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“大流行只是让原本隐形的东西变得可见”:对 COVID-19 期间结构性暴力及其对巴西性别暴力影响的定性分析。

"The pandemic only gave visibility to what is invisible": a qualitative analysis of structural violence during COVID-19 and impacts on gender-based violence in Brazil.

机构信息

Brown School, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO, 63130, USA.

UNICEF Brasilia, Brasília, Brazil.

出版信息

BMC Public Health. 2023 Sep 23;23(1):1854. doi: 10.1186/s12889-023-16675-8.

Abstract

BACKGROUND

The COVID-19 pandemic produced alarming rates of disease and mortality globally, yet few nations were as severely impacted as Brazil. The pandemic also exposed and exacerbated persistent forms of structural violence across Brazil, which complicated gender-based violence (GBV) prevention and response efforts. While structural violence is not new, the systemic pressure and uncertainty introduced by COVID-19 intensified the detrimental impact of structural violence on the lives of Brazilians impacted by GBV. This work qualitatively investigated how the COVID-19 pandemic amplified structural violence and GBV in Brazil.

METHODS

We analyzed key informant interviews (KII) conducted with 12 service providers working in sectors related GBV prevention and response in Roraima, Boa Vista, and Rio de Janeiro. Interviews were audio-recorded, transcribed, and translated from Portuguese or Spanish into English, before applying deductive and inductive coding approaches through a collaborative data reduction process. The theoretical lens of structural violence outlined by Farmer and Rylko-Bauer guided the thematic development.

RESULTS

Analyses identified three themes. First, structural violence manifests as policies of inaction and erasure, which reduce the opportunity for upward social mobility among GBV survivors including Black women, trans persons, and people who live in the favelas. Policies of inaction and erasure fail to acknowledge/adequately respond to the significant health and safety needs of these communities. Second, structural violence is a fundamental cause of violence against women and children. Finally, service providers described community driven responses that address the dire survival needs (i.e., food insecurity) imposed by COVID-19, within a context of structural violence. These community driven responses were innovative, agile, and based on dire needs expressed to, and observed by, the service providers interviewed.

CONCLUSION

This analysis highlights how the COVID-19 pandemic exacerbated existing forms of structural violence prevalent throughout Brazil. Findings stress the urgency with which the Brazilian government and international organization must act to support community driven programs that strive to address the most basic human needs.

摘要

背景

COVID-19 大流行在全球范围内导致了惊人的疾病和死亡率,但很少有国家像巴西那样受到严重影响。大流行还暴露并加剧了巴西各地持续存在的结构性暴力形式,这使得预防和应对基于性别的暴力(GBV)的工作变得复杂。虽然结构性暴力并不是新现象,但 COVID-19 带来的系统性压力和不确定性加剧了结构性暴力对受 GBV 影响的巴西人生活的不利影响。这项工作定性研究了 COVID-19 大流行如何在巴西放大结构性暴力和 GBV。

方法

我们分析了在罗赖马、博阿维斯塔和里约热内卢从事预防和应对 GBV 相关工作的 12 名服务提供者进行的关键知情人访谈(KII)。访谈以葡萄牙语或西班牙语进行录音、记录和翻译为英语,然后通过协作数据简化过程应用演绎和归纳编码方法。Farmer 和 Rylko-Bauer 概述的结构性暴力理论视角指导了主题发展。

结果

分析确定了三个主题。首先,结构性暴力表现为不作为和抹杀政策,这减少了包括黑人妇女、跨性别者和生活在 favelas 中的人在内的 GBV 幸存者向上社会流动的机会。不作为和抹杀政策未能承认/充分回应这些社区的重大健康和安全需求。其次,结构性暴力是暴力侵害妇女和儿童的根本原因。最后,服务提供者描述了社区驱动的应对措施,这些措施在结构性暴力背景下解决了 COVID-19 带来的严峻生存需求(即粮食不安全)。这些社区驱动的应对措施是创新的、灵活的,并且基于服务提供者访谈中表达和观察到的迫切需求。

结论

这项分析强调了 COVID-19 大流行如何加剧了巴西普遍存在的现有形式的结构性暴力。研究结果强调了巴西政府和国际组织必须采取行动,支持社区驱动的方案,以努力满足最基本的人类需求的紧迫性。

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