Navegando por Autor "VELOSO, Milene Maria Xavier"

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Acesso aberto (Open Access)
Maus-tratos contra crianças e adolescentes: limites e possibilidades de atuação de profissionais de saúde
(Universidade Federal do Pará, 2015-04-17) VELOSO, Milene Maria Xavier; MAGALHÃES, Celina Maria Colino; http://lattes.cnpq.br/1695449937472051; https://orcid.org/0000-0002-1279-179X
The issue of maltreatment of children and adolescents constitutes a serious public health problem, since it can produce morbidity and / or mortality, but trouble for your development throughout the life cycle. In this sense health professionals have an important role in identification, reporting and handling of cases. This study aimed to investigate the knowledge of health professionals about maltreatment of children and adolescents, their attitudes and difficulties for the management of this phenomenon and to analyze the profile of notifications of violence carried out in the city of Belém-PA to propose possibilities performance. The study was developed from two axes: secondary data collected in Notification of diseases Notification System (SINAN-Net), the city of Belém-PA, in the 2009-2013 period, and primary data from the application two structured questionnaires in 174 health professionals from primary care of an administrative district of the same township. Data were analyzed from BioEstat 5.3. program. We identified 6,381 cases of violence against children reported in the period. The most prevalent type of violence was sexual, associated with physical and / or psychological violence, with an annual average of 89.55% for girls, with higher prevalence in the age group 11-14 years (39.97%). For boys sexual violence was also the most prevalent type (74.48%), followed by physical violence, but more often in the age group 6-10 years (42.46%). The violence was mainly practiced by individuals identified as friends or acquaintances, followed by stepfather. The study, conducted with health professionals, showed that about 30% reported never having seen a child or teenager and victim of some type of violence in their routine work, especially for community health agents. Negligence was perceived by 60.74% of the professionals, but only 19.05% of those reported have it notified. Moreover, sexual abuse was less above (24.14%), but exhibited higher reporting rate (50.0%). Physical violence was reported by only 39.47% of the professionals identified and psychological violence, by 34.88%. Among the top-level technicians 50.0% said they did not know the notification form and 86.11% never used. In addition, 25.82% reported having experienced some form of violence in childhood and / or adolescence. The data demonstrate the urgency of public policies aimed at families and the community to the cycles of violence against children and adolescents are stopped and other community living opportunities can be encouraged. Allied to this, a permanent education policy geared to health professionals is essential, so that the regulations can be effected in the daily practice of these professionals, ensuring full protection to children and adolescents from intra and inter-sectoral actions.
Acesso aberto (Open Access)
Notificação da violência como estratégia de vigilância em saúde: perfil de uma metrópole do Brasil
(2013-05) VELOSO, Milene Maria Xavier; MAGALHÃES, Celina Maria Colino; DELL’AGLIO, Débora Dalbosco; CABRAL, Isabel Rosa; GOMES, Maisa Moreira
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.