Therapeutic Adherence to Retraining Programs for Women & Men Involved in Abusive Relationships in Mexico
OBJECTIVE:
To
analyze the therapeutic adherence among participants in the retraining program
operated by the Ministry of Health of Mexico, in eight states in 2010.
MATERIALS AND METHODS:
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.
RESULTS:
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.
CONCLUSIONS:
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.
- 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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