Objective:To analyze the scientific literature on preventing intimate partner violence among adolescents in the field of health based on gender and generational categories. Method: This was an integrative review. We searched for articles using LILACS, PubMed/MEDLINE, and SciELO databases. Results: Thirty articles were selected. The results indicate that most studies assessed interventions conducted by programs for intimate partner violence prevention. These studies adopted quantitative methods, and most were in the area of nursing, psychology, and medicine. Furthermore, most research contexts involved schools, followed by households, a hospital, a health center, and an indigenous tribe. Conclusion: The analyses were not conducted from a gender -and generation-based perspective. Instead, the scientific literature was based on positivist research models, intimately connected to the classic public healthcare model and centered on a singular dimension.

Objective: assess the efficacy of the Nipple Trauma Indicator Instrument implemented in the rooming-in facility t of a university teaching hospital as a healthcare quality indicator.Method: exploratory, descriptive, retrospective study, with analysis of the Nipple Trauma Indicator tool of 1,691 mothers admitted in rooming-In from June to November 2012. Data were presented as absolute frequencies and percentages and statistical tests were administered.Results: the mean rate of nipple trauma was 55.5%. The most frequent trauma was excoriation (62,2%) and the main cause was incorrect attachment of the newborn (44%). Maternal and neonatal factors associated with nipple trauma are also presented. Método: estudo exploratório-descritivo, retrospectivo, com análise do instrumento Indicador de Trauma Mamilar de 1.691 puérperas, admitidas na unidade de Alojamento Conjunto no período de junho a novembro de 2012. Os dados foram apresentados em forma de frequências absolutas e percentuais, sendo aplicados testes de associação. ConclusionResultados: a média de índice de trauma mamilar foi de 55,5%, o trauma mais frequente a escoriação (62,2%), a principal causa a pega inadequada do recém-nascido (44%). Apresentam-se também os fatores maternos e neonatais que se associaram ao trauma mamilar.Conclusão: o Indicador de Trauma Mamilar retrata a assistência prestada em aleitamento materno mostrando-se como uma importante ferramenta para a construção desse indicador de qualidade. Palavras-chaves:Aleitamento materno. Mamilos. Ferimentos e lesões. Indicadores de qualidade em assistência à saúde. RESUMEN Objetivo: evaluar la adecuación del instrumento Indicador de trauma del pezón, implementado en el maternidad de un Hospital Universitario, como indicador de la calidad.Método: estudio exploratorio, descriptivo y retrospectivo; que analizó el instrumento Indicador de Trauma del pezón, en 1691 madres admitidos de junio a noviembre de 2012. Los dados fueron presentados como frecuencias absolutas y porcentajes, con pruebas de asociación.Resultados: el promedio del índice de trauma del pezón fue de 55,5%, el trauma más frecuente fue la excoriación (62,2%); su principal causa, la fijación incorrecta del recién nacido (44%). Se presentaron los factores neonatales y maternos asociados con el trauma.Conclusión: el instrumento Indicador de trauma del pezón retrata la atención en lactancia materna contribuyendo a la construcción del este indicador del calidad.Palabras clave: Lactancia materna. Pezones. Heridas y traumatismos. Indicadores de calidad de la atención de salud.

There were discordant perceptions regarding the phenomenon, most of which reiterated gender stereotypes. However, they reveal attitudes favorable to overcoming mainly related to the attainment of autonomy.

This study looks at the limits and possibilities of an online game designed to build knowl

Objective: to understand the limits and the evaluative possibilities of the Family Health Strategy regarding the recognition of the health needs of women who experience violence. Method: a study with a qualitative approach, grounded in the perspective of gender, and which adopted health needs as the analytical category. The data were collected through interviews with health professionals and women who made use of a health service, and were analyzed using the method of discourse analysis. Results: the meeting between the discourses of women who use the services and the professionals of the health service revealed, as the interface, human needs, as in the example of autonomy and of bonds. The understanding regarding the needs was limited to the recognition of health problems of physical and psychological natures, just as the predominance of the recognition of needs for maintaining life in the light of essentially human needs was revealed in the professionals' discourses as an important limitation of the practices. Conclusion: emphasis is placed on the perspective of gender as a tool which must be aggregated to the routine of the professional practices in health so as to confirm or deny the transformative character of the care in place regarding the recognition and confronting of the women's health needs.

RESUMENObjetivo: Analizar la violencia contra los adolescentes a la luz de las categorías de género y generación. Método: Estudio exploratorio, descriptivo, de abordaje cuantitativo y cualitativo que. Las fuentes de datos fueron las denuncias de violencia mantenidos por la Red de Protección en Curitiba entre los años 2010-2012 y entrevistas semi-estructuradas con 16 adolescentes alojados. Las variables cuantitativas se analizaron mediante el programa SPSS y los cualitativos por la análisis de contenido. Resultados: Los adolescentes fueron sometidos a la violencia en el hogar y en el exterior, como víctimas o espectadores. La violencia fue más frecuente en el hogar, centrándose principalmente en las chicas con matices marcados de violencia de gé-nero. Conclusión: Más que encontrar la magnitud del problema, el estudio puede servir de base para calificar la asistencia a las personas víctimas de este fenómeno. DESCRIPTORES ABSTRACTExploratory and descriptive study based on quantitative and qualitative methods that analyze the phenomenon of violence against adolescents based on gender and generational categories. The data source was reports of violence from the Curitiba Protection Network from 2010 to 2012 and semi-structured interviews with 16 sheltered adolescents. Quantitative data were analyzed using SPSS software version 20.0 and the qualitative data were subjected to content analysis. The adolescents were victims of violence in the household and outside of the family environment, as victims or viewers of violence. The violence was experienced at home, mostly toward girls, with marked overtones of gender violence. More than indicating the magnitude of the issue, this study can give information to help qualify the assistance given to victimized people and address how to face this issue.

By permitting that the adolescents take risks on new ways, the Game allows them to become creative and active in the production of senses, in the creation of their discourses and in the ways of thinking, feeling and acting in the sexuality field.

Objectives:To analyze the recurrence of child abuse in the municipality of Curitiba -Paraná and to understand the phenomenon from the perspective of gender. Methods: A study using a quantitative approach of the descriptive exploratory type. Among the 338 notifications of violence against children aged zero to 9 years of age by the Network for the Protection of Children and Adolescents of this city, with final notification in 2009, 300 cases were analyzed for being repeat offenders. Results: All the cases were domestic violence and the most frequent recidivism was neglect, with a mother as the primary aggressor. Sexual violence appeared more among girls, with recurrent cases of the same type or preceded by negligence. The manifestation of recidivist violence against children presented itself superimposed with a tendency to deteriorate with the evolution of cases. Conclusion: Violence against children is determined by relationships of Power, determined by the categories of gender and generation, which produce inequities potentiating the family vulnerability in relation to violence. A critical view about this issue may indicate measures to overcome it, with regard to assistance and prevention of its occurrence and recidivism in both the health sector and other sectors. Keywords: Child abuse, sexual; Mandatory reporting; Domestic violence; Recurrence. RESUMOObjetivos: Analisar a reincidência de violência infantil no Município de Curitiba -Paraná e compreender o fenômeno com base na perspectiva de gênero. Métodos: Estudo de abordagem quantitativa do tipo descritivo exploratório. Dentre as 338 notificações de violência contra crianças de zero a 9 anos de idade junto à Rede de Proteção à Criança e ao Adolescente dessa cidade com última notificação em 2009 foram analisados 300 casos por serem reincidentes. Resultados: A totalidade dos casos foi de violência intrafamiliar e a reincidência mais frequente foi a negligência, tendo com principal agressora a mãe. A violência sexual apareceu mais entre as meninas, com casos reincidentes no mesmo tipo ou com a negligência antecedendo. A manifestação da violência reincidente contra crianças apresentou-se sobreposta, recorrente, com tendência a agravar-se com a evolução dos casos. Conclusão: A violência contra as crianças é determinada por relações de poder determinadas pelas categorias gênero e geração, que produzem iniquidades potencializadoras da vulnerabilidade familiar em relação à violência. O olhar crítico sobre essa questão pode indicar medidas de superação no tocante à assistência e à prevenção de sua ocorrência e reincidência tanto do setor saúde como de outros setores. Descritores: Maus-tratos sexuais infantis; Notificação de abuso; Violência doméstica; Recidiva RESUMEN Objetivos: Analizar la reincidencia de la violencia infantil en el Municipio de Curitiba -Paraná y comprender el fenómeno con base en la perspectiva de género. Métodos: Estudio de abordaje cuantitativo de tipo descriptivo exploratorio. De las 338 notificaciones de violencia contra niños de cero...