ViolÃncia familiar contra crianÃa e adolescente na prÃtica dos fonoaudiÃlogos: magnitude e conduta




The study aimed to describe the magnitude and behavior related to family violence against children and adolescents in the practice of the speech therapists in public, private with agreement with SUS and philanthropic health net in the city of Recife. We have conducted a quantitative, descriptive cross-sectional study, using a structured questionnaire with objective questions to collect data. The study population was constituted by the universe of professionals with more than a year of work in reference service. To build the database and analysis, Epi-Info programmers, version 3.3.2., were used as well as SPSS, version 15.0, respectively. In analyzing data, the kind of violence, the dependent variable and the independent demographic variables have been considered. Comparisons between groups were summarized by frequency. Moreover, Fisher s exact test and chi-square were used to identify associations between categorical variables and subgroups at a significance level of 0.05. For the analysis of residual values were recognized with the counting of excess positive with a level of 2.5% unicaudal. The results showed that, out of the 89 speech therapists interviewed, 43.8% reported having assisted a suspected and/or confirmed violence against children and adolescents in the last year and only 11.4% have participated in a course or training on violence . There was also a statistically significant association (p <0.05) in the type of violence to the sex of the child and the type of change speech. The most frequent type of violence was physical violence (35%). The main adopted conduct by the professionals before the cases were to refer the patients to social services or to a psychologist. The residue analysis showed an excess of statistically significant psychological violence in children and adolescents with disfluÃncia (stuttering), and neglect/abandonment was related to more than a speech problem. There was a statistically significant relationship between the type of violence and the profile of the aggressor, giving the mother (37.1%) more frequently when compared to other offenders. The analysis showed an excess of residue of the type of violence negligence/neglect committed by both the father and mother as an excess of sexual violence by (a) stepfather/stepmother. The study reflects the need for greater investment in training and continuing education on violence, so that they have qualified professionals to prevent, identify and conduct cases


speech-language pathology patologia da fala family violence speech therapy violÃncia intrafamiliar saude coletiva fonoaudiologia linguagem

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