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撒哈拉以南非洲地区针对妇女的基于性别的暴力:横断面研究的系统评价和荟萃分析。

Gender Based Violence against Women in Sub-Saharan Africa: A Systematic Review and Meta-Analysis of Cross-Sectional Studies.

机构信息

School of Nursing and Midwifery, Western Sydney University, Parramatta South Campus, Parramatta, NSW 2151, Australia.

Amref Health Africa in Ethiopia, Addis Ababa 17022, Ethiopia.

出版信息

Int J Environ Res Public Health. 2020 Feb 1;17(3):903. doi: 10.3390/ijerph17030903.

Abstract

This study aimed to systematically review studies that examined the prevalence of gender based violence (GBV) that included intimate partner violence (IPV) and non-IPV among women in sub-Saharan Africa (SSA). This evidence is an important aspect to work towards achieving the Sustainable Development Goals (SDG's) target of eliminating all forms of violence in SSA. The Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines were followed. Ovid Medline, CINAHL, Cochrane Central, Embase, Scopus and Web of Science were used to source articles with stringent eligibility criteria. Studies on GBV in SSA countries that were published in English from 2008 to 2019 were included. A random effect meta-analysis was used. Fifty-eight studies met the inclusion criteria. The pooled prevalence of IPV among women was 44%, the past year-pooled prevalence of IPV was 35.5% and non-IPV pooled prevalence was 14%. The highest prevalence rates of IPV that were reported included emotional (29.40%), physical (25.87%) and sexual (18.75%) violence. The sub-regional analysis found that women residing in Western (30%) and Eastern (25%) African regions experienced higher levels of emotional violence. Integrated mitigation measures to reduce GBV in SSA should focus mainly on IPV in order to achieve the SDG's that will lead to sustainable changes in women's health.

摘要

本研究旨在系统地回顾考察撒哈拉以南非洲(SSA)地区女性中存在的基于性别的暴力(GBV),包括亲密伴侣暴力(IPV)和非 IPV 的研究。这一证据是实现可持续发展目标(SDG)中消除 SSA 地区所有形式暴力目标的重要方面。研究遵循了系统评价和荟萃分析的首选报告项目(PRISMA)准则。通过严格的纳入标准,在 Ovid Medline、CINAHL、Cochrane Central、Embase、Scopus 和 Web of Science 中搜索了 SSA 国家有关 GBV 的文章。纳入了 2008 年至 2019 年期间以英文发表的 SSA 国家的 GBV 研究。使用随机效应荟萃分析。58 项研究符合纳入标准。女性中 IPV 的总患病率为 44%,过去一年 IPV 的总患病率为 35.5%,非 IPV 的总患病率为 14%。报告的 IPV 最高患病率包括情绪(29.40%)、身体(25.87%)和性暴力(18.75%)。亚区域分析发现,居住在非洲西部(30%)和东部(25%)地区的女性经历了更高水平的情绪暴力。为了实现将导致妇女健康发生可持续变化的 SDG,SSA 地区应主要关注 IPV,采取综合缓解措施来减少 GBV。

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