Abstract

To estimate the prevalence of exposure to violence, characterizing its magnitude, types and occurrence in the adult population in Brazil. Cross-sectional study with data from the National Health Survey conducted in 2019. The prevalence of violence in the last 12 months and respective 95% confidence intervals (95%CI) were estimated according to sociodemographic variables. Crude prevalence ratios were estimated by Poisson regression. The prevalence of exposure to violence among adults in Brazil was 18.3% (95%CI 17.8-18.8), with a significantly higher frequency among women (19.4%; 95%CI 18.7-20.0), in the 18-29 age group (27.0%; 95%CI 25.7-28.4), in self-declared black people (20.6%; 95%CI 19.3-21.9) and mixed race (19.3%; 95%CI 18.6-20.1) and among inhabitants of the Northeast region (18.7%; 95%CI 18.0-19.5). Among the victims of violence, 15.6% (95%CI 14.2-17.0) sought health care, of which (91.2%; 95%CI 88.1-93.6) were attended. The most reported types of violence were: psychological (17.4%; 95%CI 16.9-17.9), physical (4.1%; 95%CI 3.9-4.4) and sexual (0.8%; 95%CI 0.7-0.9). Men were more exposed to violence with the use of firearms or sharp targets, while women were the predominant victims for all other types and mechanisms of violence. The aggressor most cited was the intimate partner, the most frequent place of occurrence of violence being the residence and public streets/places. In Brazil, violence affected one in five adults. Women, young people and people with black skin were the population segments most exposed to violence, which should be a priority in prevention actions.

Highlights

  • Violence is a serious public health problem that affects people of both genders, at all stages of life, from children to aged people[1]

  • While men are the most frequent victims of fatal and non-fatal physical violence, cases of domestic and sexual violence are more prevalent among women[4], and one in three of them worldwide suffer some form of abuse by an intimate partner[2]

  • Cross-sectional study developed based on data obtained through the National Health Survey (Pesquisa Nacional de Saúde – PNS), carried out by the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística – IBGE) in partnership with the Ministry of Health (MoH) in 2019

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Summary

Introduction

Violence is a serious public health problem that affects people of both genders, at all stages of life, from children to aged people[1]. In all its forms, it casts a long shadow over the health of populations and individuals and has spurred several organizations over the past few decades to focus efforts to significantly reduce its prevalence[2]. Both unintentional and violence-related injuries claim the lives of 4.4 million people worldwide each year and account for nearly 8% of all deaths, still accounting for about 10% of all years lived with a disability[3]. Deaths from interpersonal violence have continued to grow significantly since the late 1980s, ranking first among the causes of death in the young population (15–24 years). In 2016 alone, 62,517 intentional violent deaths and 49,497 rapes were recorded in the country[5]

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