2004, Number 6
Rev Med Inst Mex Seguro Soc 2004; 42 (6)
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ABSTRACTViolence demands important efforts in the healthcare sector for correct identification, care and prevention. The National Survey of Violence against Women (ENVIM, 2003) identifies the magnitude of violence against women insured by the IMSS as well as the knowledge of health service providers about domestic violence. Prevalence of violence during their lifetime was reported in 58 % of women seeking health services; 20 % of the violence was from their actual partner and 32 % from their lifelong partner. Psychological violence was more frequent (18 %) followed by physical violence (9 %), sexual (7 %) and economic (5 %). Violence increases with age and diminishes with higher educational levels. Women living in consensual relationships or separated from their partner are more frequently attacked than single women. Health problems were frequently reported among women (6 to 20 %) suffering from domestic violence. Health service providers do recognize domestic violence in their clinical setting (80 %), 20 % reported actual knowledge of clinical protocols established to care for women affected and 70 % identified support organizations involved with affected women. Clinical detection and support strategies need to be implemented at the institutional level, and actions are required to improve communication and support for affected women.