Mental health of women and children experiencing family violence in conflict settings: a mixed methods systematic review.
Mental health of women and children experiencing family violence in conflict settings: a mixed methods systematic review.
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妇女和儿童在冲突环境中经历家庭暴力的妇女和儿童的心理健康：一种混合的方法系统审查。
DOI：
10.1186/s13031-021-00410-4
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发表时间：
2021-10-15
影响因子：
3.6
通讯作者：
Mannell J
中科院分区：
文献类型：
--
作者：
Devakumar D;Palfreyman A;Uthayakumar-Cumarasamy A;Ullah N;Ranasinghe C;Minckas N;Nadkarni A;Oram S;Osrin D;Mannell J
武装冲突对生活在全球受冲突影响环境中的个人和家庭产生重大影响。致力于防止家庭暴力的学者们假设，经历武装冲突会导致家庭暴力和心理健康问题的增加。在这篇综述中，我们评估了在冲突环境中家庭暴力的发生率，它与幸存者的心理健康，调节因素和性别关系的重要性的关联。根据PRISMA指南，我们系统地回顾了定量和定性研究，这些研究评估了冲突环境中家庭暴力的流行程度以及家庭暴力与心理健康问题之间的关联（PROSPERO参考CRD 42018114443）。我们确定了2605条记录，从中筛选出174篇全文文章。29项报告了冲突期间或冲突后10年内的家庭暴力的研究符合纳入条件。21项研究是定量的，衡量家庭暴力和心理健康问题之间的流行和关联。这些研究的质量一般都很高，所有研究都报告了暴力行为的高发率。暴力侵害妇女行为的发生率大多在30- 40%之间，波斯尼亚和黑塞哥维那报告的身体虐待发生率最高，为78.9%。关于暴力侵害儿童问题，超过四分之三的儿童曾经遭受过暴力，斯里兰卡的发生率最高，为95.6%。研究发现，这与一些心理健康问题，特别是创伤后应激障碍有关。不同地点的风险不同。八项定性研究表明，男子的冲突经历，包括经济压力，是如何促成他们实施家庭暴力的。家庭暴力在冲突环境中很常见，并与心理健康结果有关，但这些研究过于异质，无法确定其流行率或风险是否高于非冲突环境。审查强调，迫切需要更强大的数据，在肇事者，家庭暴力的形式，以及心理健康的结果，在受冲突影响的环境，以帮助了解问题的严重性，并确定潜在的解决方案来解决它。在线版本包含补充材料，可在10.1186/s13031-021-00410-4。
Armed conflict has significant impacts on individuals and families living in conflict-affected settings globally. Scholars working to prevent violence within families have hypothesised that experiencing armed conflict leads to an increase in family violence and mental health problems. In this review, we assessed the prevalence of family violence in conflict settings, its association with the mental health of survivors, moderating factors, and the importance of gender relations. Following PRISMA guidelines, we systematically reviewed quantitative and qualitative studies that assessed the prevalence of family violence and the association between family violence and mental health problems, within conflict settings (PROSPERO reference CRD42018114443). We identified 2605 records, from which 174 full text articles were screened. Twenty-nine studies that reported family violence during or up to 10 years after conflict were eligible for inclusion. Twenty one studies were quantitative, measuring prevalence and association between family violence and mental health problems. The studies were generally of high quality and all reported high prevalence of violence. The prevalence of violence against women was mostly in the range of 30–40%, the highest reported prevalence of physical abuse being 78.9% in Bosnia and Herzegovina. For violence against children, over three-quarters had ever experienced violence, the highest prevalence being 95.6% in Sri Lanka. Associations were found with a number of mental health problems, particularly post-traumatic stress disorder. The risk varied in different locations. Eight qualitative studies showed how men’s experience of conflict, including financial stresses, contributes to their perpetration of family violence. Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify potential solutions to address it. The online version contains supplementary material available at 10.1186/s13031-021-00410-4.
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影响因子：
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作者：
Hillis S;Mercy J;Amobi A;Kress H
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