A violência doméstica contra a mulher na saúde coletiva: uma revisão narrativa

Abstract

The objective of this dissertation was to analyze through which concepts, theoretical frameworks and themes domestic violence against women has been debated in publications in periodicals in the area of ​​collective health. In order to observe and analyze, in the temporal evolution of publications, definitions and changes in the definition of domestic violence against women, identify which themes were addressed and describe whether these debates trigger public policies and health equipment. This is a narrative literature review. The analysis was limited to journals that had a mostly qualitative approach and that were at the intersection between the field of health sciences and human and social sciences, obtaining 51 articles that were observed using Bardin's content analysis method. It was observed that the legal framework of Maria da Penha and the debates raised about violence at institutional events helped to buildqualitative in nature and analytical and descriptive in character. The analysis was delimited to journals that predominantly approached qualitative aspects and were at the intersection between the fields of health sciences and human and social sciences, resulting in 51 articles that were observed using Bardin's content analysis method. It was observed that the legal framework of Maria da Penha and the debates raised about violence in institutional events helped to construct the broad concept known today. Primary health care was considered the first choice location for victims to enter the health system as well as being allocated as a reference for managing cases of domestic violence along with the intersectoral network. In addition, the theme most associated with discussions of violence involves assistance to women in situations of violence by health professionals. The data reveal the evolution of the definition of domestic violence against women, highlighting conceptual changes over time, from the initial emphasis on physical, sexual, and psychological harm to the progressive adoption of a broader approach, influenced by the Maria da Penha Law. The importance of primary care in early identification and care for victims is recognized, although challenges such as lack of training, limited resources, and social barriers persist. There is a shift in the focus of publication objectives, moving from only seeking the profile of victims to social and contextual factors associated with the phenomenon, indicating an evolution in the field of public health and opening space for more comprehensive and holistic interventions.