SANTOS, M. D.; http://lattes.cnpq.br/3444632914850016; SANTOS, Maria Djanilza dos.
Resumo:
To evaluate the relationship between exposure to domestic violence, alcohol, and other
drugs in the family environment and child development among children monitored by the Happy
Child Program. Method: cross-sectional, quantitative research conducted at the Social Assistance
Reference Center of a municipality in Western Curimataú, Paraíba. The study sample consisted of
108 mothers and/or caregivers of children up to three years of age, registered with the
municipality's PCF. Participants who met the inclusion criteria (being a mother and/or caregiver of
a child in early childhood, in social vulnerability, registered with the PCF), non-inclusion criteria
(mother and/or caregiver of a child who did not present the child's and pregnancy records on the
day of data collection, or was outside the municipality at that time) and exclusion criteria (those
who, despite meeting the inclusion and non-inclusion criteria, did not attend data collection after
three attempts) took part in the study. For data collection, a questionnaire containing two parts was
used: one with sociodemographic data and the other with the forms of the Survey of Well-being of
Young Children – SWYC. The data were entered in double entry into the Statistical Package for
Social Science for Windows (SPSS) software, version 22.0, and analyzed based on descriptive
statistics of frequencies and inferential statistics, using Fisher's exact test. The research project of
the referred study was approved by the Ethics Committee for Research with Human Beings of the
Center for Education and Health of the Federal University of Campina Grande (CES/UFCG), under
opinion no.: 4,487,671 and CAAE: 38730920.2.0000.5182. Results: the majority of the population
was female (97.2%), mothers (88.8%), married or in a stable union (87.9%), beneficiaries of the
PBF (86.1%), with 8 or more years of education (62.9%), without supplementary health insurance
(75.0%) and with a family income of less than one minimum wage (79.6%). The prevalence of
children exposed to domestic violence was 12.4% and to alcohol and other drugs was 9.9%. Of the
12 children exposed to domestic violence, seven (58.3%) were suspected of being delayed and, of
the 11 exposed to alcohol and other drugs, seven (63.6%). Final considerations: it was possible
to demonstrate that the odds ratio of having suspected developmental delay was 3.774 times in
children exposed to domestic violence (OR>1:1.088 – 13.086) and 5.250 times in those exposed to
alcohol and other drugs (OR>1:1.418 – 19.442). There is an association between violence and the
consumption of alcohol and other drugs in the intrafamily environment (p 0.001) and an association
between the two environmental factors and the suspicion of delay in neuropsychomotor
development (p 0.043/ p 0.013). Thus, the study points to the need to use screening instruments in
childcare consultations, to carry out continuing education and training with health professionals
and health education with mothers and/or caregivers, aiming at healthy child neuropsychomotor
development.