Objective: Evaluate disparities in a Brazilian state by conducting an analysis to determine whether socioeconomic status was associated with the reported intimate partner sexual violence (IPSV) rates against women.
Design: A retrospective, ecological study.
Settings: Data retrieved from the Notifiable Diseases Information System database of the Ministry of Health of Brazil.
Participants: All cases of IPSV (n=516) against women aged 15-49 years reported in the Notifiable Diseases Information System between 2009 and 2014.
Outcome Measures: The data were evaluated through an exploratory analysis of spatial data.
Results: We identified a positive spatial self-correlation in the IPSV rate (0.7105, P≤0.001). Five high-high-type clusters were identified, predominantly in the Metropolitan, West, South Central, Southwest, Southeast and North Central mesoregions, with only one cluster identified in the North Pioneer mesoregion. Our findings also indicated that the associations between the IPSV rate and socioeconomic predictors (women with higher education, civil registry of legal separations, economically active women, demographic density and average female income) were significantly spatially non-stationary; thus, the regression coefficients verified that certain variables in the model were associated with the IPSV rate in some regions of the state. In addition, the geographically weighted regression (GWR) model improved the understanding of the associations between socioeconomic indicators and the IPSV notification rate, showing a better adjustment than the ordinary least square (OLS) model (OLS vs GWR model: R: 0.95 vs 0.99; Akaike information criterion: 4117.90 vs 3550.61; Moran's I: 0.0905 vs -0.0273, respectively).
Conclusions: IPSV against women was heterogeneous in the state of Paraná. The GWR model showed a better fit and enabled the analysis of the distribution of each indicator in the state, which demonstrated the utility of this model for the study of IPSV dynamics and the indication of local determinants of IPSV notification rates.
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| http://dx.doi.org/10.1136/bmjopen-2017-018437 | DOI Listing |
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Ample research explores individual factors associated with sexual violence, yet individual, dyadic, and environmental influences on intimate partner sexual violence (IPSV) occurring in the larger context of non-intimate partner violence (NIPSV) remain relatively unexplored. The current study aimed to determine the extent to which county-level indicators in combination with individual and dyadic factors are associated with sexual violence across relationship types. Reported IPSV and NIPSV cases were obtained from the Tennessee Bureau of Investigation's (TBI) online incident-based reporting system.
View Article and Find Full Text PDFRegional disparities in the intimate partner sexual violence rate against women in Paraná State, Brazil, 2009-2014: an ecological study.
BMJ Open
February 2018
Department of Post Graduate in Health Science, State University of Maringa, Maringa, Brazil.
Objective: Evaluate disparities in a Brazilian state by conducting an analysis to determine whether socioeconomic status was associated with the reported intimate partner sexual violence (IPSV) rates against women.
Design: A retrospective, ecological study.
Settings: Data retrieved from the Notifiable Diseases Information System database of the Ministry of Health of Brazil.
Universal screening for intimate partner and sexual violence in trauma patients-What about the men? An Eastern Association for the Surgery of Trauma Multicenter Trial.
J Trauma Acute Care Surg
July 2018
From the University of Miami Miller School of Medicine, Miami, FL (T.L.Z., R.R., X.R., D.T., N.N., D.Y., D.P.); Hospital Universitario General Calixto García, Instituto de Ciencias Médicas, Universidad de la Habana, La Habana, Cuba (D.M.V.); Emory University School of Medicine, Atlanta, GA (R.G.); Loma Linda University and Medical Center, Loma Linda, CA (J.C., D.T., X.L-O.); and UT Southwestern Medical Center, Parkland Memorial Hospital, Dallas, TX (J.G., B.H.W.).
Background: A recent Eastern Association for the Surgery of Trauma-supported multicenter trial demonstrated a similar rate of intimate partner and sexual violence (IPSV) between male and female trauma patients, regardless of mechanism. Our objective was to perform a subgroup analysis of our affected male cohort because this remains an understudied group in the trauma literature.
Methods: We conducted a recent Eastern Association for the Surgery of Trauma-supported, cross-sectional, multicenter trial over one year (March 2015 to April 2016) involving four Level I trauma centers throughout the United States.
Universal screening for intimate partner and sexual violence in trauma patients: An EAST multicenter trial.
J Trauma Acute Care Surg
July 2017
From the University of Miami Miller School of Medicine (T.L.Z., X.R., N.N.), Miami, Florida; Emory University School of Medicine (R.D.), Atlanta, Georgia; Loma Linda University and Medical Center (J.C., D.T., X.L.O.), Loma Linda, California; University of Florida (M.C.), Jacksonville, Florida; and UT Southwestern Medical Center (J.G. B.H.W.), Parkland Memorial Hospital, Dallas, Texas.
Background: A single-center trial recently demonstrated a prevalence of 14% of intimate partner and sexual violence (IPSV) among both male and female trauma patients, regardless of mechanism of injury. We aimed to determine if this phenomenon was similar to rates in other trauma centers by assessing the feasibility of universal screening and determining the prevalence and association of IPSV with other trauma-associated comorbidities.
Methods: We designed an Eastern Association for the Surgery of Trauma-supported multicenter, prospective observational cohort study involving four Level I trauma centers throughout the United States.
Capturing sexual violence experiences among battered women using the revised sexual experiences survey and the revised conflict tactics scales.
Arch Sex Behav
January 2015
Département de Sexologie, Université du Québec à Montréal, C.P. 8888 Succursale Centre-Ville, Montreal, PQ, H3C 3P8, Canada.
The assessment of intimate partner sexual violence (IPSV) has garnered increased attention in recent years. However, uncertainty about which measure best captures experiences of IPSV remains. The present study focused on the direct comparison of two widely used measures of IPSV: the revised Sexual Experiences Survey (SES) and the revised Conflict Tactics Scales (CTS2).
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