VIOLENCE

暴力
  • 文章类型: Journal Article
    亲密伴侣暴力(IPV)是一种侵犯人权的行为,通常涉及对妇女的暴力行为,这似乎是最普遍的虐待类型。IPV是一个全球公共卫生问题,主要侵犯人权。孕妇的IPV需要特别考虑,因为可能会对母亲及其胎儿造成伤害。IPV的巨大全球公共卫生问题影响身体,心理,和性侵犯。尽管有关于女性IPV的研究,在撒哈拉以南非洲国家的孕妇中进行的研究很少.因此,这项研究揭示了撒哈拉以南非洲国家最近的人口与健康调查(DHS)中孕妇的IPV和相关因素。
    使用来自最近撒哈拉以南非洲国家的数据进行了多水平逻辑回归分析。对于这项研究,包括年龄在15至49岁之间的孕妇;总样本量为17,672.多水平logistic回归模型进行了校准,以确定与IPV的个体和社区水平的相关因素,95%CI和AOR。
    在23个撒哈拉以南非洲国家的孕妇中,IPV的患病率为41.94%,95%CI为40.82至43.06%。较贫穷和最贫穷的[AOR=1.92;95%CI:(1.01,3.67)]和[AOR=2.01;95%CI:(1.02,3.92)],伴侣酒精饮料[AOR=3.37;95%CI:(2.21,5.14)],无伴侣教育[AOR=2.01;95%CI:(1.12,3.63)]是孕妇IPV的统计学相关因素。
    撒哈拉以南非洲国家孕妇中IPV的患病率很高(41.94%)。经济地位低,伴侣饮酒,伴侣无学历是IPV的相关因素。这一发现为决策者和其他关注妇女的组织提供了线索。
    UNASSIGNED: Intimate partner violence (IPV) is a human rights violation that often involves violence against women, which appears to be the most prevalent type of abuse. IPV is a global public health issue with major human rights violations. Pregnant women\'s IPV needs special consideration because of the possible harm that might happen to mothers and their fetuses. The enormous global public health issue of IPV affects physical, mental, and sexual transgressions. Even though there were studies conducted on IPV among women, few studies were conducted among pregnant women in sub-Saharan African countries. Therefore, this study revealed IPV and associated factors among pregnant women from the recent Demographic and Health Survey (DHS) in sub-Saharan African countries.
    UNASSIGNED: Multilevel logistic regression analysis used data from the recent sub-Saharan African countries DHS was carried out using this secondary data. For this study, pregnant women between the ages of 15 and 49 were included; the total sample size was 17,672. Multilevel logistic regression models were calibrated to determine the associated factors at the individual and community level with IPV, with a 95% CI and AOR.
    UNASSIGNED: The prevalence of IPV among pregnant women in 23 sub-Saharan African countries was 41.94%, with a 95% CI of 40.82 to 43.06%. Poorer and poorest [AOR = 1.92; 95% CI: (1.01, 3.67)] and [AOR = 2.01; 95% CI:(1.02, 3.92)], partner alcohol drink [AOR = 3.37;95% CI:(2.21, 5.14)], and no partner education [AOR = 2.01;95% CI:(1.12, 3.63)] were statistically associated factors with IPV among pregnant women.
    UNASSIGNED: The prevalence of IPV among pregnant women in sub-Saharan African countries was high (41.94%). Low economic status, partner drinking alcohol, and partner no education were the associated factors of IPV. This finding provides clues for policymakers and other organizations concerned about women.
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  • 文章类型: Journal Article
    本研究调查了使用聊天机器人(SVPE-C)对六年级学生进行学校暴力预防教育的效果。通过应用前测和后测设计,检查了学生(a)的知识程度和(b)对学校暴力的态度。此外,仅在实验组中调查(c)对教育方法的满意度和(d)对SVPE-C的认识。在135名学生中,实验组(n=67)接受了6次SVPE-C课程和课堂讲座,而对照组(n=68)仅通过课堂讲座接受教育。在两组之间,知识程度(t=2.837,p=.005)和对学校暴力的态度(t=2.98,p=.003)存在显着差异。此外,实验组对教育方法的满意度明显高于对照组(t=2.810,p=.006)。因此,SVPE-C可能对小学生有效。
    This study investigated the effects of school violence prevention education using a chatbot (SVPE-C) on sixth-grade students. By applying a pre and posttest design, the students\' (a) degree of knowledge and (b) attitude toward school violence were examined. In addition, (c) satisfaction with the educational method and (d) awareness about SVPE-C were surveyed only in the experimental group. Of the 135 students, the experimental group (n = 67) received six sessions of SVPE-C with class lectures, whereas the control group (n = 68) received education only through class lectures. Between the two groups, there were significant differences in the degree of knowledge (t = 2.837, p = .005) and attitudes toward school violence (t = 2.98, p = .003). Furthermore, satisfaction with the educational method was significantly higher in the experimental group than in the control group (t = 2.810, p = .006). Therefore, SVPE-C may be effective for elementary school students.
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  • 文章类型: Journal Article
    目的:本手稿提供了美国公共卫生协会(APHA)母婴健康部门(MCH部门)枪支暴力预防工作组(GVP工作组)的努力历史,以促进枪支暴力预防(GVP)作为MCH部门和APHA中的主要公共卫生优先事项,和全国。
    方法:MCH部门成立了一个枪支暴力预防工作组,以应对桑迪胡克小学20名一年级儿童和6名成年人的谋杀案。本文概述了在枪支暴力不断增加的背景下,MCH部门GVP工作组的成就和挑战。截至2020年,枪支已成为美国儿童和青少年死亡的主要原因。
    结果:在过去的十年中,一小群志愿者帮助将GVP作为妇幼保健科和APHA的首要任务之一.妇幼保健科和APHA领导的认可促进了妇幼保健科GVP工作组的努力,包括组织一次全国会议,为APHA年会制定科学会议,建立联盟,并向APHA成员提供持续的教育和宣传。
    结论:MCH部门GVP工作组帮助提高并保持了对GVP的关注,将其作为MCH部门和APHA的首要任务,间接影响国家促进GVP公共卫生方法的努力。枪支暴力的持续流行突出了继续和加强这项工作的重要性。其他国家的个人,州或地方组织可能会期待MCH部门GVP工作组在自己组织内追求关键问题的努力和成就。
    OBJECTIVE: This manuscript provides a history of efforts by the American Public Health Association (APHA) Maternal and Child Health Section (MCH Section) Gun Violence Prevention Workgroup (GVP Workgroup) to promote gun violence prevention (GVP) as a key public health priority both within the MCH Section and APHA, and nationally.
    METHODS: The MCH Section established a gun violence prevention workgroup in response to the murders of twenty first-grade children and six adults at Sandy Hook Elementary School. This article presents an overview of the accomplishments and challenges of the MCH Section GVP Workgroup in a context of ever-increasing gun violence. As of 2020, firearms became the leading cause of death for U.S. children and teens.
    RESULTS: Over the past decade, a small group of volunteers helped maintain GVP as one of the top priorities of both the MCH Section and APHA. Endorsement by the MCH Section and APHA leadership facilitated MCH Section GVP Workgroup efforts including organizing a national conference, developing scientific sessions for APHA annual meetings, establishing coalitions, and providing ongoing education and outreach to APHA members.
    CONCLUSIONS: The MCH Section GVP Workgroup helped to both elevate and maintain focus on GVP as a top priority of the MCH Section and APHA, indirectly impacting national efforts to promote a public health approach to GVP. The ongoing epidemic of firearm violence highlights the importance of continuing and strengthening this work. Individuals at other national, state or local organizations might look to the efforts and accomplishment of the MCH Section GVP Workgroup in pursuing critical issues within their own organizations.
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  • 文章类型: Journal Article
    据报告,全球土著人口中的人际暴力发生率高于非土著人口,但尚未在瑞典的萨米人中进行彻底调查。本研究的目的是调查:(1)情绪的患病率,物理,性暴力和亲密伴侣的暴力,家庭成员,熟人,参与者中的陌生人认同为萨米人或瑞典人,(2)报告历史损失和歧视的经历是否介导了认定为萨米人与报告暴力经历之间的预期联系,(3)背景特征是否与报告暴力经历有关。使用了2021年为“萨普米的健康和生活条件”研究收集的横截面问卷数据。瑞典北极地区的所有成年人都被邀请参加(应答率:41%)。本研究包括自我识别为Sámi(n=375;24.7%)或瑞典人(n=1,144;75.3%)的受访者。男女萨米人的受访者更经常报告熟人或陌生人的暴力行为。同样,萨米人比瑞典妇女报告的家庭暴力多(16.4%vs.9.2%),但在亲密伴侣暴力方面没有区别(13.3%vs.15.4%)。调解分析揭示了历史损失和歧视对不同类型暴力的强烈积极间接影响。女性是报告亲密伴侣暴力的最强预测因素,年轻的年龄与除家庭成员外的所有肇事者的暴力行为有关。总之,萨米人受访者更经常报告人际暴力,但是历史损失和歧视的经验充分解释了这种关联。结果强调了在调查人际暴力时,生命历程甚至代际和历史观点的重要性。
    The prevalence of interpersonal violence has been reported at higher levels among Indigenous than non-Indigenous populations worldwide, but has not been thoroughly investigated among the Sámi population in Sweden. The aims of this study were to investigate: (1) the prevalence of emotional, physical, and sexual violence and violence by intimate partners, family members, acquaintances, and strangers among participants identifying as Sámi or Swedish, (2) whether reporting experiences of historical losses and discrimination mediated the anticipated association between identifying as Sámi and reporting experiences of violence, and (3) whether background characteristics were associated with reporting experiences of violence. Cross-sectional questionnaire data collected in 2021 for the \"Health and Living conditions in Sápmi\" study were used. All adults in an arctic region in Sweden were invited to participate (response rate: 41%). Respondents self-identifying as Sámi (n = 375; 24.7%) or Swedish (n = 1,144; 75.3%) were included in this study. Sámi respondents of both sexes more often reported violence by an acquaintance or stranger. Likewise, more Sámi than Swedish women reported family violence (16.4% vs. 9.2%), but there was no difference concerning intimate partner violence (13.3% vs. 15.4%). Mediation analyses revealed strong positive indirect effects of historical losses and discrimination on the different types of violence. Being female was the strongest predictor of reporting intimate partner violence, and younger age was associated with violence by all perpetrators except family members. In conclusion, interpersonal violence was more often reported by Sámi respondents, but the association was explained in full by experiences of historical losses and discrimination. The results underline the importance of a life-course and even intergenerational and historical perspectives when investigating interpersonal violence.
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  • 文章类型: Journal Article
    作为对COVID-19大流行的回应,联合国安理会通过了S/RES2532(2020)号决议,要求停止敌对行动。尽管采取了停火措施,证据表明,冲突和暴力事件都有增无减,在某些情况下,在大流行的头几个月升级。这项研究使用中断的时间序列分析来检查大流行对利比亚暴力和非暴力政治事件的影响,包括与卫生系统相关的暴力。自2014年以来一直在经历一场旷日持久的冲突。我们发现仅在大流行的第一个月内减少了约21场战斗(p<0.001)。然而,总的来说,在整个大流行期间,每月大约增加一场战斗(p<0.001)。在大流行的第一年,影响医护人员的暴力事件有所减少(p<0.001);但到了第二年,医护人员相关暴力事件的减少已经消失。虽然大流行似乎减轻了医护人员的暴力经历,暴力的总体格局令人不安,特别是因为在利比亚有一项停火国际协议和一项具体的和平协议时观察到了这些协议。这种模式表明,在危机背景下,保护医护人员的政策可能需要进一步加强。
    As a response to the COVID-19 pandemic, the United Nations Security Council passed resolution S/RES2532 (2020), requesting the cessation of hostilities. Despite ceasefire initiatives, evidence suggests that both conflict and violent events remained unabated-and, in some cases, escalated during the first months of the pandemic. This study uses interrupted time series analyses to examine the impact of the pandemic on violent and non-violent political events-including health system-related violence-in Libya, which has been experiencing a protracted conflict since 2014. We find a reduction of approximately 21 battles (p < 0.001) only during the first month of the pandemic. However, overall, throughout the pandemic, there was an increase of roughly one battle per month (p < 0.001). The violence that affected healthcare workers decreased during the first year of the pandemic (p < 0.001); but by the second year the reduction in healthcare worker-related violence had dissipated. While the pandemic seems to have mitigated the level of violence experience by healthcare workers, the overall pattern of violence is a troubling one, particularly since they were observed while there is an international agreement for a ceasefire in place and a specific peace agreement occurring in Libya. The pattern suggests that policy to protect healthcare workers may need to be enhanced even more during crisis settings.
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  • 文章类型: Case Reports
    这份病例报告描述了一名来自瑞士的47岁男性超级足球迷的治疗轨迹,他被诊断并接受了注意力缺陷/多动障碍的治疗,同时伴随酒精滥用和失眠。在这一集护理之前,患者表现出冲动和注意力不集中的症状以及持续的有害饮酒模式,经常参与与足球有关的暴力。涉及心理治疗和精神药理学的多模式方法在症状管理方面取得了显着改善。迄今为止,患者的心理社会功能得到了改善,报告显著减少饮酒和停止所有攻击性行为。因此,这个案例提供了对注意力缺陷/多动障碍与足球相关暴力之间关系的见解,强调量身定制的心理健康干预措施以提高整体生活质量的潜力。
    This case report describes the therapeutic trajectory of a 47-year-old male ultra football fan from Switzerland, who was diagnosed and treated for attention-deficit/hyperactivity disorder, together with comorbid alcohol misuse and insomnia. Prior to this episode of care, the patient exhibited symptoms of impulsivity and inattention and persistent patterns of harmful alcohol consumption, recurrently participating in football-related violence. A multimodal approach involving psychotherapy and psychopharmacology yielded notable improvements in symptom management. To date, the patient has shown improved psychosocial functioning, reporting a significant reduction in alcohol use and the cessation of all aggressive acts. Consequently, this case provides insights into the relationship between attention-deficit/hyperactivity disorder and football-related violence, underlining the potential for tailored mental health interventions to enhance overall quality of life.
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  • 文章类型: Journal Article
    数以百万计的美国儿童和青少年生活在装有枪支的家庭中,只有一半的家庭拥有枪支.在过去十年中,年轻人中与枪支有关的死亡人数翻了一番,使枪支成为美国儿童和青少年死亡的主要原因。美国外科医生最近的咨询,将枪支暴力认定为公共卫生危机,强调迫切需要负责任的枪支所有权,包括安全的枪支储存。然而,医疗保健界目前缺乏枪支存储设备的耐用医疗设备(DME)代码,限制医疗保健提供者支持负责任的枪支拥有的能力。我们建议建立枪支储存和安全装置的DME代码,这将有助于这些重要预防措施的保险范围。耐用的医疗设备法规将使医生和其他医疗保健提供者能够将枪支安全的预期指导和致命手段咨询纳入常规护理,并支持医院和社区为防止儿童和青少年与枪支有关的伤害和死亡而做出的努力。
    Millions of US children and adolescents live in homes with loaded firearms, with only half of these homes securing their guns. Firearm-related deaths among youth have doubled over the past decade, making firearms the leading cause of death for children and adolescents in the United States. The recent advisory by the US Surgeon General, identifying firearm violence as a public health crisis, underscores the urgent need for responsible firearm ownership, including safe firearm storage. However, the healthcare community currently lacks durable medical equipment (DME) codes for firearm storage devices, limiting the ability of healthcare providers to support responsible gun ownership. We propose the establishment of DME codes for firearm storage and safety devices, which would facilitate insurance coverage of these vital prevention measures. Durable medical equipment codes would empower physicians and other healthcare providers to integrate anticipatory guidance and lethal means counseling of firearm safety into routine care and support hospital- and community-based efforts to prevent firearm-related injuries and deaths among children and adolescents.
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  • 文章类型: Journal Article
    我们的目标是确定儿童机会指数(COI)一种针对儿童的社区社会经济和建筑环境的衡量标准,调解了人口普查区黑人或西班牙裔优势与人口普查区暴力相关死亡率增加的关系。假设是COI将部分调解这种关系。这项横断面研究结合了美国社区调查5年估计的数据,COI2.0和伊利诺伊州暴力死亡报告系统2015-2019为芝加哥市。包括0-19岁的个人。主要暴露是人口普查道布莱克,西班牙裔,白色,和其他种族优势(>50%的人口)。主要结果是与人口普查道暴力相关的死亡率。进行了中介分析,以评估COI作为潜在介体的作用。多变量逻辑回归模型人口普查道暴力相关死亡率表明,与白人优势相比,人口普查道黑人优势(调整比值比[aOR]2.59,95%置信区间[CI]1.30-5.14)对暴力相关死亡率的直接影响。与白人占主导地位相比,人口普查区西班牙裔占主导地位与暴力相关的死亡率没有关联(aOR1.57,95%CI0.88-2.84)。人口普查区黑人占主导地位的影响约为64.9%(95%CI60.2-80.0%),人口普查区西班牙裔占主导地位的影响约为67.9%(95%CI61.2-200%)。通过COI。COI部分介导了人口普查道黑人和西班牙裔优势对人口普查道暴力相关死亡率的影响。应考虑针对社区社会和经济因素的干预措施,以降低儿童和青少年与暴力有关的死亡率。
    Our objective was to determine whether Child Opportunity Index (COI), a measure of neighborhood socioeconomic and built environment specific to children, mediated the relationship of census tract Black or Hispanic predominance with increased rates of census tract violence-related mortality. The hypothesis was that COI would partially mediate the relationship. This cross-sectional study combined data from the American Community Survey 5-year estimates, the COI 2.0, and the Illinois Violent Death Reporting System 2015-2019 for the City of Chicago. Individuals ages 0-19 years were included. The primary exposure was census tract Black, Hispanic, White, and other race predominance (> 50% of population). The primary outcome was census tract violence-related mortality. A mediation analysis was performed to evaluate the role of COI as a potential mediator. Multivariable logistic regression modeling census tract violence-related mortality demonstrated a direct effect of census tract Black predominance (adjusted odds ratio [aOR] 2.59, 95% confidence interval [CI] 1.30-5.14) on violence-related mortality compared to White predominance. There was no association of census tract Hispanic predominance with violence-related mortality compared to White predominance (aOR 1.57, 95% CI 0.88-2.84). Approximately 64.9% (95% CI 60.2-80.0%) of the effect of census tract Black predominance and 67.9% (95% CI 61.2-200%) of the effect of census tract Hispanic predominance on violence-related mortality was indirect via COI. COI partially mediated the effect of census tract Black and Hispanic predominance on census tract violence-related mortality. Interventions that target neighborhood social and economic factors should be considered to reduce violence-related mortality among children and adolescents.
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  • 文章类型: Journal Article
    暴力极端主义(VE;即,恐怖主义)是一个在学校环境中越来越重要的问题。全球,恐怖主义行为者越来越多地以学校中的青年为目标,既要通过袭击受害,也要激进化和招募他们的队伍。尽管暴力极端主义作为一种出于意识形态动机的行为可以与学校环境中的大规模枪击事件区分开来,因为大多数基于学校的大规模枪击事件都不是出于意识形态动机,有明显的重叠。暴力极端主义的威胁,然而,也代表了一个独特的问题,值得学校专业人士更加关注。在探索减轻学校环境中针对性暴力威胁的策略之前,我们概述了几个相关问题,包括学校人员协助识别的机会,评估,管理暴力极端主义的威胁。在最后一节,我们特别关注学校心理学家如何提高认识,帮助实现个人和系统的变革,以防止学校的暴力极端主义。
    Violent extremism (VE; i.e., terrorism) is an issue of increasing relevance in school settings. Worldwide, terrorist actors have increasingly targeted youth in schools both for victimization via attacks as well for radicalization and recruitment to their ranks. Although violent extremism as an ideologically motivated act can be distinguished from mass shootings in school settings in that most school-based mass shootings are not ideologically motivated, there is obvious overlap. The threat of violent extremism, however, also represents a distinct issue that warrants increased attention from school professionals. We present an overview of several related issues before exploring strategies to mitigate the threat of targeted violence in school settings, including opportunities for school personnel to assist in identifying, assessing, and managing threats of violent extremism. In the final section, we focus specifically on ways that school psychologists can increase awareness and help bring about individual and systemic changes to prevent violent extremism in schools.
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  • 文章类型: Journal Article
    在过去的25年里,美国的暴力极端主义激增,对主要政府和其他机构的攻击和威胁,基础设施(例如,电网),和特定的人口群体,包括移民和BIPOC(黑色,土著,和其他有色人种)社区。暴力极端主义可以采取多种形式,例如公共场所或特定地点的爆炸(例如,礼拜堂,政府办公室),大规模和更有针对性的枪击事件,爆炸,火势设定,和基于车辆的撞击攻击。本文概述了围绕恐怖主义和暴力极端主义的关键问题,尤其是它们可以影响年轻人,学校,和家庭。暴力极端主义的特点,激进化进程,后续类型的伤害,并讨论了预防方法。还考虑了影响学生和学校的问题以及学校心理学家的工作。本文以更广泛的前进建议作为结尾。
    Violent extremism in the United States has surged over the past 25 years, with attacks on and threats to major governmental and other institutions, infrastructure (e.g., electric grid), and specific segments of the population, including immigrant and BIPOC (Black, Indigenous, and other People of Color) communities. Violent extremism can take multiple and diverse forms, such as bombings in public spaces or specific sites (e.g., house of worship, governmental office), mass and more targeted types of shootings, bombings, fire setting, and vehicle-based ramming attacks. This article provides an overview of key issues surrounding terrorism and violent extremism, especially as they can impact youth, schools, and families. Characteristics of violent extremism, radicalization processes, subsequent types of harm, and prevention approaches are discussed. Issues impacting students and schools and the work of school psychologists are also considered. The article closes with broader recommendations for moving forward.
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