Impact of the first national COVID-19 lockdown on referral of women experiencing domestic violence and abuse in England and Wales.
Impact of the first national COVID-19 lockdown on referral of women experiencing domestic violence and abuse in England and Wales.
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第一个国家共同锁定对在英格兰和威尔士遭受家庭暴力和虐待的妇女的转诊的影响。
DOI：
10.1186/s12889-022-12825-6
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发表时间：
2022-03-15
影响因子：
4.5
通讯作者：
Feder G
中科院分区：
文献类型：
--
作者：
Panovska-Griffiths J;Szilassy E;Johnson M;Dixon S;De Simoni A;Wileman V;Dowrick A;Emsley E;Griffiths C;Barbosa EC;Feder G
遏制COVID-19传播的封锁期使家庭暴力和虐待（DVA）的幸存者更难披露虐待和获得支持服务。我们的研究描述了第一波COVID-19疫情以及英格兰和威尔士的相关国家封锁对从全科诊所转介到识别和转介以改善安全（IRIS）DVA计划的影响。我们将此与上一年同期、疫情前三年学校假期期间及第一波COVID-19疫情后期间的转介变化进行比较。选择学校假期作为比较，因为包括犯罪人在内的家庭在一起，影响获得服务的机会。我们使用了2017年4月至2020年9月期间IRIS DVA服务在33个地区从全科诊所收到的每日转诊的匿名数据。使用中断时间序列和非线性回归来量化2020年3月至6月首次全国封锁的影响，比较前一年的类似月份，以及学校假期（2017年4月1日至2020年9月30日）对转诊数量的影响，报告发病率比（IRR），95%置信区间和p值。2020年的首次全国封锁导致转介到DVA服务的人数与之前和之后相比减少了27%，95% CI =（21，34%），与去年同期相比减少了19%。学校假期期间转诊数量的减少也很明显，2019年冬季大流行前学校假期期间转诊数量减少最多（44%，95%CI =（32，54%）），其次是2020年夏季学校假期的影响（20%，95%CI =（10，30%））。在2017-2019年较长的暑假期间，转诊人数也有较小的减少（13-15%）;在2017-2019年较短的春季假期期间，转诊人数也有一定的减少（5-16%）。我们显示，2020年的COVID-19封锁导致转介至DVA服务的人数下降。我们的研究结果表明，经历DVA的女性转介DVA服务的下降与第一次COVID-19全国封锁或学校假期所代表的系统性关闭时间延长之间存在关联。这凸显了未来规划的必要性，以便在未来的国家封锁和学校假期期间为经历DVA的人提供充分的访问和支持。在线版本包含补充材料，可通过10.1186/s12889-022-12825-6获得。
The lockdown periods to curb COVID-19 transmission have made it harder for survivors of domestic violence and abuse (DVA) to disclose abuse and access support services. Our study describes the impact of the first COVID-19 wave and the associated national lockdown in England and Wales on the referrals from general practice to the Identification and Referral to Improve Safety (IRIS) DVA programme. We compare this to the change in referrals in the same months in the previous year, during the school holidays in the 3 years preceding the pandemic and the period just after the first COVID-19 wave. School holiday periods were chosen as a comparator, since families, including the perpetrator, are together, affecting access to services. We used anonymised data on daily referrals received by the IRIS DVA service in 33 areas from general practices over the period April 2017–September 2020. Interrupted-time series and non-linear regression were used to quantify the impact of the first national lockdown in March–June 2020 comparing analogous months the year before, and the impact of school holidays (01/04/2017–30/09/2020) on number of referrals, reporting Incidence Rate Ratio (IRR), 95% confidence intervals and p-values. The first national lockdown in 2020 led to reduced number of referrals to DVA services (27%, 95%CI = (21,34%)) compared to the period before and after, and 19% fewer referrals compared to the same period in the year before. A reduction in the number of referrals was also evident during the school holidays with the highest reduction in referrals during the winter 2019 pre-pandemic school holiday (44%, 95%CI = (32,54%)) followed by the effect from the summer of 2020 school holidays (20%, 95%CI = (10,30%)). There was also a smaller reduction (13–15%) in referrals during the longer summer holidays 2017–2019; and some reduction (5–16%) during the shorter spring holidays 2017–2019. We show that the COVID-19 lockdown in 2020 led to decline in referrals to DVA services. Our findings suggest an association between decline in referrals to DVA services for women experiencing DVA and prolonged periods of systemic closure proxied here by both the first COVID-19 national lockdown or school holidays. This highlights the need for future planning to provide adequate access and support for people experiencing DVA during future national lockdowns and during the school holidays. The online version contains supplementary material available at 10.1186/s12889-022-12825-6.
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影响因子：
2.9
作者：
Szilassy E;Barbosa EC;Dixon S;Feder G;Griffiths C;Johnson M;De Simoni A;Wileman V;Panovska-Griffiths J;Dowrick A
通讯作者：
Dowrick A
影响因子：
5.6
作者：
Sanz-Barbero, Belen;Linares, Cristina;Diaz, Julio
通讯作者：
Diaz, Julio
影响因子：
4.2
作者：
Boden, Joseph M.;Fergusson, David M.;Horwood, L. John
通讯作者：
Horwood, L. John
影响因子：
2.9
作者：
Barbosa, Estela Capelas;Verhoef, Talitha Irene;Feder, Gene
通讯作者：
Feder, Gene
DOI：
10.1093/pubmed/fdab343
发表时间：
2022-06-27
期刊：
Journal of public health (Oxford, England)
影响因子：
--
作者：
Moore G;Buckley K;Howarth E;Burn AM;Copeland L;Evans R;Ware L
通讯作者：
Ware L