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新冠疫情期间针对女性的家庭暴力:一项范围综述

Domestic violence against women during the Covid-19 pandemic: A scoping review.

作者信息

de Souza Santos Debora, Bittencourt Eloisa Auler, de Moraes Malinverni Andréa Cristina, Kisberi Juliany Barreto, de França Vilaça Sabrina, Iwamura Edna Sadayo Miazato

机构信息

Laboratório de Patologia Molecular, Departamento de Patologia - Escola Paulista de Medicina/Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.

Academia de Polícia de São Paulo (ACADEPOL), São Paulo, Brazil.

出版信息

Forensic Sci Int Rep. 2022 Jul;5:100276. doi: 10.1016/j.fsir.2022.100276. Epub 2022 May 23.

Abstract

OBJECTIVES

This scoping review aims to assess the situation of violence against women during the COVID-19 pandemic in Latin America, mainly in Brazil.

METHODS

This study consists of a Scoping Review based on the (PRISMA) statement. To conduct this review, we mapped scientific evidence on domestic violence during the COVID-19 pandemic. The inclusion criteria were: journal articles on domestic violence set in Latin American countries, particularly Brazil, in the context of social isolation during the COVID-19 pandemic, published between March 2020 and June of 2021. Articles that were not published in journals, studies focusing on child violence or the elderly population, suicide-related approaches, editorials and letters to readers were excluded. The databases used were: National Library of Medicine (PubMed), Embase, COVID-19 Global literature on coronavirus disease, Scopus Preview, Web of Science, LILAC's, Database of the best Evidence-Based Health (Epistemonikos) with the following strategic keywords: "domestic violence" "female'/exp OR female" "domestic violence AND women" "SARS-CoV-19") AND ("domestic violence") SARS-CoV-2" OR "2020-nCoV". The databases above were accessed in July 2021. The articles selected from the databases were synthetized following the double-check procedure and the topics that were most relevant to the subject discussed were separated. The articles used were in English, Portuguese, and Spanish.

RESULTS

We discussed domestic violence against women in the context of social isolation, showing a significant increase and highlighting aggravating factors - financial instability, exacerbation of the female workload, increase in drug and alcohol consumption, lack of access to care services - and statistics that demonstrate the significant increase in countries such as Argentina, Ecuador, Paraguay and Brazil, especially in São Paulo, Rio de Janeiro, Paraná, among other states. Despite the meaningful increase in the number of cases and the aggravating factors for domestic violence against women in Latin America and Brazil during the COVID-19 pandemic, the reality of underreporting, resulting, among others, from limited legal, social and economic support and the lack of well-prepared intersectoral services may be a limitation in this scenario, since the situation can be even more acute. We presented measures adopted in Brazil and alternatives to confront the critical situation of domestic violence against women, aggravated by social isolation during the COVID-19 pandemic.The 18 most relevant articles were read twice by each author, following the "Double-Check" protocol. The articles used addressed important questions around the established goals: (a) characteristics of the current scenarios in Latin America and, specifically, in Brazil, with regard to violence against women; (b) factors that intensify this type of violence; (c) numbers that demonstrate an increase in cases; and finally (e) strategies to combat domestic violence against women. A total of 595 articles were found, then, based on the abstracts presented, 18 articles were used to write this scoping review.

摘要

目标

本范围综述旨在评估拉丁美洲,主要是巴西,在新冠疫情期间针对妇女暴力行为的情况。

方法

本研究是基于(PRISMA)声明进行的范围综述。为开展此综述,我们梳理了新冠疫情期间家庭暴力方面的科学证据。纳入标准为:2020年3月至2021年6月期间发表的、以拉丁美洲国家(特别是巴西)为背景,在新冠疫情社会隔离期间的家庭暴力相关期刊文章。未发表在期刊上的文章、聚焦儿童暴力或老年人群体的研究、与自杀相关的研究、社论及读者来信均被排除。所使用的数据库有:美国国立医学图书馆(PubMed)、Embase、新冠病毒病全球文献库、Scopus预览版、科学引文索引、拉丁美洲及加勒比地区健康科学文献数据库(LILAC's)、最佳循证健康数据库(Epistemonikos),使用了以下策略关键词:“家庭暴力”“女性/扩展或女性”“家庭暴力与女性 ”“严重急性呼吸综合征冠状病毒1”)以及(“家庭暴力”)“严重急性呼吸综合征冠状病毒2”或“2019新型冠状病毒”。上述数据库于2021年7月进行检索。从数据库中选出的文章按照双重检查程序进行综合整理,并将与所讨论主题最相关的主题分离出来。所使用的文章语言为英语、葡萄牙语和西班牙语。

结果

我们讨论了在社会隔离背景下针对妇女的家庭暴力情况,显示出显著增加,并强调了加重因素——经济不稳定、女性工作量加剧、毒品和酒精消费增加、无法获得护理服务——以及一些统计数据表明阿根廷、厄瓜多尔、巴拉圭和巴西等国,尤其是圣保罗、里约热内卢、巴拉那等州的此类暴力行为显著增加。尽管在新冠疫情期间拉丁美洲和巴西针对妇女的家庭暴力案件数量大幅增加且存在加重因素,但漏报的现实情况,其原因包括法律、社会和经济支持有限以及缺乏充分准备的跨部门服务等,可能是这种情况下的一个限制因素,因为实际情况可能更为严峻。我们介绍了巴西采取的措施以及应对新冠疫情期间因社会隔离而加剧的针对妇女家庭暴力严峻形势的其他方法。每位作者按照“双重检查”方案将18篇最相关的文章阅读了两遍。所使用的文章围绕既定目标探讨了重要问题:(a)拉丁美洲,特别是巴西,当前针对妇女暴力行为的现状特征;(b)加剧此类暴力行为的因素;(c)表明案件增加的数字;最后(e)打击针对妇女家庭暴力的策略。共找到595篇文章,然后根据所呈现的摘要,选用了18篇文章来撰写本范围综述。

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