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1.
Rev. enferm. UERJ ; 29: e51107, jan.-dez. 2021.
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1254207

RESUMO

Objetivo: descrever a atuação do enfermeiro no atendimento às mulheres em situação de violência sexual a partir da literatura. Método: pesquisa bibliográfica na modalidade revisão integrativa da literatura, com busca dos estudos primários publicados entre 2015 a 2019, realizada em abril de 2020, em sete bases de dados, sendo selecionados e analisados dez artigos. Resultados: da síntese das evidências, emergiram três categorias: assistência clínica medicamentosa, assistência clínica não-medicamentosa e falta de qualificação profissional, revelando insatisfação de algumas mulheres no atendimento. Conclusão: os estudos analisados descrevem com clareza a assistência de enfermagem prestada de imediato às mulheres pós agressão sexual, porém, não abordam a continuidade do processo, constituindo-se essa uma importante lacuna. A síntese de conhecimento produzido oferece subsídios valiosos para a melhoria da qualidade da assistência de enfermagem às mulheres em situação de violência e ratifica a importância dos seus resultados para fundamentar a prática clínica nesta área de estudo.


Objective: from the literature, to describe the role of nurses in assisting women in situations of sexual violence. Method: bibliographic search in seven databases, in April 2020, for integrative literature reviews, searching for primary studies published between 2015 and 2019, in which ten articles were selected and examined. Results: from the synthesis of the evidence, three categories emerged: clinical drug care, clinical non-drug care and lack of professional qualification, revealing some women's dissatisfaction with the care. Conclusion: the studies examined clearly describe the nursing care provided immediately to women after sexual assault. However, they do not address continuity of the care, which is an important gap. The knowledge synthesized offered valuable input to improving the quality of nursing care for women in situations of violence and confirmed the importance of the findings to supporting clinical practice in this field of study.


Objetivo: describir el rol de las enfermeras en la asistencia a las mujeres en situación de violencia sexual a partir de la literatura. Método: investigación bibliográfica en forma de revisión integradora de la literatura, realizada en abril de 2020, con búsqueda sobre estudios primarios publicados entre 2015 y 2019, en siete bases de datos. Fueron seleccionados y analizados diez artículos. Resultados: de la síntesis de las evidencias emergieron tres categorías: atención clínica con uso de medicación, atención clínica sin uso de medicación y falta de calificación profesional, poniendo en evidencia el descontento de algunas mujeres en cuanto a la atención. Conclusión: los estudios analizados describen claramente los cuidados de enfermería brindados prontamente a las mujeres luego de la agresión sexual, sin embargo, no abordan la continuidad del proceso, lo que constituye un vacío importante. La síntesis de conocimientos producidos ofrece valiosos subsidios para mejorar la calidad de la atención de enfermería a las mujeres en situación de violencia y confirma la importancia de sus resultados para fundamentar la práctica clínica en esta área de estudio.

2.
BMJ Open ; 11(9): e050887, 2021 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-34497084

RESUMO

OBJECTIVES: To systematically document measurement approaches used in the monitoring and evaluation of gender-based violence (GBV) risk mitigation activities, categorise the types of available literature produced by sector, identify existing tools and measures and identify knowledge gaps within the humanitarian sector. DESIGN: Systematic mapping and in-depth review. DATA SOURCES: Pubmed, Global Health, PsychInfo, ReliefWeb, OpenGrey (grey literature), Google Scholar, Web of Science (Social Science Index)Eligibility criteria: a structured search strategy was systematically applied to 17 databases as well as registers, websites and other resources to identify materials published between 1 January 2005 and 15 May 2019. DATA EXTRACTION AND SYNTHESIS: Those resources that met the inclusion criteria underwent a comprehensive full-text review. A detailed matrix was developed and key data from each resource were extracted to allow for the assessment of patterns in thematic areas. RESULTS: A total of 2108 documents were screened. Overall, 145 documents and 112 tools were reviewed, representing 10 different humanitarian sectors. While numerous resources exist, many lack sufficient information on how to monitor outputs or outcomes of GBV risk mitigation activities. There is also limited guidance on how to integrate the measurement of GBV risk mitigation into existing monitoring and evaluation frameworks. Those reports that aimed to measure GBV risk mitigation activities mostly employed qualitative methods and few measured the impact of a GBV risk mitigation with robust research designs. CONCLUSIONS: Recent efforts to adapt humanitarian response to COVID-19 have highlighted new and existing challenges for GBV risk mitigation. There is a significant gap in the evidence base around the effectiveness of GBV risk mitigation across all sectors. Understanding and strengthening measurement approaches in GBV risk mitigation remains a critical task for humanitarian response.


Assuntos
COVID-19 , Violência de Gênero , Atenção à Saúde , Violência de Gênero/prevenção & controle , Humanos , SARS-CoV-2
3.
Lima; Perú. Ministerio de Salud; 1 Ed; 20210800. 81 p. ilus.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1292815

RESUMO

La publicación describe los procedimientos y criterios técnicos para el cuidado de salud mental de mujeres en situación de violencia ocasionada por la pareja o expareja, que acuden a los establecimientos de salud a nivel nacional. Asimismo, los criterios que orienten el tratamiento y rehabilitación para la recuperación de la salud mental de mujeres víctimas de violencia ocasionada por la pareja o expareja.


Assuntos
Saúde Mental , Fatores de Risco , Assistência Integral à Saúde , Vítimas de Crime , Identificação de Vítimas , Impacto Psicossocial , Violência contra a Mulher , Transtornos Mentais
4.
Trauma Violence Abuse ; : 15248380211030242, 2021 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-34282677

RESUMO

BACKGROUND: Hegemonic masculinity has been recognized as contributing to the perpetration of different forms of gender-based violence (GBV). Abandoning hegemonic masculinities and promoting positive masculinities are both strategies used by interventions that foreground a "gender-transformative approach." Preventing GBV among young people could be strengthened by engaging young men. In this article, we aim to systematically review the primary characteristics, methodological quality, and results of published evaluation studies of educational interventions that aim to prevent different forms of GBV through addressing hegemonic masculinities among young people. MAIN BODY: We conducted a systematic review of available literature (2008-2019) using Medline (PubMed), Scopus, Web of Science, PsycInfo, the CINAHL Complete Database, and ERIC as well as Google scholar. The Template for Intervention Description and Replication was used for data extraction, and the quality of the selected studies was analyzed using the Mixed Method Appraisal Tool. More than half of the studies were conducted in Africa (n = 10/15) and many were randomized controlled trials (n = 8/15). Most of the studies with quantitative and qualitative methodologies (n = 12/15) reported a decrease in physical GBV and/or sexual violence perpetration/victimization (n = 6/15). Longitudinal studies reported consistent results over time. CONCLUSIONS: Our results highlight the importance of using a gender-transformative approach in educational interventions to engage young people in critical thinking about hegemonic masculinity and to prevent GBV.

5.
Trauma Violence Abuse ; : 15248380211029398, 2021 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-34259094

RESUMO

Police officers are society's first interveners in intimate partner violence against women (IPVAW) and are essential for victim safety. Despite IPVAW laws, police attitudes influence their real actions during IPVAW intervention. However, the fuzzy conceptualization of the construct deters the pursuit of conclusive evidence. This systematic review sought to identify the components of police attitudes toward intervention in IPVAW and their determinants. A search was conducted through several databases (e.g., Web of Science). Papers were included if they (a) provided original empirical findings or were review studies, (b) were published between 1990 and 2019, (c) were written in Spanish or English, (d) alluded to police officers, and (e) focused on police attitudes toward intervention in IPVAW or their determinants. Fifty-seven papers were included. The studied components of police attitudes toward intervention in IPVAW extracted from the literature were tolerance of IPVAW, minimal police involvement, unsupportive and supportive attitudes toward the legal system and legislation against IPVAW, understanding of the complex nature of abuse, and IPVAW intervention as an important police task. Moreover, the central role of individual and situational determinants in police attitudes toward intervention in IPVAW was confirmed, whereas organizational and societal determinants were studied scarcely. This review proposes a framework upon which to build operational definition of police attitudes toward intervention in IPVAW and includes remarks on police backgrounds and the situational characteristics of IPVAW events that are essential in shaping police procedures for managing them. Empirical evidence should be transferred to police training and standard operating procedures.

6.
Cien Saude Colet ; 26(7): 2709-2718, 2021 Jul.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34231684

RESUMO

This is a systematic review of the health production on sexting between 2009 and 2019. The scientific production was analyzed regarding its context (gender of the first author, publication year, and country of realization), publication type, knowledge field, themes, subjects addressed, and their conception about sexting. The 147 works on sexting as a central theme retrieved from PubMed were analyzed during the second semester of 2019. The search was done on the term of sexting. A descriptive statistical, interpretive analysis was carried out to assess the approach to risk, violence, and gender in these publications. Most first authors of these publications were female, and most manuscripts were published in the U.S. between 2017 and 2019 and adopted a quantitative approach (approximately 65%). Almost half of the productions' central theme was the prevalence of sexting or risky behavior among adolescents. The vast majority also attributed risky behavior to sexting somehow, from which violence can be inferred (70%). A negligible part of publications employed a gender approach (less than 15%). The health productions have insufficiently analyzed sexting by not distinguishing healthy from violent practices.


Assuntos
Comportamento do Adolescente , Envio de Mensagens de Texto , Adolescente , Feminino , Humanos , Prevalência , Assunção de Riscos , Comportamento Sexual , Violência
7.
Artigo em Inglês | MEDLINE | ID: mdl-34209746

RESUMO

Intimate partner violence (IPV) is a pervasive form of gender-based violence that exacerbates in humanitarian settings. This systematic review examined the myriad IPV impacts and the quality of existing evidence of IPV in humanitarian settings. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) procedures, a total of 51 articles were included from the 3924 screened. We identified the impact of IPV across two levels of the ecological framework: individual and microsystem. Our findings corroborated previous evidence that indicated IPV to be associated with adverse physical and mental health for survivors. Our findings also uniquely synthesized the intergenerational impact of IPV in humanitarian settings. However, findings highlighted a glaring gap in evidence examining the non-health impact of IPV for survivors in humanitarian settings and across levels of the ecological framework. Without enhanced research of women and girls and the violence they experience, humanitarian responses will continue to underachieve, and the needs of women and girls will continue to be relegated as secondary interests. Investment should prioritize addressing the range of both health and non-health impacts of IPV among individuals, families, and communities, as well as consider how the humanitarian environment influences these linkages.


Assuntos
Violência de Gênero , Violência por Parceiro Íntimo , Feminino , Humanos , Saúde Mental , Sobreviventes , Violência
8.
Ciênc. Saúde Colet ; 26(7): 2709-2718, jul. 2021.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1278787

RESUMO

Resumo Trata-se de uma revisão sistemática acerca da produção do campo da saúde sobre o sexting entre 2009 e 2019. Buscou-se analisar a produção científica com relação ao seu contexto de produção (gênero da primeira autoria, ano da publicação e país de realização), tipo de publicação, área do conhecimento, temas e sujeitos abordados e qual concepção apresentam sobre o sexting. Foram analisadas, durante o segundo semestre de 2019, as 147 publicações disponíveis no PubMed, que tinham o sexting como tema central. A busca foi feita pelo termo sexting. Foi realizada análise de estatística descritiva que envolveu um cunho interpretativo, de modo a avaliar a abordagem do risco, da violência e de gênero nessas publicações. A maioria delas tem mulheres como primeiras autoras, foi produzida nos Estados Unidos entre 2017 e 2019 e realizou abordagem quantitativa (aproximadamente 65%). Cerca de metade das produções teve como tema central a prevalência do sexting ou o comportamento de risco entre adolescentes. A grande maioria atribuiu de algum modo ao sexting um comportamento de risco, e do qual se deduz violência (70%). Uma pequena parte das publicações apresentou uma abordagem de gênero (menos de 15%). Ao não distinguir práticas saudáveis de violentas, as produções do campo da saúde têm realizado análises insuficientes do sexting.


Abstract This is a systematic review of the health production on sexting between 2009 and 2019. The scientific production was analyzed regarding its context (gender of the first author, publication year, and country of realization), publication type, knowledge field, themes, subjects addressed, and their conception about sexting. The 147 works on sexting as a central theme retrieved from PubMed were analyzed during the second semester of 2019. The search was done on the term of sexting. A descriptive statistical, interpretive analysis was carried out to assess the approach to risk, violence, and gender in these publications. Most first authors of these publications were female, and most manuscripts were published in the U.S. between 2017 and 2019 and adopted a quantitative approach (approximately 65%). Almost half of the productions' central theme was the prevalence of sexting or risky behavior among adolescents. The vast majority also attributed risky behavior to sexting somehow, from which violence can be inferred (70%). A negligible part of publications employed a gender approach (less than 15%). The health productions have insufficiently analyzed sexting by not distinguishing healthy from violent practices.

9.
Ciênc. Saúde Colet ; 26(7): 2709-2718, jul. 2021.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1278824

RESUMO

Resumo Trata-se de uma revisão sistemática acerca da produção do campo da saúde sobre o sexting entre 2009 e 2019. Buscou-se analisar a produção científica com relação ao seu contexto de produção (gênero da primeira autoria, ano da publicação e país de realização), tipo de publicação, área do conhecimento, temas e sujeitos abordados e qual concepção apresentam sobre o sexting. Foram analisadas, durante o segundo semestre de 2019, as 147 publicações disponíveis no PubMed, que tinham o sexting como tema central. A busca foi feita pelo termo sexting. Foi realizada análise de estatística descritiva que envolveu um cunho interpretativo, de modo a avaliar a abordagem do risco, da violência e de gênero nessas publicações. A maioria delas tem mulheres como primeiras autoras, foi produzida nos Estados Unidos entre 2017 e 2019 e realizou abordagem quantitativa (aproximadamente 65%). Cerca de metade das produções teve como tema central a prevalência do sexting ou o comportamento de risco entre adolescentes. A grande maioria atribuiu de algum modo ao sexting um comportamento de risco, e do qual se deduz violência (70%). Uma pequena parte das publicações apresentou uma abordagem de gênero (menos de 15%). Ao não distinguir práticas saudáveis de violentas, as produções do campo da saúde têm realizado análises insuficientes do sexting.


Abstract This is a systematic review of the health production on sexting between 2009 and 2019. The scientific production was analyzed regarding its context (gender of the first author, publication year, and country of realization), publication type, knowledge field, themes, subjects addressed, and their conception about sexting. The 147 works on sexting as a central theme retrieved from PubMed were analyzed during the second semester of 2019. The search was done on the term of sexting. A descriptive statistical, interpretive analysis was carried out to assess the approach to risk, violence, and gender in these publications. Most first authors of these publications were female, and most manuscripts were published in the U.S. between 2017 and 2019 and adopted a quantitative approach (approximately 65%). Almost half of the productions' central theme was the prevalence of sexting or risky behavior among adolescents. The vast majority also attributed risky behavior to sexting somehow, from which violence can be inferred (70%). A negligible part of publications employed a gender approach (less than 15%). The health productions have insufficiently analyzed sexting by not distinguishing healthy from violent practices.

10.
Aletheia ; 54(1): 126-135, jan.-jun. 2021. ilus, tab
Artigo em Português | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1285027

RESUMO

RESUMO A violência contra a mulher é considerada mundialmente como um problema de saúde pública e a América Latina tem sido apontada como a região de maior incidência deste tipo de violação. Esta revisão sistemática objetivou investigar a produção científica latino-americana sobre serviços de atendimento à mulher vítima de violência que incluam psicólogos em suas equipes. Foram realizadas buscas nas bases de dados Scielo, Lilacs, e Portal Capes, com os descritores "violência contra a mulher", "violência doméstica contra a mulher", "psicologia", "psicología", "violencia contra las mujeres", "violencia doméstica contra la mujer". Considerou-se apenas artigos publicados na América Latina, nos idiomas português e espanhol, durante os últimos 5 anos. No total, 10 estudos foram analisados na íntegra. Esta revisão permitiu constatar que ainda há lacunas na rede de atendimento, que dizem respeito não apenas à atuação do psicólogo, mas também às diferentes áreas que compõem as redes de acolhimento à mulher.


ABSTRACT Violence against women is considered worldwide as a public health problem and Latin America has been identified as the region with the highest incidence of this type of violation. This systematic review aims to investigate the Latin American scientific production on care services that include Psychology professionals in their teams for women who have been victims of violence. Searches were carried out in the databases of Scielo, Lilacs and Portal Capes, with the descriptions "violence against women", "domestic violence against women", "psychology", "psicología", "violencia contra las mujeres", "violencia doméstica contra la mujer". Only articles published in Latin America, in Portuguese and Spanish, in the last 5 years, have been considered. In total, 10 studies were analyzed in their entirety. This review showed that there are still gaps in the care network of these cases, which concern not only the role of the psychologist, but also the different areas that make up the networks for the support of women.

11.
Lima; Perú. Ministerio de Salud; 20210500. 39 p. tab.
Monografia em Espanhol | LILACS, MINSAPERÚ | ID: biblio-1121794

RESUMO

La publicación describe los parámetros técnicos estandarizados, para la evaluación de la afectación psicológica de personas, en caso de haber sido víctimas de violencia contra las mujeres y los integrantes del grupo familiar y para contribuir a la recuperación integral y oportuna de las personas víctimas de violencia contra las mujeres e integrantes del grupo familiar que acuden a las Instituciones Prestadoras de Servicios de Salud (IPRESS).


Assuntos
Padrões de Referência , Guias como Assunto , Violência contra a Mulher , Parâmetros de Referência , Jurisprudência
12.
Lima; Perú. Ministerio de Salud; 20210500. 69 p. tab.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1224701

RESUMO

El documento contiene los procedimientos y criterios técnicos para el cuidado de salud mental de mujeres en situación de violencia ocasionada por la pareja o expareja, que acuden a los establecimientos de salud a nivel nacional.


Assuntos
Violência , Mulheres , Saúde Mental , Guias como Assunto , Violência contra a Mulher , Instalações de Saúde
13.
Trauma Violence Abuse ; : 15248380211016018, 2021 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-33998339

RESUMO

Evidence demonstrating the economic burden of violence against women and girls can support policy and advocacy efforts for investment in violence prevention and response programming. We undertook a systematic review of evidence on the costs of violence against women and girls in low- and middle-income countries published since 2005. In addition to understanding costs, we examined the consistency of methodological approaches applied and identified and assessed common methodological issues. Thirteen articles were identified, eight of which were from sub-Saharan Africa. Eight studies estimated costs associated with domestic or intimate partner violence, others estimated the costs of interpersonal violence, female genital cutting, and sexual assaults. Methodologies applied to estimate costs were typically based on accounting approaches. Our review found that out-of-pocket expenditures to individuals for seeking health care after an episode of violence ranged from US$29.72 (South Africa) to US$156.11 (Romania) and that lost productivity averaged from US$73.84 to US$2,151.48 (South Africa) per facility visit. Most studies that estimated provider costs of service delivery presented total programmatic costs, and there was variation in interventions, scale, and resource inputs measured which hampered comparability. Variations in methodological assumptions and data availability also made comparisons across countries and settings challenging. The limited scope of studies in measuring the multifaceted impacts of violence highlights the challenges in identifying cost metrics that extend beyond specific violence episodes. Despite the limited evidence base, our assessment leads us to conclude that the estimated costs of violence against women and girls are a fraction of its true economic burden.

14.
BMJ Glob Health ; 6(4)2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33958379

RESUMO

INTRODUCTION: Disasters triggered by climate and other natural hazards are increasing in frequency, severity and duration worldwide. Disasters disproportionately impact women and girls, with some evidence suggesting that violence against women and girls (VAWG) increases in disaster settings. Suggested risk factors for postdisaster VAWG include increased life stressors, failure of law enforcement, exposure to high-risk environments, exacerbation of existing gender inequalities and unequal social norms. We aim to systematically appraise the global literature on the association between disasters from natural hazards and VAWG. METHODS: We conducted a systematic review using the following databases: Embase, Global Health, Medline, PubMed and Social Policy and Practice and searched grey literature. We included quantitative, qualitative or mixed-methods studies published in English language that examined the association between disasters from natural hazards and VAWG. We summarised the findings using a narrative synthesis approach. RESULTS: Of 555 non-duplicate records, we included a total of 37 quantitative, qualitative and mixed-methods studies. Among the quantitative studies, eight studies found a positive association between disaster exposure and increased VAWG, and four additional studies found positive associations with some violence types but not others. Qualitative findings offered insights into three hypothesised pathways: disaster exposure associated with (1) an increase of stressors that trigger VAWG; (2) an increase of enabling environments for VAWG and (3) an exacerbation of underlying drivers of VAWG. CONCLUSION: As the first known global systematic review on the relationship between disasters from natural hazards and VAWG, this review contributes to the evidence base. We were limited by the quality of quantitative studies, specifically study designs, the measurement of variables and geographic scope. The severe health consequences of VAWG and increasing frequency of extreme events means that rigorously designed and better quality studies are needed to inform evidence-based policies and safeguard women and girls during and after disasters.


Assuntos
Desastres , Violência , Feminino , Humanos , Pesquisa Qualitativa
15.
Cochrane Database Syst Rev ; 5: CD012423, 2021 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-34057734

RESUMO

BACKGROUND: Intimate partner violence (IPV) includes any violence (physical, sexual or psychological/emotional) by a current or former partner. This review reflects the current understanding of IPV as a profoundly gendered issue, perpetrated most often by men against women. IPV may result in substantial physical and mental health impacts for survivors. Women affected by IPV are more likely to have contact with healthcare providers (HCPs) (e.g. nurses, doctors, midwives), even though women often do not disclose the violence. Training HCPs on IPV, including how to respond to survivors of IPV, is an important intervention to improve HCPs' knowledge, attitudes and practice, and subsequently the care and health outcomes for IPV survivors. OBJECTIVES: To assess the effectiveness of training programmes that seek to improve HCPs' identification of and response to IPV against women, compared to no intervention, wait-list, placebo or training as usual. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase and seven other databases up to June 2020. We also searched two clinical trials registries and relevant websites. In addition, we contacted primary authors of included studies to ask if they knew of any relevant studies not identified in the search. We evaluated the reference lists of all included studies and systematic reviews for inclusion. We applied no restrictions by search dates or language. SELECTION CRITERIA: All randomised and quasi-randomised controlled trials comparing IPV training or educational programmes for HCPs compared with no training, wait-list, training as usual, placebo, or a sub-component of the intervention. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures outlined by Cochrane. Two review authors independently assessed studies for eligibility, undertook data extraction and assessed risks of bias. Where possible, we synthesised the effects of IPV training in a meta-analysis. Other analyses were synthesised in a narrative manner. We assessed evidence certainty using the GRADE approach. MAIN RESULTS: We included 19 trials involving 1662 participants. Three-quarters of all studies were conducted in the USA, with single studies from Australia, Iran, Mexico, Turkey and the Netherlands. Twelve trials compared IPV training versus no training, and seven trials compared the effects of IPV training to training as usual or a sub-component of the intervention in the comparison group, or both. Study participants included 618 medical staff/students, 460 nurses/students, 348 dentists/students, 161 counsellors or psychologists/students, 70 midwives and 5 social workers. Studies were heterogeneous and varied across training content delivered, pedagogy and time to follow-up (immediately post training to 24 months). The risk of bias assessment highlighted unclear reporting across many areas of bias. The GRADE assessment of the studies found that the certainty of the evidence for the primary outcomes was low to very low, with studies often reporting on perceived or self-reported outcomes rather than actual HCPs' practices or outcomes for women. Eleven of the 19 included studies received some form of research grant funding to complete the research. Within 12 months post-intervention, the evidence suggests that compared to no intervention, wait-list or placebo, IPV training: · may improve HCPs' attitudes towards IPV survivors (standardised mean difference (SMD) 0.71, 95% CI 0.39 to 1.03; 8 studies, 641 participants; low-certainty evidence); · may have a large effect on HCPs' self-perceived readiness to respond to IPV survivors, although the evidence was uncertain (SMD 2.44, 95% CI 1.51 to 3.37; 6 studies, 487 participants; very low-certainty evidence); · may have a large effect on HCPs' knowledge of IPV, although the evidence was uncertain (SMD 6.56, 95% CI 2.49 to 10.63; 3 studies, 239 participants; very low-certainty evidence); · may make little to no difference to HCPs' referral practices of women to support agencies, although this is based on only one study (with 49 clinics) assessed to be very low certainty; · has an uncertain effect on HCPs' response behaviours (based on two studies of very low certainty), with one trial (with 27 participants) reporting that trained HCPs were more likely to successfully provide advice on safety planning during their interactions with standardised patients, and the other study (with 49 clinics) reporting no clear impact on safety planning practices; · may improve identification of IPV at six months post-training (RR 4.54, 95% CI 2.5 to 8.09) as in one study (with 54 participants), although three studies (with 48 participants) reported little to no effects of training on identification or documentation of IPV, or both. No studies assessed the impact of training HCPs on the mental health of women survivors of IPV compared to no intervention, wait-list or placebo. When IPV training was compared to training as usual or a sub-component of the intervention, or both, no clear effects were seen on HCPs' attitudes/beliefs, safety planning, and referral to services or mental health outcomes for women. Inconsistent results were seen for HCPs' readiness to respond (improvements in two out of three studies) and HCPs' IPV knowledge (improved in two out of four studies). One study found that IPV training improved HCPs' validation responses. No adverse IPV-related events were reported in any of the studies identified in this review. AUTHORS' CONCLUSIONS: Overall, IPV training for HCPs may be effective for outcomes that are precursors to behaviour change. There is some, albeit weak evidence that IPV training may improve HCPs' attitudes towards IPV. Training may also improve IPV knowledge and HCPs' self-perceived readiness to respond to those affected by IPV, although we are not certain about this evidence. Although supportive evidence is weak and inconsistent, training may improve HCPs' actual responses, including the use of safety planning, identification and documentation of IPV in women's case histories. The sustained effect of training on these outcomes beyond 12 months is undetermined. Our confidence in these findings is reduced by the substantial level of heterogeneity across studies and the unclear risk of bias around randomisation and blinding of participants, as well as high risk of bias from attrition in many studies. Further research is needed that overcomes these limitations, as well as assesses the impacts of IPV training on HCPs' behavioral outcomes and the well-being of women survivors of IPV.


Assuntos
Pessoal de Saúde/educação , Violência por Parceiro Íntimo , Adulto , Viés , Odontólogos/educação , Feminino , Humanos , Corpo Clínico/educação , Tocologia/educação , Recursos Humanos de Enfermagem/educação , Psicologia/educação , Ensaios Clínicos Controlados Aleatórios como Assunto , Assistentes Sociais/educação , Estudantes de Ciências da Saúde
16.
Iran J Psychiatry ; 16(1): 94-105, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34054988

RESUMO

Objective: In this systematic review, we aimed to evaluate the existing strategies and interventions in domestic violence prevention to assess their effectiveness. Method : To select studies, Pubmed, ISI, CINAHL, PsycINFO, Cochrane, Scopus, Embase, Ovid, Science Direct, ProQuest, and Elsevier databases were searched. Two authors reviewed all papers using established inclusion/ exclusion criteria. Finally, 18 articles were selected and met the inclusion criteria for assessment. Following the Cochrane quality assessment tool and AHRQ Standards, the studies were classified for quality rating based on design and performance quality. Two authors separately reviewed the studies and categorized them as good, fair, and poor quality. Results: Most of the selected papers had fair- or poor-quality rating in terms of methodology quality. Different intervention methods had been used in these studies. Four studies focused on empowering women; 3, 4, and 2 studies were internet-based interventions, financial interventions, and relatively social interventions, respectively. Four interventions were also implemented in specific groups. All authors stated that interventions were effective. Conclusion: Intervention methods should be fully in line with the characteristics of the participants. Environmental and cultural conditions and the role of the cause of violence are important elements in choosing the type of intervention. Interventions are not superior to each other because of their different applications.

17.
PLoS One ; 16(4): e0250976, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33914834

RESUMO

INTRODUCTION: The Sustainable Development Goals, which are grounded in human rights, involve empowering women and girls and ensuring that everyone can access sexual and reproductive health and rights (Goal 5). This is the first systematic review reporting interventions involving rights-based approaches for sexual and reproductive health issues including gender-based violence, maternity, HIV and sexually transmitted infections in low and middle-income countries. AIMS: To describe the evidence on rights-based approaches to sexual and reproductive health in low and middle-income countries. METHODS: EMBASE, MEDLINE and Web of Science were searched until 9/1/2020. Inclusion criteria were: Study design: any interventional study.Population: females aged over 15 living in low and middle-income countries.Intervention: a "rights-based approach" (defined by the author) and/or interventions that the author explicitly stated related to "rights".Comparator: clusters in which no intervention or fewer components of an intervention were in place, or individuals not exposed to interventions, or exposed to fewer intervention components.Outcome: Sexual and reproductive health related outcomes. A narrative synthesis of included studies was undertaken, and outcomes mapped to identify evidence gaps. The systematic review protocol was registered on PROSPERO (CRD42019158950). RESULTS: Database searching identified 17,212 records, and 13,404 studies remained after de-duplication. Twenty-four studies were included after title and abstract, full-text and reference-list screening by two authors independently. Rights-based interventions were effective for some included outcomes, but evidence was of poor quality. Testing uptake for HIV and/or other sexually transmitted infections, condom use, and awareness of rights improved with intervention, but all relevant studies were at high, critical or serious risk of bias. No study included gender-based violence outcomes. CONCLUSION: Considerable risk of bias in all studies means results must be interpreted with caution. High-quality controlled studies are needed urgently in this area.


Assuntos
Violência de Gênero/prevenção & controle , Promoção da Saúde/métodos , Saúde Reprodutiva/legislação & jurisprudência , Doenças Sexualmente Transmissíveis/prevenção & controle , Adolescente , Países em Desenvolvimento , Feminino , Direitos Humanos , Humanos , Gravidez , Serviços de Saúde Reprodutiva , Comportamento Sexual , Adulto Jovem
18.
Artigo em Inglês | MEDLINE | ID: mdl-33919171

RESUMO

A systematic review and meta-analysis were employed to address the associated factors of gender-based violence (GBV) in sub-Saharan African (SSA) countries. The Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed. Ovid Medline, CINAHL, Cochrane Central, Embase, Scopus and Web of Science were used to source articles with stringent eligibility criteria. A total of 4931 studies were found and 50 studies met the inclusion criteria. Pooled meta-analyses revealed that low educational attainment, higher alcohol consumption, substance use, history of child and family abuse, limited decision-making skills, experiencing depression, males having multiple sexual partners, and younger age were found to be individual- and family-associated factors that increase the experiences of GBV. Community tolerant attitudes to violence, women's unemployment, being Muslim, lower socioeconomic class, food and social insecurity were found to be community- and societal-associated factors of GBV. Alcohol consumption, low educational attainment, experiencing depression, being younger, a history of child and family abuse, tolerant attitudes to violence, and low socioeconomic status were poignant factors associated with GBV amongst women in SSA countries. The need to develop a multipronged approach of intervention is a top priority in SSA to reach the Sustainable Development Goals' (SDGs) target of 2030 to eliminate all forms of violence. Socio-behavioural change communication interventions at individual and community levels need to be introduced, and interventions need to address the prevention of child and family abuse and increase women's feelings of empowerment in order to prevent GBV in SSA.


Assuntos
Violência de Gênero , Transtornos Relacionados ao Uso de Substâncias , África ao Sul do Saara/epidemiologia , Criança , Escolaridade , Feminino , Humanos , Masculino , Parceiros Sexuais
19.
Suicide Life Threat Behav ; 51(2): 212-219, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33876492

RESUMO

OBJECTIVE: Gender minority individuals represent a population at increased risk for suicidal self-directed violence (SDV). However, traditional models of suicidal SDV fail to consider gender minority population-specific factors that may buffer or exacerbate risk; further, while sexual and gender minority (SGM) health disparity frameworks may be extended suicidal SDV outcomes among gender minority individuals, little research exists bridging the gap between suicidal SDV research and SGM health disparity research. Thus, the current study sought to identify factors from SGM health disparity models related to suicidal SDV among gender minority individuals. METHOD: The current study presents a synthesis of peer-reviewed publications (n = 11) that were informed by an SGM health framework and specifically examined suicidal SDV among adult gender minority individuals within the United States. RESULTS: Factors from SGM health disparity models related to suicidal SDV outcomes included the following: 1) gender minority identity-related factors; 2) gender minority-related rejection, discrimination, harassment, and victimization; 3) structural stigma; and 4) resilience factors. CONCLUSIONS: Findings support the applicability of SGM health disparity concepts to suicidal SDV outcomes among gender minority individuals. Future longitudinal research with more diverse participants examining the impact of intersectionality of identity and predictive model fit is warranted.


Assuntos
Bullying , Vítimas de Crime , Minorias Sexuais e de Gênero , Adulto , Humanos , Ideação Suicida , Estados Unidos , Violência
20.
PLoS One ; 16(3): e0248630, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33720990

RESUMO

The aim of this study was to determine the factors affecting the exposure of women in the 15-59 age group in Turkey to economic violence by their husbands/partners. The micro data set of the National Research on Domestic Violence against Women in Turkey, which was conducted by the Hacettepe University Institute of Population Studies, was employed in this study. The factors affecting women's exposure to economic violence were determined using the binary logistic regression analysis. In the study, women in the 15-24, 25-34 and 35-44 age group had a higher ratio of exposure to economic violence compared to the reference group. Women who graduated from elementary school, secondary school, and high school had a higher ratio of exposure to economic violence compared to those who have never gone to school. Women's exposure to physical, sexual and verbal violence was also important factor affecting women's exposure to economic violence. The results obtained in this study are important in that they can be a source of information for establishing policies and programs to prevent violence against women. This study can also be a significant guide in determining priority areas for the resolution of economic violence against women.


Assuntos
Mulheres Maltratadas , Maus-Tratos Conjugais/economia , Saúde da Mulher/economia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Maus-Tratos Conjugais/prevenção & controle , Turquia
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