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Leat S, Ravi KE, Obenauf C. Living in an Intimate Partner Violence Shelter During a Pandemic: Perspectives from Advocates and Survivors. JOURNAL OF EVIDENCE-BASED SOCIAL WORK (2019) 2024; 21:435-454. [PMID: 38284243 DOI: 10.1080/26408066.2024.2308828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
PURPOSE With state-wide quarantine policies during the COVID-19 pandemic like those implemented in the state of Texas, intimate partner violence (IPV) shelter staff were forced to incorporate new safety measures to keep survivors and advocates safe. To understand the impact of these adaptations fully, authors interviewed shelter staff and residents to capture both of their experiences living and working in the same shelter during the height of the coronavirus pandemic (summer 2020) to understand how changes in policy and procedure in shelters impacted survivors and advocates. MATERIALS AND METHODS A qualitative phenomenological design was utilized to collect and analyze data from 10 staff and 10 survivors to develop both a textual and a structural description of participant experiences living in an IPV shelter. RESULTS The current study captured the survivors' and advocates' perspectives related to the 1) vacillating views of shelter social distancing and quarantine policies, 2) shelter occupancy and staffing unpredictability, 3) the broader challenges related to environmental stressors and 4) mobility challenges. DISCUSSION Results of this study highlight factors related to interpersonal relationships within the shelter and structural factors of shelter which contributed to stress for participants. CONCLUSION The coronavirus is continuing to present challenges for shelters. Implications can be drawn from provider and client experiences that can inform policies and procedures for future health crises, including the need to mitigate environmental stress and transportation challenges, as well as considerations for maintaining social support should social distancing be necessary in future epidemics.
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Affiliation(s)
- Sarah Leat
- Social Work, The University of Memphis, Memphis, USA
| | - Kristen E Ravi
- Psychology, The University of Tennessee-Knoxville, Knoxville, USA
| | - Caterina Obenauf
- Psychology, The University of Tennessee-Knoxville, Knoxville, USA
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Miller AP, Wang Y, Shoptaw S, Gorbach PM, Javanbakht M. Substance Use and Associated Experiences of Intimate Partner Violence Among MSM in Los Angeles, California. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:3088-3109. [PMID: 38243744 PMCID: PMC11126359 DOI: 10.1177/08862605231225517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2024]
Abstract
This study examined the prevalence and correlates of intimate partner violence (IPV) among a cohort of racial/ethnically diverse men who have sex with men (MSM) in Los Angeles. An ongoing longitudinal cohort study of MSM in Los Angeles, constructed by design so half of the participants use substances (SU) and half are persons living with HIV, provided data. Data collection occured between 2014 and 2020. At semiannual study visits, participants completed a computer-assisted self-interview which included questions on substance use (past 6 months) and experiences of IPV (past 12 months). The criterion variable was reported physical and sexual IPV. Multivariable models generalized estimating equations (GEE) estimated associations between reported SU and physical and sexual IPV, adjusting for repeated measurement and confounders. In total, 557 persons (2,962 visits) contributed to the analysis; the median baseline age was 30 years (interquartile range: 28.0-39.0). The prevalence of IPV in the past 12 months was 22.3%, with 18.3% reporting physical and 10.2% reporting sexual IPV across study visits. Stimulant use prevalence was higher among those who reported IPV compared to those who did not (68% vs. 42.1%; p < .001); cannabis use prevalence was lower among those reporting IPV (42.3% vs. 49% respectively; p < .001). Adjusted analysis showed reported stimulant use associated with greater odds of physical IPV (adjusted odds ratio [aOR] = 2.0; 95% confidence interval [CI] [1.4, 2.8], p < .001) but not sexual IPV (aOR = 1.3; 95% CI [0.8, 2.0], p = .332). Models stratified by HIV status yielded similar results. Findings showed a high prevalence of past-year IPV experiences among MSM in Los Angeles. Findings highlight links between SU and IPV and underscore a significantly increased likelihood of IPV for MSM in Los Angeles who report current methamphetamine use. This study provides evidence to support universal IPV screening and to make available safety resources at all points where MSM seek healthcare.
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Affiliation(s)
| | - Yan Wang
- University of California, Los Angeles, USA
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Ramasubramani P, Krishnamoorthy Y, Vijayakumar K, Rushender R. Burden, trend and determinants of various forms of domestic violence among reproductive age-group women in India: findings from nationally representative surveys. J Public Health (Oxf) 2024; 46:e1-e14. [PMID: 37717950 DOI: 10.1093/pubmed/fdad178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 08/17/2023] [Accepted: 08/22/2023] [Indexed: 09/19/2023] Open
Abstract
BACKGROUND Violence, a notable human rights concern, has a public health impact across the globe. The study aimed to determine the prevalence and determinants of domestic violence among ever-married women aged 18-49 years in India. METHODS Secondary data analysis with National Family Health Survey 5, 2019-21 data (NFHS-5) was conducted. The complex sampling design of the survey was accounted-for during analysis. The primary outcome was domestic violence. Prevalence was reported with 95% confidence interval (CI). Prevalence ratio was reported to provide the factors associated with domestic violence using Poisson regression. RESULTS About 63 796 ever-married women aged 18-49 years covered under domestic violence module of NFHS-5 survey were included. Prevalence of domestic violence (12 months preceding the survey) was 31.9% (95% CI: 30.9-32.9%). Physical violence (28.3%) was the most common form followed by emotional (14.1%) and sexual violence (6.1%). Women with low education, being employed, husband being uneducated or with coercive behavior had significantly higher prevalence of domestic violence. CONCLUSIONS One-third of the reproductive age-group women were facing some form of domestic violence. Target group interventions like violence awareness campaigns, women supportive services and stringent law enforcement should be implemented to eliminate domestic violence by year 2030.
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Affiliation(s)
- Premkumar Ramasubramani
- Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India
| | - Yuvaraj Krishnamoorthy
- Department of Community Medicine, ESIC Medical College and PGIMSR, K.K. Nagar, Chennai, India
| | - Karthiga Vijayakumar
- Department of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India
| | - Rajan Rushender
- Department of Community Medicine, Aarupadai Veedu Medical College, Puducherry, India
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Miller AP, Appa A, Muyindike W, Fatch R, Kekibiina A, Beesiga B, Adong J, Emenyonu N, Marson K, Getahun M, Kamya M, Chamie G, Camlin CS, Hahn JA. A Qualitative Exploration of Intimate Partner Violence Among HIV/TB Coinfected Persons With Problematic Alcohol Use Participating in an Incentive-Based Alcohol/Medication Adherence Intervention in Uganda During COVID-19. Violence Against Women 2024:10778012231225229. [PMID: 38196278 DOI: 10.1177/10778012231225229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
In Uganda, four in ten women report experiencing intimate partner violence (IPV) in the past year. Salient drivers of IPV in sub-Saharan Africa include stress related to household finances, alcohol use, and partner infidelity. We conducted 42 interviews with participants (n = 32) in the Drinkers' Intervention to Prevent Tuberculosis (DIPT) study which included economic incentives, and their partners (n = 10) to understand how participating in DIPT during COVID-19 lockdown restrictions impacted relationship dynamics in intimate partnerships. Our findings highlight the need to develop policies to address root causes of IPV and to ensure continuity of IPV services in future pandemics. Policy and programming recommendations based on study results are presented.
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Affiliation(s)
- Amanda P Miller
- School of Public Health, San Diego State University, San Diego, CA, USA
| | - Ayesha Appa
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Winnie Muyindike
- Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Robin Fatch
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Allen Kekibiina
- Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Brian Beesiga
- Infectious Diseases Research Collaboration (IDRC), Kampala, Uganda
| | - Julian Adong
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Nneka Emenyonu
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Kara Marson
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Monica Getahun
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Moses Kamya
- Infectious Diseases Research Collaboration (IDRC), Kampala, Uganda
| | - Gabriel Chamie
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Carol S Camlin
- Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Judith A Hahn
- Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
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Hsu WY. Occurrence and Correlates of Domestic Violence among Asian Patients with Alcohol Use Disorder Seeking Treatment for Cessation. Alcohol 2024:S0741-8329(24)00009-0. [PMID: 38191098 DOI: 10.1016/j.alcohol.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/04/2023] [Accepted: 01/05/2024] [Indexed: 01/10/2024]
Abstract
OBJECTIVE Alcohol use disorder (AUD) has significant social and economic consequences in addition to health implications. Alcohol and drug use are linked to violence, particularly intimate partner violence and domestic violence. Identifying the characteristics of individuals with AUD and a history of domestic violence is important. Our study aimed to investigate differences between AUD patients with and without domestic violence. METHODS This retrospective study examined the medical records of individuals diagnosed with AUD participating in a central Taiwan alcohol treatment program from 2019 to 2020. Utilizing the Cut down, Annoyed, Guilty, and Eye-opener questionnaire (CAGE), Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), World Health Organization Quality of Life (WHOQOL), and a question on suicidal ideation, we collected data on diverse variables, including a history of domestic violence. A total of 136 individuals were included in the analysis. RESULTS Twenty participants had a history of domestic violence, while 116 did not. Those with a history of domestic violence had significantly higher MAST scores, lower quality of life, and higher caregiver burden compared to those without a history of domestic violence. They also had a higher proportion of adverse consequences related to alcohol use and higher suicidal ideation scores. CONCLUSIONS It is important to assess the risk of domestic violence in individuals with AUD, particularly those with higher MAST scores. Questions 4 and 10 of the MAST, which relate to adverse consequences of alcohol use, such as losing friends or being arrested for drunk driving, could serve as warning questions for domestic violence. Further research is needed to assess the efficacy of interventions in reducing domestic violence risk in individuals with AUD.
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Affiliation(s)
- Wen-Yu Hsu
- Post Baccalaureate Medicine, National Chung Hsing University, Taichung, Taiwan; Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan; Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan
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Chidambaram R, Sivakumar I. Post COVID-19 Pandemic and Intimate Partner Violence: Family Physician to Its Rescue. Malays J Med Sci 2023; 30:167-171. [PMID: 38239260 PMCID: PMC10793140 DOI: 10.21315/mjms2023.30.6.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 03/21/2023] [Indexed: 01/22/2024] Open
Abstract
COVID-19 has created panic waves wherein the world is under test and Malaysia is no exception. Intimate partner violence (IPV) is one among the exhaustive list and seen rise in cases especially after the lockdown where families must spend more time with each other. Good news that the movement restrictions are lifted, meanwhile it is likely that family physicians can expect more admissions of IPV. Reports from the Ministry of Health Malaysia state the last year cases have noticed a spike of 42%. Thereby the present communication aims to keep the family physician informed on the rising IPV related injuries. Our prime concern is about the reluctant victims that remain undetected. In reality, situations become tougher especially when victim is accompanied by her perpetrator. Being the first person to contact victim, the family physician should utilise this post-pandemic as a potential strategy to identify the voiceless victims in perpetrators presence.
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Affiliation(s)
- Ramasamy Chidambaram
- Department of Prosthodontics, Faculty of Dentistry, SEGi University, Selangor, Malaysia
| | - Indumathi Sivakumar
- Department of Prosthodontics, Faculty of Dentistry, SEGi University, Selangor, Malaysia
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Thierry KL, Hockett CW, Elliott AJ, Wosu AC, Chandran A, Blackwell CK, Margolis AE, Karagas MR, Vega CV, Duarte CS, Camargo CA, Lester BM, McGowan EC, Ferrara A, O'Connor TG, McEvoy CT, Hipwell AE, Leve LD, Ganiban JM, Comstock SS, Dabelea D. Associations between COVID-19-related family hardships/distress and children's Adverse Childhood Experiences during the pandemic: The Environmental influences on Child Health Outcomes (ECHO) program. CHILD ABUSE & NEGLECT 2023; 146:106510. [PMID: 37922614 DOI: 10.1016/j.chiabu.2023.106510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 10/02/2023] [Accepted: 10/08/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Economic hardships imposed by the pandemic could have implications for children's experiences of adversity in the home, or Adverse Childhood Experiences (ACEs). OBJECTIVE This observational cohort study examined associations between COVID-19-related hardships and distress (e.g., job loss, caregiver stress) and the cumulative number of child ACEs reported by caregivers during the pandemic (i.e., March 1, 2020-February 28, 2022). PARTICIPANTS AND SETTING The study included children (N = 4345; median age = 6.0 years, interquartile range = 4-9 years) and their parents/caregivers who participated in the NIH-funded Environmental influences in Child Health Outcomes (ECHO) Program. METHODS We described socio-demographic characteristics and pandemic-related family hardships/distress and cumulative child ACE scores reported during pre-pandemic and pandemic periods. We used negative binomial regression models to evaluate associations between pandemic-related family hardships and cumulative child ACE scores reported during the pandemic. RESULTS Each caregiver-reported hardship/distress was associated with higher child ACE scores reported during the pandemic. After accounting for pre-pandemic child ACE scores, moderate and severe symptoms of pandemic-related traumatic stress among caregivers were associated with 108 % and 141 % higher child ACE scores reported during the pandemic, respectively, compared with no or low caregiver symptoms. In addition, finance-related stress during the pandemic was associated with 47 % higher child ACE scores. After adjusting for pre-pandemic child experiences of neglect, most sources of stress remained significantly associated with higher child ACE scores reported during the pandemic, particularly severe/very severe symptoms of pandemic-related traumatic stress among caregivers. Findings held for children with no known pre-pandemic ACEs. CONCLUSIONS This research suggests that caregivers experiencing financial hardships and those with severe pandemic-related traumatic stress may require additional support systems during stressful events.
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Affiliation(s)
| | - Christine W Hockett
- Department of Pediatrics, University of South Dakota School of Medicine, Vermillion, SD, USA; Avera Research Institute, Sioux Falls, SD, USA
| | | | - Adaeze C Wosu
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Aruna Chandran
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Courtney K Blackwell
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Amy E Margolis
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | | | - Carmen Velez Vega
- Social Sciences Department, School of Public Health, University of Puerto Rico, San Juan, PR
| | - Cristiane S Duarte
- Columbia University Irving Medical Center - New York State Psychiatric Institute, New York, NY, USA
| | | | - Barry M Lester
- Department of Pediatrics, Brown University, Providence, RI, USA
| | | | - Assiamira Ferrara
- Kaiser Permanente Northern California Division of Research, Oakland, CA, USA
| | - Thomas G O'Connor
- Departments of Psychiatry, Psychology, Neuroscience and Obstetrics & Gynecology, University of Rochester, Rochester, NY, USA
| | - Cindy T McEvoy
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| | - Alison E Hipwell
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Leslie D Leve
- Department of Education, University of Oregon, Eugene, OR, USA
| | - Jody M Ganiban
- Department of Psychological and Behavioral Sciences, The George Washington University, Washington, DC, USA
| | - Sarah S Comstock
- Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, USA
| | - Dana Dabelea
- University of Colorado Anschutz Medical Campus, Aurora, CO, USA
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Branicki L, Kalfa S, Pullen A, Brammer S. Corporate Responses to Intimate Partner Violence. JOURNAL OF BUSINESS ETHICS : JBE 2023:1-21. [PMID: 37359806 PMCID: PMC10258760 DOI: 10.1007/s10551-023-05461-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 05/24/2023] [Indexed: 06/28/2023]
Abstract
Intimate partner violence (IPV) is among society's most pernicious and impactful social issues, causing substantial harm to health and wellbeing, and impacting women's employability, work performance, and career opportunity. Organizations play a vital role in addressing IPV, yet, in contrast to other employee- and gender-related social issues, very little is known regarding corporate responses to IPV. IPV responsiveness is a specific demonstration of corporate social responsibility and is central to advancing gender equity in organizations. In this paper, we draw upon unique data on the IPV policies and practices of 191 Australian listed corporations between 2016 and 2019, that collectively employ around 1.5 M employees. Providing the first large-scale empirical analysis of corporate IPV policies and practices, we theorise that listed corporations' IPV responsiveness reflects institutional and stakeholder pressures which are multifaceted and central to corporate social responsibility. Our findings identify greater IPV responsiveness among larger corporations, as well as those corporations with higher proportions of women middle managers, greater financial resources, and more advanced employee consultation on gender issues. This paper concludes that there is a need for further research on corporate IPV responsiveness, to further illuminate corporate motivations, organizational support processes, and employee experiences.
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Affiliation(s)
- Layla Branicki
- Bath School of Management, University of Bath, Bath, BA2 7AY UK
| | - Senia Kalfa
- Macquarie Business School, Macquarie University, 4, Eastern Road, Macquarie Park, NSW 2113 Australia
| | - Alison Pullen
- Macquarie Business School, Macquarie University, 4, Eastern Road, Macquarie Park, NSW 2113 Australia
| | - Stephen Brammer
- Bath School of Management, University of Bath, Bath, BA2 7AY UK
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Silva VLMD, Silveira LMBD, Cecchetto FR, Njaine K, Silva AD, Pinto LW. Inter(national) recommendations to face violence against women and girls in COVID-19 pandemic. CIENCIA & SAUDE COLETIVA 2023; 28:1643-1653. [PMID: 37255142 DOI: 10.1590/1413-81232023286.14412022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 11/08/2022] [Indexed: 06/01/2023] Open
Abstract
This article is an integral part of the research "Violence in the context of COVID-19: global challenges and vulnerabilities", which proposes a critical reflection on situations of gender-based violence increased by social distancing protocols, required by the COVID-19 pandemic. Based on a 2020 literature survey, we have analyzed recommendations made by researchers and institutions from different countries around the world, with the aim of systematizing and disseminating strategies to deal with this scenario. The material is organized into two thematic areas, namely: gender policies and intersectoral actions; and strategies to face violence against women and children in the health and social work field. The recommendations are focused on the development of actions by States/governments, service networks and society in general. Part of the recommendations suggest increasing or adapting existing surveillance actions and part of them contribute with creative proposals, guiding promotional and preventive actions at an individual and collective level. The adoption of teleassistance, media campaigns raising awareness that violence is unjustifiable and the development of reporting strategies through signs and codes have been reiterated in the literature.
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Affiliation(s)
- Vera Lucia Marques da Silva
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | - Liane Maria Braga da Silveira
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | | | - Kathie Njaine
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | - Adriano da Silva
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | - Liana Wernersbach Pinto
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
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Napa W, Neelapaichit N, Kongsakon R, Chotivitayataragorn S, Udomsubpayakul U. Impacts of COVID-19 on family violence in Thailand: prevalence and influencing factors. BMC Womens Health 2023; 23:294. [PMID: 37264359 DOI: 10.1186/s12905-023-02440-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 05/16/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic drastically affected societies globally, prompting rising unemployment, insufficient household incomes, and stress and undermining women's and children's health within families. This study examined family violence and identified influencing factors during the COVID-19 pandemic in Thailand. METHODS A mixed-method design was used, entailing a questionnaire followed by focus group interviews. A cross-sectional survey was administered to investigate family violence among 1285 female respondents aged 15 years and above who were recruited through stratified sampling. The Cronbach alpha and and inter-raters Kappa coefficient values for the questionnaire were 0.67 and 1.00, respectively. In addition, a descriptive qualitative instrument was employed to analyze the data sets from four focus group interviews held with 32 staff members from agencies that deal with family violence. The researchers jointly developed the focus group questions, which focused on the impacts of the COVID-19 pandemic on family violence. They independently analyzed data using content analysis. RESULTS The majority of the study participants were aged above 45 years (>50%), married (61.1%), lived in single-family settings (52.5%), had lost their jobs (64.4%), and had economic constraints that were moderate (37.8%) to severe (40.6%). The prevalence of family violence, which was primarily physical, was 42.2%. Family income, stress, and substance abuse were the main factors associated with family violence. These findings were correlated with those from the qualitative interviews. CONCLUSIONS The COVID-19 pandemic had indirect impacts through family violence. Women were subjected to family violence behaviors, which were associated with household income, economic status, stress, and substance abuse. These behaviors included psychological and physical violence, as well as sexual abuse. Future interventions should focus on financial support and stress reduction.
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Affiliation(s)
- Wilai Napa
- Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Nareemarn Neelapaichit
- Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
| | - Ronachai Kongsakon
- Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | | | - Umaporn Udomsubpayakul
- Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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Krause KH, DeGue S, Kilmer G, Niolon PH. Prevalence and Correlates of Non-Dating Sexual Violence, Sexual Dating Violence, and Physical Dating Violence Victimization among U.S. High School Students during the COVID-19 Pandemic: Adolescent Behaviors and Experiences Survey, United States, 2021. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:6961-6984. [PMID: 36519711 PMCID: PMC9760513 DOI: 10.1177/08862605221140038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
The COVID-19 pandemic created an environment of disruption and adversity for many adolescents. We sought to establish the prevalence of non-dating sexual violence, sexual dating violence, and physical dating violence victimization among adolescents during the COVID-19 pandemic and to investigate whether experiences of disruption and adversity placed adolescents at greater risk for these forms of interpersonal violence. We conducted a secondary analysis of data from the Adolescent Behavior and Experiences Survey, collected January to June 2021 from a nationally representative sample of U.S. high school students (N = 7,705). Exposures included abuse by a parent; economic, housing, and food and nutrition insecurity; interpersonal connectedness; and personal well-being. Among female students, 8.0% experienced non-dating sexual violence; 12.5% experienced sexual dating violence; and 7.7% experienced physical dating violence. Among male students, 2.2% experienced non-dating sexual violence; 2.4% experienced sexual dating violence; and 4.9% experienced physical dating violence. Among female students, both emotional and physical abuse by a parent was related to non-dating sexual violence, emotional abuse was related to sexual dating violence, and physical abuse was related to physical dating violence. Among males, emotional abuse by a parent was related to physical dating violence and physical abuse by a parent was related to sexual dating violence. Hunger was associated with sexual and physical dating violence among female students and homeless was associated with physical dating violence among male students. Although there were differences by sex, abuse by a parent, hunger, and homelessness created precarity that may have increased the likelihood that adolescents would be exposed to risky peer or dating relationships. Adolescents need support that stops and prevents experiences of non-dating sexual and dating violence connected to interventions that address adversities experienced during the COVID-19 pandemic.
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Affiliation(s)
| | - Sarah DeGue
- Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Greta Kilmer
- Centers for Disease Control and Prevention, Atlanta, GA, USA
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Voth Schrag RJ, Fantus S, Leat S, Childress S, Wood L. Experiencing Moral Distress Within the Intimate Partner Violence & Sexual Assault Workforce. JOURNAL OF FAMILY VIOLENCE 2023:1-13. [PMID: 37358973 PMCID: PMC10132954 DOI: 10.1007/s10896-023-00567-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/20/2023] [Indexed: 06/28/2023]
Abstract
Purpose Moral distress (MD) refers to the psychological disequilibrium that emerges when institutional policies and/or practices conflict with an individual's professional values and ethics. MD has been interrogated frequently in health care and ancillary medical settings, and has been identified as a critical barrier to enhanced organizational climate and patient care. However, little work has investigated experiences of MD among members of the intimate partner violence (IPV) and sexual violence (SV) workforce. Methods This study investigates MD in a sample of IPV and SV service providers via secondary analysis of 33 qualitative interviews conducted with service providers in the summer and fall of 2020 as the COVID-19 pandemic response was unfolding. Results Qualitative content analysis revealed multiple overlapping vectors of MD experienced by IPV and SV service providers related to institutional resource constraints, providers working beyond their capacity and/or competency, shifting responsibilities within service agencies creating burdens among staff; and breakdowns in communication. Impacts of these experiences at individual, organizational, and client levels were identified by participants. Conculsions The study uncovers the need for further investigation of MD as a framework within the IPV/SV field, as well as potential lessons from similar service settings which could support IPV and SV agencies in addressing staff experiences of MD.
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Affiliation(s)
- Rachel J. Voth Schrag
- The University of Texas at Arlington School of Social Work, 211 S. Cooper, Arlington, TX 76019 USA
| | - Sophia Fantus
- The University of Texas at Arlington School of Social Work, 211 S. Cooper, Arlington, TX 76019 USA
| | | | - Saltanat Childress
- The University of Texas at Arlington School of Social Work, 211 S. Cooper, Arlington, TX 76019 USA
| | - Leila Wood
- The University of Texas Medical Branch at Galveston, Galveston, USA
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13
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Araújo GE, Cruz OS, Moreira D. Maladaptive Beliefs of Young Adults in Interpersonal Relationships: A Systematic Literature Review. TRAUMA, VIOLENCE & ABUSE 2023; 24:646-661. [PMID: 34405741 DOI: 10.1177/15248380211038684] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Beliefs that are too rigid and misadjusted may legitimize interpersonal relationships marked by verbal, physical, or sexual violence. A systematic literature review was performed to identify the existence of maladaptive beliefs (MBs) in interpersonal relationships of young adults and their association with problematic behaviors. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, studies were obtained through a search in multiple databases: EBSCOhost, PubMed, and Web of Science. Of the 1,280 articles retrieved, 42 were retained for further analysis and 15 were considered eligible for inclusion. In addition, seven studies were added through manual search, leading to a final sample of 15 articles, published between 1964 and 2021. Only empirical studies with quantitative methodologies were included. Objectives, sample (age in years), sample type, country of origin of studies, instruments, control group, and results and main conclusions were extracted from each study. Results suggest the existence of MBs that may legitimize antisocial behavior and violence, whether physical, sexual, gender, domestic, or in intimate relationships. Some intervention programs were also identified, with different approaches with a reasonable degree of efficacy in changing these beliefs or in reducing the rates of recidivism by the aggressors.
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Affiliation(s)
| | - Olga Souza Cruz
- University of Maia -ISMAI, Maia, Porto, Portugal
- JusGov-Justice and Governance Research Centre, Braga, Portugal
| | - Diana Moreira
- University of Maia -ISMAI, Maia, Porto, Portugal
- University of Porto, Portugal
- Institute of Psychology and Neuropsychology of Porto-IPNP Health, Portugal
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14
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Sutton A, Beech H. The impact of stay-at-home orders on safety and stability for women: A topical review of intimate partner violence and intimate femicide in the United States during the initial phase of COVID-19. JOURNAL OF FAMILY VIOLENCE 2023:1-15. [PMID: 37358986 PMCID: PMC10041482 DOI: 10.1007/s10896-023-00530-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/14/2023] [Indexed: 06/28/2023]
Abstract
Purpose We intend to identify the links between COVID-19, intimate partner violence (IPV), and intimate femicide (IF) for women in the United States by answering the following questions: (1) what does the existing literature say about the intersection of COVID-19, IPV, and IF and (2) what are the contributing factors leading to rates of violence against women during COVID-19? Method This topical review summarizes studies published on IPV and IF during the initial stages of COVID-19 covering the period of March 1, 2020, to July 31, 2021. This review identified 22 articles addressing rates of IPV and IF during COVID-19, exacerbating risk factors for women, and recommendations for responses and intervention efforts. Results Findings revealed an increase in help-seeking calls during the initial phase of the pandemic and COVID-related circumstances such as extended confinement, unemployment, school closures, social isolation, and financial strains intensifying women's experiences of violence. Data also revealed an increase in purchasing firearms, which increases the risk of women being killed by an intimate partner (Lyons et al., 2020). The nexus of COVID-19 and IPV disproportionately impact women, specifically, Latina immigrants. Implications for utilizing an intersectional framework to further examine these issues and promote social and political change are provided. Conclusion Since the rates of IPV and femicide have been reported as increasing during COVID-19, understanding the complexities and stressors associated with life in a pandemic is essential for addressing inequalities women face and the health of our communities.
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Affiliation(s)
- Amber Sutton
- Department of Sociology, Anthropology, and Social Work, Auburn University at Montgomery, 7400 East Drive, Montgomery, AL US
| | - Haley Beech
- School of Social Work, The University of Alabama, Tuscaloosa, AL US
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15
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Khairkhah F, Nasiri Amiri F, Javanian M, Nikbakht HA, Faramarzi M, Aqatabar Roudbari J, Odhaib SA, Mohammadi Aref K, Habibpour H. Domestic Violence Against Women During the COVID-19 Pandemic and Its Relationship to Demographic and Family Factors: A Cross-Sectional Study in Iran. Cureus 2023; 15:e36633. [PMID: 37155453 PMCID: PMC10122864 DOI: 10.7759/cureus.36633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2023] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND During the COVID-19 pandemic, we have witnessed increased complaints from third parties about violent conditions through social media. This study aimed to determine the prevalence of domestic violence (DV) against women following exposure to the COVID-19 pandemic and its relevance to some related factors. MATERIALS AND METHODS This study was conducted from July 2020 to May 2021 on married women of Babol, Iran. Eligible women entered into the study in a multi-stage cluster random sampling method. Data collection tools included demographic and family data, questionnaire HITS (Hurt, Insult, Threaten and Scream). Relationships were estimated using the Univariate and multivariate regression models. Results: The mean age of 488 women and their spouses was 34.62 ± 9.14 and 38.74 ± 9.07, respectively. Of the total female participants, 37 (7.6%), 68 (13.9%), and 21 (4.3%) were victims of total violence, verbal abuse, and physical violence, respectively. Ninety-five women (19.5) had a history of coronavirus infection. Women who were satisfied with their income and husbands were university educated, their chances of DV were reduced by 72% (95% CI (0.09-0.85), OR = 0.28) and 67% (95% CI (0.11-0.92), OR = 0.33) respectively. Drug abuse by husbands increased the likelihood of DV by up to 4 times (OR = 4.00), and more contact with their husbands at home due to home quarantine was more than twice as likely to have DV (OR = 2.64). Conclusion: Since the level of domestic violence was lower than before the coronavirus pandemic, it seems that most Iranian women were more under the support of their husbands during the coronavirus pandemic to endure the fear and panic caused by the pandemic. Women whose husbands had a university education and sufficient income had less domestic violence.
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Affiliation(s)
- Farzan Khairkhah
- Psychiatry, Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IRN
| | - Fatemeh Nasiri Amiri
- Reproductive Health, Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IRN
| | - Mostafa Javanian
- Infectious Disease, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IRN
| | - Hossein-Ali Nikbakht
- Biostatistics and Epidemiology, Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IRN
| | - Mahbobeh Faramarzi
- Psychology, Fatemeh Zahra Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, IRN
| | | | - Samih A Odhaib
- Diabetes and Endocrinology, Faiha Specialized Diabetes, Endocrine and Metabolism Center, Basrah, IRQ
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16
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Taremwa IM, Ashaba S, Naggayi BRK, Kayongo B, Nimwesiga C, Ayebazibwe C, Tumuhimbse M, Frank J. Psychosocial Challenges of the Coronavirus Disease-2019 Pandemic Among Frontline Health Care Providers and Their Coping Mechanisms at Mbarara Regional Referral Hospital, Southwestern Uganda. Psychol Res Behav Manag 2023; 16:549-560. [PMID: 36873061 PMCID: PMC9974731 DOI: 10.2147/prbm.s399687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 02/18/2023] [Indexed: 02/25/2023] Open
Abstract
Background As a novel global health pandemic, Coronavirus Disease-2019 (COVID-2019) has posed various challenges to frontline healthcare providers (FHCPs). This study explored the social and psychological challenges of COVID-19 to the FHCPs at Mbarara Regional Referral Hospital, southwestern Uganda. Methods This was a cross-sectional study with a qualitative approach. Participants were purposively selected, consented, and interviewed. Interviews were audio-recorded and transcribed. Data were entered into NVivo 10 software and analyzed using a thematic analysis approach. Results Fourteen FHCPs with diverse roles, including 8 men, were interviewed. Participants' median age was 38 years (range: 26-51 years) and eleven of them were married. The subjects' experiences were explored in relation to perceived social and psychological challenges of working during the COVID-19 pandemic, and coping mechanisms in the COVID-19 pandemic situation. The social challenges identified were burnout, domestic violence, and a financially constrained environment. A further, psychological challenge was anxiety, as well as fear and distress. FHCPs responded with a variety of coping mechanisms, including situational acceptance, religious coping, coping through emotional support of others, and bulk purchase of supply-constrained basic necessities. Conclusion FHCPs experienced numerous social and psychological challenges, which negatively affected their quality of life amidst a wavering pandemic. As the pandemic rages on, creative and low-cost psychosocial interventions for FHCPs are needed, possibly including more formal peer support, and an improved flow of information about ongoing infectious disease control interventions, so FHCPs feel more knowledgeable about what is ahead.
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Affiliation(s)
- Ivan Mugisha Taremwa
- Institute of Allied Health Sciences, Clarke International University, Kampala, Uganda
| | - Scholastic Ashaba
- Department of Psychiatry, Mbarara Regional Referral Hospital, Mbarara, Uganda
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Barbara Rita K Naggayi
- Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Badru Kayongo
- Department of Psychiatry, Mbarara Regional Referral Hospital, Mbarara, Uganda
| | | | - Carlrona Ayebazibwe
- Institute of Allied Health Sciences, Clarke International University, Kampala, Uganda
| | - Manasseh Tumuhimbse
- Faculty of Business and Management Sciences, Mbarara University of Science and Technology, Mbarara, Uganda
| | - John Frank
- Professorial Fellow, Usher Institute, University of Edinburgh, Edinburgh, UK
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17
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Marrs Fuchsel CL. Immigrant Latinas' Experiences with Intimate Partner Violence, Access to Services, and Support Systems During a Global Health Crisis (COVID-19). JOURNAL OF FAMILY VIOLENCE 2023:1-13. [PMID: 36820305 PMCID: PMC9931559 DOI: 10.1007/s10896-023-00515-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/09/2023] [Indexed: 06/18/2023]
Abstract
Purpose This study examines immigrant Latinas' (ILs') help-seeking behaviors, types of support systems, and access to intimate partner violence (IPV) services during a global health crisis (COVID-19) at a community-based agency in a Northeastern state. Method Nineteen immigrant Latinas who had prior IPV-related services such as legal aid, advocacy, and support within 1-3 years were recruited for the study. Spanish-speaking telephone interviews averaging between 30 and 45 min were conducted with each participant. Content analysis was the method employed to review the data and generate themes of the participants' experiences. Results Participants' qualitative responses included an increase of intimate partner violence during the pandemic. Types of support systems included reaching out to police departments, hospitals and health-care settings, and community-based agencies. Findings indicated a 47% positive response rate when working with police officers (e.g., bilingual Spanish-English speaking police officers), and the participants reported being supported by the agency staff where they received services. Conclusion Recommendations are provided to the community-based agency and other service providers regarding ongoing delivery of services and best practices for ILs throughout the pandemic transitions and beyond.
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Affiliation(s)
- Catherine L. Marrs Fuchsel
- University of St. Thomas, St. Paul, MN USA
- Morrison Family College of Health, School of Social Work, 2115 Summit Avenue, SCB 201, 55105 St. Paul, MN USA
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18
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Schweinhart A, Aramburú C, Bauer R, Simons-Rudolph A, Atwood K, Luseno WK. Changes in Mental Health, Emotional Distress, and Substance Use Affecting Women Experiencing Violence and Their Service Providers during COVID-19 in a U.S. Southern State. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2896. [PMID: 36833591 PMCID: PMC9957159 DOI: 10.3390/ijerph20042896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 01/17/2023] [Accepted: 02/03/2023] [Indexed: 06/18/2023]
Abstract
Research conducted during the COVID-19 pandemic has revealed many unintended consequences of mandated safety precautions, including increased perpetration of intimate partner violence (IPV), increases in substance use, and worsening mental health conditions. We conducted a repeated, cross-sectional survey of survivors of IPV, a longitudinal survey of service providers working in an IPV shelter, and interviews with both. We conducted surveys at the beginning of the pandemic and nearly half a year later to assess mental health and, for clients, substance use. Results showed that two small samples of survivors living in the shelter in 2020 and 2021 experienced both mental health decline and increased use of substances. Qualitative data from in-depth interviews suggest that COVID-19-related restrictions mirrored survivors' experiences of power and control in violent relationships. Further, IPV service providers-essential workers during COVID-19-experienced stress associated with reports of burnout and mental fatigue. This study suggests that community-based organizations can help mitigate the impacts of COVID-19 on survivors of IPV but should avoid adding additional work for staff as service providers experienced mental and emotional stress.
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Affiliation(s)
- April Schweinhart
- Pacific Institute for Research and Evaluation, 4061 Powder Mill Road, Suite 350, Beltsville, MD 20705, USA
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19
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Cunha O, Caridade S, de Castro Rodrigues A, Cruz AR, Peixoto MM. Perpetration of Intimate Partner Violence and COVID-19-Related Anxiety During the Second Lockdown in Portugal: The Mediating Role of Anxiety, Depression, and Stress. JOURNAL OF FAMILY VIOLENCE 2023:1-12. [PMID: 36714808 PMCID: PMC9873397 DOI: 10.1007/s10896-023-00498-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
Purpose The restrictions imposed during lockdown by COVID-19 pandemic entailed increased risks for the perpetration of intimate partner violence (IPV). Widespread fear and uncertainty related to the virus and the policies adopted to contain it have been linked to a set of social, emotional, and economic stressors that can increase the risk of IPV. The present study aims to assess the association between COVID-19-related anxiety, psychological distress (depression, anxiety, and stress), and IPV perpetration in the community, as well as to assess the mediating role of psychological distress and depression, anxiety, and stress in the relationship between COVID-19-related anxiety and the perpetration of IPV. Methods A sample of 336 participants (282 females, Mage = 34.91, SD = 11.72) was recruited from the Portuguese population through an online self-report questionnaire, completed after the second lockdown (from April and July 2021). Results High rates of IPV perpetration during the confinement, in particular psychological and physical IPV, were found. COVID-19-related anxiety and psychological distress (depression, anxiety, and stress) were related to higher levels of IPV perpetration. Psychological distress and stress mediated the relationship between COVID-19-related anxiety and total IPV perpetration and psychological distress and depression mediated the relationship between COVID-19-related anxiety and psychological IPV perpetration. Conclusions This study highlights the mediating role of psychological distress on IPV perpetration. Practical implications for intervention policies in IPV perpetration will be discussed.
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Affiliation(s)
- Olga Cunha
- Faculty of Psychology, Education, and Sports, Hei Lab, Lusófona University, Rua Augusto Rosa, 24, 4000-098 Porto, Portugal
| | - Sónia Caridade
- Psychology Research Centre, University of Minho, Braga, Portugal
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20
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Bravo-Sanzana M, Miranda R, Oriol X. Adolescent Victimization during COVID-19 Lockdowns and Its Influence on Mental Health Problems in Seven Countries: The Mediation Effect of Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1958. [PMID: 36767323 PMCID: PMC9915164 DOI: 10.3390/ijerph20031958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 01/11/2023] [Accepted: 01/17/2023] [Indexed: 06/18/2023]
Abstract
The objective of this study was to test the differences between the mean scores of victimization, an indicator of depression, stress, and anxiety (DASS), across seven countries (Australia, Chile, India, Indonesia, Mexico, Poland, and the Russian Federation) during the COVID-19 lockdowns. In addition, this study sought to analyze the mediator role of resilience in these relationships in the different countries. To this end, a structural equation model (SEM) was tested and differences across countries were considered through a multigroup analysis. Data for adolescent students from seven countries (n = 7241) collected by the Global Research Alliance showed that levels of anxiety, depression, and stress among adolescents were different in the countries assessed; all of them presented values above the mean of the indicator, with Chile and Russia having the highest values. Regarding the prevalence of exposure to violence, the mean across all countries studied was 34%, with the highest prevalence in Russia and India. At the global level, an adequate adjustment was observed in the SEM mediation model considering all countries. However, a mediator effect of resilience was only observed in the relationship between victimization and the indicator of DASS in Chile, Indonesia, and Russia. The results are discussed, analyzing the relevance of resilience as a protective factor for mental health during COVID-19 lockdowns.
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Affiliation(s)
- Mónica Bravo-Sanzana
- Núcleo Científico-Tecnológico en Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco 4811230, Chile
| | - Rafael Miranda
- Department of Psychology, Universidad Continental, Huancayo 12000, Peru
| | - Xavier Oriol
- Department of Psychology, Universidad de Girona, 17004 Girona, Spain
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21
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Kamali K, Maleki A, Yazdi SAB, Faghihzadeh E, Hoseinzade Z, Hajibabaei M, Sharafi SE, Noorbala AA. The prevalence of violence and its association with mental health among the Iranian population in one year after the outbreak of COVID-19 disease. BMC Psychiatry 2023; 23:33. [PMID: 36639790 PMCID: PMC9839182 DOI: 10.1186/s12888-022-04444-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 12/01/2022] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND COVID-19 spread between and across nearly every country, with considerable negative health consequences. The current study aimed to determine the prevalence of violence and its association with mental health among Iranians older than 15 years in 2020. METHODS Data was collected through National Mental Health Survey on 24,584 Iranians older than 15 years in 2020. were analyzed to determine the prevalence of violence and its association with mental health. Multi-stage sampling method was used, and data on demographic characteristics and domestic-social violence and mental health (GHQ-28) were collected. Data analysis was administered using descriptive statistics and a chi-square test at a 95% level. RESULTS The mean age of participants was 44.18 ± 16.4 years. The overall prevalence of domestic and social violence was 11.4% and 5.5%, respectively. Verbal violence was the most common type; with 61.8% and 66.8% for domestic and social violence, respectively. A suspected case of mental disorder, female gender, being younger than 25 years, living apart together, unemployment, low education, and history of COVID-19 infection presented a significant association with domestic and social violence (p > 0.05). CONCLUSION In comparison to the previous study in 2015, the prevalence of violence has increased. Therefore, domestic and social violence are the social concerns of Iranian society, indicating the necessity of appropriate interventions, particularly for those suspected of mental disorders and young women with low education levels.
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Affiliation(s)
- Koorosh Kamali
- grid.469309.10000 0004 0612 8427Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Azam Maleki
- grid.469309.10000 0004 0612 8427Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Seyed Abbas Bagheri Yazdi
- grid.415814.d0000 0004 0612 272XDepartment of Mental Health, Ministry of Health and Medical Education of Iran, Tehran, Iran
| | - Elham Faghihzadeh
- grid.469309.10000 0004 0612 8427Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Zarrintaj Hoseinzade
- grid.469309.10000 0004 0612 8427Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Marzieh Hajibabaei
- grid.411705.60000 0001 0166 0922Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Seyedeh Elham Sharafi
- grid.411705.60000 0001 0166 0922Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Ali Noorbala
- Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran. .,Department of Psychiatry, Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Roozbeh Hospital, South Kargar AV., Tehran, 13185/1741, Iran.
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22
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Wallace WC, County K, Mason R, Humphrey A. The Trinidad and Tobago Covid-19 Domestic Violence Victimization and Perpetration Study. JOURNAL OF FAMILY VIOLENCE 2022:1-12. [PMID: 36530540 PMCID: PMC9742019 DOI: 10.1007/s10896-022-00485-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 12/04/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Purpose While there is available scholarship in the Global North on DV victimization and perpetration during the COVID-19 pandemic, there is a dearth of similar scholarship in the Global South. With this in mind, the Trinidad and Tobago COVID-19 Domestic Violence Victimization and Perpetration study was conducted in an attempt to fill that void. Method An online questionnaire containing a qualitative component was used to gather data aimed at determining whether DV victimization and perpetration had increased during the COVID-19 pandemic as well as possible contributory factors. Participants were 602 married or cohabiting adult citizens in Trinidad and Tobago. Results The results indicated that overall there was an increase in DV perpetration (13%) as well as an increase in DV victimization (16%) among the sampled population. The results also indicated that males (17%) and females (13%) in the sample engaged in increased levels of DV perpetration, while males (25%) and females (12%) were victims of increased DV victimization. Six themes emanated from the qualitative component of the study, namely: isolation/Covid-19 restrictions, lack of assistance for victims, male fear of reporting DV, work as a safe space, mental health effects and job loss. Conclusion The findings revealed increased DV perpetration and victimization among the study's participants. These findings have implications for policymakers in Trinidad and Tobago.
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Affiliation(s)
- Wendell C. Wallace
- Department of Behavioural Sciences, The University of the West Indies, Carmody Road, St. Augustine, Trinidad and Tobago
| | | | - Russel Mason
- Department of Behavioural Sciences, The University of the West Indies, Carmody Road, St. Augustine, Trinidad and Tobago
| | - April Humphrey
- Department of Behavioural Sciences, The University of the West Indies, Carmody Road, St. Augustine, Trinidad and Tobago
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Ochieng W, Sage EO, Achia T, Oluoch P, Kambona C, Njenga J, Bulterys M, Lor A. Sexual Violence Trends before and after Rollout of COVID-19 Mitigation Measures, Kenya. Emerg Infect Dis 2022; 28:S270-S276. [PMID: 36502433 DOI: 10.3201/eid2813.220394] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
COVID-19 mitigation measures such as curfews, lockdowns, and movement restrictions are effective in reducing the transmission of SARS-CoV-2; however, these measures can enable sexual violence. We used data from the Kenya Health Information System and different time-series approaches to model the unintended consequences of COVID-19 mitigation measures on sexual violence trends in Kenya. We found a model-dependent 73%-122% increase in reported sexual violence cases, mostly among persons 10-17 years of age, translating to 35,688 excess sexual violence cases above what would have been expected in the absence of COVID-19-related restrictions. In addition, during lockdown, the percentage of reported rape survivors receiving recommended HIV PEP decreased from 61% to 51% and STI treatment from 72% to 61%. Sexual violence mitigation measures might include establishing comprehensive national sexual violence surveillance systems, enhancing prevention efforts during school closures, and maintaining access to essential comprehensive services for all ages and sexes.
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Demir M, Park S. The Effect of COVID-19 on Domestic Violence and Assaults. CRIMINAL JUSTICE REVIEW 2022; 47:445-463. [PMID: 36471858 PMCID: PMC9638506 DOI: 10.1177/07340168211061160] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
The purpose of this research was to examine the effect of COVID-19 on four outcomes including calls for service for domestic violence, calls for service for assaults, arrests for domestic violence, and arrests for assaults in Burlington, Vermont. The data for each outcome collected over the time periods January 2012 through May 2021 were obtained from the Burlington Police Department website and then a monthly time-series data set were created. The analyses including an independent samples t-test, a Poisson regression test, and a monthly interrupted time-series analyses (ITSA) were employed to test the effects of COVID-19 on the previously mentioned outcomes. The results of the ITSA showed that in the first month following the onset of the COVID-19 pandemic, domestic violence calls statistically significantly increased, but no statistically significant change was observed in domestic violence arrests, while assault calls and assault arrests statistically significantly decreased. In addition, during COVID-19, there was a statistically significant decreasing trend in domestic violence calls and domestic violence arrests, while there was no statistically significant change in the trends of assault calls and assault arrests. The results suggest that COVID-19 had an immediate as well as a persistent effect on the numbers of domestic violence and assaults. The results and limitations of this study were also discussed.
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Affiliation(s)
- Mustafa Demir
- Criminal Justice Department, State University of New York at Plattsburgh, Plattsburgh, NY, USA
- Mustafa Demir, Criminal Justice Department, SUNY at Plattsburgh, 101 Broad St, Plattsburgh, NY 12901, USA.
| | - Suyeon Park
- Criminal Justice Department, State University of New York at Plattsburgh, Plattsburgh, NY, USA
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Coomans A, Kühling-Romero D, van Deuren S, van Dijk M, van de Weijer S, Blokland A, Eichelsheim V. Stay Home, Stay Safe? The Impact of the COVID-19 Restrictions on the Prevalence, Nature, and Type of Reporter of Domestic Violence in the Netherlands. JOURNAL OF FAMILY VIOLENCE 2022; 38:1-17. [PMID: 36467304 PMCID: PMC9702911 DOI: 10.1007/s10896-022-00473-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/11/2022] [Indexed: 06/17/2023]
Abstract
Purpose Insecurities and social isolation resulting from the COVID-19 restrictions, may have elevated tensions at home, consequently increasing the risk of domestic violence. The present study aims to examine changes in the prevalence, nature, and type of reporter of domestic violence following the various restrictions implemented to control the spread of the COVID-19 virus in the Netherlands. Methods All official domestic violence reports recorded by the 26 Dutch domestic violence agencies in 2019 and 2020 were collected and analyzed. Time-series forecasting analyses, using a SARIMAX model, were conducted to predict the trend of domestic violence reports during the first lockdown and to compare the predicted trend with the observed trend. Results The observed trend of the registered prevalence of domestic violence did not substantially differ from the predicted trend based on pre-pandemic data. Similarly, findings regarding the nature of domestic violence suggest no clear divergence of pre-pandemic trends during the lockdown period. Nonetheless, a shift was found from professional reporters (e.g., the police) to non-professional reporters (e.g., neighbors). Conclusions The prevalence of domestic violence reports in the Netherlands did not increase. However, the COVID-19 restrictions may have led citizens, especially neighbors, to detect domestic violence more often.
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Affiliation(s)
- Anne Coomans
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
- Department of Criminology, Faculty of Law, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - David Kühling-Romero
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
| | - Sjoukje van Deuren
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
- Department of Criminology, Faculty of Law, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Meintje van Dijk
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
- Department of Criminology, Faculty of Law, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Steve van de Weijer
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
| | - Arjan Blokland
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
- Department of Criminal Law and Criminology, Faculty of Law, Leiden University, Leiden, Netherlands
| | - Veroni Eichelsheim
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, Netherlands
- Department of Developmental Psychology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, Netherlands
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Blair DL, Shields M, Tonmyr L. Concerns about Household Violence during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14633. [PMID: 36429353 PMCID: PMC9691068 DOI: 10.3390/ijerph192214633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 10/27/2022] [Accepted: 11/04/2022] [Indexed: 06/16/2023]
Abstract
Evidence about how the pandemic affected household violence in Canada is mixed, but inarguably, the risk factors increased. This study used data from the 2020 Canadian Perspective Survey Series and the 2020 and 2021 Surveys of COVID-19 and Mental Health to examine the following: changes in the prevalence of concern about violence in individuals' own homes during the pandemic; the characteristics of those who expressed concern; and the prevalence of concerns for specific household members. Among Canadians, the prevalence of concern about violence in individuals' own homes decreased significantly between July and Fall 2020 (5.8% to 4.2%). Among women, the characteristics that were significantly associated with higher adjusted odds of concern about household violence included larger household size and lower household income. Lower education among women was associated with lower adjusted odds of concern. The associations with higher adjusted odds of concern among men included: being an immigrant, larger household size, and lower household income. From Fall 2020 to Spring 2021, the prevalence of concerns for oneself and for a child/children increased (1.7% to 2.5% and 1.0% to 2.5%, respectively), but concern for other adults in the household decreased (1.9% to 1.2%). Ongoing surveillance is needed to understand vulnerable populations' exposure to household violence and to inform policies and programs.
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Alonzo D, Popescu M. A qualitative examination of the mental health impact of Covid-19 in marginalized communities in Guatemala: The Covid Care Calls survey. Int J Soc Psychiatry 2022; 68:1435-1444. [PMID: 34176356 PMCID: PMC8242680 DOI: 10.1177/00207640211028612] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND The mental health impact of Covid-19 from the perspective of individuals experiencing psychological distress during lockdown period in marginalized, high-risk communities remains underinvestigated. AIMS This study aims to identify key factors related to psychological distress resulting from the Covid-19 pandemic across highly vulnerable districts in Guatemala. METHODS The Covid Care Calls (CCC) survey was administered to households in 11 districts in Guatemala to gather information about medical, mental health, and psychosocial status during the lockdown period; provide referral for care; and disseminate information on evidence-based protective measures to stem the spread of the virus. The 330 individuals participated the survey. Conventional content analysis was used to analyze survey data. RESULTS Most commonly reported mental health issues since the start of the pandemic were anxiety (46%), stress (36%), and exacerbation of pre-Covid-19 mental health conditions (19%). Depression and burnout were equally reported by 12% of participants. Only 2% reported issues with safety in the home. Concerns about catching the virus and economic worries were the most commonly reported sources of psychological distress. CONCLUSION Results of this study indicate a high prevalence of anxiety, stress, and increased prior mental health symptoms resulting from the onset of the Covid-19 pandemic in low-income, high-risk communities across Guatemala. Efforts focused on enhancing coping strategies as well as psychoeducation to address stigma and increase help-seeking for depression are particularly important.
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Affiliation(s)
- Dana Alonzo
- Graduate School of Social Service, Fordham University, New York, NY, USA.,Suicide Prevention Research Program, New York, NY, USA
| | - Marciana Popescu
- Graduate School of Social Service, Fordham University, New York, NY, USA.,Suicide Prevention Research Program, New York, NY, USA
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Ferragina F, Barca I, Sorrentino A, Kallaverja E, Piloni S, Arrotta A, Cristofaro MG. Effect of COVID-19 Italian Lockdown on Maxillofacial Trauma Related to Domestic Violence: A Retrospective Cohort Study. Life (Basel) 2022; 12:life12101463. [PMID: 36294899 PMCID: PMC9604664 DOI: 10.3390/life12101463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/13/2022] [Accepted: 09/16/2022] [Indexed: 11/16/2022] Open
Abstract
Background: This retrospective study aims to identify the potential reasons for the increase in maxillofacial trauma from domestic violence in the first COVID-19 lockdown and propose some strategies that could be effective in fighting it during any future pandemic events. Materials and Methods: The study was conducted on patients with maxillofacial trauma who arrived at the Maxillofacial Unit of the Magna Graecia University of Catanzaro from 9 March to 3 May 2020, who were compared with those registered in the same period in 2019. Inclusion criteria were: patients of both sexes and admission diagnosed with maxillofacial trauma with or without bone fracture. Exclusion criteria were: patients less than 7 years of age, maxillofacial trauma that occurred outside the established period, and patients unconscious or with unclear clinical history. Patients were divided into two groups according to the mechanism of injury (MOI): “domestic” and “non-domestic” trauma. Both descriptive and regressive statistical analysis was conducted using a Student’s t-test with a significance level set at p < 0.05. Results: The total number of maxillofacial fractures in 2020 was similar to 2019 (31 pcs in 2020 vs. 38 pcs in 2019). Before the lockdown, most of the trauma occurred in non-domestic settings (25% in 2020 vs. 76.67% in 2019), especially in road accidents (4.17% in 2020 vs. 20% in 2019). During the lockdown, most of the trauma occurred in a domestic setting (75% in 2020 vs. 23.33% in 2019), especially interpersonal violence (31.58% in 2020 vs. 14.28% in 2019). There were 7 cases of interpersonal violence recorded in 2020 (1 male and 6 female), compared to only one case (female) recorded in 2019, with a statistically significant p-Value (0.0475). Conclusions: The first COVID-19 lockdown has provided the opportunity to study the aetiology of domestic trauma due to interpersonal violence attributable to economic and social problems, all of which were aggravated by the impediment to requesting help due to the difficulty of contacting the services and the general slowdown in the ways out of violence. The analysis conducted and compared with data in the literature suggests the adoption of a proactive (and non-reactive) approach to combat domestic violence during pandemic events.
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Affiliation(s)
- Francesco Ferragina
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
- Correspondence: ; Tel.: +39-0961-3647271; Fax: +39-0961-3647229
| | - Ida Barca
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
| | - Alfonso Sorrentino
- Unit of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Hospital of Naples “Federico II”, 80131 Naples, Italy
| | - Elvis Kallaverja
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
| | - Sara Piloni
- Unit of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Hospital of Naples “Federico II”, 80131 Naples, Italy
| | | | - Maria Giulia Cristofaro
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
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Apolonio JS, da Silva Júnior RT, Cuzzuol BR, Araújo GRL, Marques HS, Barcelos IDS, Santos LKDS, Malheiro LH, Lima de Souza Gonçalves V, Freire de Melo F. Syndemic aspects between COVID-19 pandemic and social inequalities. World J Methodol 2022; 12:350-364. [PMID: 36186746 PMCID: PMC9516541 DOI: 10.5662/wjm.v12.i5.350] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 06/22/2022] [Accepted: 07/25/2022] [Indexed: 02/08/2023] Open
Abstract
Although the coronavirus disease 2019 (COVID-19) pandemic has reached all over the world population, it has demonstrated a heterogeneous impact on different populations. The most vulnerable communities which coexist daily with the social inequalities like low access to hygiene and personal protection products, crowded residences, and higher levels of chronic diseases have a higher risk of contact and the spread of infection, beyond unfavorable clinical outcomes. The elevation of the risk of infection exposure can be related to gender due to the presence of a larger contingent of women in essential services, as well as frontline and cleaning professionals who regardless of gender have the greatest exposure to the virus. Such exposures can contribute to the development of fear of contaminating themselves or their family members associated also with the work stress, both of which are related to the emergence of mental disturbances in these populations. Furthermore, conditions of unsanitary living and low socioeconomic status, populations at war, pre-existing social barriers, and ethnicity have contributed to more impact of the pandemic both in the exposure to the virus and access to health services, COVID-19 management, and management of other pathologies. At the same time, factors such as the closing of non-essential services, the loss of jobs, and the increase in household spending aggravated the social vulnerabilities and impacted the family economy. Lastly, the COVID-19 pandemic contributed still more to the impact on women's health since it propitiated a favorable environment for increasing domestic violence rates, through the segregation of women from social life, and increasing the time of the victims with their aggressors.
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Affiliation(s)
- Jonathan Santos Apolonio
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | | | - Beatriz Rocha Cuzzuol
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Glauber Rocha Lima Araújo
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Hanna Santos Marques
- Universidade Estadual do Sudoeste da Bahia, Campus Vitória da Conquista, Vitória da Conquista 45083-900, Bahia, Brazil
| | - Isadora de Souza Barcelos
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Luana Kauany de Sá Santos
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | - Luciano Hasimoto Malheiro
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
| | | | - Fabrício Freire de Melo
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista 45029-094, Bahia, Brazil
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Shenoi R, Rajguru J, Sangani S, Kolte V, Bhave I, Karmarkar J, Situt N, Gajbhiye M. Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study. J Oral Biol Craniofac Res 2022; 12:651-655. [PMID: 35966969 PMCID: PMC9359753 DOI: 10.1016/j.jobcr.2022.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/20/2022] [Accepted: 07/28/2022] [Indexed: 10/26/2022] Open
Abstract
Introduction Oral and maxillofacial injuries can be defined as injuries involving soft and hard tissue structures of the facial region and oral cavity, including the teeth and vital structures of the head and neck area as a result of trauma. The maxillofacial injuries are multifactorial and vary from one country to another and even from region to region. Despite, societal restrictions imposed by the government in the form of lockdowns and curfews, patients still experienced trauma and required significant healthcare services for management. Methods Patients of either gender reporting to the emergency department of Lata Mangeshkar Hospital with maxillofacial injuries, attended by residents of OMFS from October 2019 to August 2020 were included in the retrospective study. The demographic data about age, gender and status pertaining to under the influence of alcohol was recorded. The aim of this retrospective study was to evaluate the changing patterns of the maxillofacial injuries during the Covid-19 pandemic. Results In the present study, the road traffic accidents were 72.50% pre-lockdown which reduced to 47.37% during the alcohol ban and nationwide lockdown and gradually increased to 63.83% post-lockdown. The second most common cause of maxillofacial injury was falls which showed a significant increase from 22.50% before the lockdown to 31.58% during the lockdown and decreased to 26.6% after lockdown during the pandemic. There was an increase in the number of assaults from 2.50% pre-lockdown to 15.79% during the lockdown and again a decrease to 6.38% post-lockdown. Discussion Our study demonstrates the impact of nationwide lockdown in the month of April and May 2020, may have an association with the significant statistical decrease in the monthly average number of trauma admissions. There was a significant decrease in the number of road traffic collisions and falls during the "lockdown period". Conclusion The etiology and pattern of maxillofacial injuries reflect the trauma pattern within the community. We need more coordinated strategies of action to minimize maxillofacial injuries and its implication on physical and psychological wellbeing of patients.
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Affiliation(s)
- Ramakrishna Shenoi
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Jignesh Rajguru
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Simran Sangani
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Vrinda Kolte
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Ishani Bhave
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Jui Karmarkar
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Nimish Situt
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
| | - Mayank Gajbhiye
- Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, India
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Iverson KM, Dardis CM, Cowlishaw S, Webermann AR, Shayani DR, Dichter ME, Mitchell KS, Mattocks KM, Gerber MR, Portnoy GR. Effects of Intimate Partner Violence During COVID-19 and Pandemic-Related Stress on the Mental and Physical Health of Women Veterans. J Gen Intern Med 2022; 37:724-733. [PMID: 36042090 PMCID: PMC9427167 DOI: 10.1007/s11606-022-07589-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 04/01/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Little is known about women veterans' intimate partner violence (IPV) experiences during the COVID-19 pandemic or the impacts of pandemic-related stress on their mental and physical health. OBJECTIVES To identify IPV experiences among women veterans prior to and during the pandemic, pandemic-related stressors, and examine their respective contributions to mental and physical health. DESIGN National sample of women veterans drawn from a larger web-based longitudinal study. Relationships between recent IPV and pandemic-related stressors were tested with linear regressions, controlling for pre-pandemic IPV and mental and physical health symptoms, demographic, and military-related covariates. PARTICIPANTS One hundred forty-two women veterans (Mage=58.8 years). MAIN MEASURES We assessed IPV (CTS-2), PTSD (PCL-5), depression (CESD), anxiety (DASS-A), physical health (PHQ-15), and physical health-related quality of life (SF-12) prior to the pandemic (June 2016-December 2016/January 2017) and during the pandemic study period (March 2020-December 2020/January 2021). We assessed pandemic-related stressors (EPII) during the pandemic study period. KEY RESULTS Over a third (38.7%) of participants experienced IPV during the pandemic study period (psychological: 35.9%, physical: 9.9%, sexual: 4.2%). Overall rates, frequency, and severity of IPV experience did not significantly differ between the pre-pandemic and pandemic study periods. Few participants tested positive for COVID-19 (4.2%); however, most participants reported experiencing pandemic-related stressors across life domains (e.g., social activities: 88%, physical health: 80.3%, emotional health: 68.3%). IPV during the pandemic and pandemic-related stressors were both associated with greater PTSD and depressive symptoms. Pandemic-related stressors were associated with worse anxiety and physical health symptoms. Neither IPV during the pandemic nor pandemic-related stressors were associated with physical health-related quality of life. CONCLUSIONS IPV experiences during the pandemic were common among women veterans, as were pandemic-related stressors. Although IPV did not increase in the context of COVID-19, IPV experiences during the pandemic and pandemic-related stressors were linked with poorer mental and physical health.
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Affiliation(s)
- Katherine M Iverson
- Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA.
| | | | - Sean Cowlishaw
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, Australia
| | | | - Danielle R Shayani
- Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA
| | - Melissa E Dichter
- VA Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA
- School of Social Work, Temple University, Philadelphia, PA, USA
| | - Karen S Mitchell
- Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA
| | - Kristin M Mattocks
- VA Central Western Massachusetts Healthcare System, Leeds, MA, USA
- Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA
| | - Megan R Gerber
- Division of General Medicine, Albany Medical College, Albany, NY, USA
- Albany Stratton VA Medical Center, Albany, NY, USA
| | - Galina R Portnoy
- VA Connecticut Healthcare System, West Haven, CT, USA
- Department of Psychiatry, Yale University, New Haven, CT, USA
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Oswald DL, Kaugars AS, Tait M. American Women's Experiences With Intimate Partner Violence during the Start of the COVID-19 Pandemic: Risk Factors and Mental Health Implications. Violence Against Women 2022; 29:1419-1440. [PMID: 35989667 PMCID: PMC9398889 DOI: 10.1177/10778012221117597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
In an online survey, women self-reported high prevalence of intimate partner
violence during the early days of the pandemic. Risk factors for experiencing
intimate partner violence (IPV) included having a child under the age of 18,
being a sexual minority, living in a rural community, and stressors related to
healthcare access, income/employment stress, and COVID-19 exposure or illness.
Women who worked during the pandemic and were older were less likely to
experience IPV. Women who reported IPV also reported increased anxiety and
depression. The results are discussed in terms of clinical and policy
implications for supporting women who are victims of IPV.
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Affiliation(s)
| | | | - Mary Tait
- Department of Psychology, Marquette University, WI, USA
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Chiaramonte D, Simmons C, Hamdan N, Ayeni OO, López‐Zerón G, Farero A, Sprecher M, Sullivan CM. The impact of COVID-19 on the safety, housing stability, and mental health of unstably housed domestic violence survivors. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2659-2681. [PMID: 34921735 PMCID: PMC9206039 DOI: 10.1002/jcop.22765] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/01/2021] [Accepted: 11/15/2021] [Indexed: 05/17/2023]
Abstract
Using data from an ongoing longitudinal study, we examined the impact of the COVID-19 stay-at-home orders on a racially diverse population of unstably housed domestic violence (DV) survivors over time. Specifically, we examined survivors' safety, housing stability, and mental health before, during, and after the onset of COVID-19, and how demographic, social, and familial factors attenuated or exacerbated the effect of the stay-at-home orders. Approximately 300 participants were initially interviewed after they sought services from a DV agency, and then again, every 6 months over 2 years. COVID-19 stay-at-home orders occurred midway through the completion of this multi-year study. Longitudinal mixed effects models were estimated to examine the impact of COVID-19 on the safety, housing stability, and mental health of survivors over time. We also examined models with several time-varying (e.g., employment, income, social support, and number of children) and time-invariant (baseline outcome scores, racial/ethnic identity, education, and disability status) control variables. Results revealed that safety, housing stability and mental health were improving for study participants before the onset of the COVID-19 pandemic but plateaued after the stay-at-home orders were issued. Experiences of abuse, housing instability, and mental health symptomatology did not worsen as a result of the COVID-19 stay-at-home orders. Notably, social support and housing services emerged as important predictors of outcomes, such that participants who received housing-related services and greater social support reported less abuse, less housing instability, and lower mental health distress. COVID-19 temporarily disrupted the positive trajectory unstably housed DV survivors were experiencing in regard to safety, housing stability and mental health. These findings provide critical insight into the importance of service access during and after global catastrophes. Additional resources and support may be helpful in assisting survivors to return to their pre-pandemic recovery and growth trajectories.
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Affiliation(s)
- Danielle Chiaramonte
- Department of Psychiatry, Department of PsychologyYale UniversityNew HavenConnecticutUSA
| | - Cortney Simmons
- Department of Psychiatry, Department of PsychologyYale UniversityNew HavenConnecticutUSA
| | - Noora Hamdan
- Department of PyschologyDrakeford, Scott, & Associates, LLCUpper MarlboroMarylandUSA
| | | | - Gabriela López‐Zerón
- Department of PyschologyDrakeford, Scott, & Associates, LLCUpper MarlboroMarylandUSA
| | - Adam Farero
- Department of PsychologyUniversity of MichiganAnn ArborMichiganUSA
| | - Mackenzie Sprecher
- Department of PyschologyDrakeford, Scott, & Associates, LLCUpper MarlboroMarylandUSA
| | - Cris M. Sullivan
- Department of PyschologyDrakeford, Scott, & Associates, LLCUpper MarlboroMarylandUSA
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Ruiz-Larrea Lucía A. COVID-19 y desigualdad de género en España: consecuencias de la pandemia para las mujeres en empleo y salud mental. INVESTIGACIONES FEMINISTAS 2022. [DOI: 10.5209/infe.77835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objetivos. Se prevé que la pandemia de COVID-19 aumentará la desigualdad global y la desigualdad de género, deteriorando la salud y autonomía económica de las mujeres, haciéndolas más vulnerables a sufrir violencia machista. El propósito del trabajo es explorar cómo la desigualdad de género se ha acentuado en España en el ámbito laboral y de salud mental a raíz de la pandemia. Metodología. Partiendo del análisis de desigualdades sociales en salud y de la salud como una reivindicación feminista, se ha realizado un análisis cuantitativo de la Encuesta de Salud Mental (CIS, 2021) y de las Encuestas de Población Activa del Primer y Segundo Trimestre de 2021 (INE, 2021), para analizar las consecuencias de la pandemia y su repercusión sobre la desigualdad de género en España. Resultados. Se aprecia una importante brecha de género en todas las comunidades analizadas (Andalucía, Asturias, Canarias, Cataluña y Madrid) tanto en el ámbito laboral como de salud mental, dado que las administraciones no han incorporado la perspectiva de género a la hora de gestionar la pandemia. Discusión. Dentro de los principales factores que sostienen la desigualdad entre hombres y mujeres cabe destacar el reparto del trabajo de cuidados, que obstaculiza el desarrollo de la autonomía económica y emocional de las mujeres, mermando su salud mental e incrementando el riesgo de sufrir violencia. Se proponen algunas medidas para corregir esta desigualdad.
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Smith IM, Bayliss E. Recovering staff, recovering services: massive-online support for recovering a paediatric service using Lean and compassionate communication. BMJ Open Qual 2022; 11:bmjoq-2022-001914. [PMID: 35750350 PMCID: PMC9234906 DOI: 10.1136/bmjoq-2022-001914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 06/12/2022] [Indexed: 11/29/2022] Open
Abstract
The COVID-19 pandemic has infected tens of millions worldwide. Healthcare systems have been stretched caring for the most seriously ill and healthcare workers have struggled to maintain non-COVID services leading to backlogs. Strategies proposed to support the recovery of backlogs include additional administration support; waiting list data validation; enhanced patient communication; and use of systematic improvement methods to make rapid incremental improvements. As part of COVID-19 recovery, a hospital trust in northern England used the Lean systematic improvement approach to recover the waiting list of a paediatric service to pre-COVID levels. The intervention strategy used a massive-open-online-course (Lean Fundamentals) to support the improvement project lead to follow a structured improvement routine to apply Lean improvement techniques. By acknowledging that staff were overburdened by the requirements of COVID-19 and that patients were stuck in a system of disconnected processes, administrative activities were redesigned around an ethos of compassionate communication that put patients first. Over a period of 8 weeks, the project reduced the waiting list from 1109 to 212. Waiting times were reduced from a maximum of 36 months to a 70-day average. Lean is often described in terms of increasing process efficiency and productivity. It is not often associated with staff benefits. However, when seen in the context of unburdening staff to deliver patient care, Lean has potential to support the recovery of both staff and services. Lean Fundamentals, with its accessible massive-online design, may provide a means of supporting such improvement at scale.
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Affiliation(s)
- Iain M Smith
- Improvement Capability Building, NHS England, Newcastle upon Tyne, UK
- Newcastle University Business School, University of Newcastle upon Tyne, Newcastle upon Tyne, UK
| | - Elaine Bayliss
- Improvement Capability Building, NHS England, Coventry, UK
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Macy RJ. The COVID-19 Pandemic and Family Violence: Reflecting on Two Years' Research. JOURNAL OF FAMILY VIOLENCE 2022; 37:719-724. [PMID: 35572416 PMCID: PMC9086132 DOI: 10.1007/s10896-022-00410-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Rebecca J. Macy
- School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro Street, CB #3550, Chapel Hill, NC 27599 USA
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Wu TY, Hsieh HF, Chow CM, Yang X, Resnicow K, Zimmerman M. Examining racism and firearm-related risks among Asian Americans in the United States during the COVID-19 pandemic. Prev Med Rep 2022; 27:101800. [PMID: 35656206 PMCID: PMC9152798 DOI: 10.1016/j.pmedr.2022.101800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 04/14/2022] [Accepted: 04/17/2022] [Indexed: 12/14/2022] Open
Abstract
Firearm-related injury is a major public health concern in the U.S. Experience of racism and discrimination can increase the risk of minority group members engaging in or being victims of firearm-related violence. Given the increased racism endured by Asian Americans during the COVID-19 pandemic, it is imperative to understand firearm-related behaviors in this population. The purpose of this study was to examine how Asian Americans' racism and discrimination experiences were related to firearm-related behaviors during the COVID-19 pandemic. Cross-sectional data were collected between December 2020 and January 2021 from a national sample of 916 Asian Americans. Measures included demographics, firearm-related risks, and three measures of racism/discrimination experiences since the start of the COVID-19 pandemic. Among individuals who purchased a gun since the start of the pandemic, 54.6% were first-time gun owners. Among household gun owners, 42.8% stored loaded guns and 47.1% stored guns unlocked. More than 38% of individual gun owners have carried a gun more frequently since the pandemic. After controlling for family firearm ownership and demographics, regression analyses showed that Asian Americans who experienced racial discrimination were more likely to purchase a gun and ammunition and intend to purchase more ammunition during the COVID-19 pandemic. AAs who perceived more cultural racism were more likely to purchase a gun. Individuals who reported higher anticipatory racism-related stress reported greater intent to purchase guns. Our findings suggest an urgent need to investigate further the compounded effects of racism, the COVID-19 pandemic, and firearm-related behaviors in this population.
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Affiliation(s)
- Tsu-Yin Wu
- Center for Health Disparities Innovation and Studies, Eastern Michigan University, Ypsilanti, MI, USA,Corresponding author.
| | - Hsing-Fang Hsieh
- School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Chong Man Chow
- Psychology, Eastern Michigan University, Ypsilanti, MI, USA
| | - Xining Yang
- Center for Health Disparities Innovation and Studies, Eastern Michigan University, Ypsilanti, MI, USA
| | - Ken Resnicow
- School of Public Health and Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA
| | - Marc Zimmerman
- School of Public Health and the Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, MI, USA
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An Innovative Index for Evaluating Urban Vulnerability on Pandemic Using LambdaMART Algorithm. SUSTAINABILITY 2022. [DOI: 10.3390/su14095053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The COVID-19 pandemic has significantly changed urban life and increased attention has been paid to the pandemic in discussions of urban vulnerability. There is a lack of methods to incorporate dynamic indicators such as urban vitality into evaluations of urban pandemic vulnerability. In this research, we use machine learning to establish an urban Pandemic Vulnerability Index (PVI) that measures the city’s vulnerability to the pandemic and takes dynamic indicators as an important aspect of this. The proposed PVI is constructed using 140 statistic variables and 10 dynamic variables, using data from 47 prefectures of Japan. Factor Analysis is used to extract factors from variables that may affect city vulnerability, and the LambdaMART algorithm is used to aggregate factors and predict vulnerability. The results show that the proposed PVI can predict the relative seriousness of the COVID-19 pandemic in two weeks with a precision of more than 0.71, which is meaningful for taking controlling measures in advance and shaping the society’s response. Further analysis revealed the key factors affecting urban pandemic vulnerability, including city size, transit station vitality, and medical facilities, emphasizing precautions for public transport systems and new planning concepts such as the compact city. This research explores the application of machine learning techniques in the indicator establishment and incorporates dynamic factors into vulnerability assessments, which contribute to improvements in urban vulnerability assessments and the planning of sustainable cities while facing the challenges of the COVID-19 pandemic.
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Wake AD, Kandula UR. The global prevalence and its associated factors toward domestic violence against women and children during COVID-19 pandemic-"The shadow pandemic": A review of cross-sectional studies. WOMEN'S HEALTH (LONDON, ENGLAND) 2022; 18:17455057221095536. [PMID: 35441537 PMCID: PMC9024155 DOI: 10.1177/17455057221095536] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Globally, domestic violence affects women across their life span. Domestic violence against women and children during COVID-19 is a critical and substantial public health issue. This review article was aimed to determine the prevalence and its associated factors toward domestic violence against women and children during COVID-19. Several studies showed that the prevalence of domestic violence against women and children has been alarmingly enlarged during this COVID-19. Domestic violence is a significant and essential problem that is occurring all over the world for many years now, but this condition has been augmented during the lockdown situation because of this pandemic. Women and children of the worldwide are facing twin health emergencies that are COVID-19 and domestic violence. The pandemic was found as a threat to commit domestic violence against women and children. This is because, even though the measurements taken to avoid COVID-19 spread are supportive strategies and also the only opportunity to do so, reducing the risk of COVID-19 was found to raise the risk of domestic violence against women and children. Factors associated with domestic violence against women and children were; being housewives, age < 30 years, marriage, husband's age being between 31 and 40 years, physical victimization, and sexual victimization were factors associated with domestic violence. Depression, spending more time in close contact, job losses, financial insecurity, lockdowns, addiction (alcohol or drugs), control of wealth in the family, technology, and quarantine were factors considered as risk factors for domestic violence. This review will serve as a "call to action" to address this crisis effectively by coming together since this crisis is the global aspect. This is a shadow pandemic growing during this COVID-19 crisis and a global collective effort is needed to prevent it. The life of women and children moves from their needs to their rights during this pandemic. It is essential to undertake urgent actions to intervene in it.
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Affiliation(s)
- Addisu Dabi Wake
- Addisu Dabi Wake, Nursing Department, College of Health Sciences, Arsi University, P.O. Box: 193/04, Asella, Ethiopia.
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Barbara G, Viero A, Pellizzone I, Buggio L, Facchin F, Cattaneo C, D’Amico ME, Vercellini P, Kustermann A. Intimate Partner Violence in the COVID-19 Era: A Health, Psychological, Forensic and Legal Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19094973. [PMID: 35564368 PMCID: PMC9104607 DOI: 10.3390/ijerph19094973] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 04/17/2022] [Accepted: 04/18/2022] [Indexed: 11/16/2022]
Abstract
This commentary aims to provide a multidisciplinary framework on intimate partner violence (IPV) during the COVID-19 pandemic (with a specific focus on the most predominant form of gender-based violence, i.e., male violence towards women), commenting on the multiple negative consequences of the pandemic on gender violence and providing elements of effective practice. We searched literature for reports/studies on the issue of IPV during the COVID-19 pandemic, focusing on health, psychological, forensic, and legal aspects. The combined effects of lockdowns, isolation at home with abusive partners, quarantine, and economic worries/loss of a job could significantly facilitate violence against women and, at the same time, diminish women’s chances to seek for help, with a strong negative impact on their life. The continued offer of clinical, psychological, forensic, and legal services for survivors of violence, despite the modifications to the provision of these services due to the new needs related to the COVID-19 pandemic, appears of utmost importance. All actions to support survivors of IPV are expected to be multidisciplinary, including the involvement of social and/or legal services and health systems, and woman-centred. Implementing these measures in the COVID-19 era appears challenging but is of primary importance.
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Affiliation(s)
- Giussy Barbara
- Gynaecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (P.V.); (A.K.)
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
- Correspondence: (G.B.); (L.B.); Tel.: +39-02-5503-2917 (G.B.); Fax: +39-02-0320264 (G.B.)
| | - Alessia Viero
- Legal Medicine and Toxicology Unit, Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padua, 35121 Padua, Italy;
| | - Irene Pellizzone
- Department of Italian and Supranational Public Law, University of Milan, 20122 Milan, Italy; (I.P.); (M.E.D.)
| | - Laura Buggio
- Gynaecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (P.V.); (A.K.)
- Correspondence: (G.B.); (L.B.); Tel.: +39-02-5503-2917 (G.B.); Fax: +39-02-0320264 (G.B.)
| | - Federica Facchin
- Department of Psychology, Catholic University of the Sacred Heart, Largo A. Gemelli 1, 20123 Milan, Italy;
| | - Cristina Cattaneo
- Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy;
- LABANOF—Laboratorio di Antropologia e Odontologia Forense, 20133 Milan, Italy
| | - Maria Elisa D’Amico
- Department of Italian and Supranational Public Law, University of Milan, 20122 Milan, Italy; (I.P.); (M.E.D.)
| | - Paolo Vercellini
- Gynaecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (P.V.); (A.K.)
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Alessandra Kustermann
- Gynaecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (P.V.); (A.K.)
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Ansar A. Bangladeshi women migrants amidst the COVID-19 pandemic: Revisiting globalization, dependency and gendered precarity in South-South labour migration. GLOBAL NETWORKS (OXFORD, ENGLAND) 2022; 23:GLOB12368. [PMID: 35599743 PMCID: PMC9111354 DOI: 10.1111/glob.12368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 03/18/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic has triggered unprecedented societal disruption and disproportionately affected global mobility dynamics. Within such a troubled and intensifying crisis, the intersection of migration and gender is even more unsettling. Since the pandemic outbreak, Bangladesh witnessed a colossal crisis among millions of Bangladeshi migrants working overseas-a considerable section of them are women. By highlighting the plight of the Bangladeshi women migrants in the Gulf Cooperation Council (GCC) countries, this study expands the emerging literature that addresses the nexus among migration, pandemic fallout and gendered labour. Redrawing our understanding of globalization from below, the study attempts to further advance the theoretical perspectives on the predicaments of globalization and gendered precarity in contract labour migration. The study argues that the focus on the power asymmetry between the host and sending countries remains too limited to provide a comprehensive understanding of how inequalities are reproduced and transformed. Instead, it suggests that the challenges and disadvantages women migrants endure are embedded in the asymmetries of deep-rooted economic and social structures in tandem with the systemic practice of otherness and exclusion.
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Affiliation(s)
- Anas Ansar
- Bonn Center for Dependency and Slavery Studies (BCDSS)University of BonnBonnGermany
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Vatsya P, Garika SS, Mittal S, Trikha V, Sharma V, Malhotra R. Lockdown imposition due to COVID-19 and its effect on orthopedic emergency department in level 1 trauma center in South Asia. J Clin Orthop Trauma 2022; 28:101826. [PMID: 35345869 PMCID: PMC8942879 DOI: 10.1016/j.jcot.2022.101826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 02/23/2022] [Accepted: 03/01/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The coronavirus pandemic brought the entire world to a standstill. One of the most stringent lockdowns in the world was implemented in India. With the entire healthcare system being stretched, emergency orthopaedic services also take a hit. We studied the trends in patient presentation, testing, management, and restructuring of doctors at a tertiary care orthopaedic centre and compared them with the data from the same time period the previous year (2019). METHOD Data was collected separately for all the 5 different phases of lockdown and unlock, as well as for the same duration of months in 2019, and was analysed for epidemiological trends. RESULTS A rapid fall in the total number of cases was seen during the lockdown, followed by a skewed rise during the unlock. Forearm, wrist, and hip fractures were the most common fractures. Once nucleic acid testing of all patients intended to be admitted was started, a steep rise in coronavirus positivity was seen. There was a reduction in the total number of cases compared to 2019, but it was not as significant as would have been expected due to the complete standstill of activity during the lockdown. CONCLUSION During a pandemic, with the healthcare system under a crisis of workforce and infrastructure, there needs to be a separate task force for catering to orthopaedic emergencies since all fractures cannot be managed conservatively and the numbers of trauma-related patients did not show a stark fall as compared to normal months of last year. LEVEL OF EVIDENCE Level 3 Retrospective Case Series.
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Abstract
Lockdowns in Australia have been strict and lengthy. Policy-makers appear to have given the preservation of quantity of lives strong priority over the preservation of quality of lives. But thought-experiments in population ethics suggest that this is not always the right priority. In this paper, I'll discuss both negative impacts on quantity of lives caused by the lockdowns themselves, including an increase in domestic violence, and negative impacts on quality of lives caused by lockdowns, in order to raise the question of whether we each had reason to choose quantity over quality in our own lives in a way that would justify the lockdowns we had.
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Davis DA, Orellana ER, Estrada-Villalta S, Brouwer KC. COVID-19, violence, and mental health among Indigenous gay and bisexual men in Guatemala: An urgent call from key stakeholders. Glob Public Health 2022; 17:652-661. [PMID: 35282763 PMCID: PMC9118334 DOI: 10.1080/17441692.2022.2049844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
We explored how the COVID-19 pandemic has affected the health and wellbeing of Indigenous gay and bisexual men (GBM) in Guatemala, a group that experiences intersectional stigma and structural barriers to health. Between February and May 2021, we conducted in-depth qualitative interviews via Zoom with key stakeholders (n = 11) working with Indigenous GBM throughout Guatemala. We coded thematically and conducted narrative analysis to identify the most salient themes. Participants described that prior to the COVID-19 pandemic, many Indigenous GBM migrated to urban centres to avoid stigma and violence from families and rural communities. After the onset of COVID-19, many Indigenous GBM lost their jobs and were forced to move back in with families. For Indigenous GBM who returned, participants described a perceived increase in the severity of physical and psychological violence. Participants attributed this increase in severity to retribution from families and communities for having left. Most Indigenous GBM-serving organisations reported a drastic increase in demand for mental health services. Organisations serving Indigenous GBM have an urgent need to scale up their mental health services and find innovative ways to provide these services remotely during the pandemic and beyond. Technology-based mental health interventions that require little 'live' interaction may be appropriate.
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Affiliation(s)
- Dirk A. Davis
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA, USA
| | | | - Sara Estrada-Villalta
- Department of Psychology, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | - Kimberly C. Brouwer
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA, USA
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Wahaj Z, Alam MM, Al-Amin AQ. Climate change and COVID-19: shared challenges, divergent perspectives, and proposed collaborative solutions. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:16739-16748. [PMID: 34989992 PMCID: PMC8733923 DOI: 10.1007/s11356-021-18402-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 12/25/2021] [Indexed: 06/14/2023]
Abstract
Pandemics leave their mark quickly. This is true for all pandemics, including COVID-19. Its multifarious presence has wreaked havoc on people's physical, economic, and social life since late 2019. Despite the need for social science to save lives, it is also critical to ensure future generations are protected. COVID-19 appeared as the world grappled with the epidemic of climate change. This study suggests policymakers and practitioners address climate change and COVID-19 together. This article offers a narrative review of both pandemics' impacts. Scopus and Web of Science were sought databases. The findings are reported analytically using important works of contemporary social theorists. The analysis focuses on three interconnected themes: technology advancements have harmed vulnerable people; pandemics have macro- and micro-dimensions; and structural disparities. To conclude, we believe that collaborative effort is the key to combating COVID-19 and climate change, while understanding the lessons learnt from the industrialised world. Finally, policymakers can decrease the impact of global catastrophes by addressing many socioeconomic concerns concurrently.
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Affiliation(s)
- Zujaja Wahaj
- NUST Business School (NBS), National University of Sciences & Technology (NUST), Islamabad, Pakistan
| | - Md. Mahmudul Alam
- School of Economics, Finance & Banking, Universiti Utara Malaysia, Kedah Sintok, Malaysia
- Centre for Asian Climate and Environmental Policy Studies (CACEPS), Windsor ON, Canada
| | - Abul Quasem Al-Amin
- Department of Geography and Environmental Management, University of Waterloo, ON Waterloo, Canada
- Department of Development Studies, Daffodil International University, Dhaka, Bangladesh
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Women Construction Workers in Bangladesh: Health, Wellbeing, and Domestic Abuse during the COVID-19 Pandemic. SOCIAL SCIENCES-BASEL 2022. [DOI: 10.3390/socsci11020083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This article draws on in-depth research conducted during the first two years of the COVID-19 pandemic with a group of 35 women who work as construction labourers in Sylhet, northern Bangladesh. We particularly focus on these women’s narratives of economic crisis, domestic abuse, coercive control and intimate relations during the pandemic. Here, we consider the ways in which the COVID-19 pandemic between 2020 and 2021 particularly affected this group of women participants as they employed survival strategies to support their families through a time of extreme economic and social crisis. A key issue they raised was the negative impact the pandemic has had on their health and wellbeing, particularly exacerbated by an increase in experiences of intimate partner violence (IPV), more commonly termed domestic abuse or domestic violence in the local context. The violence they faced was not necessarily a new experience for many of these women, but it was intensified by pressures brought to bear on interpersonal relations within their household as a result of lack of access to incomes, rising levels of poverty, and the stresses placed on families trying to survive in a time of extreme socio-economic and health insecurity.
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Bhandari D, Ozaki A, Suzuki T, Kotera Y, Shrestha S, Horiuchi S, Miyachi T, Tabuchi T. Physical and verbal abuse amid COVID-19: a nationwide cross-sectional survey in Japan. BMJ Open 2022; 12:e054915. [PMID: 35177454 PMCID: PMC8889444 DOI: 10.1136/bmjopen-2021-054915] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES The detrimental impacts of abuse on victims' well-being are well documented globally, including Japan. The ongoing COVID-19 pandemic may increase the incidence of abuse in the community, creating an additional burden amid the crisis. However, the incidence of abuse in Japan during COVID-19 remains to be evaluated. Accordingly, our study aimed to assess the incidence of physical and verbal abuse among the general population in Japan and to identify the associated factors of abuse during COVID-19. DESIGN AND SETTING We used the data obtained from a nationwide, cross-sectional internet survey conducted in Japan between August and September 2020. Sampling weights were used to calculate national estimates, and multivariable logistic regression was performed to identify the associated factors for physical and verbal abuse. RESULTS Out of the total 25 482 participants, 965 (3.8 %) reported experiencing physical abuse and 1941 (7.6%) verbal abuse from April 2020 to September 2020. The incidence of physical and verbal abuse was higher among female participants. Participants who lived in areas where the 'state of emergency' was enforced were more likely to suffer from physical abuse. Similarly, vulnerable participants such as those below age 18, with low income, bad family relationships, and disabled people were more likely to experience both physical and verbal abuse. Participants suffering from COVID-19-related symptoms, who had poor health status and widows/divorcees were more likely to be verbally abused. Furthermore, those who did not follow preventive behaviours such as wearing masks in public places, abusing drugs and drinking alcohol in high amounts were also more likely to experience abuse. CONCLUSION The impact of abuse was found disproportionately greater in more vulnerable groups of the population. Pandemic has reinforced the existing social inequalities, which need to be addressed timely to prevent precarious repercussions.
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Affiliation(s)
| | - Akihiko Ozaki
- Medical Governance Research Institute, Tokyo, Japan
- Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Japan
| | - Tomoya Suzuki
- Medical Governance Research Institute, Tokyo, Japan
- School of Medicine, Akita University, Akita, Japan
| | - Yasuhiro Kotera
- School of Health Science, University of Nottingham, Nottingham, UK
| | - Sunil Shrestha
- School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia
| | - Sayaka Horiuchi
- Center for Birth Cohort Studies, University of Yamanashi, Yamanashi, Japan
| | - Takashi Miyachi
- Medical Governance Research Institute, Tokyo, Japan
- School of Medicine, Akita University, Akita, Japan
| | - Takahiro Tabuchi
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
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Miller AP, Mugamba S, Bulamba RM, Kyasanku E, Nkale J, Nalugoda F, Nakigozi G, Kigozi G, Nalwoga GK, Kagaayi J, Watya S, Wagman JA. Exploring the impact of COVID-19 on women's alcohol use, mental health, and experiences of intimate partner violence in Wakiso, Uganda. PLoS One 2022; 17:e0263827. [PMID: 35171949 PMCID: PMC8849444 DOI: 10.1371/journal.pone.0263827] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 01/27/2022] [Indexed: 12/30/2022] Open
Abstract
INTRODUCTION Uganda confirmed its first COVID-19 case in March 2020, leading to country-wide closures and a stay-at-home order. Infectious disease pandemics can overwhelm adaptive coping capacity (e.g., general self-efficacy and resilience) and increase the risk for mental distress. For individuals experiencing intimate partner violence (IPV) and cohabitating with a perpetrator, stay-at-home orders can also increase risk of violence, which can further exacerbate mental distress. The present study explores women's perceived self-efficacy and resilient coping, mental health outcomes (depression and COVID-19 related anxiety), hazardous alcohol use and IPV in the context of Uganda's national 2020 lockdown. METHODS A phone-based survey was undertaken from June-August of 2020 in Wakiso District, Uganda. The study sample consisted of Africa Medical and Behavioral Sciences Organization (AMBSO) Population Health Surveillance (APHS) study participants who agreed to be contacted for future research. The analytic sample was restricted to women aged 13-80 years. Bivariate analysis and multivariable models explored associations between experiences of IPV and measures of adaptive coping, mental health and alcohol use. RESULTS A total of 556 women aged 13-79 years (mean age of 33.4 years) participated. Over half (55%) were currently married. The majority (60%) reported a decrease in alcohol use during the lockdown. Nearly half of the sample were experiencing physical or verbal IPV and reported an increase in violence during the lockdown. In adjusted analysis, alcohol use was associated with four times greater odds of recent physical IPV (aOR 4.06, 95% CI = 1.65-10.02, p = 0.0024), while participants had lower odds of experiencing any form of IPV as general self-efficacy increased (aOR 0.95, 95% CI = 0.91-0.99, p = 0.0308). CONCLUSION Lockdown measures in Uganda may have mitigated increased alcohol consumption. IPV was exacerbated during lockdown; more than 2 in 5 IPV victims experienced increased physical or verbal violence. Development of programming and policies aimed at mitigating women's risk of IPV during future lockdowns are needed.
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Affiliation(s)
- Amanda P. Miller
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, California, United States of America
| | - Stephen Mugamba
- Makerere University Walter Reed Project (MUWRP), Kampala, Uganda
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Robert M. Bulamba
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Emmanuel Kyasanku
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - James Nkale
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Fred Nalugoda
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Gertrude Nakigozi
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Godfrey Kigozi
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Grace K. Nalwoga
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Joseph Kagaayi
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Stephen Watya
- Africa Medical and Behavioral Sciences Organization (AMBSO), Uro Care Limited, Wakiso District, Hoima, Uganda
| | - Jennifer A. Wagman
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, United States of America
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Esposito M, Salerno M, Scoto E, Di Nunno N, Sessa F. The Impact of the COVID-19 Pandemic on the Practice of Forensic Medicine: An Overview. Healthcare (Basel) 2022; 10:healthcare10020319. [PMID: 35206933 PMCID: PMC8871677 DOI: 10.3390/healthcare10020319] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 01/31/2022] [Accepted: 02/05/2022] [Indexed: 12/12/2022] Open
Abstract
During the COVID-19 pandemic, forensic sciences, on the one hand, contributed to gaining knowledge about different aspects of the pandemic, while on the other hand, forensic professionals were called on to quickly adapt their activities to respond adequately to the changes imposed by the pandemic. This review aims to clarify the state of the art in forensic medicine at the time of COVID-19, discussing the following: the influence of external factors on forensic activities, the impact of autopsy practice on COVID-19 and vice-versa, the persistence of SARS-CoV-2 RNA in post-mortem samples, forensic personnel activities during the SARS-CoV-2 pandemic, the global vaccination program and forensic sciences, forensic undergraduate education during and after the imposed COVID-19 lockdown, and the medico-legal implications in medical malpractice claims during the COVID-19 pandemic. The COVID-19 pandemic has greatly influenced different aspects of human life, and, accordingly, the practical activities of forensic sciences that are defined as multidisciplinary, involving different expertise. Indeed, the activities are very different, including crime scene investigation (CSI), external examination, autopsy, and genetic and toxicological examinations of tissues and/or biological fluids. At the same time, forensic professionals may have direct contact with subjects in life, such as in the case of abuse victims (in some cases involving children), collecting biological samples from suspects, or visiting subjects in the case of physical examinations. In this scenario, forensic professionals are called on to implement methods to prevent the SARS-CoV-2 infection risk, wearing adequate PPE, and working in environments with a reduced risk of infection. Consequently, in the pandemic era, the costs involved for forensic sciences were substantially increased.
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Affiliation(s)
- Massimiliano Esposito
- Department of Medical, Surgical and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95121 Catania, Italy; (M.E.); (M.S.); (E.S.)
| | - Monica Salerno
- Department of Medical, Surgical and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95121 Catania, Italy; (M.E.); (M.S.); (E.S.)
| | - Edmondo Scoto
- Department of Medical, Surgical and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95121 Catania, Italy; (M.E.); (M.S.); (E.S.)
| | - Nunzio Di Nunno
- Department of History, Society and Studies on Humanity, University of Salento, 73100 Lecce, Italy;
| | - Francesco Sessa
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy
- Correspondence: ; Tel.: +39-881-736926
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50
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Drieskens S, Braekman E, Ridder KD, Gisle L, Charafeddine R, Hermans L, Demarest S. Domestic violence during the COVID-19 confinement: do victims feel more socially isolated? Arch Public Health 2022; 80:39. [PMID: 35078519 PMCID: PMC8787181 DOI: 10.1186/s13690-021-00765-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 12/14/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Since March 13th 2020, confinement measures have been introduced in Belgium to curb the spread of the coronavirus (COVID-19). These measures also have an impact on people's daily life (closure of school/businesses, teleworking, recommendation to stay at home). This can cause stress on social, economic and psychological levels and thereby can trigger domestic violence. Besides, confinement also fosters social isolation, which can complicate help seeking behaviour. The aim of this study is to determine the prevalence of domestic violence during the coronavirus crisis and to assess whether there is an association between domestic violence and social isolation. METHODS Several online COVID-19 Health Surveys were organised among Belgian residents aged 18+ via snowball sampling. This study is based on the second (April 2020) and the sixth survey (March 2021). After excluding 1-person households and missing data, the sample size was respectively 25,251 and 12,589. Weighted prevalence of domestic violence was evaluated for the two surveys. The association (OR; 95% CI; p-value) between domestic violence and subjective social isolation was assessed with logistic regression stratified by survey and adjusted for covariates. RESULTS In April 2020, 4.0% of the adult population reported being a victim of domestic violence (1.2% in the Health Interview Survey 2018); in March 2021, this was 6.2%. In April 2020, victims of domestic violence had higher odds of being unsatisfied with their social contacts (OR = 1.25; 95% CI: 1.08-1.44; p < .05), weak social support (OR = 2.26; 95% CI: 1.97-2.58; p < .0001) and having less confidence in health care services (OR = 1.38; 95% CI: 1.13-1.71; p < .05). In March 2021, victims had higher odds of being unsatisfied with their social contacts (OR = 1.30; 95% CI: 1.08-1.56; p < .05) and weak social support (OR = 2.41; 95% CI: 2.04-2.84; p < .0001), and social (OR = 2.64; 95% CI: 2.23-3.13; p < .0001) and emotional loneliness (OR = 2.22; 95% CI: 1.80-2.73; p < .0001). CONCLUSIONS More people have reported domestic violence since the start of the coronavirus crisis than did in 2018. An association between domestic violence and social isolation was determined. Although confinement is needed to counteract the virus, it can put people in a dangerous situation since they do not get the help they need. Therefore, adequate support is essential.
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Affiliation(s)
- Sabine Drieskens
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium.
| | - Elise Braekman
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
| | - Karin De Ridder
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
| | - Lydia Gisle
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
| | - Rana Charafeddine
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
| | - Lize Hermans
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
| | - Stefaan Demarest
- Scientific Direction Epidemiology and public health, Sciensano, J. Wytsmanstreet 14, 1050, Brussels, Belgium
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