Guedes Alessandra, Bott Sarah, Garcia-Moreno Claudia, Colombini Manuela
Family, Gender and Life Course Department, Pan American Health Organization/World Health Organization, Regional Office for the Americas, Washington, DC, USA;
Family, Gender and Life Course Department, Pan American Health Organization/World Health Organization, Regional Office for the Americas, Washington, DC, USA.
Glob Health Action. 2016 Jun 20;9:31516. doi: 10.3402/gha.v9.31516. eCollection 2016.
The international community recognises violence against women (VAW) and violence against children (VAC) as global human rights and public health problems. Historically, research, programmes, and policies on these forms of violence followed parallel but distinct trajectories. Some have called for efforts to bridge these gaps, based in part on evidence that individuals and families often experience multiple forms of violence that may be difficult to address in isolation, and that violence in childhood elevates the risk of violence against women.
This article presents a narrative review of evidence on intersections between VAC and VAW - including sexual violence by non-partners, with an emphasis on low- and middle-income countries.
We identify and review evidence for six intersections: 1) VAC and VAW have many shared risk factors. 2) Social norms often support VAW and VAC and discourage help-seeking. 3) Child maltreatment and partner violence often co-occur within the same household. 4) Both VAC and VAW can produce intergenerational effects. 5) Many forms of VAC and VAW have common and compounding consequences across the lifespan. 6) VAC and VAW intersect during adolescence, a time of heightened vulnerability to certain kinds of violence.
Evidence of common correlates suggests that consolidating efforts to address shared risk factors may help prevent both forms of violence. Common consequences and intergenerational effects suggest a need for more integrated early intervention. Adolescence falls between and within traditional domains of both fields and deserves greater attention. Opportunities for greater collaboration include preparing service providers to address multiple forms of violence, better coordination between services for women and for children, school-based strategies, parenting programmes, and programming for adolescent health and development. There is also a need for more coordination among researchers working on VAC and VAW as countries prepare to measure progress towards 2030 Sustainable Development Goals.
国际社会将针对妇女的暴力行为(VAW)和针对儿童的暴力行为(VAC)视为全球人权和公共卫生问题。从历史上看,关于这些暴力形式的研究、项目和政策沿着平行但不同的轨迹发展。部分人呼吁努力弥合这些差距,这部分基于以下证据:个人和家庭经常遭受多种形式的暴力,这些暴力可能难以单独解决,而且童年时期的暴力会增加遭受针对妇女暴力行为的风险。
本文对VAC和VAW之间交叉关系的证据进行了叙述性综述——包括非伴侣性暴力,重点关注低收入和中等收入国家。
我们识别并综述了六个交叉点的证据:1)VAC和VAW有许多共同的风险因素。2)社会规范通常支持VAW和VAC,并阻碍人们寻求帮助。3)儿童虐待和伴侣暴力经常在同一家庭中同时发生。4)VAC和VAW都可能产生代际影响。5)VAC和VAW的多种形式在整个生命周期中都有共同且复杂的后果。6)VAC和VAW在青春期交叉,这是一个对某些类型暴力更为脆弱的时期。
共同关联的证据表明,整合应对共同风险因素的努力可能有助于预防这两种暴力形式。共同的后果和代际影响表明需要更多综合的早期干预。青春期处于这两个领域的传统范畴之间及内部,值得更多关注。加强合作的机会包括让服务提供者做好应对多种暴力形式的准备、改善妇女和儿童服务之间的协调、基于学校的策略、育儿项目以及青少年健康与发展项目。随着各国准备衡量在实现2030年可持续发展目标方面的进展,从事VAC和VAW研究的人员之间也需要更多协调。