexual abuse cases.