Childhood and adolescent nutrition outcomes among girls exposed to gender-based violence: A rapid evidence assessment of quantitative research.
Childhood and adolescent nutrition outcomes among girls exposed to gender-based violence: A rapid evidence assessment of quantitative research.
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DOI：
10.1371/journal.pone.0281961
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
一个新出现的证据基础探讨了儿童/青春期对女孩实施基于性别的暴力的营养后果。我们对描述GBV和女孩营养之间关系的定量研究进行了快速证据评估。我们采用了系统的审查方法，纳入了2000年后(到2022年11月)发表的、用西班牙语或英语撰写的经验性、同行评议的研究，报告了女孩接触GBV与营养结果之间的定量联系。考虑了各种基于性别的暴力形式：儿童期性虐待、童婚、优待男孩、性暴力和约会暴力。营养结果包括贫血、体重不足、超重、发育迟缓、微量营养素缺乏、进餐频率和饮食多样性。总共纳入了18项研究，其中13项是在高收入国家进行的。大多数来源利用纵向或横断面数据来量化CSA、性侵犯、亲密伴侣/约会暴力和BMI/超重/肥胖/肥胖之间的联系。研究结果表明，父母/照顾者实施的CSA与通过皮质醇反应和抑郁而导致的BMI/超重/肥胖/肥胖有关；这种关系可能因青春期额外的亲密伴侣/约会暴力而加剧。性暴力对BMI的影响很可能出现在青春期后期和青春期之间的敏感发育时期。关于童婚(及相关暴露：首次怀孕的年龄)与营养不良之间的关系，发现了新的证据。性虐待与身高和腿长减少之间的联系尚不确定。鉴于只有18项研究被纳入，女孩直接接触基于性别的病毒与营养不良之间的关系几乎没有得到经验上的关注，特别是在LMIC和脆弱环境下进行的研究。大多数研究都集中在CsA和超重/肥胖上，发现了显著的相关性。未来的研究应该测试中介变量(抑郁、创伤后应激障碍、皮质醇反应性、冲动、情绪性进食)的调节和中介作用，并考虑发育的敏感时期。研究还应该探索童婚的营养后果。
An emerging evidence base has explored the nutritional consequences of gender-based violence (GBV) perpetrated against girls during childhood/adolescence. We conducted a rapid evidence assessment of quantitative studies describing associations between GBV and girls’ nutrition. We adapted systematic review methods and included empirical, peer-reviewed studies, published after 2000 (until November, 2022), that were written in Spanish or English and reported quantitative associations between girls’ exposure to GBV and nutrition outcomes. A variety of GBV forms were considered: childhood sexual abuse (CSA), child marriage, preferential feeding of boys, sexual IPV and dating violence. Nutrition outcomes included anemia, underweight, overweight, stunting, micronutrient deficiencies, meal frequency, and dietary diversity. In total, 18 studies were included, 13 of which were conducted in high-income countries. Most sources utilized longitudinal or cross-sectional data to quantify associations between CSA, sexual assault, and intimate partner/dating violence and elevated BMI/overweight/obesity/adiposity. Findings suggest that CSA perpetrated by parents/caregivers is associated with elevated BMI/overweight/obesity/adiposity via cortisol reactivity and depression; this relationship may be compounded by additional intimate partner/dating violence in adolescence. The effects of sexual violence on BMI are likely to emerge during a sensitive period of development between late adolescence and young adulthood. Emerging evidence was found regarding the relationship between child marriage (and the related exposure: age at first pregnancy) and undernutrition. The association between sexual abuse and reduced height and leg length was inconclusive. Given that only 18 studies were included, the relationship between girls’ direct exposure to GBV and malnutrition has received little empirical attention, especially with respect to studies conducted in LMIC and fragile settings. Most studies focused on CSA and overweight/obesity, where significant associations were found. Future research should test the moderation and mediation effects of intermediary variables (depression, PTSD, cortisol reactivity, impulsivity, emotional eating) and consider sensitive periods of development. Research should also explore the nutritional consequences of child marriage.
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DOI：
10.1002/eat.23351
发表时间：
2020-10
期刊：
The International journal of eating disorders
影响因子：
--
作者：
Thomas R;Siliquini R;Hillegers MH;Jansen PW
通讯作者：
Jansen PW
影响因子：
5.1
作者：
Elsenburg, Leonie K.;Liefbroer, Aart C.;van Eeden, Annelies E.;Hoek, Hans W.;Oldehinkel, Albertine J.;Smidt, Nynke
通讯作者：
Smidt, Nynke
影响因子：
8
作者：
Clark, Cari Jo;Spencer, Rachael A.;Suglia, Shakira F.
通讯作者：
Suglia, Shakira F.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
5.4
作者：
Efevbera, Yvette;Bhabha, Jacqueline;Fink, Guenther
通讯作者：
Fink, Guenther