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通过现金转移和小额信贷计划赋予妇女经济权力足以减少亲密伴侣暴力吗?系统评价的证据。

Women economic empowerment via cash transfer and microcredit programs is enough to decrease intimate partner violence? Evidence from a systematic review.

机构信息

Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2019 Sep 9;35(9):e00174818. doi: 10.1590/0102-311X00174818.

Abstract

Intimate partner violence (IPV) is a worldwide public health problem. Many proposals aiming to eliminate its occurrence include the empowerment of women through their socio-economic development. In this context, some studies suggested that microcredit programs (MP) and cash transfer programs (CTP) are initiatives that can also reduce the risk of IPV. Others pointed to an opposite effect. The objective of this study was to investigate the influence of women's economic empowerment in MP and CTP on the risk of physical, psychological and sexual violence through a systematic review. Papers/documents selection was conducted by two researchers according to the following criteria: published in English, Portuguese or Spanish; primary data; assessing the effect of MP or CTP on IPV; in heterosexual couples; on women beneficiaries of the intervention; using a comparator group eligible for an MP or CTP; and focusing on risk IPV as the outcomes. Our results showed that the impact of MP are mixed when it comes to physical and physical/sexual violence. Even so, the review suggests that the effect of MP on sexual violence is trivial or nonexistent. Regarding the impact of CTPs, the present study showed that the effects on physical, physical/sexual, psychological, and sexual violence were also heterogeneous. Women more empowered and with some autonomy could be at risk. Despite that, participation in the empowerment program should be encouraged for poor women and families. However, parallel interventions to lead with IPV should be addressed to the main actions to reduce the risk of increasing IPV prevalence in certain scenarios.

摘要

亲密伴侣暴力(IPV)是一个全球性的公共卫生问题。许多旨在消除其发生的建议包括通过妇女的社会经济发展赋予妇女权力。在这种情况下,一些研究表明,小额信贷计划(MP)和现金转移计划(CTP)也是可以降低 IPV 风险的举措。其他人则指出了相反的效果。本研究的目的是通过系统评价调查妇女在 MP 和 CTP 中的经济赋权对身体、心理和性暴力风险的影响。研究人员根据以下标准选择论文/文件:用英文、葡萄牙文或西班牙文出版;原始数据;评估 MP 或 CTP 对 IPV 的影响;在异性伴侣中;在干预措施的女性受益人中;使用有资格获得 MP 或 CTP 的比较组;并关注风险 IPV 作为结果。我们的结果表明,MP 对身体和身体/性暴力的影响是混合的。即便如此,该综述表明 MP 对性暴力的影响微不足道或不存在。关于 CTP 的影响,本研究表明,对身体、身体/性、心理和性暴力的影响也是异质的。更有权力和一定自主权的妇女可能面临风险。尽管如此,仍应鼓励贫困妇女和家庭参与赋权计划。然而,为了降低某些情况下 IPV 发生率增加的风险,应该针对主要行动开展并行干预措施。

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