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Armed violence and shootouts in Rio de Janeiro

Relevance to impoverished communities and primary care health services

Bibliographic Data

ID19474383
AuthorsJurema Correa Mota (0000-0002-5007-1590, Fundação Oswaldo Cruz), Ana Paula Da Cunha (0000-0002-1400-1472, Fundação Oswaldo Cruz), Francisco I Bastos (0000-0001-5970-8896, Fundação Oswaldo Cruz)
Year2025
Volume30
Issue10
Pagese12982025-e12982025
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-812320253010.12982025
PMID41221872
OpenAlexW4416107758
SciELOS1413-81232025001000329
LanguageEN
Citations received1
References cited16

This article aims to analyze the effect of armed violence, operationalized as recorded shooting events, on communities and primary healthcare services in Rio de Janeiro. The models incorporate data from 1,500 interviewees and their respective territories and health services. The mediation analysis uses a proxy for the effects of violence on the operation of these services: the presence/absence of doctors in primary care health teams. Despite the use of a single proxy for a complex situation that substantially affects primary care services in underserved territories, the observed effect was pronounced, corresponding to a 20-30% modulation of the associations between armed violence and self-reported systemic arterial hypertension, diabetes, and depression. The simple association was not significant for self-reported anxiety, after controlling for intervening variables, but mediation was. The findings support the integrated analysis of data from residents in these communities, information about territories, and the operation of services, using appropriate analytic strategies. Such studies have a diagnostic function and support policies that understand urban health in an integrated manner and promote structural interventions

Health care · Mediation · Operationalization · Poison control · Primary care · Suicide prevention · Elder Abuse and Neglect · Gun Ownership and Violence Research · Intimate Partner and Family Violence

  • Media (in)visibility of violence in Manguinhos, Rio de Janeiro, Brazil (2020–2024)

    Open Access•Gabriela Brogim, Pedro Bruzzi et al.•Frontiers in Communication•2026

  • Community stressors (violence, victimization, and neighborhood disorder) with cardiometabolic outcomes in urban Jamaica

    Open Access•Tiffany L Gary‐webb, Harika P Dyer et al.•Frontiers in Public Health•2023

  • Violence exposure and mental health consequences among urban youth

    Open Access•Breanna A Borg, Christine A Rabinak et al.•Current Psychology•2023

  • No meio do fogo cruzado”

    Open Access•Mayalu Matos Silva, Fernanda Mendes Lages Ribeiro et al.•Ciência & Saúde Coletiva•2021

  • Qualidade de vida em pacientes da atenção primária do Rio de Janeiro e São Paulo, Brasil

    Open Access•Flávia Batista Portugal, Mailín R Campos et al.•Ciência & Saúde Coletiva•2016

  • Structural Interventions

    Open Access•Kim M Blankenship, R Friedman et al.•Journal of Urban Health•2006

  • Health transition in Brazil

    Open Access•Gabriel Mendes Borges•Cadernos de Saude Publica•2017

  • Nuances entre o Acesso Mais Seguro e o conflito armado no contexto da atenção básica

    Open Access•Raphael Sampaio Dos Santos, Lucia Cardoso Mourão et al.•Cadernos de Saude Publica•2020

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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