Gharacheh Maryam, Sadeghi Tahereh, Mirghafourvand Mojgan, Montazeri Simin, Jahanfar Shayesteh, Ranjbar Fahimeh
Nursing and Midwifery Care Research Center Iran University of Medical Sciences Tehran Iran.
Nursing and Midwifery School Mashhad University of Medical Sciences Mashhad Iran.
Health Sci Rep. 2023 Oct 10;6(10):e1627. doi: 10.1002/hsr2.1627. eCollection 2023 Oct.
Despite the fact that public health measures such as social isolation can help control the coronavirus disease 2019 (Covid-19) pandemic, these procedures may contribute to elevated levels of stress and escalate various forms of violence against women. The current study aimed to estimate the prevalence of domestic violence and identify factors associated with domestic violence during the Covid-19 lockdown among married women attending healthcare centers in Iran.
This cross-sectional study, conducted between 2020 and 2021, focused on a sample of 5317 married women who sought healthcare services within urban centers across five major cities in Iran. Sampling was done through a multistage cluster method. The Revised Conflict Tactics Scales (CTS2) were used to assess levels of violence. The collected data was analyzed using descriptive and inferential statistics, including independent sample -test, Chi-square, and multiple logistic regression) with the SPSS software version 22.
During the Covid-19 lockdown, psychological violence was reported by 66.7% of women (95% confidence interval [CI], 65.44%-67.98%), physical violence by 44.8% (95% CI, 43.43%-46.10%), sexual violence by 28.8% (95% CI, 27.60%-30.03%), and injury by 24.5% (95% CI, 23.39%-25.70%). The multiple logistic regression showed several significant factors associated with domestic violence. These included low levels of social support ( < 0.001), shorter duration of marriage ( < 0.001), unemployment of both women ( < 0.007) and their spouses ( < 0.001), poor economic status ( < 0.001), as well as substance abuse by the husband, including alcohol ( < 0.001) and drug abuse ( < 0.01), and smoking ( < 0.01).
The findings highlighted the magnitude of domestic violence against women during the Covid-19 lockdown. It is crucial to implement comprehensive strategies that encompass preventive and responsive measures to address domestic violence not only during lockdowns but also in the post-lockdown period.
尽管诸如社交隔离等公共卫生措施有助于控制2019冠状病毒病（Covid-19）大流行，但这些措施可能会导致压力水平升高，并加剧针对妇女的各种形式的暴力行为。本研究旨在估计伊朗在Covid-19封锁期间家庭暴力的患病率，并确定与家庭暴力相关的因素，研究对象为在医疗中心就诊的已婚女性。
这项横断面研究于2020年至2021年进行，重点关注伊朗五个主要城市市中心寻求医疗服务的5317名已婚女性样本。采用多阶段整群抽样方法。使用修订后的冲突策略量表（CTS2）评估暴力程度。使用描述性和推断性统计分析收集的数据，包括独立样本t检验、卡方检验和多元逻辑回归分析，分析软件为SPSS 22版。
在Covid-19封锁期间，66.7%的女性报告遭受过心理暴力（95%置信区间[CI]，65.44%-67.98%），44.8%的女性报告遭受过身体暴力（95% CI，43.43%-46.10%），28.8%的女性报告遭受过性暴力（95% CI，27.60%-30.03%），24.5%的女性报告受伤（95% CI，23.39%-25.70%）。多元逻辑回归分析显示了几个与家庭暴力相关的重要因素。这些因素包括社会支持水平低（<0.001）、婚姻持续时间短（<0.001）、女性（<0.007）及其配偶失业（<0.001）、经济状况差（<0.001），以及丈夫的药物滥用，包括酗酒（<0.001）和吸毒（<0.01），还有吸烟（<0.01）。
研究结果凸显了Covid-19封锁期间针对妇女的家庭暴力的严重程度。实施全面的策略至关重要，这些策略应包括预防和应对措施，不仅要在封锁期间，而且要在封锁后时期应对家庭暴力。
