• 文章类型: Journal Article
    背景:这篇综合综述总结了原始研究,探索了女性逃避家庭暴力以实现安全住房的经验。
    方法:综合综述。使用以下数据库进行了稳健的搜索策略:Scopus,护理和相关健康累积指数(CINAHL),科克伦,Medline和PubMed。使用混合方法评估工具(MMAT)评分对所有文章进行质量评估。Whittemore和Knafl\(2005)的五阶段方法被用来分析与妇女和利益相关者逃避家庭暴力以实现安全住房的经验相关的主要文献。
    结果:本综述共检索到41篇,共纳入12篇论文(6篇定性,一种定量方法和五种混合方法)符合纳入标准。确定了四个总体主题:“离开家庭暴力的经历”,\'实现安全住房的障碍\',“实现安全住房的促进者”和“复苏之路”。“离开家庭暴力的经历”主题包括两个子主题:“损失”和“与肇事者的持续联系”。“实现安全住房的障碍”主题包括三个子主题:“金融不安全”,\'被其他人判断为离职和服务可用性\'。“实现安全住房的促进者”主题包括两个子主题:“支持,伙伴关系,以及妇女与服务提供者之间的合作,以及“感受到尊重和倾听”。“康复之路”主题包括两个子主题:“成为一个好母亲”和“离开家庭暴力后的赋权”。
    结论:这项审查强调了服务和医疗保健提供者需要与经历和逃避家庭暴力的妇女一起工作和有效合作,特别是在农村和偏远地区。这意味着让妇女获得适合其独特情况的最合适的教育资源和服务。为妇女量身定制支持对于使妇女能够实现安全住房并能够与子女一起过安全生活至关重要,远离家庭暴力的肇事者。
    BACKGROUND: This integrative review summarises original research that explores women\'s experiences of escaping domestic violence to achieve safe housing.
    METHODS: Integrative review. A robust search strategy was conducted using the following databases: Scopus, Cumulative Index to Nursing and Allied Health (CINAHL), Cochrane, Medline and PubMed. All articles were assessed for quality using the Mixed Methods Appraisal Tools (MMAT) scoring. Whittemore and Knafl\'s (2005) five stage approach was used to analyse the primary literature related to women\'s and stakeholders\' experiences of escaping domestic violence to achieve safe housing.
    RESULTS: A total of 41 articles were retrieved and 12 papers were included in this review (six qualitative, one quantitative and five mixed methods) that fulfilled the inclusion criteria. Four overarching themes were identified: \'Experiences of leaving domestic violence\', \'Barriers to achieving safe housing\', \'Facilitators to achieving safe housing\' and \'The road to recovery\'. The \'Experiences of leaving domestic violence\' theme included two subthemes: \'the losses\' and \'ongoing contact with the perpetrator\'. The \'Barriers to achieving safe housing\' theme included three subthemes: \'financial insecurity\', \'being judged by others for leaving and service availability\'. The \'Facilitators to achieving safe housing\' theme included two sub-themes: \'support, partnership, and collaboration between women and service providers\' and \'feeling respected and heard\'. The \'Road to recovery\' theme included two sub-themes: \'being a good mother\' and \'empowerment after leaving domestic violence\'.
    CONCLUSIONS: This review has highlighted the need for service and health care providers to work together and collaborate effectively with the woman experiencing and escaping domestic violence, especially in rural and remote areas. This means giving women access to the most suitable educational resources and services that are appropriate for their unique situation. Tailoring support for women is crucial to enable women to achieve safe housing and to be able to live a safe life with their children, away from the perpetrator of the domestic violence.
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  • 文章类型: Journal Article
    这篇荟萃分析综述是对首次打击干预措施荟萃分析的更新(Babcock等人。,2004年),其中包括59项研究,这些研究评估了对家庭暴力男性和女性的治疗效果。回顾了受控准实验和实验研究的结果文献,以测试德卢斯的相对影响,认知行为疗法(CBT),以及对随后的暴力累犯的新型治疗。第一个模型检查了将干预措施与无治疗控制条件进行比较的研究。第二个模型将新的干预措施与通常的治疗进行比较(即,德卢斯课程)。在两个模型中,研究设计和治疗类型均作为调节剂进行了测试。与以前的荟萃分析一致,效应大小在小范围内,当累犯基于伴侣或警察报告时,与准实验设计相比,真实实验较小。然而,将新型治疗方法与德卢斯课程进行比较的新实验显示,当将新型干预措施与未经治疗的对照组进行比较时,效果大小相当。新颖的干预措施,包括接受和承诺疗法和和平圈子与德卢斯对照组并肩作战时,效果最大。未来的研究方向包括测试主持人和有效的殴打干预措施的变化机制。刑事司法中基于证据的实践的含义包括更广泛的实施和对这些新颖干预措施的持续测试,这些干预措施在阻止亲密伴侣暴力方面具有明显的功效。
    This meta-analytic review is an update to the first meta-analysis of battering interventions (Babcock et al., 2004) and includes 59 studies that evaluated treatment efficacy for domestically violent men and women. The outcome literature of controlled quasi-experimental and experimental studies was reviewed to test the relative impact of Duluth, cognitive-behavioral therapy (CBT), and novel types of treatment on subsequent recidivism of violence. The first model examines studies comparing interventions to no treatment control conditions. The second model compares novel interventions to treatment as usual (i.e., the Duluth curriculum). Study design and type of treatment were tested as moderators in both models. Consistent with previous meta-analyses, effect sizes were in the small range, smaller in true experiments as compared to quasi-experimental designs when recidivism was based on partner or police reports. However, new experiments comparing novel treatments to the Duluth curriculum reveal effect sizes comparable to when comparing novel interventions to an untreated comparison group. Novel interventions, including Acceptance and Commitment Therapy and Circles of Peace had the largest effect sizes when put head-to-head with Duluth control groups. Future research directions include testing moderators and mechanisms of change of the battering interventions that work. Implications for evidence-based practice in criminal justice include broader implementation and continued testing of these novel interventions with demonstrated efficacy in stopping intimate partner violence.
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  • 文章类型: Journal Article
    目标:残疾妇女更容易遭受暴力侵害。卫生部门在预防暴力侵害妇女行为的所有三个层面上都发挥着关键作用。本文的目的是回顾预防基于性别的暴力并减少其对任何形式残疾妇女心理健康的影响的干预措施。
    方法:通过在PubMed中进行搜索确定了相关研究,Scopus,CINAHL,PsyInfo,社会服务摘要,和飞行员。两名审稿人分析并选择了研究。进行了定性合成。
    结果:获得了3149个参考文献,其中八篇文章描述了来自美国和英国的九项干预措施。大多数是针对患有精神/智力残疾的妇女,并评估了亲密伴侣或性暴力。只有一项研究显示了较高的方法学质量。发现它们在提高参与者获得的技能方面特别有效,但是关于改善心理健康的结果并不一致。
    结论:我们的综述显示很少有有效干预措施的证据。需要进行更高的内部效度和具有不同残疾的女性样本组的进一步研究。
    结论:基于性别的暴力是残疾妇女普遍存在的问题,除了公共卫生挑战之外,还侵犯了人权。卫生保健系统和决策者应在预防暴力侵害残疾妇女行为的所有三个层面上发挥关键作用。需要更长的随访时间进行干预。与残疾人协商设计干预措施也很重要。
    OBJECTIVE: Women with disabilities are more exposed to violence. The health sector has a key role in all three levels of prevention of violence against women. The objective of this paper was to review the interventions for preventing gender-based violence and reducing its impact on the mental health of women with any form of disability.
    METHODS: Relevant studies were identified through conducting searches in PubMed, Scopus, CINAHL, PsyInfo, Social Services Abstracts, and PILOTS. Two reviewers analyzed and selected studies. A qualitative synthesis was made.
    RESULTS: 3149 references were obtained, among which eight articles describing nine interventions from the USA and the UK. Most were intended for women with mental/intellectual disability and assessed intimate partner or sexual violence. Only one study showed high methodological quality. They were found to be particularly effective as regards improvement of the skills acquired by participants, but the results as regards improved mental health are not consistent.
    CONCLUSIONS: Our review shows very little evidence of effective interventions. Further studies are required with higher internal validity and female sample groups with diverse disabilities.
    CONCLUSIONS: Gender-based violence is a highly prevalent problem for women with disabilities, and in addition to being a public health challenge is a violation of human rights. Health care systems and policymakers should take a key role in all three levels of prevention of violence against women with disabilities. Interventions with longer follow-up times are required. It is also important for interventions to be designed in consultation with people with disabilities.
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  • 文章类型: Journal Article
    自然灾害和极端天气事件的强度和频率都在增加。新出现的证据表明,亲密伴侣暴力(IPV)与自然灾害之间存在关系。然而,迄今为止,该领域缺乏方法上合理的研究,没有系统的审查。为了弥补差距,本文系统地评估了1990年至2023年3月之间IPV与自然灾害之间关联的定量证据。有27篇文章符合数据提取过程的纳入标准。使用定量的批判性评估工具来评估每项研究的质量,并采用叙事综合方法来探索研究结果。审查发现IPV和灾难之间存在关联,跨越灾难类型和国家。然而,需要更多的研究来探索现有知识库中的细微差别和差距。尚不清楚这种关系是否是因果关系,或者自然灾害是否加剧了现有的风险因素。Further,灾害是造成新的IPV案件还是加剧现有的暴力,目前尚无定论。大多数研究集中在飓风和地震上,而缺乏对“缓慢发生的灾害”的研究。“这些差距代表了进一步研究的需要。进一步的研究可以提供对IPV和自然灾害的更透彻的了解,当自然灾害发生时,提高利益相关者增强社区能力和减少IPV的能力。
    Natural disasters and extreme weather events are increasing in both intensity and frequency. Emerging evidence suggests that there is a relationship between intimate partner violence (IPV) and natural disasters. However, there is a scarcity of methodologically sound research in this area with no systematic review to date. To address the gap, this paper systematically assesses the quantitative evidence on the association between IPV with natural disasters between 1990 and March 2023. There were 27 articles that meet the inclusion criteria for the data extraction process. A quantitative critical appraisal tool was used to assess the quality of each study and a narrative synthesis approach to explore the findings. The review found an association between IPV and disasters, across disaster types and countries. However, more research is needed to explore the nuances and gaps within the existing knowledge base. It was unclear whether this relationship was causal or if natural disasters heightened existing risk factors. Further, it is inconclusive as to whether disasters create new cases of IPV or exacerbate existing violence. The majority of studies focused on hurricanes and earthquakes with a dearth of research on \"slow onset disasters.\" These gaps represent the need for further research. Further research can provide a more thorough understanding of IPV and natural disasters, increasing stakeholders\' ability to strengthen community capacity and reduce IPV when natural disasters occur.
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  • 文章类型: Journal Article
    尽管拉丁美洲人中亲密伴侣暴力(IPV)的风险增加,在这一群体中,专注于预防和应对IPV的干预措施或这些干预措施的文化相关组成部分的知识有限.为了解决这个差距,我们对拉丁美洲人的IPV干预进行了系统评价.要包括在审查中,文章必须经过同行评审,并以英语或西班牙语提供;评估在美国(包括波多黎各)进行的IPV干预;包括拉丁裔;并定量报告至少一项结局.我们最初的搜索产生了3,344篇未重复的同行评审文章,其中20人符合纳入标准。20篇所得文章评估了16个不同研究样本中的14个独特干预措施。一半的研究集中在旨在预防IPV的干预措施上,而另一半侧重于旨在应对IPV的干预措施(即,为经历过或正在经历IPV的人提供服务)。14项干预措施中有8项纳入了具体文化因素。虽然六项研究是随机对照试验,大多数都是设计前的实验。干预措施通常显示出各种措施的积极成果。然而,九项干预措施报告了不同的结果,强调影响拉丁裔IPV的复杂因素。研究结果表明,需要对拉丁裔IPV编程中潜在相关的文化响应性内容和方法进行更多的机械和细致入微的研究,关注文化优势和结构性挑战。需要制定政策来扩大对创新和严格的IPV干预研究的资金,以进一步推进和加强拉丁裔幸存者的现有实践选择。
    Despite increased risks associated with intimate partner violence (IPV) among Latinas, there is limited knowledge about interventions focused on preventing and responding to IPV among this group or the culturally relevant components of these interventions. To address this gap, we conducted a systematic review of IPV interventions for Latinas. To be included in the review, articles had to be peer-reviewed and available in English or Spanish; evaluate an IPV intervention conducted in the U.S. (including Puerto Rico); include Latinas; and quantitatively report at least one outcome. Our initial search yielded 3,344 unduplicated peer-reviewed articles, of which 20 met the inclusion criteria. The 20 resultant articles evaluated 14 unique interventions among 16 different study samples. Half of the studies focused on interventions that aimed to prevent IPV, whereas the other half focused on interventions that aimed to respond to IPV (i.e., provide services to those who had experienced or were experiencing IPV). Eight of the 14 interventions integrated culturally specific elements. While six studies were randomized controlled trials, most were pre-experimental in design. Interventions generally demonstrated positive outcomes on various measures. However, nine interventions reported mixed findings, emphasizing the complex factors influencing IPV among Latinas. Findings suggest the need for more mechanistic and nuanced research on potentially relevant culturally responsive content and approaches in IPV programming with Latinas, focusing on cultural strengths and structural challenges. Policies are needed to expand funding for innovative and rigorous IPV intervention research to further advance and strengthen existing practice options for Latina survivors.
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  • 文章类型: Systematic Review
    预防或应对亲密伴侣暴力(IPV)和暴力侵害儿童行为(VAC)的努力在世界范围内仍然存在差异。尽管越来越多的证据表明这些形式的暴力交叉。我们进行了系统评价,以探索父母或照顾者预防或应对IPV和VAC的干预措施。旨在确定导致IPV和VAC减少的常见干预成分和机制。确定了来自16个国家的30项独特干预措施,20同时针对IPV和VAC。一级预防干预措施中减少IPV和VAC的关键机制包括改善沟通,解决冲突,反思有害的性别规范,以及对IPV和VAC对儿童的不良后果的认识。针对暴露于IPV的妇女和儿童的治疗方案促进了与IPV相关创伤的参与,提高对IPV影响的认识,并促进避免不健康的关系。低收入和中等收入国家的证据差距涉及青少年干预措施,对妇女和儿童的虐待后干预措施,以及针对IPV和VAC的预防和应对措施。我们的发现加强了支持通过协调预防和应对计划解决IPV和VAC的努力的证据。然而,针对IPV和VAC的应对干预措施很少见,主要在高收入国家实施.虽然父母的治疗方案,看护者,高收入国家的儿童很有希望,它们在低收入和中等收入国家的可行性仍然不确定。尽管存在这种不确定性,有可能改善卫生服务的使用,以共同解决IPV和VAC。
    Efforts to prevent or respond to intimate partner violence (IPV) and violence against children (VAC) are still disparate worldwide, despite increasing evidence of intersections across these forms of violence. We conducted a systematic review to explore interventions that prevent or respond to IPV and VAC by parents or caregivers, aiming to identify common intervention components and mechanisms that lead to a reduction in IPV and VAC. 30 unique interventions from 16 countries were identified, with 20 targeting both IPV and VAC. Key mechanisms for reducing IPV and VAC in primary prevention interventions included improved communication, conflict resolution, reflection on harmful gender norms, and awareness of the adverse consequences of IPV and VAC on children. Therapeutic programmes for women and children who were exposed to IPV facilitated engagement with IPV-related trauma, increased awareness of the effects of IPV, and promoted avoidance of unhealthy relationships. Evidence gaps in low-income and middle-income countries involved adolescent interventions, post-abuse interventions for women and children, and interventions addressing both prevention and response to IPV and VAC. Our findings strengthen evidence in support of efforts to address IPV and VAC through coordinated prevention and response programmes. However, response interventions for both IPV and VAC are rare and predominantly implemented in high-income countries. Although therapeutic programmes for parents, caregivers, and children in high-income countries are promising, their feasibility in low-income and middle-income countries remains uncertain. Despite this uncertainty, there is potential to improve the use of health services to address IPV and VAC together.
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  • 文章类型: Journal Article
    全球证据表明,男性有害饮酒会导致亲密伴侣暴力(IPV)和其他危害。然而,针对与酒精有关的女性危害的干预措施很少。定量分析表明与身体和言语攻击有关;然而,男性饮酒对女性的具体危害尚未得到很好的阐述,特别是从国际角度来看。
    记录男性饮酒对女性的危害和影响的广度和性质。
    叙述性回顾,使用归纳分析,进行了同行评审的定性研究:(A)关注酒精(男性饮酒),(b)以妇女为主要受害者,(c)包括直接/间接危害,和(d)在定性结果中明确显示酒精。论文是在对关键学术数据库进行无时间限制的系统搜索之后选择的。
    这篇综述包括了30篇论文。大多数研究是在中低收入国家进行的。研究中的危害在三个主要主题下进行了整理和组织:(i)男性与酒精有关的有害行为(例如暴力,性胁迫,经济滥用),(二)对妇女的影响(如身心健康伤害、关系运作,社会危害),以及(iii)研究中女性如何构建伴侣饮酒的框架。
    男人的饮酒导致大量的直接,对女性的间接和隐性伤害是累积的,交叉和巩固女性的剥夺权力。在针对男性饮酒和对女性的影响的预防工作中,需要明确的性别镜头,改善全世界妇女的健康和社会成果。
    主要发现:女性经历了大量的直接、男性亲密伴侣饮酒的间接和隐藏的伤害,特别是在LMIC设置。增加的知识:这篇综述整合了来自不同女性生活经历的全球定性证据,并增加了对男性饮酒危害的更广泛理解,超出了定量证据中显示的身体和言语虐待。全球健康对政策和行动的影响:对男性有害饮酒采取明确的性别和交叉视角的政策和干预措施有可能大大改善全球女性的健康和社会成果。
    UNASSIGNED: Global evidence shows that men\'s harmful alcohol use contributes to intimate partner violence (IPV) and other harms. Yet, interventions that target alcohol-related harms to women are scarce. Quantitative analyses demonstrate links with physical and verbal aggression; however, the specific harms to women from men\'s drinking have not been well articulated, particularly from an international perspective.
    UNASSIGNED: To document the breadth and nature of harms and impact of men\'s drinking on women.
    UNASSIGNED: A narrative review, using inductive analysis, was conducted of peer-reviewed qualitative studies that: (a) focused on alcohol (men\'s drinking), (b) featured women as primary victims, (c) encompassed direct/indirect harms, and (d) explicitly featured alcohol in the qualitative results. Papers were selected following a non-time-limited systematic search of key scholarly databases.
    UNASSIGNED: Thirty papers were included in this review. The majority of studies were conducted in low- to middle-income countries. The harms in the studies were collated and organised under three main themes: (i) harmful alcohol-related actions by men (e.g. violence, sexual coercion, economic abuse), (ii) impact on women (e.g. physical and mental health harm, relationship functioning, social harm), and (iii) how partner alcohol use was framed by women in the studies.
    UNASSIGNED: Men\'s drinking results in a multitude of direct, indirect and hidden harms to women that are cumulative, intersecting and entrench women\'s disempowerment. An explicit gendered lens is needed in prevention efforts to target men\'s drinking and the impact on women, to improve health and social outcomes for women worldwide.
    Main findings: Women experience a multitude of direct, indirect and hidden harms from a male intimate partner’s alcohol drinking, particularly in LMIC settings.Added knowledge: This review consolidates global qualitative evidence from diverse women’s lived experience and adds a broader understanding of harm from men’s alcohol drinking, beyond physical and verbal abuse shown in quantitative evidence.Global health impact for policy and action: Policy and intervention efforts that take an explicit gendered and intersectional lens on men’s harmful drinking have potential to greatly improve health and social outcomes for women globally.
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  • 文章类型: Journal Article
    由于可能涉及的因素和行为者的多样性,寻求女同性恋伴侣暴力帮助的过程很复杂。这是一个过程,在这个过程中,妇女可能会或可能不会采取行动寻求某种支持,取决于他们发现自己的阶段。然而,即使女性可能意识到她们在与伴侣或前伴侣的关系中处于虐待或虐待的境地,可能有障碍阻碍他们寻求帮助。本文系统地回顾了女同性恋妇女在遭受亲密伴侣暴力时在寻求帮助或获得支持系统方面遇到的障碍。在回顾的139项研究中,120人被选中作进一步审查,最终选择了8项符合方法学纳入标准的研究。这项研究的结果表明,心理社会和法律障碍存在,which,在压迫系统中-异性恋社会-不要孤立地发生,但是相互关联,使亲密伴侣暴力的女同性恋女性受害者很难寻求帮助或获得支持服务。这篇综述发现了文献中的局限性,并对未来的研究提出了建议。
    The process of seeking help for violence in lesbian couples is complex due to the variety of factors and actors that can be involved. It is a process in which the women may or may not take action to ask for some kind of support, depending on the stage at which they find themselves. However, even though women may realise that they are in a situation of mistreatment or abuse in their relationship with their partner or ex-partner, there may be barriers that hinder them from seeking help. This paper presents a systematic review of the barriers that lesbian women encounter in seeking help or accessing support systems when they are victims of intimate partner violence. Out of 139 studies reviewed, 120 were selected for further review, and 8 studies meeting the methodological inclusion criteria were finally selected. The results of this research show that psycho-social and legal barriers exist, which, within a system of oppression - heterosexist society - do not occur in isolation, but are inter-related, making it difficult for lesbian women victims of intimate partner violence to seek help or access support services. This review finds limitations in the literature reviewed and makes recommendations for future research.
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  • 文章类型: Journal Article
    虽然饮酒是人际暴力的既定危险因素,在世界不同地区,人们受到他人饮酒的人际暴力影响的程度尚未量化。这项建模研究旨在提供对来自他人饮酒的人际暴力的国家和地区患病率的初步估计。
    进行了国际系统文献检索(02/28/2023,Prospero:CRD4202233364),以确定一般成年人群研究,评估他人饮酒的人际暴力患病率,没有限制发表日期或语言。没有提供关于他人饮酒造成的人际暴力(主要结果)的数据的报告,没有原始的研究,或仅捕获选定的一群人,被排除在外。提取观察到的患病率数据,并将其用于建立分数响应回归模型,以预测2019年过去一年来自他人饮酒的情感和身体暴力的患病率。使用随机效应元回归模型来汇总观察到的性暴力和亲密伴侣暴力的患病率。使用改良版本的纽卡斯尔-渥太华量表评估研究偏倚风险(ROB)。
    在13,835份已确定的报告中,包括50人,涉及来自61个国家的不到830,000人(妇女:347,112人;男子:322,331人;男女合计:160,057人)。在GBD超级地区,男性和女性的平均患病率为16·8%(95%CI:15·2-18·3%)和28·3%(95%CI:23·9-32·4%)高收入和中欧,东欧,&中亚,分别,情感暴力是最常见的来自他人饮酒的人际暴力形式。两个地区的身体暴力平均约为3%(妇女)和5%(男子)。男性和女性饮酒的性暴力汇总率为1·3%(95%CI:0·5-3·3%,95%PI:0·1-16·9%)和3·4%(95%CI:1·4-8·3%,95%PI:0·2-35·3%),分别,介于0·4%之间(95%CI:0·1-1·6%,95%PI:0·0-7·3%)和2·7%(95%CI:1·1-6·3%,95%PI:0·2-30·0%)用于不同形式的亲密伴侣暴力。对于大多数报告,ROB是中等或关键的;考虑关键的ROB并没有实质性改变我们的结果。
    遭受他人饮酒危害的人口比例非常重要,应该成为公共卫生战略的一个组成部分。
    本出版物中报道的研究得到了加拿大卫生研究院(CIHR;资助:CIHRFRN477887)的支持。
    UNASSIGNED: While alcohol use is an established risk factor for interpersonal violence, the extent to which people are affected by interpersonal violence from others\' drinking has not yet been quantified for different world regions. This modelling study aims to provide the first estimates of the national and regional prevalence of interpersonal violence from others\' drinking.
    UNASSIGNED: An international systematic literature search (02/28/2023, Prospero: CRD42022337364) was conducted to identify general adult population studies assessing the prevalence of interpersonal violence from others\' drinking with no restrictions to publication date or language. Reports that did not provide data on interpersonal violence from others\' drinking (primary outcome), were no original research studies, or captured a selected group of people only, were excluded. Observed prevalence data were extracted and used to build fractional response regression models to predict past-year prevalence of emotional and physical violence from others\' drinking in 2019. Random-effects meta-regression models were used to aggregate the observed prevalence of sexual and intimate partner violence. Study risk of bias (ROB) was assessed using a modified version of the Newcastle-Ottawa Scale.
    UNASSIGNED: Out of 13,835 identified reports, 50 were included covering just under 830,000 individuals (women: 347,112; men: 322,331; men/women combined: 160,057) from 61 countries. With an average prevalence of 16·8% (95% CI: 15·2-18·3%) and 28·3% (95% CI: 23·9-32·4%) in men and women combined in the GBD super regions High Income and Central Europe, Eastern Europe, & Central Asia, respectively, emotional violence was the most common form of interpersonal violence from others\' drinking. Physical violence averaged around 3% (women) and 5% (men) in both regions. The pooled prevalence of sexual violence from others\' drinking in men and women was 1·3% (95% CI: 0·5-3·3%, 95% PI: 0·1-16·9%) and 3·4% (95% CI: 1·4-8·3%, 95% PI: 0·2-35·3%), respectively, and ranged between 0·4% (95% CI: 0·1-1·6%, 95% PI: 0·0-7·3%) and 2·7% (95% CI: 1·1-6·3%, 95% PI: 0·2-30·0%) for different forms of intimate partner violence. ROB was moderate or critical for most reports; accounting for critical ROB did not substantially alter our results.
    UNASSIGNED: The share of the population experiencing harms from others\' drinking is significant and should be an integral part of public health strategies.
    UNASSIGNED: Research reported in this publication was supported by the Canadian Institutes of Health Research (CIHR; grant: CIHR FRN 477887).
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  • 文章类型: Journal Article
    目的:这篇综述探讨了当代中国针对孕妇的亲密伴侣暴力(IPV)出版物的现状。
    方法:PubMed,科克伦图书馆,Embase,CINAHL,使用术语“IPV”搜索PsycInfo数据库,\"\"孕妇,\"\"中文,\"和英语同义词,以及中国出版物的相关关键词。所有关于怀孕期间IPV的文献,在中国进行,并于1987年至2023年9月出版。
    结果:共选取30项研究的37篇文献。妊娠期IPV的患病率从2.5%到31.3%不等,心理暴力是最常见的形式。经常发现的危险因素包括意外怀孕,家庭经济条件差,从事健康危险行为的男性伴侣,妇女或其伴侣的就业状况较差,妇女受教育程度低,身体或心理健康问题,紧张的夫妻关系,和法律冲突。怀孕期间的IPV主要导致受害者的心理健康问题,并可能导致不良的产科结局,以及对后代气质和发育的负面影响。中国的受害者向专业人士寻求帮助的意愿很低。此外,中国大陆的相关研究很少,研究数量有限,研究方法不规范。
    结论:未来的研究应该从不同的角度调查妊娠IPV,确定怀孕期间IPV特有的因素,重点关注高危人群。考虑到中国的情况,迫切需要提高公众对IPV的认识,并调查旨在解决这一问题的干预措施。
    OBJECTIVE: This review explored the status of publications on intimate partner violence (IPV) against pregnant women in contemporary China.
    METHODS: The PubMed, Cochrane Library, Embase, CINAHL, and PsycInfo databases were searched using the terms \"IPV,\" \"pregnant woman,\" \"Chinese,\" and synonyms in English, along with related keywords for Chinese publications. All literature pertaining to IPV during pregnancy, conducted in China, and published between 1987 and September 2023 was included.
    RESULTS: A total of 37 articles from 30 studies were selected. The prevalence of IPV during pregnancy ranged from 2.5% to 31.3%, with psychological violence being the most common form. Frequently identified risk factors included unintended pregnancy, poor family economic conditions, male partners engaging in health risk behaviors, poor employment status of women or their partners, low education levels among women, physical or mental health issues, strained couple relationships, and in-law conflicts. IPV during pregnancy primarily led to mental health problems for the victims and could result in adverse obstetric outcomes, as well as negative effects on the temperament and development of the offspring. Victims in China demonstrated a low willingness to seek help from professionals. Furthermore, relevant research in mainland China is scarce, with a limited number of studies and non-standardized research methodologies.
    CONCLUSIONS: Future research should investigate IPV in pregnancy from various perspectives, identify factors unique to IPV during pregnancy, and focus on high-risk groups. Considering the conditions in China, there is a pressing need to increase public awareness of IPV and to investigate interventions aimed at addressing this issue.
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