O artigo aborda a violência por arma de fogo cometida contra crianças e adolescentes na região sul do estado do Espírito Santo, tendo por objetivo desenvolver uma análise crítica e reflexiva respeito das expressões dessa forma de violência. Resulta de uma pesquisa documental realizada a partir de dados extraídos de boletins unificados do Centro Integrado Operacional de Defesa Social (Ciodes) nos registros realizados no período de 2015 a 2017. Os resultados apontam índice crescente da violência por arma de fogo em municípios do sul do estado, incluindo pequenos municípios. Quanto às vítimas, os dados obtidos revelam que os adolescentes, em especial aqueles entre 16 e 17 anos, do sexo masculino, de cor parda e preta são as maiores vítimas da violência armada, com ferimentos na cabeça e tórax, tendo como elemento motivador o tráfico de drogas. Conclui-se que crianças e adolescentes encontram-se inseridos em processos sociais que potencializam a violência, na dinâmica desigual perversa que marca a sociedade brasileira, exacerbada pela sociabilidade do capital na sua atual organização produtiva e pela política neoliberal, em que o desmonte do Estado, a retração dos direitos sociais, a precarização do trabalho culmina na desproteção social de amplas parcelas da sociedade incluindo o segmento infanto-juvenil.
Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed by a family healthcare strategy, to make consistent efforts with the objective of improving functional recovery and independence of homebound elderly. ; Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed by a family healthcare strategy, to make consistent efforts with the objective of improving functional recovery and independence of homebound elderly.
