Risk factors for violence against women in high-prevalence settings: a mixed-methods systematic review and meta-synthesis.


Journal

BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275

Informations de publication

Date de publication:
03 2022
Historique:
received: 12 10 2021
accepted: 08 02 2022
entrez: 17 3 2022
pubmed: 18 3 2022
medline: 6 4 2022
Statut: ppublish

Résumé

Violence against women (VAW) affects one in three women globally. In some countries, women are at much higher risk. We examined risk factors for VAW in countries with the highest 12-month prevalence estimates of intimate partner violence (IPV) to develop understanding of this increased risk. For this systematic review, we searched PUBMED, CINAHL, PROQUEST (Middle East and North Africa; Latin America and Iberia; East and South Asia), Web of Science, EMBASE and PsycINFO (Ovid) for records published between 1 January 2000 and 1 January 2021 in English, French and Spanish. Included records used quantitative, qualitative, or mixed-methods, reported original data, had VAW as the main outcome, and focused on at least one of 23 countries in the highest quintile of prevalence figures for women's self-reported experiences of physical and/or sexual violence in the past 12 months. We used critical interpretive synthesis to develop a conceptual model for associations between identified risk factors and VAW. Our search identified 12 044 records, of which 241 were included for analysis (2 80 360 women, 40 276 men, 274 key informants). Most studies were from Bangladesh (74), Uganda (72) and Tanzania (43). Several quantitative studies explored community-level/region-level socioeconomic status and education as risk factors, but associations with VAW were mixed. Although fewer in number and representing just one country, studies reported more consistent effects for community-level childhood exposure to violence and urban residence. Theoretical explanations for a country's high prevalence point to the importance of exposure to other forms of violence (armed conflict, witnessing parental violence, child abuse) and patriarchal social norms. Available evidence suggests that heightened prevalence of VAW is not attributable to a single risk factor. Multilayered and area-level risk analyses are needed to ensure funding is appropriately targeted for countries where VAW is most pervasive. The review is registered with PROSPERO (CRD42020190147).

Identifiants

pubmed: 35296455
pii: bmjgh-2021-007704
doi: 10.1136/bmjgh-2021-007704
pmc: PMC8928330
pii:
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Medical Research Council
ID : MR/S033629/1
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Jenevieve Mannell (J)

Institute for Global Health, UCL, London, UK j.mannell@ucl.ac.uk.

Hattie Lowe (H)

Institute for Global Health, UCL, London, UK.

Laura Brown (L)

Institute for Global Health, UCL, London, UK.

Reshmi Mukerji (R)

Institute for Global Health, UCL, London, UK.

Delan Devakumar (D)

Institute for Global Health, UCL, London, UK.

Lu Gram (L)

Institute for Global Health, UCL, London, UK.

Henrica A F M Jansen (HAFM)

Independent Researcher, Bangkok, Thailand.

Nicole Minckas (N)

Institute for Global Health, UCL, London, UK.

David Osrin (D)

Institute for Global Health, UCL, London, UK.

Audrey Prost (A)

Institute for Global Health, UCL, London, UK.

Geordan Shannon (G)

Institute for Global Health, UCL, London, UK.

Seema Vyas (S)

Independent Researcher, London, UK.

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