预防暴力侵害妇女和女孩行为:现有证据说明了什么?
Prevention of violence against women and girls: what does the evidence say?
机构信息
Global Women's Institute, George Washington University, Washington, DC, USA; Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Global Women's Institute, George Washington University, Washington, DC, USA.
出版信息
Lancet. 2015 Apr 18;385(9977):1555-66. doi: 10.1016/S0140-6736(14)61703-7. Epub 2014 Nov 21.
In this Series paper, we review evidence for interventions to reduce the prevalence and incidence of violence against women and girls. Our reviewed studies cover a broad range of intervention models, and many forms of violence--ie, intimate partner violence, non-partner sexual assault, female genital mutilation, and child marriage. Evidence is highly skewed towards that from studies from high-income countries, with these evaluations mainly focusing on responses to violence. This evidence suggests that women-centred, advocacy, and home-visitation programmes can reduce a woman's risk of further victimisation, with less conclusive evidence for the preventive effect of programmes for perpetrators. In low-income and middle-income countries, there is a greater research focus on violence prevention, with promising evidence on the effect of group training for women and men, community mobilisation interventions, and combined livelihood and training interventions for women. Despite shortcomings in the evidence base, several studies show large effects in programmatic timeframes. Across different forms of violence, effective programmes are commonly participatory, engage multiple stakeholders, support critical discussion about gender relationships and the acceptability of violence, and support greater communication and shared decision making among family members, as well as non-violent behaviour. Further investment in intervention design and assessment is needed to address evidence gaps.
在本系列论文中,我们回顾了旨在减少针对妇女和女童的暴力发生率和流行率的干预措施的证据。我们回顾的研究涵盖了广泛的干预模式,以及多种形式的暴力,即亲密伴侣暴力、非伴侣性侵犯、女性生殖器切割和童婚。证据主要来自高收入国家的研究,这些评估主要侧重于对暴力的反应。这些证据表明,以妇女为中心、宣传和家访方案可以降低妇女进一步受害的风险,而针对犯罪者的方案预防效果的证据则不太明确。在低收入和中等收入国家,更多地关注预防暴力问题,针对妇女和男子的集体培训、社区动员干预措施以及妇女生计和培训综合干预措施的效果有很好的证据。尽管证据基础存在缺陷,但有几项研究表明,在方案实施的时间框架内,效果显著。针对不同形式的暴力,有效的方案通常是参与性的,涉及多个利益攸关方,支持关于性别关系和暴力可接受性的批判性讨论,并支持家庭成员之间进行更多的沟通和共同决策,以及非暴力行为。需要进一步投资于干预措施的设计和评估,以解决证据空白。