Gender-Based Violence

基于性别的暴力
  • 文章类型: Journal Article
    为了应对殖民主义的持续遗产,人们越来越认识到需要对各个研究和实践领域进行非殖民化,包括关于暴力侵害妇女和女童的工作(VAWG)。新兴的文学作品批评了VAWG的框架,作为白色救世主旅游的一部分,如何对社区实施预防和应对干预措施,以及数据收集的分层方法的存在,分析和解释。此范围审查是首次描述VAWG研究和编程中有关殖民主义和非殖民化的全球已发表和灰色文献的尝试。我们在数据库和搜索引擎中进行了广泛的搜索,包括研究,reports,评论和博客,并确定了55个来源,这些来源侧重于VAWG,并与实地殖民主义和/或非殖民化方法的遗产有关。包括文献讨论了殖民主义在塑造VAWG中的作用,参考了应对VAWG的非殖民化方法,并确定了VAWG研究和实践的五项关键建议:1。考虑发生VAWG的上下文和功率层次结构;2.将社区资源和观点纳入结束VAWG的努力;3.使用方法和方法来研究VAWG,以社区的观点和生活经验为中心;4.将VAWG的资金转移到当地行为者,并确保VAWG的资金流更符合当地的需求和现实;和5。确保当地,与上下文相关的女权主义框架为VAWG的非殖民化提供了信息。我们得出的结论是,转向自下而上的方法来实现VAWG的非殖民化研究和编程对于防止非殖民化沦为流行语至关重要。虽然文献探讨了使用特定的方法来对VAWG进行非殖民化研究,研究人员需要更广泛的策略来在整个研究过程中嵌入非殖民化的观点,超越单纯的方法论适应。VAWG研究和规划需要审查结构不平等,特别承认在更广泛的社会权力结构中根深蒂固的殖民做法如何影响VAWG领域。
    In response to continuing legacies of colonialism, there is increasing recognition of the need to decolonise various fields of research and practice, including within work on violence against women and girls (VAWG). An emerging body of literature critiques how VAWG is framed, how prevention and response interventions may be imposed on communities as part of White Saviourism, and the existence of hierarchical approaches to data collection, analysis and interpretation. This scoping review is the first known attempt to describe global published and grey literature on colonialism and decolonisation within VAWG research and programming. We conducted an extensive search across databases and search engines including research studies, reports, commentaries and blogs, and identified 55 sources that focused on VAWG and related to the legacy of colonialism and/or decolonial approaches within the field. Included literature discussed the role of colonialism in shaping VAWG, referenced decolonial approaches to respond to VAWG and identified five key recommendations for VAWG research and practice: 1. Consider the context and power hierarchies within which VAWG occurs; 2. Incorporate community resources and perspectives into efforts to end VAWG; 3. Use methods and approaches to researching VAWG that centre perspectives and lived experience of communities; 4. Shift VAWG funding to local actors and ensure VAWG funding streams are more responsive to local needs and realities; and 5. Ensure local, contextually-relevant framings of feminisms inform decolonising of VAWG. We conclude that shifting towards a bottom-up approach to decolonising VAWG research and programming is essential to prevent decolonisation from being reduced to a buzzword. While literature explored the use of specific methods to decolonise research on VAWG, researchers need broader strategies to embed a decolonial perspective throughout the research process, transcending mere methodological adaptations. There is a need for VAWG research and programming to scrutinise structural inequities, particularly acknowledging how colonial practices entrenched within wider societal power structures impact the field of VAWG.
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  • 文章类型: Journal Article
    基于性别的暴力(GBV)在建筑和自然资源行业引起了重大关注,在那里,女人,由于较低的社会地位和融合,风险更高。本系统综述旨在确定建筑和自然资源行业中GBV的患病率和经验。跨数据库的系统搜索,包括PubMed,OVID,Scopus,WebofScience,进行了CINAHL。麦克马斯特大学对态度和实践进行横断面调查的偏见工具的风险和牛津大学循证医学中心对定性研究的批判性评估用于评估综述中的研究。经过全文分析,共纳入六篇文章。施工中报告了GBV,采矿,城市林业,和树木栽培部门。在研究中,工作场所GBV的测量方式不同,所有研究都检查了一种以上的GBV。这些研究中讨论的GBV的主要形式是歧视,性骚扰,和性别歧视。这些研究为可能与GBV相关或不相关的人口统计学因素提供了一些见解,比如年龄,工作区域,以及在该行业工作的年限。审查还表明,工作场所的GBV对心理健康和福祉结果有负面影响,比如更高的压力和更低的工作满意度。目前的研究还没有确定干预措施的有效性,工具,或这些工作场所的政策。因此,其他研究应包括旨在减少或预防男性主导工作场所GBV的干预性研究.当前的研究可以在工作场所提高对GBV的认识和认可,并强调解决这一问题的重要性,因为本综述概述了GBV对这些男性主导行业的心理健康和福祉的负面影响。
    Gender-based violence (GBV) poses a significant concern in the construction and natural resources industries, where women, due to lower social status and integration, are at heightened risk. This systematic review aimed to identify the prevalence and experience of GBV in the construction and natural resources industries. A systematic search across databases including PubMed, OVID, Scopus, Web of Science, and CINAHL was conducted. The Risk of Bias Instrument for Cross-sectional Surveys of Attitudes and Practices by McMaster University and the Critical Appraisal of Qualitative Studies by the Center for Evidence Based Medicine at the University of Oxford were used to assess the studies included in the review. Six articles were included after full-text analysis. GBV was reported in the construction, mining, urban forestry, and arboriculture sectors. Workplace GBV was measured differently across the studies, and all studies examined more than one form of GBV. The main forms of GBV discussed in these studies were discrimination, sexual harassment, and sexism. The studies provided some insight for demographic factors that may or may not be associated with GBV, such as age, region of work, and number of years working in the industry. The review also suggests that workplace GBV has a negative impact on mental health and well-being outcomes, such as higher levels of stress and lower job satisfaction. The current research has not established the effectiveness of interventions, tools, or policies in these workplaces. Thus, additional research should include intervention studies that aim to minimize or prevent GBV in male-dominated workplaces. The current study can bring awareness and acknowledgement towards GBV in the workplace and highlight the importance of addressing it as this review outlines the negative consequences of GBV on mental health and well-being in these male-dominated industries.
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  • 文章类型: Case Reports
    (1)背景:杀害妇女是一种日益严重的现象,包括出于性别相关原因谋杀妇女。尽管颁布了旨在通过加强处罚和引入加重情节来控制这一现象的新法律,越来越多的趋势证明了实际措施中缺陷的持续存在。(2)案例介绍。我们报告了一名前夫谋杀一名32岁妇女的案件,该前夫拒绝接受婚姻的结束-对这一案件的分析使我们能够将此案定为杀害妇女。(3)讨论。尽管全球都意识到了这一现象,识别危险因素以预测和预防女性自杀至关重要。这可以通过涉及警官的多学科方法来实现,法律专业人士,医院,政府和非政府组织,和旨在推广标准化方法的医学法律部门。(4)结论。我们评估了法医调查对确定关键要素的贡献,这些要素可以帮助将谋杀妇女定为杀害妇女。考虑到在家庭环境中目睹这种暴力对儿童的毁灭性后果,更有影响力的预防措施的规划是,因此,强制性的,以尽量减少对公众健康的影响。
    (1) Background: Femicide is an increasing phenomenon consisting of the murder of a woman for gender-related reasons. Despite the enactment of new laws aimed at controlling the phenomenon by toughening the penalties and introducing aggravating circumstances, there is an increasing trend that testifies to the persistence of a flaw in the actual measures. (2) Case Presentation. We report the case of the murder of a 32-year-old woman-perpetrated by an ex-husband who refused to accept the end of the marriage-the analysis of which allowed us to frame the case as femicide. (3) Discussion. Despite global awareness of this phenomenon, the identification of risk factors to predict and prevent femicide is of utmost importance. This can be achieved by a multidisciplinary approach involving police officers, legal professionals, hospitals, governmental and nongovernmental organizations, and medico-legal departments aimed at promoting standardized methodologies. (4) Conclusions. We evaluate the contribution of forensic investigations to the identification of key elements that can help frame the murder of a woman as a femicide. Considering the devastating consequences for children who witness this kind of violence within the domestic setting, the planning of more impactful preventive actions is, thus, mandatory to minimize effects on public health.
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  • 文章类型: Journal Article
    背景:低收入和中等收入国家(LMICs)的妇女是自给食品的主要生产者,也是农业经济的重要贡献者。基于性别的暴力(GBV)对他们贡献和维持家庭的能力产生不利影响,并破坏社会,经济,和人力资本。解决GBV,因此,对于为妇女作为初级生产者充分参与农村社区创造安全和包容的环境至关重要。这项范围界定审查的目的是在LMICs的女性初级生产者的背景下探索关于GBV的现有证据,以告知研究差距和优先事项。
    方法:使用PubMed进行了范围审查,WebofScience,Ebscohost和GoogleScholar使用与LMIC中的GBV和女性生产者相关的关键字。在2012年1月至2022年6月期间发表的同行评审期刊文章被纳入审查。已删除重复项,标题和摘要进行了筛选,纳入研究的特征和主要结果记录在数据图表中。共识别出579条记录,其中49项研究符合纳入本研究的条件.
    结果:从我们的分析中确定了五个主要主题:(1)GBV的范围和性质,(2)GBV对农业/初级生产生计活动的影响,(3)社会文化信仰,实践,和态度,(4)加重或保护因素,(5)GBV干预。解决农业中的性别暴力需要包容性研究方法和有针对性的干预措施,以增强女性生产者的权能,促进性别平等,提高农业生产力,为更广泛的社会发展做出贡献。尽管研究人员试图深入研究这个问题,普遍的GBV漏报仍然是一个挑战.在这种情况下,对妇女犯下的基于性别的暴力的真实程度和性质远未得到充分理解。
    结论:尽管GBV对健康构成了重大挑战,中等收入国家妇女初级生产者的经济和生计,目前的知识状况很少。为了取得有意义的进步,需要更多的研究来了解GBV和农业环境之间的关系,并深入了解性别暴力对不同地区和背景下女性初级生产者的性质和影响。
    BACKGROUND: Women in low- and middle-income countries (LMICs) are primary producers of subsistence food and significant contributors to the agricultural economy. Gender Based Violence (GBV) adversely impacts their capacity to contribute and sustain their families and undermines social, economic, and human capital. Addressing GBV, therefore, is critical to creating safe and inclusive environments for women as primary producers to participate fully in rural communities. The aim of this scoping review is to explore the existing evidence on GBV in the context of women primary producers in LMICs to inform research gaps and priorities.
    METHODS: A scoping review was conducted using PubMed, Web of Science, Ebscohost and Google Scholar using keywords related to GBV and women producers in LMICs. Peer-reviewed journal articles published between January 2012 and June 2022 were included in the review. Duplicates were removed, titles and abstracts were screened, and characteristics and main results of included studies were recorded in a data charting form. A total of 579 records were identified, of which 49 studies were eligible for inclusion in this study.
    RESULTS: Five major themes were identified from our analysis: (1) extent and nature of GBV, (2) the impact of GBV on agricultural/primary production livelihood activities, (3) sociocultural beliefs, practices, and attitudes, (4) aggravating or protective factors, and (5) GBV interventions. Addressing GBV in agriculture requires inclusive research approaches and targeted interventions to empower women producers, promote gender equality, enhance agricultural productivity, and contribute to broader societal development. Despite attempts by researchers to delve into this issue, the pervasive under-reporting of GBV remains a challenge. The true extent and nature of GBV perpetrated against women is far from fully understood in this context.
    CONCLUSIONS: Despite the significant challenges posed by GBV to the health, economy and livelihoods of women primary producers in LMICs, there is a paucity in the current state of knowledge. To make meaningful progress, more research is required to understand the relationship between GBV and agricultural settings, and to gain nuanced insight into the nature and impact of GBV on women primary producers in different regions and contexts.
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  • 文章类型: Journal Article
    背景:许多人在工作中经历了基于性别的暴力和骚扰(GBVH)形式。这包括广泛的经验,从敌意的微妙表达到人身攻击,也可以是性的(例如,性骚扰或性侵犯)。本系统综述旨在总结有关工作相关GBVH与人们健康和职业状况的前瞻性关联的发现。
    方法:我们遵循系统评价和荟萃分析指南的首选报告项目。Scopus,WebofScience,从1990年至2023年5月24日,对MEDLINE和PsycINFO进行了英语前瞻性研究。如果研究涉及工作人口,在工作环境中接触任何形式的GBVH,以及健康结果或明显的职业结果。使用Cochrane“队列研究中评估偏倚风险的工具”的修订版评估质量,被评估为低质量的研究被排除在叙事综合之外。对于叙事综合,我们根据相似的暴露量和结局对结果进行分组,并报告了相关性的强度和统计学意义.
    结果:在1937条筛选记录中,29项研究包括在叙事综合中。研究主要在美国和北欧进行,调查暴露于性暴力或性骚扰(SVH)。只有两项纳入研究调查了非性别类型的GBVH。始终如一,研究显示,与工作相关的SVH与不良心理健康相关,并且有迹象表明与危险物质使用相关.没有一致的证据表明SVH与随后的疾病缺失有关,关于身体健康和职业结果的研究太少,无法综合结果。
    结论:有一致的证据表明,与工作相关的SVH是随后心理健康不良的危险因素。没有迹象表明SVH的健康后果在男女之间有所不同,虽然女性更常受到影响。需要概念上的一致性,考虑非性行为和前瞻性研究,以检验有关事件时间顺序的明确假设。
    BACKGROUND: Many people experience forms of gender-based violence and harassment (GBVH) in the context of their work. This includes a wide range of experiences, from subtle expressions of hostility to physical assault, that can also be of a sexual nature (e.g., sexual harassment or assault). This systematic review aimed to summarize findings about the prospective associations of work-related GBVH with people\'s health and occupational situation.
    METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Scopus, Web of Science, MEDLINE and PsycINFO were searched for prospective studies in English from 1990 to May 24, 2023. Studies were included if they concerned a working population, exposure to any form of GBVH in the work context, and a health outcome or manifest occupational outcome. Quality was assessed with a modified version of the Cochrane \'Tool to Assess Risk of Bias in Cohort Studies\', and studies assessed as low quality were excluded from the narrative synthesis. For the narrative synthesis, we grouped the results by similar exposures and outcomes and reported the strength and statistical significance of the associations.
    RESULTS: Of the 1 937 screened records, 29 studies were included in the narrative synthesis. Studies were mainly conducted in the USA and northern Europe and investigated exposure to sexual violence or harassment (SVH). Only two included studies investigated non-sexual kinds of GBVH. Consistently, studies showed associations of work-related SVH with poor mental health and there were indications of an association with hazardous substance use. There was no consistent evidence for an association of SVH with subsequent sickness absence, and there were too few studies concerning physical health and occupational outcomes to synthesize the results.
    CONCLUSIONS: There is consistent evidence of work-related SVH as a risk factor for subsequent poor mental health. There is no indication that the health consequences of SVH differ between women and men, although women are more often affected. There is a need for conceptual consistency, the consideration of non-sexual behaviors and prospective studies that test clear hypotheses about the temporal sequence of events.
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  • 文章类型: Journal Article
    背景:家庭暴力是导致孕期和产后健康状况不佳的主要原因。因此,在生殖保健环境中需要综合的家庭暴力干预措施。印度是孕产妇和儿童死亡率最高的国家之一。这项审查旨在确定印度现有的循证综合家庭暴力和生殖保健干预措施的特征,以确定证明有效解决家庭暴力的干预措施的差距和组成部分。
    方法:使用系统评价和荟萃分析的首选报告项目对干预研究进行系统评价。三名研究小组成员进行了独立的标题筛选,摘要和全文。
    结果:搜索产生了633篇文章,其中13篇文章符合全文筛选和分析的纳入标准。有效解决家庭暴力的综合暴力和生殖健康干预措施的共同组成部分包括:心理教育/教育(n=5),技能建设(n=5),咨询(n=5),让利益相关者使用训练有素的外行同伴主持人(n=3),和男性配偶(n=3)。
    结论:在印度,将家庭暴力与生殖保健相结合的干预措施仍然很少,家庭暴力的有效结果较少。在那些有有效结果的人中,所有的干预措施都利用了心理教育/教育,技能建设,和咨询作为干预的一部分。
    家庭暴力是怀孕期间和怀孕后健康状况不佳的主要原因。因此,在生殖保健环境中需要综合的家庭暴力干预措施。印度是孕产妇和儿童死亡率最高的国家之一。这项审查旨在确定印度现有的循证综合家庭暴力和生殖保健干预措施的特征,以确定干预措施的差距和组成部分,这些差距和组成部分证明了解决生殖保健环境中妇女家庭暴力问题的有效性。对干预研究进行了系统评价。搜索产生了633篇文章,其中13篇文章符合本次审查的标准。有效的综合家庭暴力和生殖健康干预措施的共同组成部分包括:心理教育/教育(n=5),技能建设(n=5),咨询(n=5),让利益相关者使用训练有素的外行同伴主持人(n=3),和男性配偶(n=3)。主要的收获是,在印度,与生殖保健相结合的家庭暴力干预措施仍然很少,家庭暴力的有效结果较少。心理教育/教育,技能建设,和咨询是有效解决家庭暴力的干预措施中常用的策略。
    BACKGROUND: Domestic violence is a leading cause of poor health outcomes during pregnancy and the postpartum period. Therefore, there is a need for integrated domestic violence interventions in reproductive health care settings. India has one of the highest maternal and child mortality rates. This review aimed to identify characteristics of existing evidence-based integrated domestic violence and reproductive healthcare interventions in India to identify gaps and components of interventions that demonstrate effectiveness for addressing domestic violence.
    METHODS: A systematic review of intervention studies was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Three research team members performed independent screening of title, abstracts and full-texts.
    RESULTS: The search resulted in 633 articles, of which 13 articles met inclusion criteria for full text screening and analysis. Common components of integrated violence and reproductive health interventions that were effective in addressing domestic violence included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3).
    CONCLUSIONS: Interventions in India for domestic violence that are integrated with reproductive health care remain few, and there are fewer with effective outcomes for domestic violence. Of those with effective outcomes, all of the interventions utilized psychoeducation/education, skill building, and counseling as part of the intervention.
    Domestic violence is a leading cause of poor health outcomes during pregnancy and the time after pregnancy. Thus, there is a need for integrated domestic violence interventions in reproductive healthcare settings. India has one of the highest maternal and child death rates. This review aimed to identify features of existing evidence-based integrated domestic violence and reproductive healthcare interventions in India to identify gaps and components of interventions that demonstrate effectiveness for addressing the problem of domestic violence among women in reproductive healthcare settings. A systematic review of intervention studies was conducted. The search resulted in 633 articles, of which 13 articles met the criteria to be included in this review. Common components of effective integrated domestic violence and reproductive health interventions included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3). The key takeaways are that interventions in India for domestic violence that are integrated with reproductive healthcare remain few, and there are fewer with effective outcomes for domestic violence. Psychoeducation/education, skill building, and counseling were commonly used strategies in interventions that were effective in addressing domestic violence.
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  • 文章类型: Journal Article
    本系统综述旨在探讨难民中创伤事件和创伤后应激障碍(PTSD)症状的性别差异。国内流离失所者,寻求庇护者。在三个数据库(PubMed,PsychInfo,和Embase),产生了2,255项研究。共有15项研究纳入创伤暴露评估,和8项PTSD症状评估研究。这篇综述揭示了创伤暴露的显著性别差异,女性遭受性暴力的比例更高,而男性面临更大的监禁和酷刑风险。就创伤后应激障碍症状学而言,我们的研究结果表明,女性倾向于表现出更大的唤醒症状和特定的回避症状,如失去兴趣和避免提醒创伤的活动,而男人更有可能经历疏远和超然。关于重新体验症状的发现并不完全一致。这篇综述强调了在流离失所人群的创伤评估中考虑性别特异性症状的重要性,并倡导进一步研究有针对性的干预措施。尤其是性暴力。
    This systematic review aimed to explore sex differences in exposure to traumatic events and posttraumatic stress disorder (PTSD) symptomatology among refugees, internally displaced persons (IDPs), and asylum seekers. A comprehensive search was conducted across three databases (PubMed, PsychInfo, and Embase), which yielded 2,255 studies. A total of 15 studies were included for trauma exposure assessment, and 8 studies for PTSD symptomatology assessment. The review revealed significant sex differences in trauma exposure, with women experiencing higher rates of sexual violence, while men faced greater risks of imprisonment and torture. In terms of PTSD symptomatology, our findings showed that women tend to exhibit greater symptoms of arousal and specific symptoms of avoidance such as loss of interest and avoidance of activities reminding of trauma, while men were more likely to experience estrangement and detachment. Findings regarding symptoms of reexperiencing were not entirely consistent. This review emphasizes the importance of considering sex-specific symptoms in trauma assessment among displaced populations and advocates for further research into targeted interventions, especially regarding sexual violence.
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  • 文章类型: Journal Article
    对妇女和女童的暴力行为(VAWG)是对个人和公共健康的严重威胁,具有巨大的负面影响。包括许多身心健康问题,以及社会和经济后果。已经提出了许多妇女的自卫干预措施来降低受害风险。
    当前的综合评论,基于Whittemore和Knafl的框架,完成了对妇女自卫训练的现有证据的综合,此类培训对与VAWG有关的成果的影响,并评估女性自卫训练干预措施的证据强度。
    系统的文献检索,以系统审查和荟萃分析(PRISMA)声明的首选报告项目为指导,包括全面的计算机辅助数据库搜索,以及引用搜索和网站搜索包括2011年至2023年发表的与VAGW相关的定量结果的研究。按照Whittemore和Knafl(2005)的方法提取和分析数据,并根据©约翰霍普金斯医院/约翰霍普金斯大学循证实践模型合成了证据体,并制定了最佳证据建议。
    最终,19篇出版物符合纳入标准,被纳入本综述。主要研究结果包括强有力的证据,证明妇女进行自卫训练以减少强奸未遂,完成强奸,和非自愿的性接触,以及创伤后应激障碍(PTSD)症状减少的新证据,在其他积极成果中。
    需要对面临暴力风险的更多样化人群进行进一步研究,并确定有效干预措施的关键特征。包括最佳含量和剂量。
    UNASSIGNED: Violence against women and girls (VAWG) is a serious threat to individual and public health with vast negative impacts, including numerous physical and mental health issues, as well as societal and economic consequences. Numerous women\'s self-defense interventions have been proposed to reduce the risk of victimization.
    UNASSIGNED: The current integrative review, based on Whittemore and Knafl\'s framework, was completed to synthesize current evidence on women\'s self-defense training, the impact of such training on outcomes related to VAWG, and evaluate the strength of evidence for women\'s self-defense training interventions.
    UNASSIGNED: A systematic literature search, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, was performed including a comprehensive computer-assisted database search, as well as citation searching and website searching for studies that included quantitative outcomes related to VAGW published between 2011 and 2023. Data were extracted and analyzed in accordance with Whittemore and Knafl\'s (2005) methodology, and the body of evidence was synthesized and best evidence recommendations developed based on the ©The Johns Hopkins Hospital/The Johns Hopkins University Evidence-Based Practice Model.
    UNASSIGNED: Ultimately, 19 publications met inclusion criteria and were included in this review. Key findings included strong evidence for women\'s self-defense training to reduce attempted rape, completed rape, and nonconsensual sexual contact, as well as emerging evidence for reduction in posttraumatic stress disorder (PTSD) symptoms, among other positive outcomes.
    UNASSIGNED: Further research is needed in more diverse populations at risk for violence and to identify key characteristics of effective interventions, including optimal content and dose.
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  • 文章类型: Journal Article
    背景:性暴力和基于性别的暴力(SGBV)是撒哈拉以南非洲(SSA)的普遍问题,造成伤害和创伤,对幸存者造成严重后果。本范围审查旨在探讨SSA幸存者中SGBV引起的伤害和创伤的研究证据范围,并确定研究差距。
    方法:评论采用了Arksey和O'Malley方法论框架,使用关键词在多个电子数据库中进行广泛的文献检索,布尔运算符,医学主题标题术语和参考列表的手动搜索。它包括针对SGBV造成的伤害和创伤的研究,无论性别或年龄,2012年至2023年出版,涉及一个SSA国家。两位作者独立筛选了文章,进行数据提取和质量评估,通过讨论或第三作者解决了差异。描述性分析和叙述性综合用于报告研究结果。
    结果:在筛选569篇可能符合条件的文章后,纳入20项研究进行数据提取和分析。在20项纳入的研究中,大多数是来自南非(n=11;55%)的横断面研究(n=15;75%),涉及女性(n=15;75%)。纳入的研究报告了SGBV造成的重大伤害和创伤负担,影响不同的人群,包括遭受性虐待的儿童,已婚妇女,视障妇女,难民,和女学生。与伤害和创伤相关的因素包括虐待的持续时间,受伤的严重程度,婚姻状况,家庭动态,和事件发生的时间。SGBV对心理健康有重大影响,导致创伤后应激障碍,抑郁症,焦虑,自杀意念,和心理创伤。幸存者在获得医疗保健和支持服务方面面临挑战,特别是在农村地区,传统治疗师有时提供唯一可用的精神保健。观察到城市和农村地区在SGBV的流行和模式上存在差异,农村妇女遭受更多反复的性侵犯和非生殖器伤害。
    结论:本范围审查强调需要有针对性的干预措施来解决SGBV及其后果,改善获得医疗保健和支持服务的机会,并加强对幸存者的心理健康支持。需要进一步研究以填补现有空白并制定循证战略,以减轻SGBV对SSA幸存者的影响。
    BACKGROUND: Sexual and gender-based violence (SGBV) is a prevalent issue in sub-Saharan Africa (SSA), causing injuries and trauma with severe consequences for survivors. This scoping review aimed to explore the range of research evidence on injuries and trauma resulting from SGBV among survivors in SSA and identify research gaps.
    METHODS: The review employed the Arksey and O\'Malley methodological framework, conducting extensive literature searches across multiple electronic databases using keywords, Boolean operators, medical subject heading terms and manual searches of reference lists. It included studies focusing on injuries and trauma from SGBV, regardless of gender or age, published between 2012 and 2023, and involved an SSA countries. Two authors independently screened articles, performed data extraction and quality appraisal, with discrepancies resolved through discussions or a third author. Descriptive analysis and narrative synthesis were used to report the findings.
    RESULTS: After screening 569 potentially eligible articles, 20 studies were included for data extraction and analysis. Of the 20 included studies, most were cross-sectional studies (n = 15; 75%) from South Africa (n = 11; 55%), and involved women (n = 15; 75%). The included studies reported significant burden of injuries and trauma resulting from SGBV, affecting various populations, including sexually abused children, married women, visually impaired women, refugees, and female students. Factors associated with injuries and trauma included the duration of abuse, severity of injuries sustained, marital status, family dynamics, and timing of incidents. SGBV had a significant impact on mental health, leading to post-traumatic stress disorder, depression, anxiety, suicidal ideations, and psychological trauma. Survivors faced challenges in accessing healthcare and support services, particularly in rural areas, with traditional healers sometimes providing the only mental health care available. Disparities were observed between urban and rural areas in the prevalence and patterns of SGBV, with rural women experiencing more repeated sexual assaults and non-genital injuries.
    CONCLUSIONS: This scoping review highlights the need for targeted interventions to address SGBV and its consequences, improve access to healthcare and support services, and enhance mental health support for survivors. Further research is required to fill existing gaps and develop evidence-based strategies to mitigate the impact of SGBV on survivors in SSA.
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  • 文章类型: Journal Article
    本文探讨了历史上和当代冲突中与冲突有关的性暴力(CRSV)持续存在且令人深感不安的问题。它研究了战时性暴力的根源,不断演变的保护平民的国际法律框架,以及对保护妇女和女孩免受此类暴力的关注。这篇文章深入探讨了有争议的方面,包括解释CRSV的相互竞争的理论,获取有关其患病率的准确数据的挑战,以及经常被忽视的CRSV对男人和男孩的问题。它还解决了使CRSV长期存在的文化和社会因素以及对幸存者的长期影响。文章最后强调了对幸存者进行全面护理的重要性,以及解决这种暴力的深层次原因的必要性,包括性别不平等。
    This article explores the persistent and deeply troubling issue of conflict-related sexual violence (CRSV) throughout history and in contemporary conflicts. It examines the roots of wartime sexual violence in wartime, the evolving international legal framework for the protection of civilians, and the emergence of concerns about the protection of women and girls from such violence. The article delves into controversial aspects, including competing theories to explain CRSV, the challenges in obtaining accurate data on its prevalence, and the often-overlooked issue of CRSV against men and boys. It also addresses the cultural and societal factors that perpetuate CRSV and the long-lasting consequences on survivors. The article concludes by underscoring the importance of comprehensive care for survivors and the need to tackle the deep-seated causes of this violence, including gender inequality.
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