Friday, December 25, 2015

Therapeutic Adherence to Retraining Programs for Women & Men Involved in Abusive Relationships in Mexico

To analyze the therapeutic adherence among participants in the retraining program operated by the Ministry of Health of Mexico, in eight states in 2010.

This is a cross-sectional and descriptive study that assesses therapeutic adherence in a retraining intervention program for male perpetrators and female victims of intimate partner violence. The intervention was coordinated by a team of previously trained professionals. The selection of participants was made by means of a specific screening test. Overall performance for both groups was analyzed, and based on the attendance they were classified in low adhesion (1-12) medium to high (13 and>). To determine the possibility of adhesion, Student's t tests, a bivariate analysis, and a logistic regression model were performed for each program.

5 539 screenings were applied, of which 88.3% (n = 4 891) were positive. 85% agreed to participate (n = 4 151), but only 75% of potential participants attended at least one session (n = 3 022). 78.5% attended between 1-12 sessions. In the women's program, significant differences in marital status, religion and age groups (p<0.05) were found. In the program for men, significant differences in religion and age groups (p<0.05) were found.

In the Mexican context there are few studies that assess adherence to programs of care and retraining for partner violence. This study is a first approach that opens the possibility to enhance the design and evaluation of such interventions, which are crucial to dismantle violence against women.

Below:  En la figura 1 se observa la positividad porcentual de tamizajes aplicados por estados y por programa, donde Sonora (98.3%) y Yucatán (99.6%) tuvieron proporciones de positividad superiores a 97%, tanto a nivel general como por programas. En cambio, Querétaro tuvo proporciones globales cercanas a 75%, e inferiores a 70% en el programa para mujeres.

Below:  En la figura 2 se observa la proporción de asistentes entre usuarios potenciales, el cual se construyó al incluir en el numerador a las personas que asistieron al menos a una sesión de los programas y en el denominador a aquéllas que tenían pruebas de tamizajes positivos; Yucatán (95.2%) y Sonora (86.2%) tuvieron los porcentajes más altos, mientras Querétaro (70.0%) y Campeche (51.4%) los más bajos.

Full article [in Spanish] at:

  • 1Centro Colaborador para la Investigación de Lesiones y Violencia, Organización Panamericana de la Salud, Organización Mundial de la Salud, México, Distrito Federal, México.
  • 2Centro de Proyectos para el Desarrollo, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • 3Centro de Proyectos para el Desarrollo, Fundación Entornos, AC, Cuernavaca, Morelos, México. 

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