A dinâmica da violência interpessoal e os determinantes sociais de saúde em Curitiba
Tipo
TCC
Data de publicação
2025-05-29
Periódico
Citações (Scopus)
Autores
Gomes, Andrei Tsupal Tenório
Vojciechovski, Luiz Henrique
Vojciechovski, Luiz Henrique
Orientador
Naufel Junior, Carlos Roberto
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Título de Volume
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Introdução: A violência interpessoal é um grave problema de saúde pública com impactos sociais e econômicos importantes, especialmente em contextos urbanos vulneráveis. Está intimamente associada aos Determinantes Sociais de Saúde (DSS), como condições socioeconômicas e ambientais. Em Curitiba, o Índice de Vulnerabilidade das Áreas de Abrangência (IVAB) orienta ações de saúde pública com base nessas desigualdades. Objetivo: Analisar o perfil epidemiológico da violência interpessoal em Curitiba entre 2018 e 2023, e verificar a correlação entre a prevalência-período dessas ocorrências e os DSS representados pelo IVAB. Metodologia: Estudo descritivo transversal retrospectivo com 10.385 ocorrências de violência interpessoal (agressões, ferimento por arma branca e ferimento por arma de fogo), atendidas pelo Serviço Integrado de Atendimento ao Trauma em Emergência (SIATE). Realizaram-se análises estatísticas descritivas, temporais e espaciais, incluindo geocodificação dos casos e teste de correlação. Resultados: Do total analisado, agressões representaram 62,02%, FAF 19,91% e FAB 18,06%. Houve predomínio de vítimas masculinas (82,76%), principalmente adultos jovens entre 29 e 45 anos. As taxas de letalidade foram significativamente maiores nos homens (18,6 óbitos/100 mil habitantes) do que nas mulheres (1,4 óbitos/100 mil habitantes), destacando-se os ferimentos por arma de fogo (88,3% das mortes). A ocorrência de incidentes foi maior aos finais de semana e à noite, especialmente entre 18h e as 2h, com pico entre 21h e 22h. A análise espacial revelou correlação positiva moderada (r=0,436; p<0,001) entre áreas com alto IVAB e maior prevalência de violência interpessoal. Discussão: Os resultados confirmam dados da literatura internacional, mostrando que homens jovens em contexto urbano vulnerável são os mais acometidos pela violência interpessoal. A associação significativa entre violência e determinantes sociais reforça a necessidade de intervenções preventivas focadas nas áreas mais vulneráveis, identificadas pelo IVAB. Conclusão: O estudo confirmou a hipótese inicial de correlação positiva significativa entre vulnerabilidade social e prevalência de violência interpessoal. Homens jovens destacaram-se como grupo de maior vulnerabilidade, especialmente para violência por armas de fogo.
Introduction: Interpersonal violence is a serious public health problem with significant social and economic impacts, especially in disadvantaged urban areas. It is closely linked to the Social Determinants of Health (SDH), such as socioeconomic and environmental conditions. In Curitiba, the Vulnerability Index of Health Coverage Areas (IVAB) guides public health actions based on these inequalities. Objective: To analyze the epidemiological profile of interpersonal violence in Curitiba between 2018 and 2023 and to verify the correlation between the period-prevalence of these events and the SDH represented by IVAB. Methodology: This was a retrospective, descriptive, cross-sectional study with 10,385 cases of interpersonal violence (assaults, stabbing injuries, and gunshot wounds) attended by the Integrated Emergency Trauma Care Service (SIATE). Descriptive, temporal, and spatial statistical analyses were carried out, including case geocoding and correlation testing. Results: Of the total cases, assaults accounted for 62.02%, gunshot wounds 19.91%, and stabbing injuries 18.06%. Most victims were male (82.76%), especially young adults aged 29 to 45. The fatality rates were significantly higher among men (18.6 deaths per 100,000 inhabitants) than women (1.4 deaths per 100,000), with gunshot wounds being the main cause (88.3% of deaths). Incidents occurred more frequently on weekends and at night, especially between 6 p.m. and 2 a.m., with a peak between 9 p.m. and 10 p.m. Spatial analysis showed a moderate positive correlation (r = 0.436; p < 0.001) between high IVAB areas and a higher prevalence of interpersonal violence. Discussion: The results are consistent with international studies, showing that young men living in underserved urban environments are the most affected by interpersonal violence. The strong association between violence and social determinants highlights the need for preventive actions focused on the most affected areas, as identified by the IVAB. Conclusion: This study confirmed the initial hypothesis of a significant positive correlation between social vulnerability and the prevalence of interpersonal violence. Young men stood out as the most affected group, especially in cases involving firearms.
Introduction: Interpersonal violence is a serious public health problem with significant social and economic impacts, especially in disadvantaged urban areas. It is closely linked to the Social Determinants of Health (SDH), such as socioeconomic and environmental conditions. In Curitiba, the Vulnerability Index of Health Coverage Areas (IVAB) guides public health actions based on these inequalities. Objective: To analyze the epidemiological profile of interpersonal violence in Curitiba between 2018 and 2023 and to verify the correlation between the period-prevalence of these events and the SDH represented by IVAB. Methodology: This was a retrospective, descriptive, cross-sectional study with 10,385 cases of interpersonal violence (assaults, stabbing injuries, and gunshot wounds) attended by the Integrated Emergency Trauma Care Service (SIATE). Descriptive, temporal, and spatial statistical analyses were carried out, including case geocoding and correlation testing. Results: Of the total cases, assaults accounted for 62.02%, gunshot wounds 19.91%, and stabbing injuries 18.06%. Most victims were male (82.76%), especially young adults aged 29 to 45. The fatality rates were significantly higher among men (18.6 deaths per 100,000 inhabitants) than women (1.4 deaths per 100,000), with gunshot wounds being the main cause (88.3% of deaths). Incidents occurred more frequently on weekends and at night, especially between 6 p.m. and 2 a.m., with a peak between 9 p.m. and 10 p.m. Spatial analysis showed a moderate positive correlation (r = 0.436; p < 0.001) between high IVAB areas and a higher prevalence of interpersonal violence. Discussion: The results are consistent with international studies, showing that young men living in underserved urban environments are the most affected by interpersonal violence. The strong association between violence and social determinants highlights the need for preventive actions focused on the most affected areas, as identified by the IVAB. Conclusion: This study confirmed the initial hypothesis of a significant positive correlation between social vulnerability and the prevalence of interpersonal violence. Young men stood out as the most affected group, especially in cases involving firearms.
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Palavras-chave
violência , prevalência , determinantes sociais de saúde , violence , prevalence , social determinants of health