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，亟需采取针对性应对行动。女性是这类伤害的主要受害者，其可引发诸多不良后果。因此，医疗服务体系在应对该问题、提升门诊治疗依从性方面发挥着至关重要的作用。
【研究目的】本研究旨在分析性暴力受害女性的特征及其门诊治疗随访脱落情况。
【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诊疗转诊中心接诊的161份女性病历进行分析。
【研究结果】多数研究对象为成年人（65.8%），居住于戈亚尼亚市（55.3%），有就业（50.3%），高中学历（30.4%），未婚（55.3%），棕褐色人种（44.1%），异性恋（74.5%），无残疾（85.1%）。门诊随访脱落与性传播疾病（STD）预防用药、乙型肝炎免疫球蛋白注射、紧急避孕、启动抗反转录病毒治疗方案以及首次就诊后随访脱落均存在显著关联（p<0.001、p=0.002、p=0.010、p=0.003、p<0.001）。性暴力受害孕妇与治疗完成情况之间存在显著关联（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，专项医疗服务机构应制定全新的干预策略。