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1.
Rev Paul Pediatr ; 39: e2020267, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33146295

RESUMEN

OBJECTIVE: Social isolation is currently identified as the best way to prevent the infection by the new coronavirus. However, for some social groups, such as children and adolescents, this measure carries a contradiction: the home, which should be the safest place for them, is also a frequent environment of a sad aggravation: domestic violence. This study aims to evaluate the notifications of interpersonal/self-inflicted violence available in the Information System for Notifiable Diseases in the State of Santa Catarina (southern Brazil), for the juvenile age group, before and during the new coronavirus pandemics. METHODS: Cross-sectional, descriptive study of violence against children and adolescents (from 0 to 19 years) notified by health professionals by completing and entering the occurrence in the Information System for Notifiable Diseases of the State of Santa Catarina in 11 weeks in which the social isolation measure was instituted as mandatory, comparing with the same period before this measure. RESULTS: During the study period, 136 municipalities in Santa Catarina made 1,851 notifications. There was a decrease of 55.3% of them in the isolation period, and the difficulties encountered in seeking protection and assistance institutions were listed. CONCLUSIONS: The society needs to be aware of possible cases of violence in the children and adolescent population. It is important to provide accessible, effective, and safe ways for complaints and notifications, as well as a quick response to the cases, aiming at protecting victims and minimizing damages to prevent the perpetuation of the violence.


Asunto(s)
Maltrato a los Niños , Bienestar del Niño , Infecciones por Coronavirus/epidemiología , Violencia Doméstica , Neumonía Viral/epidemiología , Adolescente , Salud del Adolescente/tendencias , Betacoronavirus , Brasil/epidemiología , Niño , Maltrato a los Niños/prevención & control , Maltrato a los Niños/estadística & datos numéricos , Salud del Niño/tendencias , Estudios Transversales , Recolección de Datos/métodos , Recolección de Datos/estadística & datos numéricos , Violencia Doméstica/prevención & control , Violencia Doméstica/tendencias , Femenino , Humanos , Masculino , Evaluación de Necesidades , Pandemias
3.
Psychiatr Danub ; 32(Suppl 3): 367-370, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33030455

RESUMEN

Although family should be the basis for the development and formation of a child's personality, violence is mostly done in the family, and remains undiscovered for a long time. The real number of abused children is much more than that displayed in the registered cases. The secrecy of the problem is an important feature of this phenomenon. Families in which abuse takes place are mostly isolated. Social isolation does not come about by chance; secrecy is usually encouraged by an abuser to control over famoly members. In most cases, social reaction to violence is late, inadequate and focused on the consequences, but not on the causes. "Abuse implies an act of execution that directly inflicts damage, while neglect implies an act of non-fulfillment of something that is necessary for the well-being of a child". The most common forms of domestic violence are physical, emotional abuse in the presence of violence against the mother, and in a lesser extent sexual abuse. In addition, there is physical, emotional, educational and medical neglect. The presence of violence against the mother and the feeling of impotence leave the same consequences as the endured violence. It is considered that children living in violent families are likely to live under cumulative stress. Traumatic responses include a wide range of conditions from acute stress reactions through post-traumatic stress disorder to complex long-lasting, repeated trauma syndrome. All children will not react to this kind of experience in the same way, with the protective and risk factors in developmental psychopathology having a significant role to play. Because of their developmental vulnerability and dependency, children are at greater risk of violence than adults. Researches point to the need for a multidisciplinary approach to treatment and prevention of child abuse, with greater interaction between health institutions, relevant centers for social work, police, court, government and non-governmental sector, and the existence of adequate family and criminal laws.


Asunto(s)
Maltrato a los Niños/psicología , Violencia Doméstica/psicología , Trauma Psicológico/psicología , Adulto , Niño , Maltrato a los Niños/legislación & jurisprudencia , Maltrato a los Niños/prevención & control , Maltrato a los Niños/terapia , Violencia Doméstica/legislación & jurisprudencia , Violencia Doméstica/prevención & control , Femenino , Humanos , Masculino , Madres/psicología , Trauma Psicológico/prevención & control , Trauma Psicológico/terapia , Factores de Riesgo , Instituciones Académicas , Trastornos por Estrés Postraumático/prevención & control , Trastornos por Estrés Postraumático/psicología , Trastornos por Estrés Postraumático/terapia
4.
Global Health ; 16(1): 84, 2020 09 21.
Artículo en Inglés | MEDLINE | ID: mdl-32957999

RESUMEN

Nepal, a South Asian country, was in nationwide lockdown for nearly three months in 2020 with partial restrictions still in place. Much worryingly, COVID-19 induced restrictions have confined women and young girls in their home, increasing the risk of domestic violence. The available support system to respond to violence against women and girls (VAWG) has also been disrupted during this period. The figures of violence against women, and child sexual abuse are increasingly being reported during the lockdown and thereafter. To mitigate this, a response against VAWG should not be a missing agenda. This commentary focuses on the situation of VAWG during COVID-19 induced restrictions in Nepal and offers a way forward for addressing the issue.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Violencia Doméstica/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Adolescente , Adulto , Niño , Infecciones por Coronavirus/epidemiología , Violencia Doméstica/estadística & datos numéricos , Femenino , Humanos , Nepal/epidemiología , Neumonía Viral/epidemiología , Medición de Riesgo
5.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47806

RESUMEN

Os países das Américas devem expandir e investir em serviços de saúde mental para lidar com os efeitos da pandemia de COVID-19, disse nesta terça-feira (18) a diretora da Organização Pan-Americana da Saúde (OPAS), Carissa F. Etienne.


Asunto(s)
Infecciones por Coronavirus/etiología , Atención a la Salud Mental , Violencia Doméstica/prevención & control , Américas
7.
Br J Psychiatry ; 217(4): 543-546, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32654678

RESUMEN

This study explored patterns of abuse, self-harm and thoughts of suicide/self-harm in the UK during the first month of the COVID-19 pandemic using data from the COVID-19 Social Study (n=44 775), a non-probability sample weighted to population proportions. The reported frequency of abuse, self-harm and thoughts of suicide/self-harm was higher among women, Black, Asian and minority ethnic (BAME) groups and people experiencing socioeconomic disadvantage, unemployment, disability, chronic physical illnesses, mental disorders and COVID-19 diagnosis. Psychiatric medications were the most common type of support being used, but fewer than half of those affected were accessing formal or informal support.


Asunto(s)
Infecciones por Coronavirus , Violencia Doméstica , Trastornos Mentales , Pandemias , Neumonía Viral , Conducta Autodestructiva , Suicidio , Adulto , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Violencia Doméstica/prevención & control , Violencia Doméstica/psicología , Violencia Doméstica/estadística & datos numéricos , Femenino , Humanos , Estudios Longitudinales , Masculino , Trastornos Mentales/epidemiología , Trastornos Mentales/virología , Servicios de Salud Mental , Persona de Mediana Edad , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Prevalencia , Sistemas de Apoyo Psicosocial , Medición de Riesgo , Factores de Riesgo , Conducta Autodestructiva/epidemiología , Conducta Autodestructiva/prevención & control , Conducta Autodestructiva/psicología , Aislamiento Social/psicología , Ideación Suicida , Suicidio/prevención & control , Suicidio/psicología , Suicidio/estadística & datos numéricos , Reino Unido/epidemiología
10.
JMIR Public Health Surveill ; 6(3): e19831, 2020 07 30.
Artículo en Inglés | MEDLINE | ID: mdl-32678797

RESUMEN

Before the coronavirus disease (COVID-19), 1 in 3 women and girls, globally, were victimized by an abusive partner in intimate relationships. However, the current pandemic has amplified cases of domestic violence (DV) against women and girls, with up to thrice the prevalence in DV cases compared to the same time last year. Evidence of the adverse effects of the pandemic on DV is still emerging, even as violence prevention strategies are iteratively being refined by service providers, advocacy agencies, and survivors to meet stay-at-home mandates. Emotional and material support for survivors is a critical resource increasingly delivered using digital and technology-based modalities, which offer several advantages and challenges. This paper rapidly describes current DV mitigation approaches using digital solutions, signaling emerging best practices to support survivors, their children, and abusers during stay-at-home advisories. Some examples of technology-based strategies and solutions are presented. An immediate priority is mapping out current digital solutions in response to COVID-19-related DV and outlining issues with uptake, coverage, and meaningful use of digital solutions.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Violencia Doméstica/prevención & control , Violencia de Pareja/prevención & control , Pandemias , Neumonía Viral/epidemiología , Telemedicina/métodos , Infecciones por Coronavirus/prevención & control , Violencia Doméstica/estadística & datos numéricos , Femenino , Salud Global/estadística & datos numéricos , Humanos , Violencia de Pareja/estadística & datos numéricos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Prevalencia , Apoyo Social , Sobrevivientes/psicología
11.
Psychol Trauma ; 12(S1): S199-S201, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32478558

RESUMEN

The novel coronavirus (SARS-CoV-2) and the associated disease it causes, COVID-19, have caused unprecedented social disruption. Due to sweeping stay-at-home orders across the United States and internationally, many victims and survivors of domestic violence (DV), now forced to be isolated with their abusers, run the risk of new or escalating violence. Numerous advocates, organizations, and service centers anticipated this: Upticks in domestic violence were reported in many regions soon after stay-at-home directives were announced. In this commentary, we delineate some of the recent events leading up to the reported spike in DV; review literature on previously documented disaster-related DV surges; and discuss some of the unique challenges, dilemmas, and risks victims and survivors face during this pandemic. We conclude with recommendations to allocate resources to DV front-liners and utilize existing DV guidelines for disaster preparedness, response, and recovery. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Infecciones por Coronavirus , Violencia Doméstica/estadística & datos numéricos , Pandemias , Neumonía Viral , Trauma Psicológico , Trastornos por Estrés Postraumático , Adulto , Violencia Doméstica/prevención & control , Femenino , Humanos , Trauma Psicológico/etiología , Trastornos por Estrés Postraumático/etiología , Sobrevivientes , Estados Unidos/epidemiología
12.
BMC Public Health ; 20(1): 1001, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32586374

RESUMEN

BACKGROUND: This study aimed to establish whether changes in the socioeconomic context were associated with changes in population-level antenatal mental health indicators in Vietnam. METHODS: Social, economic and public policies introduced in Vietnam (1986-2010) were mapped. Secondary analyses of data from two cross-sectional community-based studies conducted in 2006 (n = 134) and 2010 (n = 419), involving women who were ≥ 28 weeks pregnant were completed. Data for these two studies had been collected in structured individual face-to-face interviews, and included indicators of antenatal mental health (mean Edinburgh Postnatal Depression Scale Vietnam-validation (EPDS-V) score), intimate partner relationships (Intimate Bonds Measure Vietnam-validation) and sociodemographic characteristics. Socioeconomic characteristics and mean EPDS-V scores in the two study years were compared and mediation analyses were used to establish whether indicators of social and economic development mediated differences in EPDS-V scores. RESULTS: Major policy initiatives for poverty reduction, hunger eradication and making domestic violence a crime were implemented between 2006 and 2010. Characteristics and circumstances of pregnant women in Ha Nam improved significantly. Mean EPDS-V score was lower in 2010, indicating better population-level antenatal mental health. Household wealth and intimate partner controlling behaviours mediated the difference in EPDS-V scores between 2006 and 2010. CONCLUSIONS: Changes in the socioeconomic and political context, particularly through policies to improve household wealth and reduce domestic violence, appear to influence women's lives and population-level antenatal mental health. Cross-sectoral policies that reduce social risk factors may be a powerful mechanism to improve antenatal mental health at a population level.


Asunto(s)
Bienestar Materno/estadística & datos numéricos , Salud Mental/estadística & datos numéricos , Complicaciones del Embarazo/prevención & control , Adulto , Estudios Transversales , Violencia Doméstica/prevención & control , Desarrollo Económico , Femenino , Humanos , Bienestar Materno/psicología , Pobreza/estadística & datos numéricos , Embarazo , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/psicología , Escalas de Valoración Psiquiátrica , Población Rural/estadística & datos numéricos , Vietnam/epidemiología
15.
BMC Public Health ; 20(1): 674, 2020 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-32404079

RESUMEN

BACKGROUND: Violence against women and girls is a public health epidemic. Campus-based research has found bystander programmes show promise as effective primary prevention of sexual violence. However, evidence regarding domestic violence and abuse bystander prevention specifically, and in community settings generally, is still in development. Further, research has predominantly emanated from the US. Examining proof of concept in differing cultural contexts is required. This study evaluates the feasibility and potential for effectiveness of a domestic violence and abuse bystander intervention within UK general communities-Active Bystander Communities. METHODS: Participants recruited opportunistically attended a three-session programme facilitated by experts in the field. Programme feasibility was measured using participant attendance and feedback across nine learning objectives. Myth acceptance, bystander efficacy, behavioural intent and bystander behaviours were assessed using validated scales at baseline, post-intervention, and four-month follow-up. Results were examined for potential backlash. Analyses used a paired sample t-test and effect size was quantified with Cohen's d. RESULTS: 58/70 participants attended all programme sessions. Participant feedback consistently rated the programme highly and significant change (p ≤ 0·001) was observed in the desired direction across behavioural intent, bystander efficacy, and myth acceptance scores at post and follow-up. Effect size was generally large and, with the exception of Perception of Peer Myth Acceptance, improved at follow-up. Backlash was minimal. CONCLUSIONS: To our knowledge this is the first UK-based study to examine the potential of bystander intervention as a community-level intervention for domestic violence and abuse. Findings are promising and indicate the translatability of the bystander approach to domestic violence and abuse prevention as well as community contexts. This is likely to be of great interest to policymakers and may help shape future community-based interventions. Further research is now needed using experimental designs engaging diverse community audiences.


Asunto(s)
Violencia Doméstica/prevención & control , Promoción de la Salud/organización & administración , Delitos Sexuales/prevención & control , Adolescente , Adulto , Anciano , Humanos , Masculino , Persona de Mediana Edad , Salud Pública , Reino Unido , Adulto Joven
17.
J Am Acad Child Adolesc Psychiatry ; 59(6): 686-688, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32389695

RESUMEN

As we pen these words, the COVID-19 pandemic is having profound impacts on human society. Based on decades of research, we know that the accompanying illness,1 death,2 social isolation,3,4 and malnutrition5 will have deep and lasting impacts on our children and adolescents, their families, and the communities in which they develop. The pandemic is exposing, with terrible clarity, the disparities in human society-racism,6 poverty,7,8 domestic violence,9,10 and child maltreatment and neglect11-and tragically will likely amplify the negative impacts that each has on child development and mental health.


Asunto(s)
Infecciones por Coronavirus , Trastornos Mentales/epidemiología , Salud Mental/normas , Pandemias , Neumonía Viral , Edición/normas , Adolescente , Betacoronavirus/aislamiento & purificación , Niño , Maltrato a los Niños/prevención & control , Comorbilidad , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Violencia Doméstica/prevención & control , Violencia Doméstica/psicología , Políticas Editoriales , Humanos , Servicios de Salud Mental/normas , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Sistemas de Apoyo Psicosocial , Factores de Riesgo , Aislamiento Social/psicología
18.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47335

RESUMEN

Violência doméstica e familiar e serviços que atuam junto com a população em situação de rua


Asunto(s)
Salud Mental , Servicios de Salud Mental , Betacoronavirus , Violencia Doméstica/prevención & control
20.
J Nepal Health Res Counc ; 17(4): 456-462, 2020 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-32001848

RESUMEN

BACKGROUND: Mental health needs of victims of domestic and family violence are often overlooked. A booklet was designed to help women update their knowledge and skills in effective coping with domestic and family violence and support them in developing effective stress reduction and problem management techniques. In addition, this booklet is believed to serve as a reference for further use. This paper describes the development process and validation of the information booklet. This booklet was used during an intervention trial conducted in Nepal to educate abused pregnant women. METHODS: This methodological study involved three stages: bibliographical survey, development of the booklet, and validation by specialists in the relevant fields and representatives of the target audiences. A total of eight experts, currently working in the field of domestic violence and/or midwifery, and 15 representatives of the target participants were involved in the validation process. A minimum Content Validity Index of 0.78 was considered for content validation, and minimum agreement of 75% for face validation. RESULTS: The booklet presented a global Content Validity Index of 0.92. The overall level of agreement within the target participants was 86.3%, which was higher than the minimum recommended level. Both subject experts and participants positively evaluated the adequacy, coverage and readability of contents of the booklet. CONCLUSIONS: The booklet was validated using content and face validity. This validated booklet is expected to be an effective tool for communication that would help pregnant women cope better with domestic and family violence and adopt strategies to remain emotionally healthy.


Asunto(s)
Violencia Doméstica/prevención & control , Promoción de la Salud/métodos , Salud Mental/economía , Folletos , Mujeres Embarazadas/educación , Mujeres Embarazadas/psicología , Adaptación Psicológica , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Motivación , Nepal , Embarazo , Atención Prenatal/métodos , Reproducibilidad de los Resultados
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