Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, E4142, Baltimore, MD, 21205, USA.
Bill & Melinda Gates Institute for Population and Reproductive Health, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
BMC Public Health. 2022 Oct 5;22(1):1857. doi: 10.1186/s12889-022-14197-3.
Global evidence indicates increases in gender-based violence (GBV) during the COVID-19 pandemic following mitigation measures, such as stay at home orders. Indirect effects of the pandemic, including income loss, strained social support, and closed or inaccessible violence response services, may further exacerbate GBV and undermine help-seeking. In Kenya and Burkina Faso, as in many settings, GBV was prevalent prior to the COVID-19 pandemic. Studies specific to COVID-impact on GBV in Kenya indicate mixed results and there remains a lack of evidence from Burkina Faso. Our study takes a comprehensive lens by addressing both intimate partner violence (IPV) and non-partner household abuse through the COVID-19 pandemic in two priority settings.
Annual, national cross-sections of women ages 15-49 completed survey data collection in November-December 2020 and December 2020-March 2021; the GBV module was limited to one woman per household [Kenya n = 6715; Burkina n = 4065]. Descriptive statistics, Venn diagrams, and logistic and multinomial regression characterized prevalence of IPV and other household abuse, frequency relative to the COVID-19 pandemic, help-seeking behaviors, and predictors of IPV and household abuse across the socioecological framework.
In both settings, past-year IPV prevalence exceeded non-partner household abuse (Kenya: 23.5% 11.0%; Burkina Faso: 25.7% 16.2%). Over half of those affected in each setting did not seek help; those that did turned first to family. Among those with past-year experiences, increased frequency since COVID-19 was noted for IPV (16.0%; 33.6%) and household violence (14.3%; 26.2%). Both context-specific (i.e., financial autonomy in Burkina Faso) and universal (i.e., COVID-related income loss) risk factors emerged.
Past-year IPV and household violence against women in Kenya and Burkina Faso were prevalent, and in some cases, intensified during the COVID-19 pandemic. Across settings, help-seeking from formal services was notably low, likely reflecting shame, blame, and stigmatization identified as barriers in pre-COVID literature. Both primary prevention and survivor-centered support services, including those related to economic empowerment, should be integrated within COVID-recovery efforts, and extended into the post-pandemic period to fully meet women's safety needs.
全球证据表明,在 COVID-19 大流行期间,随着居家令等缓解措施的实施,基于性别的暴力(GBV)有所增加。大流行的间接影响,包括收入损失、社会支持紧张以及暴力应对服务关闭或无法获得,可能会进一步加剧 GBV 并破坏寻求帮助的行为。在肯尼亚和布基纳法索,与许多其他环境一样,在 COVID-19 大流行之前,GBV 就已经很普遍。针对肯尼亚 COVID-19 对 GBV 影响的具体研究结果喜忧参半,而布基纳法索则缺乏相关证据。我们的研究通过在两个重点环境中针对 COVID-19 大流行期间的亲密伴侣暴力(IPV)和非伴侣家庭虐待问题,采用综合视角进行研究。
2020 年 11 月至 12 月和 2020 年 12 月至 2021 年 3 月期间,年龄在 15-49 岁的妇女每年进行一次全国横断面调查,以收集调查数据;GBV 模块仅限于每个家庭中的一名妇女[肯尼亚 n=6715;布基纳法索 n=4065]。使用描述性统计、维恩图、逻辑回归和多项回归分析,根据社会生态框架,对 IPV 和其他家庭虐待的流行程度、相对于 COVID-19 大流行的频率、寻求帮助的行为以及 IPV 和家庭虐待的预测因素进行了描述。
在这两个环境中,过去一年中 IPV 的流行率均高于非伴侣家庭虐待(肯尼亚:23.5%,11.0%;布基纳法索:25.7%,16.2%)。每个环境中受影响的人中,超过一半的人没有寻求帮助;那些寻求帮助的人首先求助于家人。在过去一年中有经历过的人中,有更多的人表示自 COVID-19 以来 IPV(16.0%,33.6%)和家庭暴力(14.3%,26.2%)的频率有所增加。出现了一些特定于环境的(例如,布基纳法索的财务自主权)和普遍的(例如,与 COVID 相关的收入损失)风险因素。
在肯尼亚和布基纳法索,过去一年中针对妇女的 IPV 和家庭暴力很普遍,在某些情况下,在 COVID-19 大流行期间有所加剧。在所有环境中,从正规服务寻求帮助的人数明显较少,这可能反映了在 COVID 前文献中确定的耻辱、指责和污名化等障碍。应在 COVID-19 恢复工作中纳入初级预防和以幸存者为中心的支持服务,包括与经济赋权相关的服务,并将其扩展到大流行后时期,以充分满足妇女的安全需求。