Violência familiar contra a crian?a e perspectivas de interven??o do Programa Saúde da Família: a experiência do PMF/Niterói (RJ, Brasil)

摘要

This study seeks to estimate the prevalence of psychological and physical violence practiced against children in the family environment among clients of the Family Medical Program in Niterói (RJ). It also discloses some potential opportunities for action in the prevention, early detection and monitoring of families experiencing violence. This population-based survey was conducted with face-to-face interviews with parents or legal sponsors of 278 children registered in 27 teams of the Family Health Program. The population studied was randomly selected among children up to ten years of age. The Brazilian version of Parent-Child Conflict Tactics Scales - CTSPC was employed to assess the occurrence of this type of violence. Psychological aggression occurred in 96.7% (CI 95%: 94.7-98.8) of the households, and corporal punishment occurred in 93.8% (CI 95%: 92.0-96.7). Minor physical violence was reported by 51.4% (CI 95%: 45.5-57.3) of the respondents, and severe physical maltreatment by 19.8% (CI 95%: 15.1-24.5) of them. Although the mother was the foremost perpetrator of all kinds of maltreatment, most of the children were abused by both parents. In view of these results, domestic violence against children should be seen as a main concern for the Family Health Program.