This practitioner essay will discuss the evidence base for an Australian trauma-informed kickboxing program, The Fight Back Project. We share key differences and adjustments while delivering this program in the Salvadoran context. We consider practitioner assumptions and limitations when transferring trauma-informed practice principles from the Global North to the Central American setting, and the criticality of gender-responsive adaptations. Drawing from existing research on the benefits of trauma-informed martial arts as a form of physical exercise, we describe the collaborative development and implementation of a trauma-informed kickboxing program alongside a local, community-led organization.

暂无摘要。

UNASSIGNED: Many adolescents are vulnerable to gender-based violence, and it is a major public health issue. Even though the burden of gender-based violence is still high in Ethiopia, there is a lack of summary information to address the problem. Therefore, this study aimed to assess the pooled magnitude and factors associated with gender-based violence among female students in Ethiopian higher educational institutions.
UNASSIGNED: The primary articles were searched using databases like PubMed, Google Scholar, CINAHL, SCOPUS, EMBASE, and African Journal Online. Articles that assessed the magnitude and factors associated with GBV among female students in Ethiopia were included. A Microsoft Excel spreadsheet was used to extract the data, which was then exported to Stata version 14 for further analysis. The statistical heterogeneity was evaluated using the I2 test. Due to heterogeneity, a random effect meta-analysis model was employed. Publication bias was checked through Egger\'s weighted regression test and funnel plot.
UNASSIGNED: This study included twenty-five primary studies with 13,013 participants. The prevalence of lifetime GBV (n = 7), sexual violence (n = 25), and physical violence (n = 7) was found to be 51.42% (42.38, 60.46), 46.53% (39.86, 53.21), and 37.93% (24.68, 51.18), respectively. Witnessing their mother\'s abuse by their father during childhood, a lack of open discussion in the family about reproductive health and related personal issues, alcohol consumption, and tight family control were some of the factors significantly associated with lifetime gender-based violence. Furthermore, those who had drunken friends, a regular boyfriend, multiple sexual partners, and chat chewing were factors significantly associated with lifetime sexual violence.
UNASSIGNED: Our findings revealed that half of female students at higher institutions suffered from violence. So it is recommended to provide accessible information about the consequences of GBV and early intervention for students with the above factors.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/#recordDetails, identifier CRD42023494760.

Image-based sexual abuse represents an increasingly common form of gender-based violence, consisting of the act of non-consensually capturing, distributing, or threatening to distribute sexually explicit material depicting another person. The purpose of the present study was to investigate how women victims\' noncompliance with traditional female sexuality influences bystanders\' perceptions of the phenomenon. Specifically, we experimentally examined whether a woman\'s sexual agency (high vs. low) and the length (steady vs. transient) of the relationship with the perpetrator affected her moral evaluation, victim blaming, and participants\' willingness to support her. A sample of 597 adults (65.7% women, Mage = 31.29 years) took part in the study. The findings indicated that while a transient (vs. steady) relationship with the perpetrator significantly lowered the woman\'s perceived moral virtue and increased the extent to which she was blamed for the incident, a high (vs. low) woman\'s sexual agency decreased participants\' helping intentions towards her. Additionally, results showed that men were less likely than women to attribute moral virtue and help the victim. Lastly, through the mediation of moral virtue and victim blaming, the length of the relationship indirectly influenced participants\' helping intentions.

OBJECTIVE: To examine the association between physical, sexual, or physiological harm in pregnancy and perinatal outcomes in a large, contemporary birth cohort.
METHODS: This retrospective cohort study used California-linked vital statistics and hospital discharge data from 2016 to 2020. We included singleton, non-anomalous births with a gestational age of 23-42 weeks. Violence in pregnancy was identified using International Classification of Disease, Tenth Revision (ICD-10) codes. Chi-square tests and multivariable Poisson regression models were used to evaluate associations of violence in pregnancy with perinatal outcomes.
RESULTS: A total of 1,728,478 pregnancies met inclusion criteria, of which 3,457 (0.2%) had reported violence in pregnancy. Compared to those without violence in pregnancy, individuals who experienced violence had an increased risk of non-severe hypertensive disorders (aRR = 1.36, 95% CI 1.22, 1.51), preeclampsia with severe features (aRR = 1.34; 95% CI 1.11, 1.61), chorioamnionitis (aRR = 1.68; 95% CI 1.48, 1.91), anemia (aRR = 1.59; 95% CI 1.50, 1.68), antepartum hemorrhage (aRR = 2.17; 95% CI 1.19, 3.95), and postpartum hemorrhage (aRR = 1.65; 95% CI 1.48, 1.85). Violence in pregnancy was also associated with increased risk of Apgar score < 7 at 5 min (aRR = 1.37; 95% CI 1.11, 1.71) and neonatal hypoglycemia (aRR = 1.26; 95% CI 1.07, 1.48).
CONCLUSIONS: Violence experienced in pregnancy is associated with an increased risk of adverse perinatal outcomes. Understanding how universal screening and early recognition of violence in pregnancy may reduce disparities in maternal morbidity for this understudied population is critical.

Discussions about the Future of Work have become ubiquitous both in academic and international organizations\' discourse. As part of these developments, the platform economy has revolutionized work practices and relationships. Despite the emergence of a burgeoning literature on platform studies, little is known about whether and to what extent platform work exacerbates the risk of gender-based violence among workers. This review article examines 39 academic articles, book chapters, reports, and conference papers published between 2016 and 2023 using qualitative content analysis to provide a preliminary understanding of empirical data on this issue. The reviewed studies were selected using relevant keywords on the basis of a database of 175 studies examining the platform economy with gender perspective, complemented with additional sources identified during the review. The main findings are: platform workers across sectors are vulnerable to gender-based violence, especially those at the intersection of several axes of subordination; platforms\' socio-technological features exacerbate the risk of gender-based violence; (fear of) gender-based violence limits women\'s access to platform work and the economic benefits derived from it; most platforms lack effective preventative and redressal mechanisms against violence; and, faced with platforms\' inaction, workers adopt individual and collective measures to address (the risk of) gender-based violence in platform work. The analysis also evidences the need for more research on intersectional vulnerabilities, particularly with regard to sexual orientation and gender expression and identity, as well as on the physical and psychological impact of gender-based violence on platform workers, which provides avenues for future research.

This paper assesses literature regarding the sexual and reproductive healthcare (SRH) needs of resettled refugee women who experienced gender-based violence (GBV) and trauma-informed care (TIC) principles utilized among SRH service providers. A systematic search identified relevant studies published between 2000 and 2021; no articles found reflected both SRH and TIC principles among refugee women. The search was therefore separated into two aims: to review the literature about SRH needs for refugee women in resettlement countries who experienced GBV (Aim 1) and to examine the use of TIC principles in SRH care among women who experienced GBV (Aim 2). Thematic analysis of the articles identified key themes. Twenty-six articles were included in the analysis across both aims (Aim 1 = 8, Aim 2 = 18). Aim 1 articles shared three factors shaping the SRH needs of resettled refugee women: the centrality of violence and trauma; structural barriers to SRH care; and actions, practices, and resources for service providers. Aim 2 articles illustrated seven key principles of TIC used in SRH service provision, such as empowerment; trauma-specific services and integrated care; connection; safety; collaboration; identity culture and context; and trustworthiness. Resettled refugee women\'s experiences of violence necessitate trauma-informed SRH health care. While there is limited peer-reviewed literature regarding TIC-SRH care for refugee women, the findings regarding the SRH needs of refugee women and the findings regarding the implementation of TIC in SRH collectively frame recommendations for how SRH can be infused with TIC. An example from practice, in the form of the Refugee Women\'s Health Clinic, is included as an exemplar of TIC SRH principles in action for the health of resettled refugee women who have survived gendered violence.

This article draws on the stories told by Indigenous women in the midwestern United States to explore embodied experiences of violence and how they conceptualize healing in the aftermath of violence. Two focus groups-conducted as talking circles-were completed with 16 Indigenous women. Findings highlight four salient themes: embodied impacts of violence; normalization of violence; (im)possibilities of healing; and strategies for healing. In particular, the women highlighted embodied practices like collective storytelling as a means of healing. This study deepens our understanding of violence against women by promoting Indigenous ways of knowing and uplifting the voices of Indigenous women.

The health sector can contribute to the combat of violence against women, if its services offer qualified care, but there are challenges such as the lack of health professional qualification, even though it is provided in the National Policy to Combat Violence Against Women. This study aims to analyze how health workers have been qualified to act in the prevention and confrontation of violence against women in Brazil. An integrative literature review was made and sixteen articles were analyzed, addressing training trajectories and experience reports, both in the academic and the health service context. The training on this theme proved to be insufficient, which could lead to missed opportunities for detection, care and referral of these cases to the health sector or others related to the care network. Reports on educational experiences were identified in degree courses and in Primary Health Care services, which could boost future educational processes, a need reaffirmed in all the articles. The university, in collaboration with the Unified Health System (SUS), can contribute with reflective, participatory educational processes that consider the social complexity of violence against women.
O setor saúde compõe a rede de enfrentamento das violências contra as mulheres, sendo necessário que os seus serviços ofertem atenção qualificada, o que se depara com o desafio de uma exígua formação de seus profissionais sobre a temática, mesmo que esteja prevista na Política Nacional de Enfrentamento à Violência Contra as Mulheres. Este estudo busca analisar como profissionais da saúde têm se qualificado para atuar no enfrentamento da violência contra as mulheres no Brasil. A partir de uma revisão integrativa da literatura, 16 artigos foram analisados, abordando tanto trajetórias formativas quanto experiências de formação no contexto acadêmico e em serviço. A formação sobre violências contra as mulheres se mostrou insuficiente, o que pode ocasionar oportunidades perdidas de detecção, atendimento e encaminhamento dos casos no setor de saúde ou para outros serviços da rede de atendimento. Foram identificados processos formativos ocorridos em graduações e em serviço, todos no âmbito da atenção primária à saúde, que podem impulsionar futuras formações, necessidade reafirmada em todos os artigos. Sugerem-se parcerias entre universidades e Sistema Único de Saúde, bem como processos formativos reflexivos e participativos que considerem a complexidade social das violências contra as mulheres.

Violence against women is defined as any act resulting from gender relations that cause death or physical, sexual, psychological, property and moral harm. Comprehensive care requires professionals understanding the support network to guide and refer women victims of violence to services and to value complaints/anxieties. The objective of this study was to identify the scientific production of comprehensive care for women victims of violence. This is an integrative literature review. Data collection was performed via a paired and independent search by two researchers in the Scopus, PubMed, CINAHL, Web of Science, LILACS, BDENF and SciELO databases between January and February 2023. After applying the eligibility criteria and descriptors in health sciences and medical subject headings, ten articles were retrieved. IRAMUTEQ software was used for data analyses. There are great challenges in implementing comprehensive care, and violence against women, as a serious social problem, demands health, education, social assistance and public security policies. The comprehensive actions taken in the care of women victims of violence demonstrate a strong link with the practices of reception and humanization, in addition to an interdisciplinary and intersectoral scope.
A violência direcionada à mulher é definida como todo ato resultante das relações de gênero que cause morte, dano físico, sexual, psicológico, patrimonial e moral. O cuidado integral possibilita que o profissional conheça a rede de apoio, a fim de orientá-las e encaminhá-las aos serviços, e valorize queixas/anseios. Objetivou-se identificar a produção científica acerca do cuidado integral às mulheres vítimas de violência. Trata-se de uma revisão integrativa da literatura. A coleta de dados ocorreu com busca pareada e independente de duas pesquisadoras, nos bancos Scopus, PubMed, CINAHL, Web of Science, LILACS, BDENF e SciELO, no período de janeiro e fevereiro de 2023. Foram utilizados critérios de elegibilidade, Descritores em Ciências da Saúde e Medical Subject Headings, totalizando dez artigos. Na análise dos dados, utilizou-se o software Iramuteq. Verificou-se grandes desafios para o cuidado integral, e que a violência contra a mulher, por ser uma problemática social grave, demanda políticas de saúde, educação, assistência social e segurança pública. Conclui-se que as ações integrais no cuidado à mulher vítima de violência demonstram forte vínculo com as práticas de acolhimento, humanização, além de perpassarem o âmbito interdisciplinar e intersetorial.