Mental health of women and children experiencing family violence in conflict settings: a mixed methods systematic review.
Journal
Conflict and health
ISSN: 1752-1505
Titre abrégé: Confl Health
Pays: England
ID NLM: 101286573
Informations de publication
Date de publication:
15 Oct 2021
15 Oct 2021
Historique:
received:
10
06
2021
accepted:
23
09
2021
entrez:
16
10
2021
pubmed:
17
10
2021
medline:
17
10
2021
Statut:
epublish
Résumé
Armed conflict has significant impacts on individuals and families living in conflict-affected settings globally. Scholars working to prevent violence within families have hypothesised that experiencing armed conflict leads to an increase in family violence and mental health problems. In this review, we assessed the prevalence of family violence in conflict settings, its association with the mental health of survivors, moderating factors, and the importance of gender relations. Following PRISMA guidelines, we systematically reviewed quantitative and qualitative studies that assessed the prevalence of family violence and the association between family violence and mental health problems, within conflict settings (PROSPERO reference CRD42018114443). We identified 2605 records, from which 174 full text articles were screened. Twenty-nine studies that reported family violence during or up to 10 years after conflict were eligible for inclusion. Twenty one studies were quantitative, measuring prevalence and association between family violence and mental health problems. The studies were generally of high quality and all reported high prevalence of violence. The prevalence of violence against women was mostly in the range of 30-40%, the highest reported prevalence of physical abuse being 78.9% in Bosnia and Herzegovina. For violence against children, over three-quarters had ever experienced violence, the highest prevalence being 95.6% in Sri Lanka. Associations were found with a number of mental health problems, particularly post-traumatic stress disorder. The risk varied in different locations. Eight qualitative studies showed how men's experience of conflict, including financial stresses, contributes to their perpetration of family violence. Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify potential solutions to address it.
Sections du résumé
BACKGROUND
BACKGROUND
Armed conflict has significant impacts on individuals and families living in conflict-affected settings globally. Scholars working to prevent violence within families have hypothesised that experiencing armed conflict leads to an increase in family violence and mental health problems. In this review, we assessed the prevalence of family violence in conflict settings, its association with the mental health of survivors, moderating factors, and the importance of gender relations.
METHODS
METHODS
Following PRISMA guidelines, we systematically reviewed quantitative and qualitative studies that assessed the prevalence of family violence and the association between family violence and mental health problems, within conflict settings (PROSPERO reference CRD42018114443).
RESULTS
RESULTS
We identified 2605 records, from which 174 full text articles were screened. Twenty-nine studies that reported family violence during or up to 10 years after conflict were eligible for inclusion. Twenty one studies were quantitative, measuring prevalence and association between family violence and mental health problems. The studies were generally of high quality and all reported high prevalence of violence. The prevalence of violence against women was mostly in the range of 30-40%, the highest reported prevalence of physical abuse being 78.9% in Bosnia and Herzegovina. For violence against children, over three-quarters had ever experienced violence, the highest prevalence being 95.6% in Sri Lanka. Associations were found with a number of mental health problems, particularly post-traumatic stress disorder. The risk varied in different locations. Eight qualitative studies showed how men's experience of conflict, including financial stresses, contributes to their perpetration of family violence.
CONCLUSIONS
CONCLUSIONS
Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify potential solutions to address it.
Identifiants
pubmed: 34654456
doi: 10.1186/s13031-021-00410-4
pii: 10.1186/s13031-021-00410-4
pmc: PMC8518246
doi:
Types de publication
Journal Article
Langues
eng
Pagination
74Subventions
Organisme : Medical Research Council
ID : MR/S033629/1
Pays : United Kingdom
Organisme : National Institute for Health Research
ID : 17/63/47
Informations de copyright
© 2021. The Author(s).
Références
J Child Psychol Psychiatry. 2015 Jul;56(7):814-825
pubmed: 25384553
JAMA. 2010 Aug 4;304(5):553-62
pubmed: 20682935
Eur Child Adolesc Psychiatry. 2017 Feb;26(2):191-200
pubmed: 27312537
Lancet. 2006 Oct 7;368(9543):1260-9
pubmed: 17027732
Child Care Health Dev. 2012 Mar;38(2):153-61
pubmed: 21615769
Trauma Violence Abuse. 2020 Jan;21(1):31-44
pubmed: 29334000
Dev Psychopathol. 2016 May;28(2):607-20
pubmed: 26612004
Lancet Child Adolesc Health. 2021 Mar;5(3):210-222
pubmed: 33220789
J Adolesc Health. 2011 Jul;49(1):21-8
pubmed: 21700152
Soc Sci Med. 2013 Jan;77:41-9
pubmed: 23219850
Annu Rev Psychol. 2006;57:557-83
pubmed: 16318607
PLoS One. 2013 Aug 07;8(8):e69207
pubmed: 23950885
Lancet. 2011 Oct 29;378(9802):1581-91
pubmed: 22008428
PLoS One. 2017 Apr 6;12(4):e0175240
pubmed: 28384241
BMC Psychiatry. 2008 May 02;8:33
pubmed: 18454851
Glob Health Action. 2016 Jun 20;9:31516
pubmed: 27329936
J Womens Health (Larchmt). 2008 Jun;17(5):793-804
pubmed: 18537482
PLoS One. 2011 Jan 18;6(1):e15911
pubmed: 21267467
PLoS One. 2014 May 13;9(5):e96300
pubmed: 24823492
Croat Med J. 2006 Oct;47(5):730-41
pubmed: 17042065
Open Med. 2009;3(3):e123-30
pubmed: 21603045
BMC Psychiatry. 2014 Nov 18;14:315
pubmed: 25406929
BMC Int Health Hum Rights. 2016 Jan 29;16:5
pubmed: 26825525
PLoS One. 2012;7(12):e51740
pubmed: 23300562
J Urban Health. 2016 Apr;93(2):364-78
pubmed: 27000124
Lancet Glob Health. 2015 Jun;3(6):e332-40
pubmed: 26001577
Crisis. 2013 Jan 1;34(5):314-23
pubmed: 23608229
Int J Public Health. 2013 Jun;58(3):469-83
pubmed: 23178922
J Trauma Stress. 2009 Jun;22(3):163-71
pubmed: 19462436
Transl Psychiatry. 2016 Feb 02;6:e725
pubmed: 26836413
PLoS One. 2017 Mar 31;12(3):e0174801
pubmed: 28362862
BMJ Open. 2018 Jul 28;8(7):e019995
pubmed: 30056376
Soc Sci Med. 2015 Dec;146:276-84
pubmed: 26497097
Arch Pediatr Adolesc Med. 1996 Apr;150(4):390-5
pubmed: 8634734
JAMA. 2009 Aug 5;302(5):537-49
pubmed: 19654388
Soc Sci Med. 2010 Jan;70(1):152-9
pubmed: 19853985
Psychol Bull. 1996 Jul;120(1):83-112
pubmed: 8711018
BMJ Open. 2014 Feb 25;4(2):e003644
pubmed: 24568959
Child Abuse Negl. 2018 Feb;76:95-105
pubmed: 29096162
J Am Acad Child Adolesc Psychiatry. 2011 Apr;50(4):349-63
pubmed: 21421175
J Interpers Violence. 2018 Dec;33(24):3772-3791
pubmed: 27021741
PLoS One. 2016 Jun 16;11(6):e0157348
pubmed: 27310143
Soc Sci Med. 2015 Dec;146:257-65
pubmed: 26521032
J Trauma Stress. 2014 Feb;27(1):35-41
pubmed: 24478246
Pediatrics. 2016 Mar;137(3):e20154079
pubmed: 26810785
Confl Health. 2013 Aug 05;7(1):16
pubmed: 23915821
Lancet Psychiatry. 2019 Oct;6(10):830-839
pubmed: 31519507
PLoS One. 2018 Oct 10;13(10):e0201974
pubmed: 30303956
Soc Sci Med. 2015 Apr;130:284-91
pubmed: 25753169
BMC Med. 2014 Jul 31;12:122
pubmed: 25248996