Institute of Ethics, History and Theory of Medicine, Ludwig Maximilians University Munich, Munich, Germany.
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
BMJ Glob Health. 2020 Apr 22;5(4):e001954. doi: 10.1136/bmjgh-2019-001954. eCollection 2020.
Violence against women is a pressing global health problem that is being met with a new intervention strategy-mobile applications. With this systematic review, we provide an initial analysis and functional categorisation of apps addressing violence against women.
We conducted a systematic online search conforming with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify apps addressing violence against women in five World Bank regions (Europe and Central Asia; North America, Latin America and the Caribbean; Middle East and North Africa; South Asia; and sub-Saharan Africa). Applications with location of initiation in mentioned regions and ≥100 downloads were included. Data on sector, target group(s), year of release, location of initiation and implementation were extracted. By means of a structured qualitative content analysis, applications were then categorised according to their main functions.
Of 327 relevant applications, 171 were included into the systematic review and assigned to one of five identified categories of main functions, respectively: emergency, avoidance, education, reporting and evidence building, and supporting apps. The largest proportion (46.78%) consisted of emergency apps, followed by education, reporting and evidence building, supporting and avoidance apps in descending order. With regards to the geographical distribution of app categories, significant (χ(20)=58.172; p=0.000) differences among the included regions were found.
A vast proportion of apps addressing violence against women primarily draw on one-time emergency or avoidance solutions, as opposed to more preventative approaches. Further research is necessary, critically considering questions of data security, personal safety and efficacy of such mobile health interventions.
针对妇女的暴力行为是一个紧迫的全球健康问题,目前正在采取一种新的干预策略——移动应用程序。本系统评价对针对妇女的暴力行为的应用程序进行了初步分析和功能分类。
我们按照系统评价和荟萃分析的首选报告项目进行了系统的在线搜索,以确定五个世界银行区域(欧洲和中亚;北美、拉丁美洲和加勒比;中东和北非;南亚;以及撒哈拉以南非洲)中针对妇女的暴力行为的应用程序。包括在上述地区开始的应用程序,且下载量超过 100 次。提取有关部门、目标群体、发布年份、开始地点和实施地点的数据。然后,通过结构化的定性内容分析,根据主要功能将应用程序进行分类。
在 327 个相关应用程序中,有 171 个被纳入系统评价,并被分配到五个已确定的主要功能类别之一,分别为:紧急情况、避免、教育、报告和证据收集以及支持应用程序。最大的比例(46.78%)是紧急应用程序,其次是教育、报告和证据收集、支持和避免应用程序。关于应用程序类别的地理分布,在所包括的地区之间发现了显著差异(χ(20)=58.172;p=0.000)。
针对妇女的暴力行为的应用程序主要采用一次性的紧急情况或避免解决方案,而不是更预防性的方法。需要进一步研究,批判性地考虑此类移动健康干预措施的数据安全、人身安全和效果等问题。