Severity of maxillofacial injuries and associated factors in brazilian women victims of domestic violence

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7306

Keywords:

Violence against women; Maxillofacial injuries; Oral surgery; Epidemiology.

Abstract

Objective: The aim of this study was to determine the profile and prevalence of maxillofacial injury (MFI) and to assess associated factors in women victims of domestic violence. Methodology: This was a cross-sectional and analytical study that evaluated 514 records of women victims of domestic violence diagnosed with MFI attended at a public reference urgency and trauma hospital in Northeastern Brazil. Descriptive and multivari­ate statistics were performed using Poisson regression. Results: The prevalence of fractures and facial lacerations was 80.2% and 19.8%, respectively, the majority with low severity (92.1%). Associations were observed between MFI severity and alcohol / drug consumption by the perpetrator (PR=0.251; 95%CI=0.106-0.595; p=0.002) and the night shift (PR=4.675; 95%CI= 1.745-12.525; p=0.002). Correlations were found between MFI severity and length of hospital stay (r=0.148; p<0.01). Conclusions: The prevalence of fractures was considered high and MFI severity was associated with longer hospital stay and alcohol / drug consumption by the perpetrator and the night shift. Strategies need to be adopted as improving the quality of health care for users, social investment in women in vulnerability, overt supervision by security agencies, as well as the implementation of educational programs focused on preventing this condition.

References

Aita, T. G., Pereira Stabile, C. L., Garbelini, C. C. D., & Stabile, G. A. V. (2018). Can a facial injury severity scale be used to predict the need for surgical intervention and time of hospitalization? Journal of Oral and Maxillofacial Surgery,76(6), 1281-8.

Bagheri, S. C., Dierks, E. J., Kademani, D., Holmgren, E., Sino, R. B., Hommer, L., et al. (2006). Application of a facial injury severity scale in craniomaxillofacial injury. Journal of Oral Maxillofacial Surgery, 64(3), 408-14.

Barbosa, K. G. N., Walker, B. B., Schuurman, N., d’Ávilla, S., Ferreira, E. F. E., Ferreira, R. C. (2019). Epidemiological and spatial characteristics of interpersonal physical violence in a brazilian city: a comparative study of violent injury hotspots in familial versus non-familial settings, 2012-2014. PLoS ONE, 14(1), e0208304.

Barufaldi, L. A., Souto, R. M. C. V., Correia, R. S. B., Montenegro, M. M. S., Pinto, I. V., da Silva, M. M. A., et al. (2017). Gender violence: a comparison of mortality from aggression against women who have and have not previously reported violence. Ciência e Saúde Coletiva, 22(9), 2929-38.

Boyes, H., & Fan, K. (2019). Maxillofacial injuries associated with domestic violence: experience at a major trauma center. British Journal of Oral and Maxillofacial Surgery,58(2), 185-9.

Brasil. Lei nº 11.340 de 07 de agosto de 2006. Cria mecanismos para coibir a violência doméstica e familiar contra a mulher, nos termos do § 8º do art. 226 da Constituição Federal, da Convenção sobre a Eliminação de Todas as Formas de Discriminação contra as Mulheres e da Convenção Interamericana para Prevenir, Punir e Erradicar a Violência contra a Mulher; dispõe sobre a criação dos Juizados de Violência Doméstica e Familiar contra a Mulher; altera o Código de Processo Penal, o Código Penal e a Lei de Execução Penal; e dá outras providências. DiárioOficial da União 2006; 7 ago.

Brazil Health Ministry (2020). Hospital Information System. Retrieved from http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sinannet/cnv/ violebr.def.

Castro, T. L., Tinoco, R. L. R., Lima, L. N. C., Costa, L. R. S., Francesquini Júnior, L., & Daruge Júnior, E. (2017). Violence against women: characteristics of head and neck injuries. RGO, 65(2), 100-8.

de Macedo Bernardino, Í., Santos, L. M., Ferreira, A. V. P., Lima, A. T. L. M., Nóbrega, L. M., d’Ávilla, S. (2018). Multiple correspondence analysis as a strategy to explore the association between categories of qualitative variables related to oral–maxillofacial injury and violent crimes at the community level. International Journal of Oral Maxillofacial Surgery, 47(3), 339-44.

Garcez, R. H. M., Thomaz, E. B. A. F., Marques, R. C., Azevedo, J. A. P., & Lopes, F. F. (2019). Characterization of oral maxillofacial lesions resulting from physical aggression: differences between genders. Ciência e Saúde Coletiva, 24(3), 1143-52.

Laureano, I. C. C., Farias, L., Alencar, G. S. A., Cavalcanti, A. F. C., Alencar, C. R. B., & Cavalcanti, A. (2019). Injuries in the maxillofacial complex and associated factors in brazilian victims of violence: a cross-sectional study. Cumhuriyet Dental Journal, 22(1), 1-80.

O'Meara, C., Witherspoon, R., Hapangama, N., & Hyam, D. M. (2012). Alcohol and interpersonal violence may increase the severity of facial fracture. British Journal of Oral and Maxillofacial Surgery, 50(1), 36-40.

Ramalingam S. (2015). Role of maxillofacial injury scoring systems in determining the economic burden to maxillofacial injury patients in India. Journal of International Oral Health, 7(4), 38-43.

Rodrigues, L. G., Barbosa, K. G. N., Silva, C. J. P., Alencar, G. P., d’Ávilla, S., Ferreira, E. F. E., et al. (2020). Trends of maxillofacial injuries resulting from physical violence in Brazil. Dental Traumatology, 36(1), 69-76.

Sigalla, G. N., Mushi, D., Meyrowitsch, D. W., Manongi, R., Rogathi, J. J., Gammeltoft, T., et al. (2017). Intimate partner violence during pregnancy and its association with preterm birth and low birth weight in Tanzania: a prospective cohort study. PLoS ONE, 12(2), e0172540.

Silva, C. J., Ferreira, R. C., Paula, L. P., Haddad, J. P. A., Moura, A. C. M., Naves, M. D., et al. (2014).Maxillofacial injuries as markers of urban violence: a comparative analysis between the genders. Ciência&Sauúe Coletiva, 19(1), 127-36.

Sousa, R. I. M., Bernardino, I. M., Castro, R. D., Cavalcanti, A. L., Bento, P. M., d’Ávilla, S. (2016). Maxillofacial trauma resulting from physical violence against older adults: a 4-year study in a Brazilian forensic service. Pesquisa Brasileira de Odontopediatria e Clínica Integrada, 16(1), 313-22.

Stöckl, H., Devries, K., Rotstein, A., Abrahams, N., Campbell, J., Watts, C., et al. (2013). The global prevalence of intimate partner homicide: a systematic review. Lancet Digit Health, 382(9895), 859-65.

Vandenbroucke, J. P., von Elm, E., Altman, D. G., Peter, C. G., Cynthia, D. M., Stuart, J. P., et al. (2014). Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Int J Surg, 12(12), 1500-24.

World Health Organization – WHO. (2020). Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Retrieved from https://apps.who.int/iris/bitstream/handle/ 10665/85239/9789241564625_eng.pdf;jsessionid=3DFD02B53F473C27410004028A413195?sequence=1.

Downloads

Published

20/08/2020

How to Cite

PORTO, D. E.; LAUREANO, I. C. C.; CAVALCANTI , A. L.; ANDRADE, E. S. de S. Severity of maxillofacial injuries and associated factors in brazilian women victims of domestic violence. Research, Society and Development, [S. l.], v. 9, n. 9, p. e317997306, 2020. DOI: 10.33448/rsd-v9i9.7306. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7306. Acesso em: 16 apr. 2024.

Issue

Section

Health Sciences