Agrawal Pooja, Post Lori Ann, Glover Janis, Hersey Denise, Oberoi Piya, Biroscak Brian
Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America.
Buehler Center for Health Policy and Economics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America.
PLOS Glob Public Health. 2023 Feb 24;3(2):e0000300. doi: 10.1371/journal.pgph.0000300. eCollection 2023.
Gender-based violence (GBV) is a global public health and human rights problem that is exacerbated by social and environmental stressors for a multitude of interpersonal, cultural, and economic reasons. Through sudden disruptions in the microclimate of a region, climate shocks often have a negative impact on food security, which correlates with increases in GBV. Associations between the various combinations of GBV, climate change, and food insecurity have been documented in the growing international literature, but questions remain about these associations that require further clarification. The impact of the COVID-19 pandemic caused by SARS-CoV-2 provides insight through a real time demonstration into these interactions. This review of the global literature examines the interplay between GBV, climate change, and food insecurity-including recent literature regarding the COVID-19 pandemic. This review covers original research studies employing both quantitative and qualitative methodology, those that conducted secondary analyses of existing data sources and perspective pieces derived from observed evidence. An additional analytic layer of system dynamics modeling allowed for the integration of findings from the scoping review and discovery of additional insights into the interplay between disasters, food insecurity, and GBV. Findings from this review suggest that the development and adaptation of evidence-based, focused interventions and policies to reduce the effects of climate shocks and bolster food security may ultimately decrease GBV prevalence and impact.
基于性别的暴力(GBV)是一个全球公共卫生和人权问题,由于多种人际、文化和经济原因,社会和环境压力因素使其更加恶化。气候冲击往往通过对一个地区小气候的突然破坏,对粮食安全产生负面影响,而这与基于性别的暴力增加相关。在不断增加的国际文献中已记录了基于性别的暴力、气候变化和粮食不安全的各种组合之间的关联,但关于这些关联仍存在需要进一步澄清的问题。由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病疫情的影响,通过实时展示为这些相互作用提供了见解。这篇对全球文献的综述考察了基于性别的暴力、气候变化和粮食不安全之间的相互作用——包括有关2019冠状病毒病疫情的最新文献。这篇综述涵盖了采用定量和定性方法的原创性研究、对现有数据源进行二次分析的研究以及基于观察证据得出的观点文章。系统动力学建模这一额外的分析层面,使得能够整合范围综述的结果,并发现关于灾害、粮食不安全和基于性别的暴力之间相互作用的更多见解。这篇综述的结果表明,制定和采用基于证据的、有针对性的干预措施和政策,以减少气候冲击的影响并加强粮食安全,最终可能会降低基于性别的暴力的发生率和影响。