Violence against children and adolescents in Manaus, Amazonas State, Brazil: a descriptive study of cases and evaluation of notification sheet completeness, 2009-2016

Oliveira, Nathália França de; Moraes, Claudia Leite de; Junger, Washington Leite; Reichenheim, Michael Eduardo

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Brasil

Epidemiologia e Serviços de Saúde

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Brasil

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 29 (1) • 2020 • https://doi.org/10.5123/S1679-49742020000100012 copy

Violence against children and adolescents in Manaus, Amazonas State, Brazil: a descriptive study of cases and evaluation of notification sheet completeness, 2009-2016^* * Manuscript developed based on the academic thesis written by Nathália França de Oliveira, entitled ‘The process of notification of violence against children and adolescents by Family Health Strategy professionals in Manaus, AM’, defended at the State University of Rio de Janeiro Social Medicine Institute Public Health Postgraduate Program in 2019. This study was funded by the Amazonas State Research Support Foundation (PPSUS - MS/CNPq/FAPEAM/SUSAM): Protocol No. 34931.UNI653.54603.03082017.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to describe cases of violence against children and adolescents and completeness of notification forms registered on the Notifiable Health Conditions Information System (Sinan), Manaus, Amazonas, Brazil, 2009-2016.

Methods:

this was a descriptive study based on 38 fields of the notification form held on the information system; analysis of completeness was based on the criteria proposed by the Ministry of Health.

Results:

69.3% of the 10,333 reported cases occurred among female children, and parents and step-parents were the perpetrators in 43.0% of cases; among adolescents, about ¼ (24.9%) of cases were committed by friends/acquaintances; sexual violence was the most reported type of violence in both groups; field completeness ranged from 15.1% (occupation) to 100.0% (several fields).

Conclusion:

in contrast to the national scenario, sexual violence was the most reported form of violence in Manaus, indicating that other types of violence are underestimated; data quality points to the need for Sinan improvement in Manaus.

Keywords:
Disease Notification; Violence; Child; Adolescent; Epidemiology, Descriptive

Information fields	2009		2010		2011		2012		2013		2014		2015		2016		Total
	N=439		N=388		N=558		N=542		N=735		N=588		N=721		N=667		N=4,638
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Characterization of the victim
Age range (in years)
<1	61	13.9	47	12.1	96	17.2	64	11.8	66	9.0	71	12.1	94	13.0	193	29.0	692	14.9
1-5	216	49.2	177	45.6	239	42.8	264	48.7	355	48.3	281	47.8	359	49.8	261	39.1	2.152	46.4
6-9	162	36.9	164	42.3	223	40.0	214	39.5	314	42.7	236	40.1	268	37.2	213	31.9	1.794	38.7
Sex
Female	280	63.8	275	70.9	359	64.3	371	68.5	496	67.5	409	69.6	511	70.9	515	77.2	3.216	69.3
Male	159	36.2	113	29.1	199	35.7	171	31.5	239	32.5	179	30.4	210	29.1	152	22.8	1.422	30.7
Race/skin color
Brown	317	72.2	273	70.4	403	72.2	412	76.0	529	72.0	478	81.3	456	63.2	362	54.3	3.230	69.6
White	89	20.3	78	20.1	77	13.8	86	15.9	127	17.3	63	10.7	70	9.7	55	8.2	645	13.9
Black	4	0.9	7	1.8	5	0.9	5	0.9	14	1.9	9	1.5	6	0.8	6	0.9	56	1.2
Indigenous	3	0.7	-	-	7	1.3	1	0.2	4	0.5	-	-	-	-	4	0.6	19	0.5
Yellow	3	0.7	2	0.5	4	0.7	5	0.9	9	1.2	-	-	4	0.6	6	0.9	33	0.7
Unknown/blank	23	5.2	28	7.2	62	11.1	33	6.1	52	7.1	38	6.5	185	25.7	234	35.1	655	14.1
Schooling
Illiterate	2	0.5	3	0.8	-	-	5	1.0	7	1.0	3	0.5	5	0.7	3	0.5	28	0.6
Incomplete elementary education	106	24.1	105	27.0	135	24.2	142	26.2	217	29.5	143	24.3	159	22.0	140	21.0	1.147	24.7
Does not apply	315	71.8	263	67.8	390	69.9	372	68.6	482	65.6	414	70.4	519	72.0	495	74.2	3.250	70.1
Unknown/blank	16	3.6	17	4.4	33	5.9	23	4.2	29	3.9	28	4.8	38	5.3	29	4.3	213	4.6
Disability/disorder
Yes	15	3.4	7	1.8	18	3.2	16	3.0	14	1.9	15	2.6	9	1.2	4	0.6	98	2.1
No	305	69.5	302	77.8	391	70.1	443	81.7	525	71.4	284	48.3	386	53.5	412	61.8	3.048	65.7
Unknown/blank	119	27.1	79	20.4	149	26.7	83	15.3	196	26.7	289	49.1	326	45.2	251	37.6	1.492	32.2
Characterization of incident
Notifying sources
Primary care	4	0.9	8	2.1	5	0.9	9	1.7	17	2.3	15	2.5	10	1.4	15	2.2	83	1.8
Medium complexity	8	1.8	11	2.8	8	1.4	12	2.2	18	2.5	13	2.2	10	1.4	3	0.5	83	1.8
High complexity	424	96.6	311	80.2	483	86.6	431	79.5	533	72.5	425	72.3	588	81.5	521	78.1	3.716	80.1
Other	3	0.7	58	14.9	62	11.1	90	16.6	167	22.7	135	23.0	113	15.7	128	19.2	756	16.3
Place of incident
Residence	212	48.3	246	63.4	314	56.3	356	65.7	495	67.3	408	69.4	400	55.5	343	51.5	2.774	59.8
Street	7	1.6	4	1.0	10	1.8	11	2.0	10	1.4	19	3.2	8	1.1	8	1.2	77	1.7
Public thoroughfare	3	0.7	18	4.6	19	3.4	13	2.4	17	2.3	10	1.7	15	2.1	6	0.9	101	2.2
Other	150	34.2	83	21.4	156	27.9	114	21.0	139	18.9	100	17.0	116	16.1	83	12.4	941	20.3
Unknown/blank	67	15.2	37	9.5	59	10.6	48	8.9	74	10.1	51	8.7	182	25.2	227	34.0	745	16.0
Time of day of incident
Morning (6 a.m. - 11.59 a.m.)	32	7.3	37	9.6	44	7.9	53	9.8	81	11.0	71	12.1	93	12.9	72	10.8	483	10.4
Afternoon (12 p.m. - 5.59 p.m.)	40	9.1	57	14.7	70	12.5	86	15.9	137	18.6	101	17.2	145	20.1	109	16.3	745	16.1
Night (6 p.m. - 11.59 p.m.)	26	5.9	23	5.9	50	9.0	78	14.4	116	15.8	81	13.8	61	8.5	73	10.9	508	11.0
Early morning (0.00 a.m. - 5.59 a.m.)	6	1.4	6	1.5	8	1.4	15	2.7	35	4.8	29	4.9	12	1.6	18	2.8	129	2.8
Unknown/blank	335	76.3	265	68.3	386	69.2	310	57.2	366	49.8	306	52.0	410	56.9	395	59.2	2.773	59.8
Recurrence
Yes	126	28.7	148	38.1	170	30.5	186	34.3	251	34.1	218	37.1	116	16.1	63	9.4	1.278	27.6
No	91	20.7	95	24.5	142	25.4	200	36.9	232	31.6	192	32.7	272	37.7	275	41.2	1.499	32.3
Unknown/blank	222	50.6	145	37.4	246	44.1	156	28.8	252	34.3	178	30.3	333	46.2	329	49.3	1.861	40.1
Self-inflicted injury
Yes	9	2.1	1	0.3	-	-	-	-	-	-	-	-	9	1.2	9	1.3	28	0.6
No	263	59.9	365	94.0	556	99.6	541	99.8	735	100.0	587	99.8	545	75.6	376	56.4	3.968	85.6
Unknown/blank	167	38.0	22	5.7	2	0.4	1	0.2	-	-	1	0.2	167	23.2	282	42.3	642	13.8
Type of aggression
Body force/beating	83	18.9	87	22.4	127	22.8	113	20.8	132	18.0	108	18.4	79	11.0	33	4.9	762	16.4
Threat	84	19.1	97	25.0	111	19.9	104	19.2	111	15.1	85	14.4	42	5.8	10	1.6	644	13.9
Firearm	7	1.6	3	0.8	6	1.1	5	0.9	4	0.5	1	0.2	-	-	3	0.4	29	0.6
Other	195	44.4	130	33.5	241	43.2	254	46.9	350	47.6	313	53.2	439	60.9	447	67.0	2.369	51.1
Unknown/blank	70	16.0	71	18.3	73	13.1	66	12.2	138	18.8	81	13.8	161	22.3	174	26.1	834	18.0
Characterization of perpetrator
Sex
Male	241	54.9	262	67.5	324	58.1	348	64.2	481	65.4	365	62.1	305	42.3	325	48.7	2.651	57.2
Female	51	11.6	39	10.1	82	14.7	41	7.6	121	16.5	97	16.5	133	18.4	62	9.3	626	13.4
Both sexes	11	2.5	12	3.1	19	3.4	20	3.7	27	3.7	28	4.7	33	4.6	34	5.1	184	4.0
Unknown/blank	136	31.0	75	19.3	133	23.8	133	24.5	106	14.4	98	16.7	250	34.7	246	36.9	1.177	25.4
Relationship with the victim
Father/mother/stepfather/stepmother	216	49.2	164	42.3	274	49.1	242	44.6	331	45.0	276	46.9	295	40.9	212	31.8	2.010	43.3
Friends/acquaintances	74	16.9	103	26.5	93	16.7	127	23.4	132	18.0	113	19.2	93	12.9	96	14.4	831	17.9
Strangers	11	2.5	13	3.4	18	3.2	16	3.0	36	4.9	21	3.6	11	1.5	16	2.4	142	3.1
Other	131	29.8	99	25.5	148	26.5	149	27.5	228	31.0	174	29.6	219	30.4	286	42.9	1.434	30.9
Unknown/blank	7	1.6	9	2.3	25	4.5	8	1.5	8	1.1	4	0.7	103	14.3	57	8.5	221	4.8
Suspected use of alcohol
Yes	39	8.9	42	10.8	59	10.6	56	10.3	70	9.5	46	7.8	26	3.6	41	6.1	379	8.2
No	167	38.0	171	44.1	227	40.7	228	42.1	325	44.2	236	40.2	262	36.3	149	22.4	1.765	38.0
Unknown/blank	233	53.1	175	45.1	272	48.7	258	47.6	340	46.3	306	52.0	433	60.1	477	71.5	2.494	53.8
Number of people involved
One	278	63.3	293	75.5	409	73.3	414	76.4	556	75.6	439	74.7	401	55.6	352	52.8	3.142	67.7
Two or more	56	12.8	45	11.6	71	12.7	59	10.9	66	9.0	51	8.6	56	7.8	68	10.2	472	10.2
Unknown/blank	105	23.9	50	12.9	78	14.0	69	12.7	113	15.4	98	16.7	264	36.6	247	37.0	1.024	22.1

Information fields	2009		2010		2011		2012		2013		2014		2015		2016		Total
	N=376		N=451		N=685		N=848		N=995		N=847		N=840		N=653		N=5,695
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Characterization of the victim
Age range (in years)
10-14	272	72.3	335	74.3	451	65.8	553	65.2	700	70.4	612	72.3	624	74.3	481	73.7	4.028	70.7
15-19	104	27.7	116	25.7	234	34.2	295	34.8	295	29.6	235	27.7	216	25.7	172	26.3	1.667	29.3
Sex
Female	334	88.8	402	89.1	568	82.9	686	80.9	875	87.9	757	89.4	765	91.1	592	90.7	4.979	87.4
Male	42	11.2	49	10.9	117	17.1	162	19.1	120	12.1	90	10.6	75	8.9	61	9.3	716	12.6
Race/skin color
Brown	269	71.5	316	70.1	409	59.7	529	62.4	713	71.7	715	84.4	559	66.5	486	74.4	3.996	70.2
White	72	19.1	88	19.4	96	14.0	108	12.7	150	15.1	75	8.9	64	7.6	52	8.0	705	12.4
Black	13	3.5	8	1.8	12	1.8	21	2.5	23	2.3	12	1.4	19	2.3	11	1.7	119	2.0
Indigenous	7	1.9	3	0.7	24	3.5	2	0.2	7	0.7	5	0.6	2	0.2	2	0.3	52	0.9
Yellow	4	1.1	8	1.8	4	0.6	13	1.6	14	1.4	4	0.4	3	0.4	-	-	50	0.9
Unknown/blank	11	2.9	28	6.2	140	20.4	175	20.6	88	8.8	36	4.3	193	23.0	102	15.6	773	13.6
Schooling
Illiterate	1	0.3	7	1.6	2	0.3	5	0.6	5	0.5	6	0.7	6	0.7	4	0.6	36	0.6
Incomplete elementary education	258	68.6	307	68.1	362	52.8	493	58.1	644	64.7	593	70.0	528	62.9	409	62.6	3.594	63.1
Complete elementary education + Incomplete high school education	49	13.0	73	16.2	96	14.0	106	12.5	149	15.0	113	13.3	125	14.9	108	16.5	819	14.5
Complete high school education or over	8	2.1	12	2.6	28	4.1	26	3.1	40	4.0	21	2.5	14	1.6	18	2.8	167	2.9
Does not apply	1	0.3	-	-	-	-	-	-	-	-	-	-	1	0.1	-	-	2	-
Unknown/blank	59	15.7	52	11.5	197	28.8	218	25.7	157	15.8	114	13.5	166	19.8	114	17.5	1.077	18.9
Disability/disorder
Yes	12	3.2	23	5.1	24	3.5	25	2.9	25	2.5	26	3.0	20	2.4	17	2.6	172	3.0
No	332	88.3	382	84.7	527	76.9	619	73.0	759	76.3	424	50.1	438	52.1	503	77.0	3.984	70.0
Unknown/blank	32	8.5	46	10.2	134	19.6	204	24.1	211	21.2	397	46.9	382	45.5	133	20.4	1.539	27.0
Characterization of incident
Notifying sources
Primary care	5	1.3	6	1.3	13	1.9	10	1.2	35	3.5	14	1.7	18	2.1	14	2.1	115	2.0
Medium complexity	3	0.8	4	0.9	3	0.4	15	1.8	17	1.7	8	0.9	3	0.4	4	0.6	57	1.0
High complexity	364	96.8	334	74.1	541	79.0	670	79.0	662	66.6	594	70.1	619	73.7	547	83.8	4.331	76.1
Other	4	1.1	107	23.7	128	18.7	153	18.0	281	28.2	231	27.3	200	23.8	88	13.5	1.192	20.9
Place of incident
Residence	180	47.9	253	56.1	377	55.0	489	57.7	623	62.6	583	68.8	504	60.0	413	63.2	3.422	60.1
Street	37	9.8	51	11.3	78	11.4	69	8.1	94	9.4	113	13.3	72	8.6	69	10.6	583	10.2
Public thoroughfare	6	1.6	19	4.2	11	1.6	15	1.7	17	1.7	15	1.8	7	0.8	6	0.9	96	1.7
Other	117	31.1	84	18.6	110	16.1	110	13.0	147	14.8	89	10.6	86	10.2	56	8.6	799	14.0
Unknown/blank	36	9.6	44	9.8	109	15.9	165	19.5	114	11.5	47	5.5	171	20.4	109	16.7	795	14.0
Time of day of incident
Morning (6 a.m. - 11.59 a.m.)	34	9.0	37	8.2	71	10.4	84	9.9	131	13.2	118	13.9	114	13.6	96	14.7	685	12.0
Afternoon (12 p.m. - 5.59 p.m.)	33	8.8	58	12.9	82	12.0	132	15.6	167	16.8	190	22.4	157	18.7	118	18.1	937	16.5
Night (6 p.m. - 11.59 p.m.)	40	10.6	53	11.8	133	19.4	122	14.4	217	21.8	193	22.8	159	18.9	146	22.4	1.063	18.6
Early morning (0.00 a.m. - 5.59 a.m.)	13	3.5	24	5.2	49	7.1	66	7.7	85	8.5	86	10.2	65	7.7	66	10.0	454	8.0
Unknown/blank	256	68.1	279	61.9	350	51.1	444	52.4	395	39.7	260	30.7	345	41.1	227	34.8	2.556	44.9
Recurrence
Yes	143	38.0	229	50.8	270	39.4	327	38.5	405	40.7	384	45.3	179	21.3	102	15.6	2.039	35.8
No	160	42.6	158	35.0	262	38.3	339	40.0	456	45.8	396	46.8	406	48.3	385	59.0	2.562	45.0
Unknown/blank	73	19.4	64	14.2	153	22.3	182	21.5	134	13.5	67	7.9	255	30.4	166	25.4	1.094	19.2
Self-inflicted injury
Yes	19	5.0	26	5.8	49	7.2	20	2.4	17	1.8	11	1.3	25	3.0	26	4.0	193	3.4
No	265	70.5	333	73.8	492	71.8	650	76.6	880	88.4	784	92.6	581	69.1	486	74.4	4.471	78.5
Unknown/blank	92	24.5	92	20.4	144	21.0	178	21.0	98	9.8	52	6.1	234	27.9	141	21.6	1.031	18.1
Type of aggression
Body force/beating	156	41.5	165	36.6	233	34.0	263	31.0	359	36.1	273	32.2	176	21.0	68	10.4	1.693	29.7
Threat	135	35.9	166	36.8	236	34.5	236	27.8	240	24.1	210	24.8	90	10.7	40	6.1	1.353	23.8
Firearm	24	6.4	21	4.7	48	7.0	73	8.6	56	5.6	40	4.7	26	3.1	11	1.7	299	5.3
Other	24	6.4	56	12.4	108	15.7	163	19.3	276	27.8	277	32.8	404	48.1	495	75.8	1.803	31.6
Unknown/blank	37	9.8	43	9.5	60	8.8	113	13.3	64	6.4	47	5.5	144	17.1	39	6.0	547	9.6
Characterization of perpetrator
Sex
Male	311	82.7	407	90.2	532	77.7	652	76.9	824	82.8	717	84.7	585	69.6	526	80.6	4.554	80.0
Female	18	4.8	10	2.2	21	3.1	25	2.9	60	6.0	65	7.7	63	7.5	30	4.6	292	5.1
Both sexes	6	1.6	5	1.2	9	1.2	9	1.1	15	1.6	9	1.0	11	1.4	8	1.2	72	1.3
Unknown/blank	41	10.9	29	6.4	123	18.0	162	19.1	96	9.6	56	6.6	181	21.5	89	13.6	777	13.6
Relationship with the victim
Father/mother/stepfather/stepmother	68	18.1	81	18.0	105	15.3	130	15.3	192	19.3	201	23.7	157	18.7	137	21.0	1.071	18.8
Friends/acquaintances	105	27.9	145	32.2	159	23.2	208	24.5	226	22.7	254	30.0	174	20.7	145	22.2	1.416	24.9
Strangers	81	21.6	78	17.3	133	19.5	148	17.5	184	18.5	144	17.0	122	14.5	102	15.6	992	17.4
Other	120	31.9	146	32.3	211	30.8	233	27.5	389	39.1	244	28.8	272	32.4	250	38.3	1.865	32.7
Unknown/blank	2	0.5	1	0.2	77	11.2	129	15.2	4	0.4	4	0.5	115	13.7	19	2.9	351	6.2
Suspected use of alcohol
Yes	57	15.2	91	20.2	100	14.6	127	15.0	164	16.5	107	12.6	100	11.9	102	15.6	848	14.9
No	167	44.4	221	49.0	296	43.2	329	38.8	442	44.4	348	41.1	378	45.0	244	37.4	2.425	42.6
Unknown/blank	152	40.4	139	30.8	289	42.2	392	46.2	389	39.1	392	46.3	362	43.1	307	47.0	2.422	42.5
Number of people involved
One	288	76.6	350	77.6	478	69.8	584	68.9	759	76.3	666	78.6	555	66.0	478	73.2	4.158	73.0
Two or more	53	14.1	68	15.1	85	12.4	97	11.4	130	13.0	104	12.3	92	11.0	74	11.3	703	12.4
Unknown/blank	35	9.3	33	7.3	122	17.8	167	19.7	106	10.7	77	9.1	193	23.0	101	15.5	834	14.6

Information fields	2009		2010		2011		2012		2013		2014		2015		2016
	N=439		N=388		N=558		N=542		N=735		N=588		N=721		N=667
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
General data
Notification date^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Notificationa UF^b	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Notification municipality^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Notifying unit^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Incident date^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Information about the victim
Date of birth^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Age^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Sex^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Pregnant^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	666	99.9
Race/skin color	416	94.8	360	92.8	496	88.9	509	93.9	683	92.9	550	93.5	536	74.3	433	64.9
Schooling	423	96.4	371	95.6	525	94.1	519	95.8	706	96.0	560	95.2	683	94.7	638	95.6
UF^b of residence^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Municipality of residence^a	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	720	99.9	667	100.0
Zone of residence	428	97.5	385	99.2	551	98.7	536	98.9	733	99.7	581	98.8	705	97.8	636	95.4
Occupation	180	41.0	184	47.4	207	37.1	216	39.8	334	45.4	209	35.5	109	15.1	104	15.6
Marital status	437	99.5	386	99.5	556	99.6	541	99.8	735	100.0	588	100.0	620	86.0	614	92.1
Disability/disorder	320	72.9	309	79.6	410	73.5	459	84.7	540	73.5	301	51.2	395	54.8	417	62.5
Type of disability/disorder	431	98.2	378	97.4	536	96.1	538	99.3	731	99.5	581	98.8	594	82.4	611	91.6
Information about the incident
UF^b	421	95.9	348	89.7	527	94.4	517	95.4	685	93.2	523	88.9	620	86.0	615	92.2
Municipality	423	96.4	344	88.7	518	92.8	511	94.3	679	92.4	517	87.9	620	86.0	612	91.8
Zone	377	85.9	349	89.9	520	93.2	506	93.4	656	89.3	532	90.5	563	78.1	519	77.8
Time	104	23.7	123	31.7	172	30.8	232	42.8	369	50.2	282	48.0	311	43.1	272	40.8
Place	372	84.7	351	90.5	499	89.4	494	91.1	661	89.9	537	91.3	539	74.8	440	66.0
Occurred previously	217	49.4	243	62.6	312	55.9	386	71.2	483	65.7	410	69.7	388	53.8	338	50.7
Self-inflicted injury	272	62.0	366	94.3	556	99.6	541	99.8	735	100.0	587	99.8	554	76.8	385	57.7
Information about violence
Type of violence	433	98.6	384	99.0	558	100.0	540	99.6	735	100.0	587	99.8	620	86.0	615	92.2
Type of aggression	369	84.0	317	81.7	485	86.9	476	87.8	597	81.2	507	86.2	560	77.7	493	73.9
Type of sexual violence	428	97.5	364	93.8	525	94.1	530	97.8	700	95.2	561	95.4	608	84.3	608	91.1
Procedure performed	429	97.7	371	95.6	552	98.9	540	99.6	732	99.6	587	99.8	615	85.3	613	91.9
Information about perpetrator of violence
Number of people involved	334	76.1	338	87.1	480	86.0	473	87.3	622	84.6	490	83.3	457	63.4	420	63.0
Relationship with victim	432	98.4	379	97.7	533	95.5	534	98.5	727	98.9	584	99.3	618	85.7	610	91.5
Sex of probable perpetrator	303	69.0	313	80.7	425	76.2	409	75.5	629	85.6	490	83.3	471	65.3	421	63.1
Suspected use of alcohol	206	46.9	213	54.9	286	51.3	284	52.4	395	53.7	282	47.9	288	39.9	190	28.5
Other information
Referral	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0
Work-related violence	370	84.3	334	86.1	460	82.4	500	92.3	684	93.1	531	90.3	511	70.9	454	68.1
CATc issued	403	91.8	377	97.2	531	95.2	537	99.1	716	97.4	575	97.8	614	85.2	614	92.0
Circumstances of injury	163	37.1	182	46.9	181	32.4	223	41.1	296	40.3	279	47.4	318	44.1	366	54.9
Data of case closurea	439	100.0	388	100.0	558	100.0	542	100.0	735	100.0	588	100.0	721	100.0	667	100.0

Information fields	2009		2010		2011		2012		2013		2014		2015		2016
	N=376		N=451		N=685		N=848		N=995		N=847		N=840		N=653
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
General data
Notification date^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Notificationa UF^b	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Notification municipality^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Notifying data^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Incident date^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Information about the victim
Date of birth^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Age^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Sex^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Pregnant^a	337	89.6	392	86.9	569	83.1	661	77.9	642	64.5	520	61.4	425	50.6	325	49.8
Race/skin color	365	97.1	423	93.8	545	79.6	673	79.4	907	91.2	811	95.7	647	77.0	551	84.4
Schooling	317	84.3	399	88.5	488	71.2	630	74.3	838	84.2	733	86.5	674	80.2	539	82.5
UF^b of residence^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Municipality of residence^a	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Zone of residence	369	98.1	450	99.8	671	97.9	835	98.5	991	99.6	838	98.9	819	97.5	634	97.1
Occupation	316	84.0	371	82.3	462	67.4	560	66.0	774	77.8	650	76.7	322	38.3	158	24.2
Marital status	370	98.4	415	92.0	582	85.0	697	82.2	892	89.6	755	89.1	561	66.8	305	46.7
Disability/disorder	344	91.5	405	89.8	552	80.6	644	75.9	784	78.8	450	53.1	458	54.5	520	79.6
Type of disability/disorder	375	99.7	442	98.0	626	91.4	816	96.2	989	99.4	847	100.0	721	85.8	635	97.2
Information about the incident
UF^b	368	97.9	422	93.6	626	91.4	791	93.3	909	91.4	834	98.5	730	86.9	636	97.4
Municipality	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0
Zone	320	85.1	421	93.3	605	88.3	760	89.6	887	89.1	804	94.9	661	78.7	623	95.4
Time	120	31.9	172	38.1	335	48.9	404	47.6	600	60.3	587	69.3	495	58.9	426	65.2
Place	340	90.4	407	90.2	576	84.1	683	80.5	881	88.5	800	94.4	669	79.6	544	83.3
Occurred previously	303	80.6	387	85.8	532	77.7	666	78.5	861	86.5	780	92.1	585	69.6	487	74.6
Self-inflicted injury	284	75.5	359	79.6	541	79.0	670	79.0	897	90.2	795	93.9	606	72.1	512	78.4
Information about violence
Type of violence	374	99.5	448	99.3	685	100.0	845	99.6	994	99.9	845	99.8	730	87.1	636	97.4
Type of aggression	339	90.2	408	90.5	625	91.2	735	86.7	931	93.6	800	94.5	696	82.9	614	94.0
Type of sexual violence	369	98.1	442	98.0	599	87.4	713	84.1	976	98.1	830	98.0	726	86.4	627	96.0
Procedure performed	365	97.1	425	94.2	656	95.8	799	94.2	974	97.9	827	97.6	644	76.7	466	71.4
Information about perpetrator of violence
Number of people involved	341	90.7	418	92.7	563	82.2	681	80.3	889	89.3	770	90.9	647	77.0	552	84.5
Relationship with victim	374	99.5	450	99.8	608	88.8	719	84.8	991	99.6	843	99.5	725	86.3	634	97.1
Sex of probable perpetrator	335	89.1	422	93.6	562	82.0	686	80.9	899	90.4	791	93.4	659	78.4	564	86.4
Suspected use of alcohol	224	59.6	312	69.2	396	57.8	456	53.8	606	60.9	455	53.7	478	56.9	346	53.0
Other information
Referral	376	100.0	451	100.0	683	99.7	846	99.8	995	100.0	847	100.0	840	100.0	653	100.0
Work-related violence	324	86.2	420	93.1	579	84.5	709	83.6	917	92.2	802	94.7	633	75.4	552	84.5
CATc issued	336	89.4	437	96.9	600	87.6	809	95.4	979	98.4	836	98.7	723	86.1	634	97.1
Circumstances of injury	156	41.5	240	53.2	242	35.3	357	42.1	447	44.9	479	56.6	440	52.4	489	74.9
Data of case closurea	376	100.0	451	100.0	685	100.0	848	100.0	995	100.0	847	100.0	840	100.0	653	100.0

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence: Nathália França de Oliveira - Av. Carvalho Leal, No. 1777, Cachoeirinha, Manaus, AM, Brazil. Postcode: 69065-130. E-mail: nfoliveira@uea.edu.br