Delkhosh Marjan, Ardalan Ali, Rahimiforoushani Abbas, Keshtkar Abbas, Amiri Farahani Leila, Merghati Khoei Effat
Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Department of Disaster & Emergency Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Department of Disaster & Emergency Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran; Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Harvard Humanitarian Initiative, Harvard University, Cambridge, MA, USA.
PLoS Curr. 2017 Jul 12;9:ecurrents.dis.f41d45fbdca13babe4ae5be0f9732e75. doi: 10.1371/currents.dis.f41d45fbdca13babe4ae5be0f9732e75.
Humanitarian emergencies and the number of people who are adversely affected are increasing. In such emergencies, the vulnerability of women and girls to gender-based violence increases signifi-cantly and they often experience high levels of intimate partner violence (IPV). There are a limited number of interventions to reduce gender-based violence (GBV) and IPV in the contexts of humanitarian emergencies, and there is uncertainty about the effectiveness of these preventive interventions. This is the protocol for a systematic review that will synthesize the evidence on interventions for primary or secondary prevention of IPV in humanitarian settings, and assess the effect of existing types of IPV-related interventions in these settings.
The PRISMA-P 2015 statement has been used to prepare this report. Studies published from January 2000 to January 2017 will be reviewed with no language limits. Any experimental, quasi-experimental, or controlled trials will be included. A combination of four key concepts, including "IPV" AND "population" AND "humanitarian setting" AND "intervention" will be used in the search and a variety of information sources will be used: (1) bibliographic databases; (2) special databases and grey literature; (3) and the reference lists of eligible studies. Two reviewers will independently screen articles, extract relevant data and assess study quality. Discrepancies will be resolved through consensus. Risk of bias will be assessed using the Cochrane Risk of Bias tool and the quality of evidence will be assessed using the CONSORT checklist. A narrative synthesis will be provided. If a sufficient number of studies are found, their results will be pooled using a random-effects meta-analysis. For dichotomous outcomes, summaries of intervention effects for each study will be provided by calculating risk ratios with 95% confidence interval. Standardized mean differences will be used for continuous outcomes.
The review will be useful for IPV management policy and related planning. It will help researchers, policymakers and guideline developers with an interest in reducing violence against women among refugees, internally displaced persons (IDPs), and conflict-affected population.
人道主义紧急情况以及受不利影响的人数正在增加。在这类紧急情况中，妇女和女童遭受基于性别的暴力的脆弱性显著增加，她们经常遭受高水平的亲密伴侣暴力（IPV）。在人道主义紧急情况背景下，减少基于性别的暴力（GBV）和亲密伴侣暴力的干预措施数量有限，且这些预防性干预措施的有效性存在不确定性。这是一项系统评价的方案，该评价将综合关于在人道主义环境中对亲密伴侣暴力进行一级或二级预防的干预措施的证据，并评估这些环境中现有类型的与亲密伴侣暴力相关的干预措施的效果。
本报告依据PRISMA - P 2015声明编写。将对2000年1月至2017年1月发表的研究进行综述，无语言限制。将纳入任何实验性、准实验性或对照试验。搜索中将使用四个关键概念的组合，即“亲密伴侣暴力”“人群”“人道主义环境”“干预措施”，并将使用多种信息来源：（1）书目数据库；（2）特殊数据库和灰色文献；（3）符合条件研究的参考文献列表。两名评审员将独立筛选文章、提取相关数据并评估研究质量。分歧将通过协商解决。将使用Cochrane偏倚风险工具评估偏倚风险，并使用CONSORT清单评估证据质量。将提供叙述性综述。如果找到足够数量的研究，将使用随机效应荟萃分析汇总其结果。对于二分结果，将通过计算具有95%置信区间的风险比来提供每项研究的干预效果总结。对于连续性结果，将使用标准化均值差异。
该综述将有助于制定亲密伴侣暴力管理政策及相关规划。它将帮助关注减少难民、境内流离失所者（IDP）和受冲突影响人群中针对妇女暴力行为的研究人员、政策制定者和指南制定者。
