Rompendo o silêncio e suas barreiras: um inquérito domiciliar sobre a violência doméstica contra idosos em área de abrangência do Programa Médico de Família de Niterói, Rio de Janeiro, Brasil

Characterization and completeness of notification sheet of violence against the older adults in Niterói-RJ, 2011-2020

OBJECTIVE

to analyze the profile of violence against the elderly and the degree of completeness of event notification forms in Niterói, Rio de Janeiro, Brazil.

METHODS

this was a descriptive study having as its data source violence notification forms held on the Notifiable Health Conditions Information System for the period 2011-2020; analysis of form completeness was performed according to criteria proposed by the Ministry of Health.

RESULTS

of the 486 registered cases, physical violence was the most reported type of violence (48.1%), followed by psychological violence (22.2%) and self-harm (21.4%); the fields with the highest degree of incompleteness were victim's level of schooling (32.8%) and repeat violence (41.5%).

CONCLUSION

despite the increase in notifications in the period, predominantly of physical violence, completeness of some of the form fields continues to be poor, which reinforces the importance of training professionals to improve the reporting process and data quality.

Caring for those who care for dependent older adults: for a necessary and urgent policy

The situation of caregivers and family caregivers of dependent older adults is presented and discussed, highlighting their dedication, problems, and possible recommendations to value them. The task of caring is known to be eminently feminine, invisible, unpaid, but affects society as a whole. Policies of some European countries, Canada, and the United States in favor of male and female caregivers are described. However, most existing support models have gaps. The laws and regulations enacted have been poorly comprehensive, inorganic, and the family remains responsible for long-lived relatives who have lost their autonomy. In many countries, besides other measures, the tendency is to integrate the family care as the first PHC level, universalizing support to caregivers. One must not be forgotten that the tendency to keep dependent older adults at home is acquiescence to their desire, but it also hides the delegation of responsibility from the State to families through dehospitalization and deinstitutionalization policies. In Brazil, the issue has not yet entered the public policy radar, although it is urgent because of the accelerated increase of the elderly population, particularly those aged 80 and over.

Profile of violence against older individuals registered at the Dial 100 in the period 2011-2015 in Brazil

OBJECTIVE: To analyze the profile of the reports of violence and abuse against older people registered in the Dial 100 helpline from 2011 to 2015. METHODS: This was a descriptive, retrospective study, based on a sample of 130 164 denunciation reports of the Dial 100. The data collection considered the following variables: city, sex, age, race, place of abuse, type of abuse, and the victim’s relationship with the suspect. RESULTS: The greatest number of reports was registered in the Southeast (42.27%), and the lowest in the North (6.79%). When we analyze the complaints per 100 000 inhabitants, we found as leading states in the ranking of complaints of violence against older people: Amazonas, Federal District, and Rio Grande do Norte. The main profile of possible victims was age from 76 to 80 years, predominantly women, and white. The main abusers were the victim’s children and grandchildren. The most frequent type of abuse was negligence (36.72%), followed by psychological abuse (28.46%), and financial abuse (20.45%). CONCLUSION: The Dial 100 helpline is one of the most effective tools for breaking the silence and invisibility of abuse and violence against older adults, offering a panorama of abuse denunciation in our country.

Violência doméstica contra idosos assistidos na atenção básica

RESUMO Este artigo objetiva investigar a prevalência de violência doméstica contra idosos assistidos na atenção básica e possíveis fatores associados. Estudo descritivo de corte transversal, com 169 indivíduos de 60 anos ou mais, de ambos os sexos, cadastrados nas Unidades de Saúde da Família (USF) da microrregião 4.1 da cidade do Recife (PE). Idosos com agravo à saúde que comprometesse a comunicação e/ou cognição foram excluídos. Os dados foram coletados por meio de entrevistas nos domicílios ou nas USF, com questões sociodemográficas, saúde autopercebida e instrumento de pesquisa para avaliar possíveis situações de violência, que foi desenvolvido e validado em Porto Rico e adotado pelo Ministério da Saúde. Verificou-se a existência de 133 idosos com sinais indicativos de pelo menos um tipo de violência em seu ambiente doméstico, representando uma prevalência de 78,7%, sendo a negligência o tipo mais prevalente (58,5%), seguida de violência psicológica (21,5%) e financeira (14%). Os idosos entrevistados que classificaram sua saúde como regular/ruim têm esse risco aumentado. O estudo reforça a hipótese da existência de violência doméstica contra os idosos. Assim, identificar a sua prevalência é o primeiro passo para o enfrentamento desse problema de saúde pública.

Violência velada e revelada contra idosos em Minas Gerais-Brasil: análise de denúncias e notificações

RESUMO O estudo caracterizou a violência contra idosos, a partir de denúncias e notificações registradas no Disque Direitos Humanos e Sistema de Informação de Agravos de Notificações (Sinan) em 2011 e 2012. Ocorreram 2.337 denúncias (13%) e 1.886 notificações (5%) contra idosos. A taxa de denúncia aumentou três vezes, e a de notificação duplicou no período. Verificou-se que as vítimas, na maioria, são mulheres, agredidas no domicílio (90%) por conhecidos (90%), com predomínio (80%) da tipologia por negligência/abandono, nas duas fontes. O aprimoramento da vigilância contribui para revelar a violência em todos os seus disfarces, efetivar políticas públicas e estimular reflexão/ação da sociedade.

Violence and Primary Health Care in Brazil: an integrative literature review

Violence is a challenge for health services in Brazil, especially within primary care. This study analyses national publications on violence and Primary Health Care. An integrative literature review was conducted resulting in a final sample of 18 articles. The most predominant theme was violence against women (nine articles), followed by violence against children and adolescents (four articles), and violence against the elderly (three articles). The population group that accounted for the least number of publications was men, with two articles. The studies show the invisibility of violence in primary healthcare services in Brazil and the need to reorganize the work process beyond a complaint-based approach towards a sociocultural approach based on intersectorality. Comprehensiveness and intersectorality are essential elements of an effective violence care network.

Psychometric evidence of the transcultural adaptation of the Vulnerability Abuse Screening Scale (VASS) for the detection of violence against the elderly

Abstract Objective: to present preliminary psychometric evidence of the cross-cultural adaptation of the Vulnerability to Abuse Screening Scale. Method: The steps of cultural adaptation verified conceptual, item, semantic and measurement equivalence. For measurement equivalence and verification of the psychometric data of the study samples of 30 and 66 elderly persons, respectively, were used. Descriptive and inferential statistics (KR-20, T-Student Test, Pearson correlation, univariate ANOVA and the Fleiss’ Kappa Index) were used for analysis of results. Results: It was found that the age of the participants ranged between 60 and 84 years, with a majority of older women participants (n=38). The KR-20 value for the overall score of the instrument was 0.688. The values for the four dimensions proposed by the authors of the instrument were 0.528, 0.289, 0.552 and 0.303, respectively. Only the values of the subscales Vulnerability and Coercion proved to be close to those of the original study (0.550 and 0.390). Conclusion: The internal consistency values found in the present study ranged from moderate to good, indicating that the results were satisfactory, despite being initial findings.

[Prevalence of overburden in caregivers of dependent elderly and associated factors in a poor area of Rio de Janeiro, Brazil]

Population aging has led to increased dependency and overburden of family caregivers of dependent elderly. The aim was to verify prevalence of family caregivers overburden and associated factors in a poor and violent area of Rio de Janeiro, Brazil. This was a cross-sectional study of 140 elderly and family caregivers, focusing on social support, abuse, cohabitation, and family caregivers overburden, in addition to dependency, cognitive decline, and depression in the elderly. Multiple logistic models were constructed to explain family caregivers overburden. The following characteristics of the elderly were associated with family caregivers overburden: age (OR = 0.94; p < 0.002), depression (OR = 2.59; p < 0.005), and cognitive decline (OR = 3.19; p < 0.03). As for family caregivers characteristics, only social support remained relevant (OR = 2.35; p < 0.005). In conclusion, investigating and treating depression and dementia in the elderly and promoting support for their caregivers can contribute to the effective management of family caregivers overburden and improve quality of care for both.

Elderly victims of abuse: a five year document analysis

Objective To verify the occurrence of maltreatment of the elderly and its characteristics (location, type, reason, involvement of alcohol/drugs, profile and family relationship of victims and perpetrators) from the police records of a specialized police station over a five year period. Method A cross-sectional, descriptive and documentary analytical study was performed. The police reports of a medium-sized municipality in the northwest of São Paulo were analyzed from 2008 to 2012. The sociodemographic characteristics of the perpetrators and victims and the data relating to the aggression investigated were: violence; location; reason; the presence of alcohol and drugs during the assault and victim-offender relationship. Data was tabulated using descriptive statistical analysis. Results Of a total of 572 cases, most of the perpetrators were men (69.2%), Caucasian (56.5%), aged 31-40 years (14.20%) with no information regarding occupation provided (50.70%); most of the victims were women (93.0%), Caucasian (71.5%), aged 60-65 years (46.30%), married (34.10%) and unemployed/retired (59.98 %). Emotional abuse was prevalent (57.0%), occurred in the home of the elderly person (81.3%) and the children of the elderly were the main perpetrators (25.3%). The motives were related to arguments in most cases (53.1%). Conclusion Women who were Caucasian, married, aged 60-65, unemployed/retired were the main victims, with the perpetrators most frequently their own children, also Caucasian, single and aged 31-40 years. Psychological violence was the most prevalent, primarily triggered by disagreements among those involved, and it occurred most frequently in the residence of the victim. Most of the attackers were not under the influence of alcohol/drugs.

Physical and sexual aggression against elderly persons reported in the city of São Paulo

Objectives : To characterize the population of elderly people who have suffered physical and sexual violence, and describe the features of this aggression based on the Information System for Violence and Injury Surveillance (ISVIS) of the Municipal Health Department of the city of São Paulo. Method : A cross-sectional, retrospective study was performed of all cases of elderly victims of physical and sexual violence reported in São Paulo in 2013. Results : A total of 602 cases of elderly victims of physical abuse were reported, of which 52.3% were male. In the same period there were ten reported cases of elderly victims of sexual assault, 90% of whom were female. The main diagnosis of injury was head trauma (33.2%) and 65.0% of victims were discharged from hospital immediately. Conclusion : Physical abuse with the use of physical force was higher among male elderly persons, and sexual assault was higher among women. Most of the attacks took place at the residence of the elderly person, and were committed by family members.

Comparação do perfil de idosos ativos e não ativos do Programa Bolsa Família

OBJETIVOS: Descrever o perfil dos idosos do Cadastro Único da Assistência Social (CADÚNICO), da Secretaria Municipal de Assistência Social de Betim-MG e verificar se há diferença nas condições de vida entre ativos e não ativos inseridos no Programa Bolsa Família (PBF). METODOLOGIA: Estudo transversal com base nos dados secundários obtidos no CADÚNICO no período de janeiro de 2004 a janeiro de 2011. Os idosos foram divididos em dois grupos: ativos (aqueles que recebiam o benefício) e não ativos (aqueles que, apesar de cadastrados, não o recebiam). As variáveis sociodemográficas e de saúde analisadas para comparação entre os grupos foram: sexo, faixa etária, renda, raça/cor, escolaridade, estado civil, situação no mercado de trabalho, moradia e deficiência. RESULTADOS: Dos 8.555 idosos cadastrados, 14,1% eram ativos no PBF. A média de idade foi de 68 anos (mediana de 67 anos), com maior proporção de mulheres (58,0%). A mediana de distribuição da "renda" entre ativos foi de R$60,00 (Q1= R$40,00 e Q3= R$100,00) e de R$100,00 entre não ativos (Q1= R$60,00 e Q3= R$170,00). À medida que a escolaridade aumenta, menor a chance de o idoso estar ativo no PBF. Já para os idosos solteiros e divorciados, a chance de estar ativo no PBF era maior [OR 1,79 (IC 1,54-2,09); OR 1,46 (IC 1,20-1,78), respectivamente]. Sobre a presença ou ausência de deficiências, não houve diferença significativa entre os dois grupos. De modo geral, os idosos viviam em casa própria, construída com tijolo/alvenaria, com rede pública de água e esgoto, com iluminação própria e lixo coletado. CONCLUSÃO: O Programa Bolsa Família representa garantia necessária de renda mínima para o idoso em situação de vulnerabilidade social. Por outro lado, a comparação do perfil de idosos ativos e não ativos põe em relevo a limitação do programa, a saber, ser direcionado apenas aos mais necessitados, sendo incapaz de se estender, como direito, a todos cuja situação assim exige.

Older Brazilian women's experience of psychological domestic violence: a social phenomenological study

Background

Domestic violence is a global public health issue, as it is in Brazil. The psychological violence is one of the most prevalent forms of domestic violence, affecting more women than men. However, many older adults do not consider it as a type of domestic violence. In addiction, psychological violence has received little attention from researchers. So, this study aims to further understand the phenomenon of psychological domestic violence perpetrated by relatives against older adult women (60 years and older).

Methods

A qualitative study was conducted using a social phenomenological approach proposed by Alfred Schütz. In-depth interviews were conducted with 11 older Brazilian women from three different agencies, two in Campina Grande and one in São Bernardo do Campo. Data collection took place between November 2012 and February 2013. We performed data analysis using the key concepts (such as the world of everyday life, natural attitude, intersubjetivity, stock of knowledge, biographical situation, social action, motivation and typification) proposed by Alfred Schutz.

Results

Despite the fact that participants reported being psychologically abused, they also referred to being neglected and financially abused. They revealed being threatened, disrespected, neglected, financially abused, forced to do housework, and humiliated. Older women expressed feelings of sadness, anger, grief, and fear, which had negative effects on their health. Attempts by the participants to change their current situations were unsuccessful and resulted in feelings of helplessness. The abuser’s behaviour will change, and leaving the abusive situation were two possible outcomes pointed for participants.

Conclusions

A support network is crucial to help changing the behaviour of aggressors and/or to help older adult women leave the abusive situation. Further research is needed to understand the risk factors linked to abuse behaviours, to develop educational programs for the abusers, and to design social support for the victims.

Electronic supplementary material

The online version of this article (doi:10.1186/s12939-015-0173-z) contains supplementary material, which is available to authorized users.

Intimate partner violence in older women in Spain: prevalence, health consequences, and service utilization

The purpose of this study is to estimate the prevalence of lifetime intimate partner violence (IPV) in older women and to analyze its effect on women's health and Healthcare Services utilization. Women aged 55 years and over (1,676) randomly sampled from Primary Healthcare Services around Spain were included. Lifetime IPV prevalence, types, and duration were calculated. Descriptive and multivariate procedures using logistic and multiple lineal regression models were used. Of the women studied, 29.4% experienced IPV with an average duration of 21 years. Regardless of the type of IPV experienced, abused women showed significantly poorer health and higher healthcare services utilization compared to women who had never been abused. The high prevalence detected long standing duration, negative health impact, and high healthcare services utilization, calling attention to a need for increased efforts aimed at addressing IPV in older women.

[Violence in old age: the issue addressed in indexed national journals]

One of the consequences of increased life expectancy is the increase in the elderly population in many countries, including Brazil. Considering the vulnerability of this age group and the increasing prevalence of violence against the elderly, there is a pressing need for research and control interventions to minimize the phenomenon. This exploratory and descriptive article conducts an analysis into this topic in indexed Brazilian studies in SciELO, with special emphasis on the last five years. The themes were categorized into: Social construction and conceptualizations, 37.5%; Elderly Care and Protection Policies, 43.75%; and Typology of violence against the elderly, 18.75%. The results show that the Policy of protection of the elderly permeates the majority of discussions about violence in old age and the focus of the researchers' attention is on domestic violence, which needs to be broadened in field research.

[Violence against the elderly: analysis of the reports made in the health sector--Brazil, 2010]

The scope of this study was to describe reports of violence against the elderly (e" 60 years) reported in the Information System for Notifiable Diseases - net version (Sinan Net) in 2010. We conducted a descriptive, retrospective study with data analyzed by Stata version 11. We estimated proportion ratios (PR) of violence according to selected variables. Of the 3,593 reports of violence against the elderly, 52.3% were against females. Physical violence was significantly more frequent against males (PR=0.82) in the group aged 60 to 69 years, out of the home, committed by offenders who were not sons and were suspected of drinking alcohol. Psychological violence was more common among elderly people (PR=2.17), in the home, inflicted by sons, with suspected chronic alcohol abuse. Negligence was predominant among females (P R=1.24), in the group above 70 years of age, in the home, recurrently perpetrated by sons. Sexual violence was more common against females (PR=5.21), by offenders who were not children, but who consumed alcohol. The knowledge of the different manifestations of violence against the elderly supports actions to combat them, identifying characteristics of vulnerability in which support networks may intervene.

Maus-tratos a idosos: revisão integrativa da literatura

O estudo objetivou identificar, a partir de uma revisão integrativa da literatura, o conhecimento científico produzido entre 2005 e 2009, sobre maus-tratos contra idosos. Para tal, foram selecionados dezesseis estudos nos bancos LILACS e SciELO e na base BDENF. Dentre os dezesseis estudos, 56,25% compreendiam artigos originais. O periódico que mais publicou foi o Caderno de Saúde Pública (25%), sendo a maioria dos estudos desenvolvidos no Sudeste (56,25%). O levantamento revelou que a violência física foi predominante entre os idosos, sendo o domicílio o ambiente onde frequentemente ocorre a agressão, sendo os familiares os principais agressores. Entre os idosos agredidos, observou-se que as mulheres são as vítimas mais acometidas. Esses achados suscitam o desenvolvimento de outras pesquisas que possam clarificar as múltiplas dimensões da violência contra o idoso.

Significados de violência familiar para idosos no contexto da atenção primária

A pesquisa analisou os significados da violência familiar na perspectiva de idosos usuários de uma Unidade Básica de Saúde. Trata-se de um estudo qualitativo, ancorado na Teoria Fundamentada Empiricamente, no qual participaram nove idosos, identificados por profissionais da saúde como vítimas de violência familiar. Os dados oriundos das entrevistas semiestruturadas evidenciaram que o significado de violência familiar contra o idoso está associado a comportamentos de familiares que geram: privação de autonomia, desrespeito por parte dos netos, abandono ou negligência. Alguns tipos de violência não foram reconhecidos pelos participantes em seus próprios relacionamentos com familiares, uma vez que o significado mostrou-se alicerçado na ideia da violência que ocorre "no outro idoso", o frágil e dependente, condição com a qual não se identificaram.

Crenças dos profissionais da Atenção Primária à Saúde de Juiz de Fora em relação à violência doméstica contra idosos

Este estudo focaliza a violência doméstica contra idosos sob a perspectiva das crenças dos profissionais da Atenção Primária à Saúde de Juiz de Fora, Brasil. A amostra constituiu-se de 197 profissionais do Programa Saúde da Família. Realizaram-se análises de correlação entre as crenças dos profissionais de saúde e os tipos de violência doméstica e o grau de parentesco dos agressores, bem como da relação entre violência doméstica e consumo de álcool e drogas. Foi também observada a atuação dos profissionais de saúde diante da suspeita ou confirmação de violência e, ainda, a existência ou não de treinamento para esses profissionais. Os resultados apontaram que a atuação dos profissionais de saúde está restrita à pratica de encaminhamentos e que parte de suas crenças foram confirmadas pelos dados da literatura. Essa confirmação pode ter sido viabilizada pela experiência de contato dos profissionais com a realidade da violência doméstica. Potencialmente, os profissionais de saúde poderiam ter uma atuação voltada para a violência doméstica contra idosos.

Violência contra idosos no ambiente doméstico: prevalência e fatores associados (Recife/PE)

Este artigo teve como objetivo de determinar a prevalência e os fatores associados à violência doméstica contra pessoas idosas. Estudo de corte transversal com 274 sujeitos, com 60 anos ou mais, de ambos os sexos. Os dados foram coletados por meio de entrevistas nos domicílios ou nas USF a partir de roteiro estruturado em três blocos: questionário com informações biodemográficas e sociodemográficas; duas escalas de avaliação e; instrumento para identificação de violência. Entre os entrevistados, 20,8% relataram ter sofrido pelo menos um dos tipos de violência em seu ambiente doméstico. Observou-se associação entre os que moravam com um número maior de indivíduos, entre as mulheres e idosos dependentes para as atividades instrumentais da vida diária. Após o modelo de regressão logística, apenas as variáveis sexo e arranjo familiar mostraram-se associadas significativamente, havendo evidência de maior ocorrência entre os que coabitavam com seis ou mais moradores e as mulheres. Estes achados evidenciam a magnitude e gravidade do problema e alerta para a necessidade de ações no combate à violência contra a pessoa idosa.

Violência contra pessoa idosa: representações sociais entre adolescentes do arquipélago de Fernando de Noronha-PE

Este estudo objetivou identificar e verificar as representações sociais (RS) da violência contra as pessoas idosas entre estudantes do Arquipélago de Fernando de Noronha-PE. A amostra foi composta por 100 estudantes de ambos os sexos, do ensino médio, com média de idade de 20,3 anos. Foram utilizados como instrumentos: entrevistas semiestruturadas e o Teste de Associação Livre de Palavras (TALP). As entrevistas foram categorizadas pela Análise de Conteúdo (Bardin, 2002) e a TALP pela técnica de redes semânticas (Reyes-Lagunes, 1993). Os dados obtidos no TALP revelaram RS atreladas à intolerância (100%), covardia (57,2%), desumano (40,7%), ignorância (25,7%) e violência (10%). No que tange aos dados da entrevista as subcategorias mais significativas foram desrespeito, maus tratos, indignação e segurança. Conclui-se da necessidade de prevenção no âmbito informativo, bem como de conscientização da população com prioridade para detecção e prevenção de casos de violência contra os idosos.

Fatores associados à violência doméstica contra a pessoa idosa

OBJETIVO: determinar os fatores associados à violência doméstica do tipo física em idosos submetidos a exame de corpo de delito, entre 2004 e 2007, no Instituto de Medicina Legal do Recife. METODOLOGIA: as informações do estudo de corte transversal procederam de 511 laudos de exames de corpo de delito traumatológicos realizados em idosos (60 anos ou mais). Na análise da associação entre as variáveis, utilizou-se o teste Qui-quadrado com IC de 95%. RESULTADOS: os fatores associados à violência doméstica, em relação à consequência da violência, foi a parte do corpo acometida (tronco/membros); quanto à vítima, foram sexo (feminino), estado civil/situação conjugal (sem companheiro) e ocupação (aposentado, pensionista ou do lar). Em relação ao agressor, houve associação com o sexo (feminino), quantidade (um) e parentesco/relação estabelecida com a vítima (familiar). CONCLUSÃO: os fatores associados à violência estudada, vinculados a aspectos sociais, econômicos e culturais, evidenciam a complexidade do fenômeno e seu enfrentamento.

Violence and injuries in Brazil: the effect, progress made, and challenges ahead

Although there are signs of decline, homicides and traffic-related injuries and deaths in Brazil account for almost two-thirds of all deaths from external causes. In 2007, the homicide rate was 26·8 per 100,000 people and traffic-related mortality was 23·5 per 100,000. Domestic violence might not lead to as many deaths, but its share of violence-related morbidity is large. These are important public health problems that lead to enormous individual and collective costs. Young, black, and poor men are the main victims and perpetrators of community violence, whereas poor black women and children are the main victims of domestic violence. Regional differentials are also substantial. Besides the sociocultural determinants, much of the violence in Brazil has been associated with the misuse of alcohol and illicit drugs, and the wide availability of firearms. The high traffic-related morbidity and mortality in Brazil have been linked to the chosen model for the transport system that has given priority to roads and private-car use without offering adequate infrastructure. The system is often poorly equipped to deal with violations of traffic rules. In response to the major problems of violence and injuries, Brazil has greatly advanced in terms of legislation and action plans. The main challenge is to assess these advances to identify, extend, integrate, and continue the successful ones.

Physical abuse of older people reported at the Institute of Forensic Medicine in Recife, Pernambuco State, Brazil

This cross-sectional study aimed to determine the profile of physical abuse against older people who underwent forensic examination at the Institute of Forensic Medicine in Recife, Pernambuco State, Brazil. The cases, with data from 1,027 forensic reports, were described according to characteristics of the incident, victim, and aggressor. Most cases of violence were produced by mechanical energy, either with blunt objects or by empty-handed attack; the most common day of the week was Sunday, most frequently in the evening, and in the victim's home; typical cases involved mild injuries on more than one part of the victim's body. The majority of the victims were men, 60 to 69 years of age, brown (mixed-race), married or living with a partner, and retirees/pensioners. The majority of the aggressors were men, known to the victim, and attacking alone. The social transcendence of violence against older people clearly calls for investment in programs to deal with the problem in order to ensure better quality of life for the elderly.

Revisão sistemática da produção acadêmica brasileira sobre causas externas e violências contra a pessoa idosa

Apresenta-se revisão sistemática sobre violência contra a pessoa idosa no período de 2000 a 2009. A base de dados para a pesquisa é o acervo de artigos, livros, capítulos de livros, manuais e planos de ação da Biblioteca Virtual em Violência e Saúde. Foram categorizados e analisados 115 documentos segundo os subtemas: quedas; causas externas e violência em geral; estudos epidemiológicos e socioepidemiológicos; prevenção da violência; violência e acidentes no contexto familiar; revisão conceitual e metodológica; ordem legal e denúncias; violência sob o olhar de quem a vivencia; serviços de saúde, profissionais e cuidadores; e construção e revalidação de instrumentos de pesquisa. Os resultados mostram relevante aumento da produção e aprimoramento metodológico nas áreas de saúde pública, serviço social, direito, fisioterapia, enfermagem, psicologia, otorrinolaringologia e na formulação de políticas e planos de ação. No entanto, há temas pouco aprofundados como acidentes de trânsito, homicídios, suicídios, afogamentos e sufocações.