Idriss-Wheeler Dina, Bancroft Xaand, Bouraleh Saredo, Buy Marie, Yaya Sanni, El-Khatib Ziad
Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada.
School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
PLoS One. 2024 Dec 2;19(12):e0313613. doi: 10.1371/journal.pone.0313613. eCollection 2024.
Survivors of intimate partner violence (IPV) often face increased incidents of violence during stressful life events (SLEs) such as economic recessions, environmental disasters, and pandemics. These events can diminish the effectiveness of both formal (e.g., health, social, justice, labor, community) and informal (e.g., friends, family, neighbors) support systems. Additionally, SLEs exacerbate existing health and social inequities, making it necessary to understand the accessibility of support services during these times. This scoping review investigates access to services by individuals experiencing IPV during SLEs in high-income countries.
A comprehensive search was conducted across several electronic databases including MEDLINE (OVID), Embase (OVID), PsychInfo (OVID), CINAHL (EBSCO), Global Health (EBSCO), Gender Watch (ProQuest), Web of Science, and Applied Social Sciences Index & Abstracts (ProQuest), along with the search engine Google Scholar. This search, which imposed no date restrictions, was extended through May 22nd, 2024. Key search terms were developed from prior literature and in consultation with an expert librarian, focusing on 'stressful life events,' 'intimate partner violence,' and 'access to services.'. Each study was screened and extracted by two reviewers and conflicts were resolved through discussion or a third reviewer.
The search across eight databases and citation searching resulted in a total of 7396 potentially relevant articles. After removing 1968 duplicates and screening 5428 based on titles and abstracts, 200 articles underwent full abstract review. Ultimately, 74 articles satisfied the inclusion criteria and were selected for further analysis. The analysis focused on barriers and facilitators to access, identifying challenges within Survivors' support systems, redirected resources during crises, and complex control dynamics and marginalization. Over 90% of the literature included covered the recent COVID-19 pandemic. Addressing these challenges requires innovative strategies, sustained funding, and targeted interventions for high-risk subgroups.
This scoping review systematically outlined the challenges and enabling factors influencing the availability of support services for Survivors of IPV during SLEs. It underscores the need for robust, culturally sensitive health and social support mechanisms, and policies. Such measures are essential to better protect and assist IPV Survivors and their service providers during these critical times. Furthermore, it is imperative to integrate the insights and expertise of the violence against women (VAW) sector into emergency planning and policy-making to ensure comprehensive and effective responses that address the unique needs of Survivors in crises.
亲密伴侣暴力（IPV）幸存者在经济衰退、环境灾难和大流行等压力性生活事件（SLEs）期间，往往面临暴力事件增加的情况。这些事件会削弱正式（如健康、社会、司法、劳动、社区）和非正式（如朋友、家人、邻居）支持系统的有效性。此外，压力性生活事件加剧了现有的健康和社会不平等，因此有必要了解这些时期支持服务的可及性。本范围综述调查了高收入国家中经历亲密伴侣暴力的个人在压力性生活事件期间获得服务的情况。
在多个电子数据库中进行了全面搜索，包括MEDLINE（OVID）、Embase（OVID）、PsychInfo（OVID）、CINAHL（EBSCO）、Global Health（EBSCO）、Gender Watch（ProQuest）、Web of Science和Applied Social Sciences Index & Abstracts（ProQuest），以及搜索引擎谷歌学术。此次搜索没有日期限制，截至2024年5月22日。关键搜索词根据先前文献并与专业图书馆员协商制定，重点关注“压力性生活事件”、“亲密伴侣暴力”和“服务可及性”。每项研究由两名评审员进行筛选和提取，冲突通过讨论或第三名评审员解决。
在八个数据库中的搜索以及引文检索共得到7396篇潜在相关文章。去除1968篇重复文章并根据标题和摘要筛选5428篇后，200篇文章进行了全文摘要评审。最终，74篇文章符合纳入标准并被选作进一步分析。分析重点关注获取服务的障碍和促进因素，识别幸存者支持系统中的挑战、危机期间重新分配的资源以及复杂的控制动态和边缘化问题。超过90%的纳入文献涵盖了最近的新冠疫情。应对这些挑战需要创新策略、持续资金以及针对高风险亚组的有针对性干预措施。
本范围综述系统地概述了影响亲密伴侣暴力幸存者在压力性生活事件期间获得支持服务的挑战和促成因素。它强调了需要强大的、具有文化敏感性的健康和社会支持机制及政策。这些措施对于在这些关键时期更好地保护和协助亲密伴侣暴力幸存者及其服务提供者至关重要。此外，必须将针对妇女暴力（VAW）部门的见解和专业知识纳入应急规划和政策制定中，以确保做出全面有效的应对，满足危机中幸存者的独特需求。
