Interrelation between functional constipation and domestic violence

Abstract

Introduction Functional disorders of the digestive system are often related to various forms of abuse and the integral approach of the problem requires a multidisciplinary network. The objectives of this research were: to evaluate the prevalence of domestic violence in adults with functional constipation and to identify the services and standards available to care for the victims. Methodology The study was developed in two complementary parts. Part I: A cross-sectional study, which evaluated the prevalence of domestic violence in patients attended in the coloproctology outpatient clinic of the Hospital Materno-infantil Presidente Vargas , from September to December 2016. Part II: A narrative review, with bibliographical and documentary research that sought to identify the services and norms available in Brazil to assist victims of domestic violence. Results 146 women were evaluated, 42 of whom had FC and, of these, 26 had a history of domestic violence ( p = 0.007), with an Odds Ratio of 2.71 (CI95% O: 1.29–5.67). A network of services has been identified to assist victims of violence, the Network of Attention to Violence, formed by the health services, social assistance, public security, justice, human rights, and organized civil society. However, a standard system for the operation of this network has not been identified. Conclusion The prevalence of domestic violence in women with functional constipation is high and a careful investigation of this possible interrelationship in clinical practice is suggested. Besides that, it is necessary to promote an integration of the Network of Attention to Violence, in order to offer integral care to the victims and a best utilization of the resources.

Representações Sociais de profissionais da Estratégia Saúde da Família sobre violência doméstica contra a mulher

“…Pesquisas apontam possíveis inter-relações entre a violência física contra a mulher e agravos à saúde, como problemas gastrointestinais e fatores de risco para a inadequação do rastreio do câncer de colo de útero (Rafael & Moura, 2017;Coronel & Silva, 2018). Dessa forma, nota-se a responsabilidade dos profissionais da ESF na prevenção, identificação, notificação e manejo adequado nos casos de VDCM, a fim de que os mesmos não potencializem outros problemas de saúde entre as mulheres.…”

“…Tanto historicamente como culturalmente, o poder é instituído ao homem, sendo a mulher ser socialmente submisso a este. Nesse sentido, a Research, Society and Development, v. 9, n. 7, e812974900, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i7.74900 violência se consolida nessas relações desiguais, muitas vezes naturalizadas na relação conjugal (Coronel & Silva, 2018;Simões et al, 2019;Silva, Branco, Vieira, Brilhante, & Silva, 2019).…”

Concepções de gênero e violência contra a mulher

“…No entanto, apesar de medidas desse tipo, poucas mudanças foram observadas de fato no quadro da violência contra a mulher no Brasil (Gomes, 2015). Estudos e medidas protetivas em casos de violência contra a mulher tornam-se ainda mais relevantes diante de prejuízos que afetam também a saúde física das vítimas (Coronel & Silva, 2018).…”