Características de las lesiones de causa externa en mujeres en Hospital publico de Cali entre 2012–2014 relacionadas con la aplicación de una política de equidad de género
Carlos A Ordóñez, Marisol Badiel, Manuela Escobar, Mónica A Morales García, María Juliana Chaves, Bryan Steven Urrea, Karina Reyes
Keywords :
Feminicide, Trauma, Violence
Citation Information :
Ordóñez CA, Badiel M, Escobar M, García MA, Chaves MJ, Urrea BS, Reyes K. Características de las lesiones de causa externa en mujeres en Hospital publico de Cali entre 2012–2014 relacionadas con la aplicación de una política de equidad de género. Panam J Trauma Crit Care Emerg Surg 2018; 7 (1):66-71.
Introduction: In the world, the violence against women and femicide is an important public health problem and a violation of the human rights, making the women more vulnerable and affecting their physical integrity and mental health. In this way, mechanisms have been established to warrant the gender equality. This study aims to describe the characteristics of external cause of injuries against women and femicide in a first level public hospital of Cali, Colombia between 2012–2014 before and after the implementation of a national public policy of gender equality and deduce about the possible impact on the incidence of these injuries
Design and methods: Retrospective observational cohort study. The International Trauma Registry of the Hospital Universitario del Valle was used. It includes all records of women between 14 and 50 years, with trauma injury in the period 2012–2014. A descriptive analysis was performed according to demographic, clinical, and mortality variables.
Results: In total of 23,945 records, 3245 (13.6%) are women between 14 and 50 years age with some type of trauma, mean age 29.3 ± 2 years; 57.6% between 19 and 35 years. The injuries associated with an intentionality have been reported in 542 (16.7%) cases. The mortality with intentionality was 3.9% (n = 21). The annual mortality rate for 2012, 2013 and 2014 was 1.2%, 0.8% and 0.3% respectively (p < 0,0001).
Conclusion: Femicide was present in 3.9% of cases, in a higher frequency associated to gunshot. However, after the implementation of public policy in 2012, a significant reduction of annual mortality (1.2% vs 0.8% vs 0.3%, p<0,0001) has been observed. It allows to infer that the implementation of the public policy of gender equality facilitated this tendency
ASALE R. feminicidio [Internet]. Diccionario de la lengua española. [citado el 29 de marzo de 2016]. Disponible en: http://dle.rae.es/?id=Hjt6Vqr.
OPS O. Comprender y abordar la violencia contra las mujeres. Femicidio [Internet]. Washington DC: Organizacion Mundial de la Salud; 2013 [citado el 29 de marzo de 2016]. Disponible en: http://apps.who.int/iris/bitstream/10665/98828/1/ WHO_RHR_12.38_spa.pdf?ua=1.
United Nations Department of Economic and Social Affairs. The World's women 2015. Trends and statistics [Internet]. New York: United Nations Publication; 2015 [cited on March 29, 2016]. Available from: un.org/publications.
OPS O. Comprender y abordar la violencia contra las mujeres. Consecuencias para la salud. [Internet]. Washington DC: Organizacion Mundial de la Salud; 2013 [citado el 29 de marzo de 2016]. Disponible en: http://apps.who.int/iris/ bitstream/10665/98862/1/WHO_RHR_12.43_spa.pdf?ua=1.
OPS O. Comprender y abordar la violencia contra las mujeres. Panorama general. [Internet]. Washington DC: Organizacion Mundial de la Salud; 2013 [citado el 29 de marzo de 2016]. Disponible en: http://apps.who.int/iris/ bitstream/10665/98788/1/WHO_RHR_12.35_spa.pdf?ua=1.
OPS O. Comprender y abordar la violencia contra las mujeres. Violencia infligida por la pareja. [Internet]. Washington DC: Organizacion Mundial de la Salud; 2013 [citado el 29 de marzo de 2016]. Disponible en: http://apps.who.int/iris/ bitstream/10665/98816/1/WHO_RHR_12.36_spa.pdf?ua=1.
United Nations Office on Drugs and Crime. Global study on homicide. 2013 [Internet]. New York: United Nations Publication; 2014 [cited on March 29, 2016]. Available from: un.org/ publications.
Organizacion Mundial de la Salud. OMS: Violencia contra la mujer [Internet]. WHO. 2016 [citado el 30 de marzo de 2016]. Disponible en: http://www.who.int/mediacentre/factsheets/ fs239/es/.
Instituto Superior de Estudios Internacionales y de Desarrollo de Ginebra. Small Arms Survey 2012: Moving targets [Internet]. Ginebra, Suiza; 2012 [cited on 29 March, 2016]. Disponible en: http://www.smallarmssurvey.org/publications/ by-type/yearbook/small-arms-survey-2012.html
Vanegas B, Samir F. Femicide and criminal law. Rev Crim 2015 Jan;57(1):75–90.
Leiya D la P, Angélica A. A critical perspective of psychosocial practices in gender violence: case Barranquilla. Psicol Desde El Caribe 2015 Aug;32(2):327–342.
Ramírez-Rodríguez MH, Ariza-Sosa GR. The politic in the intimate partner violence as a public health problem. Rev Fac Med 2015 Jul;63(3):517–525.
Congreso de Colombia. Ley 1257 de 2008 [Internet]. Ley 1257. Disponible en: http://www.alcaldiabogota.gov.co/sisjur/ normas/Norma1.jsp?i=34054.
Congreso de Colombia. Ley 1761 de 2015 [Internet]. Ley 1761. Disponible en: http://wp.presidencia.gov.co/sitios/normativa/ leyes/Documents/LEY%201761%20DEL%2006%20 DE%20JULIO%20DE%202015.pdf.
Londoño V, Andrea P. Challenges of gender-based violence information management within the framework of the armed conflict. The Case of Medellin. Rev Opinión Juríd 2014 Dec;13(26):49–68.
Pallitto CC, O'Campo P. Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective. Soc Sci Med 2005 May;60(10):2205–16.
Observatorio social, Santiago de Cali. Boletín informativo Nro.12. MUERTES VIOLENTAS. Santiago de Cali: Observatorio social; 2012 Diciembre. (VISION CALI ISSN1900-799X). Report No.: 12.
Personeria Mucipal Santiago de Cali. IV INFORME ANUAL SOBRE LA SITUACIÓN DE DERECHOS HUMANOS EN SANTIAGO DE CALI 2015. “Por el Derecho a la Ciudad y por Transformar la Ciudad que Habitamos” [Internet]. Santiago de Cali: Personeria Municipal Santiago de Cali; 2015 de Diciembre de. Disponible en: http://www.personeriacali. gov.co/sites/default/files/informes/archivos/LIBRO%20 DDHH%202015%20.pdf.
OTC- Colombia1, América Latina Unidad de la AECID (Agencia Española de Cooperación Internacional para el Desarrollo). Apoyo a la institucionalización de la política pública de lucha contra la violencia contra las mujeres en la Alcaldía de Cali. 2010 [Internet]. 2010. Disponible en: http://www.cali.gov.co/bienestar/publicaciones/que_es_ el_proyecto_pub.