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移民到发达国家并遭遇亲密伴侣暴力的非洲女性的经历:对定性证据的系统综述

Experiences of African women who migrate to a developed country and encounter intimate partner violence: a systematic review of qualitative evidence.

作者信息

Ogunsiji Olayide, Foster Jann, Green Heidi, Sikhosana Nqobile, Gauci Patricia, Kayesa Naomi, Fernandez Ritin

机构信息

School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.

Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia.

出版信息

JBI Evid Synth. 2025 Feb 1;23(2):333-364. doi: 10.11124/JBIES-23-00391. Epub 2025 Jan 14.

DOI:10.11124/JBIES-23-00391
PMID:39807615
Abstract

OBJECTIVE

The objective of this review was to synthesize the available evidence on the experiences of African women who migrated to a developed country and encountered intimate partner violence (IPV).

INTRODUCTION

IPV is a significant public health issue, and migrant women living in developed countries are particularly vulnerable to IPV, experiencing disproportionately higher rates of IPV. Understanding the experiences of these women can inform health policy and decision-making in clinical practice to minimize IPV.

INCLUSION CRITERIA

This review considered studies that included women of African descent, aged 16 years or older, who migrated from any of the 54 countries in the African continent to a developed country and who experienced IPV. Qualitative studies including, but not limited to, grounded theory, ethnography, phenomenology, case studies, and action research designs, were considered for inclusion.

METHODS

A comprehensive database search of CINAHL (EBSCOhost), Embase, MEDLINE (Ovid), PsycINFO (OvidSP), and Scopus was conducted in February 2022 and updated in November 2022 and February 2023. ProQuest Dissertations and Theses were searched for gray literature. Studies in the English language were considered, with no date limitation. Eligible studies were assessed by 2 independent reviewers for methodological quality. The findings were extracted and pooled, categorized by similarity of meaning, and synthesized using the JBI meta-aggregation method. The synthesized findings were graded using the ConQual approach.

RESULTS

Eleven qualitative studies were included in the review. The narratives of 234 women generated a total of 95 findings and 10 categories based on similarity of meaning, from which 4 synthesized findings were generated: i) The influence of cultural and gender norms, religion, and women's perceptions of IPV; ii) Control and the cone of silence; iii) Psychological and emotional impact of IPV and ways of coping; and iv) Support for women who are victims of IPV.

CONCLUSION

IPV is an ongoing issue for African migrant women in developed countries. The women reported that their partners continued their controlling behavior that was accepted in their country of birth, particularly regarding emotions and finances. The experience of IPV was exacerbated for women who did not have access to extended family members, and they often faced practical barriers in accessing available formal support. The synthesized findings from this review can be used to support the urgent need to address IPV in this migrant population.

SUPPLEMENTAL DIGITAL CONTENT

A Yoruba-language version of the abstract of this review is available at: http://links.lww.com/SRX/A77 .

摘要

目的

本综述的目的是综合现有证据,了解移民到发达国家并遭遇亲密伴侣暴力(IPV)的非洲女性的经历。

引言

IPV是一个重大的公共卫生问题,生活在发达国家的移民女性尤其容易遭受IPV,其遭受IPV的比例格外高。了解这些女性的经历可为卫生政策及临床实践中的决策提供信息,以尽量减少IPV。

纳入标准

本综述纳入了相关研究,这些研究的对象为年龄在16岁及以上、从非洲大陆54个国家中的任何一个移民到发达国家且遭遇过IPV的非洲裔女性。纳入的定性研究包括但不限于扎根理论、人种志、现象学、案例研究和行动研究设计。

方法

于2022年2月对CINAHL(EBSCOhost)、Embase、MEDLINE(Ovid)、PsycINFO(OvidSP)和Scopus进行了全面的数据库检索,并于2022年11月及2023年2月进行了更新。在ProQuest学位论文和论文数据库中搜索灰色文献。纳入英语研究,无日期限制。由2名独立评审员评估符合条件的研究的方法学质量。提取并汇总研究结果,根据意义相似性进行分类,并使用JBI元聚合方法进行综合。使用ConQual方法对综合结果进行分级。

结果

本综述纳入了11项定性研究。234名女性的叙述共产生了95项结果,并根据意义相似性分为10类,从中得出4项综合结果:i)文化和性别规范、宗教以及女性对IPV的认知的影响;ii)控制与沉默之锥;iii)IPV的心理和情感影响及应对方式;iv)对IPV受害者女性的支持。

结论

对于生活在发达国家的非洲移民女性来说,IPV是一个持续存在的问题。这些女性报告称,她们的伴侣延续了在其出生国被接受的控制行为,尤其是在情绪和财务方面。对于那些无法接触到大家庭成员的女性来说,IPV的经历更加糟糕,而且她们在获得现有的正式支持方面往往面临实际障碍。本综述得出的综合结果可用于支持迫切需要解决这一移民群体中IPV问题的需求。

补充数字内容

本综述摘要的约鲁巴语版本可在以下网址获取:http://links.lww.com/SRX/A77 。

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