Temporal and spatial analysis of notifications of sexual violence against male children and adolescents in Brazil, 2013 to 2022: an ecological study.

IF 2.5 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e20231439.en

Beatriz Caroline Leão Lima, Cássio Eduardo Soares Miranda, Fernando Ferraz do Nascimento, Jesusmar Ximenes Andrade, Malvina Thais Pacheco Rodrigues, José Wicto Pereira Borges

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Abstract

Objective: To analyze the temporal trend and the spatial distribution of reported cases of sexual violence against male children and adolescents, and their relationship with municipal development in Brazil.

Methods: This is an ecological study with data from the Notifiable Health Conditions Information System and the Municipal Human Development Indexes (MHDIs), from 2013-2022. Prais-Winsten regression was used for temporal analysis and the Moran Index for spatial analysis.

Results: There were 39,967 reports of sexual violence against male children and adolescents. An increasing trend was found for Brazil as a whole (annual percentage change = 6.8; 95%CI 3.8;10.0). Spatial distribution showed direct correlation between high rates of violence and low MHDIs (p < 0.001).

Conclusion: We found a rising temporal trend in Brazil and spatial dependence of the rates of reported sexual violence in the municipalities.

Main results: The trend of reported cases of sexual violence against male children and adolescents was rising in Brazil. The spatial analysis showed a direct correlation between high rates of violence and low human development indexes.

Implications for services: The identification of underreported areas requires the structuring of health surveillance services. Territories with the highest number of reports require prevention and coping strategies to attend to these victims.

Perspectives: Strategies for prevention, coping and improvement of the surveillance process must be adopted. These include: reception, psychosocial support, comprehensive health care and training of health professionals to notify and report the problem.

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2013 年至 2022 年巴西针对男性儿童和青少年的性暴力通知的时间和空间分析：一项生态研究。

摘要分析巴西报告的针对男性儿童和青少年的性暴力案件的时间趋势和空间分布，及其与城市发展的关系：这是一项生态学研究，数据来自 2013-2022 年的应申报健康状况信息系统（Notifiable Health Conditions Information System）和城市人类发展指数（MHDIs）。时间分析采用普拉里斯-温斯顿回归法，空间分析采用莫兰指数：共有 39 967 份针对男性儿童和青少年的性暴力报告。巴西整体呈上升趋势（年百分比变化=6.8；95%CI 3.8;10.0）。空间分布显示，暴力发生率高与男性健康指数低直接相关（p < 0.001）：我们发现巴西的性暴力报案率在时间上呈上升趋势，而在空间上则与城市有关：主要结果：巴西报告的针对男性儿童和青少年的性暴力案件呈上升趋势。空间分析表明，暴力发生率高与人类发展指数低直接相关：对服务部门的启示：要确定报告不足的地区，就必须构建健康监测服务。报告数量最多的地区需要采取预防和应对策略来照顾这些受害者：必须采取预防、应对和改进监测过程的策略。其中包括：接待、社会心理支持、全面的医疗保健以及对医疗专业人员进行通知和报告问题的培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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