Violência doméstica e sexual em mulheres e suas repercussões na fase do climatério

Abstract

Introduction: domestic violence and, particularly, sex can result in higher incidence of comorbidities in the climacteric. Objective: to assess the effects of menopause on sexual and domestic violence. Methods: sectional study in 124 postmenopausal women between 40 and 65, who suffered domestic violence and / or sexual, and a control group (124) composed (climacteric women who did not suffer violence) (N=120). Those who exposed to violence were divided into three groups 1 violence experienced in childhood and adolescence 2-adult phase 3-both phases. Subsequently a questionnaire on domestic and sexual violence was applied.Correlation was established for the intensity of climacteric symptoms measured with Menopausal Kupperman Index (MKI), type of violence experienced, stage of life exposesd to violence comorbidities during menopause, and women's perceptions about the quality of assistance received from the various professionals after the traumatic events. In the control group MKI and number of comorbidities were evaluated. Results: those who have experienced violence in childhood/adolescence have average of 5.1 comorbidities; adulthood 4.6, and 4.4 in both phases, with a median of 5.0 in all phases, without violence (control) 2.8. The victims of sexual violence have more comorbidities compared those who underwent other types of violence. There were significant associations between having suffered any kind of violence in both phases and MKI serious and have suffered sexual violence at any stage of life, and MKI at least moderate. Conclusion: women who have experienced domestic and sexual violence have more comorbidities and MKI high compared to the control group.

Violência Doméstica Em Mulheres Vivenciando O Climatério: Revisão Integrativa

“…13 As comorbidades, comuns ao envelhecimento, como a osteoporose, depressão/transtornos psíquicos, hipertensão arterial, doenças reumáticas e articulares, fibromialgia, câncer de útero, ovário, mama, entre outras, se acentuam quando a mulher se encontra no climatério, exacerbando-se nos casos de violência. 14 Diante dessas comorbidades, nota-se que a violência doméstica contra a mulher se manifesta de vários modos com diferentes graus de severidade, a exemplo de violência psicológica e violência sexual. Suas formas mais condenáveis escondem outras situações menos explícitas.…”

Retrato Da Violência Física E Sexual Contra a Mulher Em Fase De Climatério

“…Neste contexto, a mulher também é submissa ao homem no que se refere à prática sexual, ficando vulnerável para vitimização da violência sexual, que agrava a saúde reprodutiva e mental, tornando necessário um maior suporte dos serviços de saúde para atender esta população vitimada, que são afligidas tanto por impactos psicológicos quanto físicos 4 .…”