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      Epidemiological profile of female firearm-related mortality

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          Abstract

          The mortality rate of women due to firearms increases every day in Brazil and globally. This study aimed to evaluate the trends of firearm-related mortality in women from the years 2007 to 2016 in order to determine their profile and to associate these indicators with public policy and strategies to reduce mortality.

          This is an ecological time-series study using secondary data of women aged 10 to 49 years old collected through the mortality information system (SIM) in Brazil. Furthermore, independent characteristics such as education, color, race and civil status were also collected from SIM. Data was analyzed using the Join Point open source software version.

          There was an increase in the mortality rate of women who received 4 to the 7 years of education, were single, and brown-skinned. There was a significantly increased rate of mortality in women whose ages ranged from 20 to 29 years followed by 30 to 39 years; the rate was also significantly higher in the northeast region followed by the southeast region.

          There is a need for professional training to assist women in vulnerable situations.

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          The global prevalence of intimate partner homicide: a systematic review.

          Heidi Stöckl, Karen Devries, Alexandra Rotstein … (2013)
          Homicide is an important cause of premature mortality globally, but evidence for the magnitude of homicides by intimate partners is scarce and hampered by the large amount of missing information about the victim-offender relationship. The objective of the study was to estimate global and regional prevalence of intimate partner homicide. A systematic search of five databases (Medline, Global Health, Embase, Social Policy, and Web of Science) yielded 2167 abstracts, and resulted in the inclusion of 118 full-text articles with 1122 estimates of the prevalence of intimate partner homicide after double-blind screening. All studies were included that reported the number or proportion of women or men who were murdered by an intimate partner in a country, province, or town, using an inclusive definition of an intimate partner. Additionally, a survey of official sources of 169 countries provided a further 53 estimates. We selected one estimate per country-year using a quality assessment decision algorithm. The median prevalence of intimate partner homicide was calculated by country and region overall, and for women and men separately. Data were obtained for 66 countries. Overall 13·5% (IQR 9·2-18·2) of homicides were committed by an intimate partner, and this proportion was six times higher for female homicides than for male homicides (38·6%, 30·8-45·3, vs 6·3%, 3·1-6·3). Median percentages for all (male and female) and female intimate partner homicide were highest in high-income countries (all, 14·9%, 9·2-18·2; female homicide, 41·2%, 30·8-44·5) and in southeast Asia (18·8%, 11·3-18·8; 58·8%, 58·8-58·8). Adjustments to account for unknown victim-offender relationships generally increased the prevalence, suggesting that results presented are conservative. At least one in seven homicides globally and more than a third of female homicides are perpetrated by an intimate partner. Such violence commonly represents the culmination of a long history of abuse. Strategies to reduce homicide risk include increased investment in intimate partner violence prevention, risk assessments at different points of care, support for women experiencing intimate partner violence, and control of gun ownership for people with a history of violence. Improvements in country-level data collection and monitoring systems are also essential, because data availability and quality varied strongly across regions. WHO, Sigrid Rausing Trust, and the UK Economic and Social Research Council. Copyright © 2013 World Health Organization. Published by Elsevier Ltd/Inc/BV. All rights reserved. Published by Elsevier Ltd. All rights reserved.
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            Violência de gênero: comparação da mortalidade por agressão em mulheres com e sem notificação prévia de violência

            Laura Augusta Barufaldi, Rayone Moreira Costa Veloso Souto, Renata Correia … (2017)
            Resumo A violência contra a mulher constitui um importante problema de saúde pública no Brasil e no mundo. O objetivo do presente estudo foi descrever o perfil de mortalidade por agressão em mulheres e analisar se as vítimas de violência notificadas apresentam taxas de mortalidade por esse motivo mais elevadas do que a população feminina geral. Trata-se de um estudo descritivo da mortalidade por agressão em mulheres, a partir do linkage de bancos de dados. Os dados utilizados para o linkage foram todas as notificações de violência contra mulheres registradas no SINAN (Sistema de Informação de Agravos de Notificação) no período de 2011 a 2015 e os óbitos de mulheres por agressão registrados no SIM (Sistema de Informações sobre Mortalidade), no período de 2011 a 2016. O risco de morte por agressão nas mulheres notificadas por violência foi maior do que na população feminina geral, revelando assim uma situação de vulnerabilidade. Mulheres negras, de menor escolaridade foram as principais vítimas de violência e homicídios. O elevado número de mulheres mortas por agressão e a violência de repetição revelaram a fragilidade das redes de atenção e proteção no atendimento integral, qualificado e oportuno às vítimas.
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              Violence and injuries in Brazil: the effect, progress made, and challenges ahead.

              Maria Helena Prado de Mello-Jorge, Claudia Moraes, M E Reichenheim … (2011)
              Although there are signs of decline, homicides and traffic-related injuries and deaths in Brazil account for almost two-thirds of all deaths from external causes. In 2007, the homicide rate was 26·8 per 100,000 people and traffic-related mortality was 23·5 per 100,000. Domestic violence might not lead to as many deaths, but its share of violence-related morbidity is large. These are important public health problems that lead to enormous individual and collective costs. Young, black, and poor men are the main victims and perpetrators of community violence, whereas poor black women and children are the main victims of domestic violence. Regional differentials are also substantial. Besides the sociocultural determinants, much of the violence in Brazil has been associated with the misuse of alcohol and illicit drugs, and the wide availability of firearms. The high traffic-related morbidity and mortality in Brazil have been linked to the chosen model for the transport system that has given priority to roads and private-car use without offering adequate infrastructure. The system is often poorly equipped to deal with violations of traffic rules. In response to the major problems of violence and injuries, Brazil has greatly advanced in terms of legislation and action plans. The main challenge is to assess these advances to identify, extend, integrate, and continue the successful ones. Copyright © 2011 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Medicine (Baltimore)
                Journal ID (iso-abbrev): Medicine (Baltimore)
                Journal ID (publisher-id): MEDI
                Title: Medicine
                Publisher: Lippincott Williams & Wilkins (Hagerstown, MD )
                ISSN (Print): 0025-7974
                ISSN (Electronic): 1536-5964
                Publication date Collection: 15 January 2021
                Publication date (Electronic): 15 January 2021
                Volume: 100
                Issue: 2
                Electronic Location Identifier: e24222
                Affiliations
                [a ]Master in Collective Health, Programa de Pós-Graduação em Saúde Coletiva
                [b ]Programa de Graduação em Enfermagem, CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico
                [c ]Doctor of Health Sciences, Departamento de Enfermagem, Federal University of Rio Grande do Norte, Natal, Brazil.
                Author notes
                [∗ ]Correspondence: Ketyllem Tayanne da Silva Costa, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil (e-mail: ketyllemcosta@ 123456gmail.com ).
                Author information
                http://orcid.org/0000-0003-0304-2639
                Article
                Publisher ID: MD-D-20-07773 Accession ID: 24222
                DOI: 10.1097/MD.0000000000024222
                PMC ID: 7808544
                PubMed ID: 33466201
                SO-VID: 8b23ec33-a0fe-4915-8dcb-91265595fdec
                Copyright © Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
                License:

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

                History
                Date received : 5 August 2020
                Date revision received : 13 November 2020
                Date accepted : 16 December 2020
                Funding
                Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
                Award ID: 001
                Award Recipient : Not Applicable
                Categories
                Subject: 7400
                Subject: Research Article
                Subject: Observational Study
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: external causes,mortality,violence against women,women's health
                Data availability:
                Keywords: external causes, mortality, violence against women, women's health

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