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1.
Rev. esp. med. legal ; 50(1): 29-39, Ene.-Mar. 2024. tab, graf
Artigo em Inglês, Espanhol | IBECS | ID: ibc-229295

RESUMO

Introducción/objetivos la violencia contra la mujer sigue siendo un grave problema social y de salud a pesar de las medidas puestas en marcha en los últimos años. La exploración de las víctimas por el médico forense en los juzgados es de gran interés puesto que recibe información relacionada no solo con la agresión, sino también de su entorno social, familiar y económico. El objetivo es utilizar dicha información para identificar grupos de riesgo y mejorar/obtener las medidas necesarias. Material y métodos en este trabajo, el forense ha recogido, durante 8 años, una toma abundante de datos sobre las víctimas exploradas en L’Hospitalet de Llobregat. La muestra incluye 1.622 casos de mujeres víctimas de violencia de género. Se realiza un estudio descriptivo poblacional y de las lesiones. Resultados se exponen las principales variables estudiadas tanto socioeconómicas como referentes a la agresión en sí. Se trabaja también con base en la reentrada de las víctimas o repetición de las agresiones (revictimización), que son el 10,9% de la muestra. Finalmente, se presentan los resultados obtenidos tras aplicar técnicas de inteligencia artificial, en este caso, árboles de clasificación CaRT. Conclusiones con los resultados obtenidos concluimos que el tratamiento de la información recogida y sistematizada de la intervención médico-forense permite una mejor comprensión de la violencia sobre la mujer, de la que podemos extraer sugerencias sobre la adopción de medidas de atención y soporte a las víctimas y a los colectivos más vulnerables, así como sobre los recursos administrativos y la optimización de programas de prevención. (AU)


Introduction/objectives Violence against women is still a serious social and health problem, despite the measures implemented in recent years. The examination of the victims by the forensic doctor in the courts is of great interest since it provides information related not only to the aggression, but also to their social, family and economic environment. The objective is to use this information to identify groups at risk and improve/implement the necessary measures. Material and methods In this work, the forensic has collected, for eight years, abundant data on the victims examined in L'Hospitalet de Llobregat. The sample includes 1,622 cases of women who have been victims of gender violence. A descriptive study of the population and of the lesions has been carried out. Results The paper presents the main variables studied, both socioeconomic and referring to the aggression itself. This study also analyzes the reentry of the victims, the repetition of aggressions (revictimization), which are 10.9% of the sample. Finally, the results obtained after applying artificial intelligence techniques -in this case, CaRT classification trees- are presented. Conclusions With the results obtained, we conclude that the treatment of the information collected and systematized from the medical-forensic intervention allows a better understanding of Violence Against Women, from which we can extract suggestions on the adoption of care and support measures for the victims and the most vulnerable groups, as well as administrative resources and the optimization of prevention programs. (AU)


Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Violência de Gênero/etnologia , Violência de Gênero/prevenção & controle , Inteligência Artificial , Violência contra a Mulher , Análise de Dados , Espanha
2.
Public Health Res (Southampt) ; 12(3): 1-192, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38421001

RESUMO

Background: Schools have a duty of care to prevent violence between students but a significant amount of dating and relationship violence and gender-based violence occurs in schools. These are important public health issues with important longitudinal consequences for young people. Objectives: To understand functioning and effectiveness of school-based interventions for the prevention of dating and relationship violence and gender-based violence. Review methods: We undertook a mixed-methods systematic review to synthesise different types of evidence relating to school-based interventions for the prevention of dating and relationship violence and gender-based violence to understand if, how and in what ways these interventions are effective. We searched 21 databases and 2 trial registers and undertook forwards and backwards citation chasing, author contact and other supplementary search methods. Searches identified all literature published to June 2021. All screening was undertaken in duplicate and independently, and we quality appraised all included studies. Results: We included 247 reports (68 outcome evaluations, 137 process evaluations). Synthesis of intervention components produced an intervention typology: single-component, curricular, multicomponent, and multilevel programmes. Synthesis of intervention theories suggested that interventions aiming to increase students' sense of school belonging and sense of safety in the school building could encourage increased learning of prosocial skills and increased prosocial peer norms, and so potentially reducing dating and relationship violence and gender-based violence. Synthesis of factors affecting delivery highlighted school organisation and leaders who believed in the importance of addressing dating and relationship violence/gender-based violence, along with time and resources to deliver the interventions. The ease with which the intervention could be delivered and modified was also important. Meta-analysis found stronger evidence for intervention effectiveness in reducing dating and relationship violence than for gender-based violence, with significant long-term impacts on dating and relationship violence victimisation and perpetration, and some evidence that interventions in high-income countries could be effective for reducing victimisation and perpetration of gender-based violence in the long-term. Impacts on knowledge and attitudes were primarily short-term. Network meta-analysis did not suggest superiority of any intervention type. Moderation evidence suggested interventions reduced dating and relationship violence perpetration in boys more than girls, but reduced gender-based violence perpetration more in girls. Metaregression by intervention component did not explain heterogeneity in effectiveness, but qualitative comparative analysis suggested that reducing perpetration was important to reducing victimisation, and that perpetration could be reduced via focus on interpersonal skills, guided practice and (for gender-based violence) implementation of social structural components. Limitations: Despite an exhaustive search, trials may have been missed and risk of publication bias was high for several analyses. Conclusions: This is the most comprehensive systematic review of school-based interventions for dating and relationship violence and gender-based violence to date. It is clear that the prevention of dating and relationship violence and gender-based violence in schools will require longer-term investment to show benefit. Future work: Future research is needed to understand why intervention effectiveness appears stronger for dating and relationship violence than gender-based violence. Study registration: The study is registered as PROSPERO CRD42020190463. Funding: This award was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme (NIHR award ref: NIHR130144) and is published in full in Public Health Research; Vol. 12, No. 3. See the NIHR Funding and Awards website for further award information.


Schools are places where dating and relationship violence and gender-based violence occur. Therefore, interventions conducted within schools are ideally placed to prevent and reduce dating and relationship violence and gender-based violence. We reviewed existing research on these interventions, exploring how they were expected to work, what factors affected their implementation in practice, how they had an impact on dating and relationship violence and gender-based violence, and what specific parts of the interventions were most effective and in what contexts. We defined what sort of evidence to include in the review, carried out a comprehensive search and found 247 reports on school-based interventions to prevent dating and relationship violence or gender-based violence, most of which were conducted in North America. Most interventions aimed to provide students with the knowledge, attitudes and skills needed to prevent perpetration and victimisation. They varied in complexity; some had one activity, others had multiple activities, some were integrated into the existing school curricula and others were complex in that they sought to change how schools as a whole respond to dating and relationship violence or gender-based violence. We theorised that complex interventions would bring about greater and more sustainable change, but this was not supported by our findings. The implementation of interventions was affected by factors such as school organisation and leaders who believed in the importance of addressing dating and relationship violence/gender-based violence, along with time and resources to deliver the interventions. The ease with which the intervention could be delivered and modified was also important. There was stronger evidence for intervention effectiveness in reducing dating and relationship violence than for gender-based violence, with significant long-term impacts on dating and relationship violence victimisation and perpetration. There was some evidence that interventions in high-income countries could be effective for reducing victimisation and perpetration of gender-based violence in the long-term. More complicated interventions were not more effective, and interventions tended to reduce dating and relationship violence perpetration in boys more than in girls. We have also been able to identify where there are gaps in available evidence, which may provide avenues for future research.


Assuntos
Vítimas de Crime , Violência de Gênero , Masculino , Feminino , Humanos , Adolescente , Instituições Acadêmicas , Habilidades Sociais , Violência de Gênero/prevenção & controle , Estudantes
4.
J Forensic Nurs ; 20(1): 43-52, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38165738

RESUMO

AIMS: Addressing sexual and gender-based violence (SGBV) in educational settings across the globe, particularly in institutions of higher education, requires strong institutional framework and policy guidelines. Most research about university SGBV policies has focused on high-income countries with little or no recourse to universities in low- and middle-income countries. This policy analysis aims to analyze existing policies related to SGBV from select sub-Saharan African universities to provide guidance on best practices toward addressing SGBV at universities in Africa. METHODS: Seven university policies and six national policies from six countries across sub-Saharan Africa (Ghana, Liberia, Nigeria, Rwanda, South Africa, and Zimbabwe) were reviewed using a standardized data extraction form. The policy analysis identified eight key elements of policies related to SGBV for sub-Saharan African universities, which were verified using a nominal group technique with five international experts in the field. RESULTS: Overall, policies varied significantly in accessibility, terminology, definitions, format, and inclusivity across the sites. Some of the policies were not readily accessible, and there was limited evidence provided in some of the policy documents. CONCLUSIONS: Policies for universities in sub-Saharan Africa should (a) be evidence based, (b) be readily available in multiple formats, (c) define key terms broadly with gendered signifiers, (d) be succinct and concise, (e) incorporate broad definitions for all university stakeholders, (f) identify who created the policy and when, (g) address prevention, and (h) address response. Evidence-based policies addressing SGBV prevention, response, and justice are sorely needed at universities across the globe.


Assuntos
Violência de Gênero , Políticas , Humanos , Universidades , Violência de Gênero/prevenção & controle , África Subsaariana , Zimbábue
5.
J Interpers Violence ; 39(7-8): 1760-1784, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38102836

RESUMO

This secondary descriptive analysis sought to understand Gender-Based Violence (GBV), with a focus on Domestic Violence (DV), among older women in Ukraine's conflict setting. Analysis was conducted on a subsample of 150 women aged 60+ from GBV-Information Management System intake data of 12,480 GBV survivors. Fisher's exact tests were used to compare differences in GBV incidents among women who experienced DV compared to other types of GBV. Using United Nations humanitarian and aging frameworks, qualitative analysis was completed following two rounds of coding. Sixty percent of women aged ≥60 experienced DV. Local women were more likely to experience DV versus displaced women (85.6% vs. 48.3%, p < .001). Six core themes emerged: experiencing versus witnessing violence, intergenerational conflict, livelihoods, alcohol, humiliation, and neglect. Deeper understanding of DV among older women in humanitarian settings is needed, strengthening a call to action to prioritize protection against, and prevention of, GBV more broadly among this marginalized group.


Assuntos
Violência Doméstica , Violência de Gênero , Humanos , Feminino , Idoso , Ucrânia , Violência de Gênero/prevenção & controle
8.
BMC Public Health ; 23(1): 1738, 2023 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-37674212

RESUMO

In this comment I analyze the effects of approaching gender-based violence as a public health problem, that the health system should address through 'daring to ask'. I acknowledge the potential of the 'daring to ask' strategy, but I also argue that asking has effects, and that we should be aware of them.


Assuntos
Violência de Gênero , Humanos , Violência de Gênero/prevenção & controle , Saúde Pública , Conscientização , Instalações de Saúde , Assistência Médica
9.
Int J Gynaecol Obstet ; 163(2): 367-376, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37702412

RESUMO

OBJECTIVE: To understand, build capacities, give guidance, and support school-going adolescent boys and girls on gender stereotypes and violence against women (VAW) and to assess the role of educational training in improving knowledge, attitudes, and practice to stop VAW. METHODS: An educational interventional study was conducted for a period of 18 months across schools in India, involving boys and girls studying in grades 9-12. Assessment of the program's effectiveness on influencing young minds in breaking the taboos surrounding gender stereotypes and stopping VAW was completed through a pre-test and post-test, consisting of 12 scenario-based questions. RESULTS: In all, 8931 participants (64% girls and 36% boys) from 26 states in India submitted their pre-test, post-test, and feedback forms. Participants showed improved clarity and comprehension on issues surrounding VAW/gender-based violence. There was a significant improvement in the knowledge on what actions can be taken and whom to approach for cases related to VAW/gender-based violence. The post-test survey showed a high level of commitment to overcoming gender stereotyping and stopping VAW. CONCLUSION: This unique nationwide study demonstrated the effectiveness of an educational intervention that led to improved knowledge, attitude, and commitment towards stopping VAW. A large-scale program can be self-sustaining when it is embedded in the schools responsible for shaping young minds.


Assuntos
Violência de Gênero , Violência , Adolescente , Feminino , Humanos , Masculino , Escolaridade , Violência de Gênero/prevenção & controle , Índia , Instituições Acadêmicas , Inquéritos e Questionários , Violência/prevenção & controle , Educação em Saúde
11.
Artigo em Inglês | MEDLINE | ID: mdl-37569038

RESUMO

Studies investigating the effectiveness of school-related gender-based violence prevention programs seldom report on the extent to which students themselves value and recommend such programs. Yet, along with evidence about effectiveness in relation to shifts in knowledge, attitudes, or intentions, student-valuing is a significant indicator that the programs can make a positive contribution to students' lives. This mixed-method study analyses survey and focus group data collected from ninety-two schools in three African countries (Tanzania, Zambia, and Eswatini). Students found the program contributed to improved peer relationships and identified the five most useful components as learning about gender equality and human rights, learning how to obtain help for those affected by violence, understanding and communicating about their emotions, strategies to avoid joining in with bullying and harassment, and understanding the effects of gender-based violence.


Assuntos
Bullying , Violência de Gênero , Humanos , Violência de Gênero/prevenção & controle , Violência , Bullying/psicologia , Estudantes/psicologia , Instituições Acadêmicas , Tanzânia , Avaliação de Programas e Projetos de Saúde/métodos
12.
Gac. sanit. (Barc., Ed. impr.) ; 37: [102320], Agos. 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-224223

RESUMO

Objetivo: Analizar los discursos de jóvenes y profesionales sobre la violencia contra la mujer y explorar las posibles estrategias para su prevención en España.Método: Estudio cualitativo basado en entrevistas semiestructuradas a 16 jóvenes (18-24 años) y 23 profesionales que trabajan en la prevención de la violencia contra la mujer. Se llevó a cabo un análisis del discurso para identificar los principales repertorios interpretativos.Resultados: Los cuatro repertorios interpretativos de este estudio reflejan cómo las personas jóvenes perciben la violencia física en el ámbito doméstico como el tipo de violencia contra la mujer más visible. En sus discursos, tanto hombres como mujeres jóvenes describen el carácter bidireccional de la violencia en el ámbito de la pareja. Emerge la alusión a la responsabilidad de los agentes sociales en la perpetuación de la violencia contra la mujer. Por último, las personas jóvenes y profesionales destacan el papel clave de los chicos en la prevención de la violencia contra la mujer.Conclusiones: La violencia física continúa siendo el principal tipo de violencia percibido por la población joven, pero mayoritariamente las chicas fueron capaces de identificar otras formas de violencia más sutiles y normalizadas. Los agentes sociales tienen una fuerte influencia en el imaginario sobre la violencia contra la mujer de la población joven. Por último, las futuras estrategias contra la violencia contra la mujer deben contar con la participación de los hombres jóvenes desde estrategias comunitarias que trabajen en la promoción de actitudes y relaciones positivas e igualitarias.(AU)


Objective: To analyze the discourses of young people and professionals on violence against women and to explore possible strategies for its prevention in Spain.Method: Qualitative study based on semi-structured interviews with 16 young people (18–24 years old) and 23 professionals working in violence against women prevention. A discourse analysis was carried out to identify the main interpretative repertoires.Results: The four interpretative repertoires of this study reflect how young people perceive physical violence in the domestic sphere as the most visible type of violence against women. In their discourses, both young men and women describe the bidirectional nature of intimate partner violence. The allusion to the responsibility of social agents in the perpetuation of violence against women emerges. Finally, young people and professionals emphasize the key role of boys in the prevention of violence against women.Conclusions: Physical violence continues to be the main type of violence perceived by the young population, but most girls were able to identify other more subtle and normalized forms of violence. Social agents have a strong influence on the imaginary of violence against women in the young population. Finally, future strategies against violence against women must involve young men in community-based strategies that work to promote positive and egalitarian attitudes and relationships.(AU)


Assuntos
Humanos , Feminino , Maus-Tratos Conjugais/prevenção & controle , Maus-Tratos Conjugais/estatística & dados numéricos , Violência contra a Mulher , Violência de Gênero/prevenção & controle , Violência de Gênero/estatística & dados numéricos , Violência de Gênero/tendências , Pesquisa Qualitativa , Espanha , Promoção da Saúde
13.
BMC Womens Health ; 23(1): 393, 2023 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-37496067

RESUMO

OBJECTIVE: This study seeks to deepen current knowledge of the phenomenon of gender-based violence (GVB) among young people in Spain, identifying the main challenges in terms of prevention from the perspective of key stakeholders in the field. METHODS: 23 semi-structured qualitative interviews were performed with professionals whose work involves youth and comes from different areas: social work, policy making, youth education, feminist and LGBTQ activism and anti-violence masculinities engagement (13 women and 10 men). RESULTS: Among the main challenges identified by stakeholders in relation to GBV preventive strategies in young populations there is a need to focus on transformative programmes within educational settings. The findings indicate that specific programs and interventions in this area may not be yielding the expected effectiveness. This outcome could be attributed less to a lack of resources and more to a failure to address the core issues and challenges adequately. Thus, the results underline that intervention programmes should emphasise equitable gender norms and gender relations and incorporate content on anti-violence masculinities. Finally, a pivotal aspect seen by professionals to facilitate GBV prevention is the design and development of interventions based on participatory and active approaches, close to young people's everyday situations. The results also draw attention to the need to analyse the impact of new forms of violence in greater depth, especially those that occur through information and communication technologies. CONCLUSION: Among other implications for policy and practice, the study points to the need to articulate interventions designed to work simultaneously at different levels of influence acting on people.


Assuntos
Violência de Gênero , Masculino , Adolescente , Humanos , Feminino , Violência de Gênero/prevenção & controle , Espanha , Pesquisa Qualitativa , Violência/prevenção & controle , Relações Interpessoais
14.
Violence Against Women ; 29(12-13): 2393-2417, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37487225

RESUMO

This article evaluates a Body Resistance Program in an urban area of El Salvador. The goal of this program is to facilitate women's reclamation of bodily autonomy and recognition of their shared struggle, thereby laying a foundation for solidarity and structural change around gendered body norms. As a pilot project with limited scope, a key objective is to identify meaningful concepts that address the goals, motivations, and worldviews of Salvadoran participants. This article provides insights into their understandings and experiences of trauma, resistance, and embodied empowerment.


Assuntos
Empoderamento , Violência de Gênero , Hispânico ou Latino , Motivação , Direitos da Mulher , Feminino , Humanos , El Salvador , Projetos Piloto , População Urbana , Pesquisa Qualitativa , Autonomia Pessoal , Violência de Gênero/prevenção & controle , Violência de Gênero/psicologia
15.
Res Synth Methods ; 14(4): 582-595, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37287195

RESUMO

Conventional systematic reviews offer few insights into for whom and how interventions work. 'Realist reviews' examine such questions via examining 'context-mechanism-outcome configurations' (CMOCs) but are insufficiently rigorous in how evidence is identified, assessed and synthesised. We developed 'realist systematic reviews', addressing similar questions to realist reviews but using rigorous methods. We applied this to synthesising evidence on school-based prevention of dating and relationship violence (DRV) and gender-based violence (GBV). This paper reflects on overall methods and findings, drawing on papers reporting each analysis. Drawing on intervention descriptions, theories of change and process evaluations, we developed initial CMOC hypotheses: interventions triggering 'school-transformation' mechanisms (preventing violence by changing school environments) will achieve larger effects than those triggering 'basic-safety' (stopping violence by emphasising its unacceptability) or 'positive-development' (developing students' broader skills and relationships) mechanisms; however, school transformation would only work in schools with high organisational capacity. We used various innovative analyses, some of which aimed to test these hypotheses and some of which were inductive, drawing on available findings to augment and refine the CMOCs. Overall, interventions were effective in reducing long-term DRV but not GBV or short-term DRV. DRV prevention occurred most effectively via the 'basic-safety' mechanism. 'School-transformation' mechanisms were more effective in preventing GBV but only in high-income countries. Impacts on long-term DRV victimisation were greater when working with a critical mass of participating girls. Impacts on long-term DRV perpetration were greater for boys. Interventions were more effective when focusing on skills, attitudes and relationships, or lacking parental involvement or victim stories. Our method provided novel insights and should be useful to policy-makers seeking the best interventions for their contexts and the most information to inform implementation.


Assuntos
Violência de Gênero , Revisões Sistemáticas como Assunto , Feminino , Humanos , Masculino , Violência de Gênero/prevenção & controle , Instituições Acadêmicas , Estudantes , Violência/prevenção & controle
16.
Rev Bras Enferm ; 76Suppl 2(Suppl 2): e20220299, 2023.
Artigo em Inglês, Português | MEDLINE | ID: mdl-37255186

RESUMO

OBJECTIVES: to analyze an educational intervention, through game "Violetas", for the qualification of professionals who work in the fight against gender violence. METHODS: a qualitative study, involving 28 professionals from intersectoral services to assist women in situations of violence, located in three Brazilian capitals. Data were collected through Critical-Emancipatory Workshops, being submitted to thematic content analysis through software. RESULTS: sexist patterns, pornography and sexual diversity were topics listed by participants for intervention in reality. To this end, they suggested orientation actions on gender violence, promotion of individual and group assistance and service network consolidation. FINAL CONSIDERATIONS: the intervention proved to be playful, due to the use of games, critical, due to the fact that it allowed reflection on the theme, emancipatory, due to the possibility of professionals rethinking their practice and qualifying themselves to face the problem.


Assuntos
Violência de Gênero , Humanos , Feminino , Violência de Gênero/prevenção & controle , Violência , Comportamento Sexual , Jogos e Brinquedos , Software
17.
Interv. psicosoc. (Internet) ; 32(2): 59-68, May. 2023. tab, graf, ilus
Artigo em Inglês | IBECS | ID: ibc-221012

RESUMO

Intimate partner violence can lead to physical, economical, mental, and sexual well-being issues, and even death, and it is most commonly experienced by women. There exist a number of treatment models for the prevention and treatment of intimate partner violence (IPV). In this study, we provided a comprehensive meta-regression analysis of the effectiveness of batterer treatment programs, with a view to characterizing the interplay between different forms of IPV (physical, psychological, and sexual). Using meta-regression, we explore the effect sizes and whether IPV treatment methods have distinct impacts on the outcomes. We use the difference normalized by pretreatment mean and variance foldchange to uncover the relationship between different violence subtypes and how they drive each other. Specifically, our study found that studies with more pre-treatment psychological and/or sexual violence, lead to less favorable outcomes while the studies that start with more physical violence are able to demonstrate their effects more effectively. Results of this study can be used to help the clinician effectively select the treatment for the perpetrator based on the violence type and severity of violence in order to more effectively treat the needs for each specific relationship.(AU)


La violencia de pareja puede llegar a afectar al bienestar físico, económico, mental y sexual e incluso llevar a la muerte, siendo experimentada con más frecuencia por las mujeres. Hay diversos modelos de prevención y tratamiento de la violencia de pareja (VP). En este estudio se lleva a cabo un análisis global de meta-regresión de la eficacia de los programas de tratamiento para maltratadores centrado en caracterizar la interacción entre diferentes formas de VP (física, psicológica y sexual). Mediante meta-regresión se explora el tamaño del efecto y si los distintos métodos de tratamiento de la VP influyen de modo distinto en los resultados. Se utiliza la diferencia normalizada por la media y la reducción de la heterogeneidad (varianza) del pretratamiento para analizar la relación entre los distintos tipos de violencia y cómo se influyen mutuamente. En concreto en este trabajo encontramos que los estudios con más violencia psicológica y/o sexual en el pretratamiento tienen resultados menos favorables, mientras que los que comienzan con más violencia física pueden demostrar sus efectos de un modo más eficaz. Los resultados de este estudio pueden ser de ayuda para que el profesional seleccione de modo más eficaz el tratamiento para el agresor teniendo en cuenta el tipo de violencia y su gravedad, con el fin de tratar de forma más adecuada las necesidades de cada relación específica.(AU)


Assuntos
Humanos , Masculino , Feminino , Violência por Parceiro Íntimo/prevenção & controle , Recusa do Paciente ao Tratamento , Violência de Gênero/prevenção & controle , Delitos Sexuais , Violência Doméstica , Abuso Físico , Psicologia Social , Saúde da Família
18.
Artigo em Inglês | MEDLINE | ID: mdl-37048027

RESUMO

(1) Background: Gender-based violence (GBV) is widespread globally and has a myriad of adverse effects but is vastly under-reported. Health care workers are among the first responders in GBV. The objective of this study was to assess the knowledge of health workers with regard to GBV and related management guidelines and implementation. (2) Methods: The study employed a descriptive, sequential mix-method study, beginning with the quantitative part, followed by the qualitative component. Qualitative analysis was conducted using a content framework approach. (3) Results: More than two-thirds (71.79%) of health workers were found to be generally knowledgeable about gender-based violence; however, only 36.9% had good knowledge about gender-based violence management guidelines for gender-based violence and the mean value for all the items was less than 3 which indicates poor knowledge of the management guideline. Additionally, only 36.8% found the gender-based violence management guidelines useful and practical in clinical care for gender-based violence cases. (4) Conclusions: The finding of this study revealed that knowledge of gender-based violence management guideline was not adequate among health workers and rarely used during management of GBV cases. This calls for continuous training and specific refresher courses, including on-site practical sessions, professionals' mentorship, and supervision.


Assuntos
Violência de Gênero , Humanos , Violência de Gênero/prevenção & controle , Pessoal de Saúde
19.
BMC Public Health ; 23(1): 117, 2023 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-36650493

RESUMO

BACKGROUND: As COVID-19 continues to impact lives and livelihoods around the world, women and girls are disproportionately affected. Crisis situations and related response measures, such as lockdowns, school closures, and travel restrictions, often exacerbate the adversities and human rights violations faced by adolescent girls. We conducted a rapid review to synthesise evidence on the impact of public health emergencies (PHEs) related to gender-based inequalities among adolescent girls. METHODS: We systematically searched five major databases. Records were imported into the online screening tool Rayyan, and 10% of the records were triple screened for eligibility. We included qualitative, mixed-methods, and quantitative studies that assessed the relationship between PHEs and any of the following outcomes: (1) gender-based violence, (2) early/forced marriage, and (3) sexual and reproductive health. Due to the heterogeneity of included study designs, no meta-analysis was performed, and studies were summarised narratively. FINDINGS: Out the initial 6004 articles, 11 studies met our eligibility criteria. Five of these assessed the impact of natural disasters and six were focused on consequences of the COVID-19 pandemic. Seven studies focused on the impact of PHEs on gender-based violence, three focused on sexual and reproductive health, and only one study looked at early marriage. The main impacts highlighted by the studies included (1) increases in physical, psychological, and sexual abuse, (2) increase in the occurrence of teenage pregnancy, (3) poor menstruation hygiene management, and (4) occurrence of early marriages. Mechanisms underlying these impacts were PHE-specific response strategies like home confinement, closure of schools, the worsening of families' financial situation such as the inability to pay for school fees or day-to-day living costs, and the disempowerment of and increased workloads for adolescent girls. CONCLUSION: Although evidence on the impact of COVID-19 on gender-based violence, sexual and reproductive health, and especially forced or early marriage of adolescent girls is limited, results from studies on other PHEs indicate that during crises, these detrimental outcomes are exacerbated. Findings from our review have important implications for policies and programs providing life skills training, financial literacy training, credit support, and safe spaces for adolescent girls.


Assuntos
COVID-19 , Violência de Gênero , Gravidez , Feminino , Humanos , Adolescente , Violência de Gênero/prevenção & controle , Saúde Reprodutiva , Saúde Pública , Emergências , Pandemias , COVID-19/epidemiologia , Controle de Doenças Transmissíveis
20.
J Interpers Violence ; 38(11-12): 7656-7677, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36710522

RESUMO

There has been growing concern about the increase in gender-based violence (GBV) among young people. The aim of this study was to explore the grey zones in GBV alongside gender (masculinities and femininities) discourses in young adults. We used the concept of a "grey zone" as an analytical tool to identify possible contradictory discursive positions where the notions of victims and perpetrators of GBV converge and become ambiguous. We performed a qualitative study based on 20 semi-structured interviews and 4 focus groups (October 2019 to February 2020) in Spain with a sample of 49 cisgender women and men, aged between 18 and 24, some involved in feminist activism and some not. We conducted a sociological analysis of the discourse system. Study findings show how culturally constructed gender norms intervene in the ways in which young people understand and deal with GBV. When asked general questions about GBV, this concept was problematized along with gender assumptions and two discursive positions were identified: the discourse of "men as authors of GBV" and the discourse of "GBV as an individual genderless issue." When vignettes of everyday GBV situations were shown, grey zones became visible when discussing subtle forms of GBV influenced by the myths of romantic love, victim-blaming around sexual violence, digital GBV and bystander men intervention on GBV. In those grey zones, discourses on GBV were articulated around unequal notions of gender that, in turn, served as its justification, reproduction, and normalization. The grey zones identified represent contexts of oppression that illustrate how GBV is systematically reproduced, as well as the ways in which young people can be involved in it, perpetuating power and health inequalities. Our findings provide information as a guide to design GBV interventions and prevention actions that incorporate a focus on gender configurations.


Assuntos
Violência de Gênero , Delitos Sexuais , Masculino , Adulto Jovem , Humanos , Feminino , Adolescente , Adulto , Violência de Gênero/prevenção & controle , Papel de Gênero , Feminilidade , Grupos Focais
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