Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Gent, Building K3, 3rd floor, De Pintelaan 185, 9000 Gent, Belgium.
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 2018 Jan 1;96(1):29-41L. doi: 10.2471/BLT.17.197251. Epub 2017 Nov 23.
OBJECTIVE: To assess the prevalence of physical and sexual violence motivated by perception of sexual orientation and gender identity in sexual and gender minorities. METHODS: We searched nine databases without language restrictions for peer-reviewed and grey literature published from 2000 to April 2016. We included studies with more than 50 participants that measured the prevalence of physical and sexual violence perceived as being motivated by sexual orientation and gender identity or gender expression. We excluded intimate partner violence and self-harm. Due to heterogeneity and the absence of confidence intervals in most studies, we made no meta-analysis. FINDINGS: We included 76 articles from 50 countries. These covered 74 studies conducted between 1995 and 2014, including a total of 202 607 sexual and gender minority participants. The quality of data was relatively poor due to a lack of standardized measures and sometimes small and non-randomized samples. In studies where all sexual and gender minorities were analysed as one population, the prevalence of physical and sexual violence ranged from 6% (in a study including 240 people) to 25% (49/196 people) and 5.6% (28/504) to 11.4% (55/484), respectively. For transgender people the prevalence ranged from 11.8% (of a subsample of 34 people) to 68.2% (75/110) and 7.0% (in a study including 255 people) to 49.1% (54/110). CONCLUSION: More data are needed on the prevalence, risk factors and consequences of physical and sexual violence motivated by sexual orientation and gender identity in different geographical and cultural settings. National violence prevention policies and interventions should include sexual and gender minorities.
目的:评估性少数群体和性别少数群体中因性取向和性别认同而导致的身体和性暴力的流行率。
方法:我们在九个数据库中进行了无语言限制的检索,以获取 2000 年至 2016 年 4 月发表的同行评议和灰色文献。我们纳入了超过 50 名参与者的研究,这些研究测量了被认为是由性取向和性别认同或性别表达驱动的身体和性暴力的流行率。我们排除了亲密伴侣暴力和自残。由于大多数研究存在异质性和缺乏置信区间,因此我们没有进行荟萃分析。
发现:我们从 50 个国家/地区的 76 篇文章中进行了筛选。这些文章涵盖了 1995 年至 2014 年期间进行的 74 项研究,共包括 202607 名性少数群体和性别少数群体参与者。由于缺乏标准化的测量方法,有时样本量小且非随机,因此数据质量相对较差。在将所有性少数群体和性别少数群体作为一个群体进行分析的研究中,身体和性暴力的流行率范围从 6%(一项包括 240 人的研究)到 25%(196 人中有 49 人)和 5.6%(504 人中有 28 人)到 11.4%(484 人中有 55 人)。对于跨性别者,流行率范围从 11.8%(34 人样本中的一部分)到 68.2%(110 人中有 75 人)和 7.0%(一项包括 255 人的研究)到 49.1%(110 人中有 54 人)。
结论:需要在不同的地理和文化背景下获得更多关于性取向和性别认同导致的身体和性暴力的流行率、风险因素和后果的数据。国家暴力预防政策和干预措施应包括性少数群体和性别少数群体。
Bull World Health Organ. 2017-11-23
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