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新冠肺炎疫情对泰国家庭暴力的影响:流行情况及影响因素。

Impacts of COVID-19 on family violence in Thailand: prevalence and influencing factors.

机构信息

Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

BMC Womens Health. 2023 Jun 1;23(1):294. doi: 10.1186/s12905-023-02440-x.

Abstract

BACKGROUND

The COVID-19 pandemic drastically affected societies globally, prompting rising unemployment, insufficient household incomes, and stress and undermining women's and children's health within families. This study examined family violence and identified influencing factors during the COVID-19 pandemic in Thailand.

METHODS

A mixed-method design was used, entailing a questionnaire followed by focus group interviews. A cross-sectional survey was administered to investigate family violence among 1285 female respondents aged 15 years and above who were recruited through stratified sampling. The Cronbach alpha and and inter-raters Kappa coefficient values for the questionnaire were 0.67 and 1.00, respectively. In addition, a descriptive qualitative instrument was employed to analyze the data sets from four focus group interviews held with 32 staff members from agencies that deal with family violence. The researchers jointly developed the focus group questions, which focused on the impacts of the COVID-19 pandemic on family violence. They independently analyzed data using content analysis.

RESULTS

The majority of the study participants were aged above 45 years (>50%), married (61.1%), lived in single-family settings (52.5%), had lost their jobs (64.4%), and had economic constraints that were moderate (37.8%) to severe (40.6%). The prevalence of family violence, which was primarily physical, was 42.2%. Family income, stress, and substance abuse were the main factors associated with family violence. These findings were correlated with those from the qualitative interviews.

CONCLUSIONS

The COVID-19 pandemic had indirect impacts through family violence. Women were subjected to family violence behaviors, which were associated with household income, economic status, stress, and substance abuse. These behaviors included psychological and physical violence, as well as sexual abuse. Future interventions should focus on financial support and stress reduction.

摘要

背景

COVID-19 大流行极大地影响了全球社会,导致失业率上升、家庭收入不足以及压力增加,从而破坏了家庭中妇女和儿童的健康。本研究调查了 COVID-19 大流行期间泰国的家庭暴力问题,并确定了其影响因素。

方法

采用混合方法设计,包括问卷调查和焦点小组访谈。通过分层抽样招募了 1285 名年龄在 15 岁及以上的女性受访者进行横断面调查,以调查家庭暴力情况。问卷的 Cronbach alpha 和组内 Kappa 系数分别为 0.67 和 1.00。此外,还使用描述性定性工具分析了来自 4 个焦点小组访谈的数据,这 4 个焦点小组访谈涉及处理家庭暴力问题的机构的 32 名工作人员。研究人员共同制定了焦点小组问题,重点关注 COVID-19 大流行对家庭暴力的影响。他们独立使用内容分析法分析数据。

结果

大多数研究参与者年龄在 45 岁以上(>50%),已婚(61.1%),居住在单亲家庭(52.5%),失业(64.4%),经济拮据(37.8%)到严重(40.6%)。主要表现为身体暴力的家庭暴力的发生率为 42.2%。家庭收入、压力和物质滥用是与家庭暴力相关的主要因素。这些发现与定性访谈的结果相关。

结论

COVID-19 大流行通过家庭暴力产生了间接影响。妇女遭受家庭暴力行为的影响,这些行为与家庭收入、经济状况、压力和物质滥用有关。这些行为包括心理和身体暴力以及性虐待。未来的干预措施应侧重于经济支持和减轻压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d05/10233992/3ea7ce0caccc/12905_2023_2440_Fig1_HTML.jpg

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