Characteristics of women victims of sexual violence and abandonment of ambulatorial treatment follow-up

Abstract Background Sexual violence affects several segments of society and requires urgent action. Women are the main victims of this injury, that can generate countless implications. Thus, the role of health services is essential for coping with this problem and ensuring greater adherense to outpatient treatment. Objective The aim of this study was to analyze the characteristics of women victims of sexual violence and abandonment of ambulatorial treatment follow-up. Method This is a descriptive, retrospective analytical, quantitative study of 161 women's medical records attended at a referral service for sexual violence in Goiânia-GO, in 2015. Results Most women were adults (65.8%), residents in Goiânia (55.3%), employed (50.3%), high school graduates (30.4%), single (55,3%), browns (44.1%), heterosexuals (74.5%), without disabilities (85.1%). There was an association between the abandonment of ambulatorial follow-up and receipt of prophylaxis STD (p<0.001), immunoglobulin for hepatitis B (p=0.002), emergency contraception (p=0.010), initiate the antiretroviral regimen (p=0.003) and abandonment of follow-up after the first visit (p <0.001). There was significant between pregnant women victims and the completion of treatment (p <0.001). Conclusion It is concluded that when knowing the factors related to non-adherence for ambulatorial follow-up, new strategies should be developed by specialized services.

### 摘要
#### 研究背景
性暴力波及社会多个群体，亟需采取紧急应对举措。女性为性暴力的主要受害人群，该伤害可引发诸多不良连锁后果。因此，医疗服务体系在应对该问题、提升门诊治疗（ambulatorial treatment）依从性方面发挥着不可或缺的关键作用。
#### 研究目的
本研究旨在分析性暴力受害女性的人群特征及其门诊治疗随访（follow-up）脱落情况。
#### 研究方法
本研究为描述性回顾分析类定量研究，纳入2015年巴西戈亚斯州戈亚尼亚市某性暴力专科接诊机构收治的161份女性病历资料开展分析。
#### 研究结果
本次研究对象中，多数为成年人（65.8%），常住戈亚尼亚市（55.3%），具备就业身份（50.3%），学历为高中及以上（30.4%），处于未婚状态（55.3%），种族为棕色人种（44.1%），性取向为异性恋（74.5%），无残疾情况（85.1%）。分析显示，门诊随访脱落与接受性传播疾病（Sexually Transmitted Disease, STD）预防用药（p<0.001）、乙肝免疫球蛋白（immunoglobulin for hepatitis B）注射（p=0.002）、紧急避孕（emergency contraception）干预（p=0.010）、启动抗逆转录病毒治疗方案（antiretroviral regimen）（p=0.003）以及首次就诊后即终止随访（p<0.001）存在显著关联。此外，性暴力受害孕妇与治疗完成情况之间存在显著相关性（p<0.001）。
#### 研究结论
综上，明确与门诊随访依从性不佳相关的影响因素后，专科医疗服务机构应制定针对性的新型干预策略。