2010 年至 2020 年南亚区域合作联盟成员国的性别暴力流行情况及影响因素：系统评价和荟萃分析。

Prevalence and Contributing Factors of Gender-based Violence in SAARC Territories from 2010 to 2020: A Systematic Review and Meta-analysis.

机构信息

Department of Obstetrics and Gynecology, National Academy of Medical Sciences (NAMS), Kathmandu-44600, Nepal.

Department of Community Medicine, Chitwan Medical College Teaching Hospital, Chitwan, Nepal.

出版信息

J Nepal Health Res Counc. 2022 Jun 2;20(1):1-11. doi: 10.33314/jnhrc.v20i01.4011.

DOI:10.33314/jnhrc.v20i01.4011

PMID:35945846

Abstract

BACKGROUND

Gender-based violence is a key global concern due to the high prevalence and increased socio-economic burden for survivors. However, estimation of the prevalence of gender-based violence is difficult due to differences in study design and underreporting of abuse, especially in developing nations. Therefore, we conducted this study to estimate the prevalence of Gender-based violence among women living in the SAARC region.

METHODS

The review protocol was registered in PROSPERO (CRD42020219577). Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed throughout the review. A thorough database search was conducted to identify studies done in the SAARC region. Title and abstract screening were done in Covidence, followed by a full-text review. Data were extracted and pooled for analysis using the inclusion and exclusion criteria. Subgroup analysis was done where possible.

RESULTS

A total of 76 studies were included in the systematic review and metaanalysis. The community prevalence of domestic violence (DV) was 43.8% (95% CI, 35.1% - 52.9%), GBV prevalence was 34.9% (95% CI, 30.2% - 39.9%) and IPV prevalence was 39.8% (95% CI, 30.7% - 49.6%). GBV prevalence was highest in illiterate women [54.2% (95% CI, 46.8% - 61.5%)] and lowest among women with higher than secondary level education [23.1% (95% CI, 16.2% - 32.0%)]. The prevalence of GBV among women in pregnancy or postpartum period was 32.3% (95% CI, 25.1% - 40.4%, I2: 98.64), while among female sexual workers, the prevalence of Gender-based violence was 42.1% (95% CI, 28.1% - 57.5%, I2: 99.25).

CONCLUSIONS

There is a high prevalence of Gender-based violence in the SAARC region. Higher socioeconomic status and educational status are protective factors for Gender-based violence. However, more studies using validated tools are needed to understand the true extent of the problem.

摘要

背景

基于性别的暴力是一个全球性的主要关注点，因为幸存者的高患病率和社会经济负担增加。然而，由于研究设计的差异和虐待报告不足，尤其是在发展中国家，对基于性别的暴力的患病率进行估计是困难的。因此，我们进行了这项研究，以估计生活在南盟地区的妇女中基于性别的暴力的患病率。

方法

审查方案在 PROSPERO（CRD42020219577）中注册。整个审查过程都遵循了系统评价和荟萃分析的首选报告项目（PRISMA）指南。进行了彻底的数据库搜索，以确定在南盟地区进行的研究。在 Covidence 中进行标题和摘要筛选，然后进行全文审查。使用纳入和排除标准提取和汇总数据进行分析。在可能的情况下进行了亚组分析。

结果

共有 76 项研究被纳入系统评价和荟萃分析。社区内家庭暴力（DV）的流行率为 43.8%（95%CI，35.1%-52.9%），基于性别的暴力流行率为 34.9%（95%CI，30.2%-39.9%），亲密伴侣暴力流行率为 39.8%（95%CI，30.7%-49.6%）。基于性别的暴力在文盲妇女中最为普遍[54.2%（95%CI，46.8%-61.5%）]，在受过高等教育以上的妇女中则最低[23.1%（95%CI，16.2%-32.0%）]。在妊娠或产后期间，妇女中基于性别的暴力的流行率为 32.3%（95%CI，25.1%-40.4%，I2：98.64%），而在女性性工作者中，基于性别的暴力的流行率为 42.1%（95%CI，28.1%-57.5%，I2：99.25%）。