Abstract:
A systematic review and meta-analysis were employed to address the associated factors of gender-based violence (GBV) in sub-Saharan African (SSA) countries. The Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed. Ovid Medline, CINAHL, Cochrane Central, Embase, Scopus and Web of Science were used to source articles with stringent eligibility criteria. A total of 4931 studies were found and 50 studies met the inclusion criteria. Pooled meta-analyses revealed that low educational attainment, higher alcohol consumption, substance use, history of child and family abuse, limited decision-making skills, experiencing depression, males having multiple sexual partners, and younger age were found to be individual- and family-associated factors that increase the experiences of GBV. Community tolerant attitudes to violence, women\'s unemployment, being Muslim, lower socioeconomic class, food and social insecurity were found to be community- and societal-associated factors of GBV. Alcohol consumption, low educational attainment, experiencing depression, being younger, a history of child and family abuse, tolerant attitudes to violence, and low socioeconomic status were poignant factors associated with GBV amongst women in SSA countries. The need to develop a multipronged approach of intervention is a top priority in SSA to reach the Sustainable Development Goals\' (SDGs) target of 2030 to eliminate all forms of violence. Socio-behavioural change communication interventions at individual and community levels need to be introduced, and interventions need to address the prevention of child and family abuse and increase women\'s feelings of empowerment in order to prevent GBV in SSA.
摘要:
采用系统评价和荟萃分析来解决撒哈拉以南非洲(SSA)国家基于性别的暴力(GBV)的相关因素。遵循系统评价和荟萃分析指南的首选报告项目。OvidMedline,CINAHL,CochraneCentral,Embase,Scopus和WebofScience用于获取具有严格资格标准的文章。共发现4931项研究,50项研究符合纳入标准。汇集的荟萃分析显示,低教育程度,更高的酒精消费量,物质使用,虐待儿童和家庭的历史,有限的决策能力,经历抑郁症,有多个性伴侣的男性,发现年龄和年龄是增加GBV经历的个人和家庭相关因素。社区对暴力的宽容态度,妇女失业,作为穆斯林,较低的社会经济阶层,发现食物和社会不安全是GBV的社区和社会相关因素。酒精消费,受教育程度低,经历抑郁症,更年轻,有虐待儿童和家庭的历史,对暴力的宽容态度,和低社会经济地位是与SSA国家女性GBV相关的尖锐因素。制定多管齐下的干预方法是SSA的首要任务,以实现2030年可持续发展目标(SDG)的目标,以消除一切形式的暴力。需要在个人和社区层面引入社会行为改变沟通干预措施,和干预措施需要解决儿童和家庭虐待的预防问题,并增加妇女的赋权感,以防止SSA中的GBV。