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      A Systematic Review of Prevalence Studies of Gender-Based Violence in Complex Emergencies

      1 , 2
      Trauma, Violence, & Abuse
      SAGE Publications

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          Abstract

          Current methods to estimate the incidence of gender-based violence in complex emergencies tend to rely on nonprobability samples. Population-based monitoring is undertaken relatively infrequently. This article provides a systematic review of published literature that represents attempts to quantify the magnitude of gender-based violence in emergency settings. Searches adopted a Boolean procedure, which led to initial selection of material that was then reviewed against set criteria. Only 10 studies met the final criteria for inclusion. Intimate partner violence, physical violence, and rape were the three categories of violence most frequently measured. Rates of intimate partner violence tended to be quite high across all of the studies-much higher than most of the rates of wartime rape and sexual violence perpetrated by individuals outside of the home. Direct comparisons of rates of violence were hindered by different case definitions, recall periods, and other methodological features. Recommendations for future studies are offered based on lessons learned from the studies reviewed.

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          Most cited references22

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          Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study.

          This article summarises findings from ten countries from the WHO multi-country study on women's health and domestic violence against women. Standardised population-based surveys were done between 2000 and 2003. Women aged 15-49 years were interviewed about their experiences of physically and sexually violent acts by a current or former intimate male partner, and about selected symptoms associated with physical and mental health. The women reporting physical violence by a partner were asked about injuries that resulted from this type of violence. 24,097 women completed interviews. Pooled analysis of all sites found significant associations between lifetime experiences of partner violence and self-reported poor health (odds ratio 1.6 [95% CI 1.5-1.8]), and with specific health problems in the previous 4 weeks: difficulty walking (1.6 [1.5-1.8]), difficulty with daily activities (1.6 [1.5-1.8]), pain (1.6 [1.5-1.7]), memory loss (1.8 [1.6-2.0]), dizziness (1.7 [1.6-1.8]), and vaginal discharge (1.8 [1.7-2.0]). For all settings combined, women who reported partner violence at least once in their life reported significantly more emotional distress, suicidal thoughts (2.9 [2.7-3.2]), and suicidal attempts (3.8 [3.3-4.5]), than non-abused women. These significant associations were maintained in almost all of the sites. Between 19% and 55% of women who had ever been physically abused by their partner were ever injured. In addition to being a breach of human rights, intimate partner violence is associated with serious public-health consequences that should be addressed in national and global health policies and programmes.
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            Violence against women: global scope and magnitude.

            An increasing amount of research is beginning to offer a global overview of the extent of violence against women. In this paper we discuss the magnitude of some of the most common and most severe forms of violence against women: intimate partner violence; sexual abuse by non-intimate partners; trafficking, forced prostitution, exploitation of labour, and debt bondage of women and girls; physical and sexual violence against prostitutes; sex selective abortion, female infanticide, and the deliberate neglect of girls; and rape in war. There are many potential perpetrators, including spouses and partners, parents, other family members, neighbours, and men in positions of power or influence. Most forms of violence are not unique incidents but are ongoing, and can even continue for decades. Because of the sensitivity of the subject, violence is almost universally under-reported. Nevertheless, the prevalence of such violence suggests that globally, millions of women are experiencing violence or living with its consequences.
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              Systematic Reviews: Rationale for systematic reviews

              C D Mulrow (1994)
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                Author and article information

                Journal
                Trauma, Violence, & Abuse
                Trauma, Violence, & Abuse
                SAGE Publications
                1524-8380
                1552-8324
                April 20 2011
                July 2011
                April 20 2011
                July 2011
                : 12
                : 3
                : 127-134
                Affiliations
                [1 ]Program on Forced Migration & Health, Mailman School of Public Health, Columbia University, New York, NY, USA,
                [2 ]Program on Forced Migration & Health, Mailman School of Public Health, Columbia University, New York, NY, USA
                Article
                10.1177/1524838011404252
                21511685
                1b33d793-881c-40a2-a8e6-9acf40b7886f
                © 2011

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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