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1.
PLoS One ; 18(5): e0285555, 2023.
Article in English | MEDLINE | ID: covidwho-2320152

ABSTRACT

In recent years, couples have been affected by health measures related to COVID-19, a circumstance that forces us to examine couple interactions in terms of crucial variables of their functioning. In this sense, the present study aimed to examine the association between love, jealousy, satisfaction, and violence in young couples through network analysis. A total of 834 young people and adults between 18 and 38 years of age (Mean = 20.97, SD = 2.39) participated; 646 women (77.50%) and 188 men (22.50%), who completed the Sternberg's love scale (STLS-R), Brief Jealousy Scale (BJS), Relationship Assessment Scale (RAS) and Woman Abuse Screening Tool (WAST-2). A partial unregularized network was estimated using the ggmModSelect function. The Bridge Strength index was calculated because the aim was to identify the bridge nodes between the variables under study. The results reveal that two nodes of the love variable, Commitment, and Intimacy, had a direct and moderate relationship with the Satisfaction node. The latter is the central node in the network. However, in the male group, the most intense associations are in Satisfaction-Intimacy, Violence-Passion, Jealousy-Commitment. It is concluded that there are relevant connections between the nodes of the network, which invite further research on couple relationships after the COVID-19 pandemic.


Subject(s)
COVID-19 , Spouse Abuse , Adult , Humans , Male , Female , Adolescent , Jealousy , Interpersonal Relations , Love , Pandemics , COVID-19/epidemiology , Personal Satisfaction
2.
Contraception ; 113: 30-36, 2022 09.
Article in English | MEDLINE | ID: covidwho-1803825

ABSTRACT

OBJECTIVE: Assessing access to sexual and reproductive health care during the COVID-19 pandemic, experiences with intimate partner violence (IPV), and exploring sociodemographic disparities STUDY DESIGN: From September 2020 to January 2021, we recruited 436 individuals assigned female at birth (18-49 years.) in Georgia, USA for an online survey. The final convenience sample was n = 423; a response rate could not be calculated. Survey themes included: sociodemographic and financial information, access to contraceptive services/care, IPV, and pregnancy. Respondents who reported a loss of health insurance, difficulty accessing contraception, barriers to medical care, or IPV were characterized as having a negative sexual and reproductive health experience during the pandemic. We explored associations between sociodemographic variables and negative sexual and reproductive health experiences. RESULTS: Since March 2020, 66/436 (16%) of respondents lost their health insurance, and 45% (89/436) reported income loss. Of our sample, 144/436 people (33%) attempted to access contraception. The pandemic made contraceptive access more difficult for 38/144 (26%) of respondents; however, 106/144 (74%) said it had no effect or positive effect on access. Twenty-one respondents reported IPV (5%). COVID-19 amplified negative views of unplanned pregnancy. Seventy-six people (18%) reported at least 1 negative sexual and reproductive health experience during the pandemic; people in an urban setting and those identifying as homo/bisexual were more likely to report negative experiences (24%, 28% respectively). CONCLUSION: Urban and sexual minority populations had negative sexual and reproductive health experiences during COVID-19 more than their counterparts. The pandemic has shifted perspectives on family planning, likely due to the diverse impacts of COVID-19, including loss of health insurance and income. IMPLICATION: Females across Georgia reported varying impacts of the COVID-19's pandemic on their sexual and reproductive health care. These findings could be utilized to propose recommendations for care and intimate partner violence support mechanisms, tailored to urban and sexual minority populations.


Subject(s)
COVID-19 , Intimate Partner Violence , Spouse Abuse , Contraceptive Agents , Female , Georgia/epidemiology , Humans , Infant, Newborn , Pandemics , Pregnancy , Reproductive Health
4.
PLoS One ; 16(10): e0259275, 2021.
Article in English | MEDLINE | ID: covidwho-1496533

ABSTRACT

BACKGROUND: In April 2020, the United Nations predicted that the COVID-19 pandemic will have a 'calamitous' impact on the lives of women. This was based on concerns about an upsurge in Intimate Partner Violence (IPV) arising from increased opportunities for relational conflict due to forced co-existence and therefore additional time spent with abusive partners. AIM: Research has shown an increase in IPV during times of crisis. The COVID-19 pandemic has generated unprecedented circumstances and stress, and opportunities to do research to understand whether the COVID-19 pandemic impacted on IPV experiences were limited. Thus, the present study aimed to understand women's experiences of being in and leaving an abusive relationship during the COVID-19 pandemic. METHODS: Individual, telephonic interviews were conducted with 16 women living in domestic violence shelters within three Provinces during South Africa's lockdown period. RESULTS: Findings reveal that the public health measures implemented by the South African Government to curb the spread of the virus, may have placed vulnerable groups at increased risk of violence. Specifically, lockdown likely magnified the risk for escalation of abuse in families already experiencing IPV prior to COVID-19. The study highlights an IPV and COVID-19 relationship, showing that the gender insensitive pandemic control measures, such as stay at home orders and travel restrictions, likely placed women at risk of increased abuse. Given the recurrency of COVID-19 epidemic waves, attention must be given to gender disparities or many South African women may experience worse outcomes. CONCLUSION: This study reminds us that being ordered to stay at home is not always the safest option for women and thus, in a country with one of the highest levels of GBV, it becomes imperative to ensure that IPV safeguards are integrated into COVID-19 measures. It also becomes evident that COVID-19 requires enhanced ways of responding by paying attention to gender disparities.


Subject(s)
COVID-19/psychology , Intimate Partner Violence/psychology , Intimate Partner Violence/trends , Adult , Battered Women/psychology , Domestic Violence/trends , Female , Humans , Interviews as Topic , Intimate Partner Violence/statistics & numerical data , Pandemics , SARS-CoV-2/pathogenicity , Spouse Abuse/psychology , Spouse Abuse/statistics & numerical data , Spouse Abuse/trends , Young Adult
5.
Nurs Womens Health ; 25(5): 395-399, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1309353

ABSTRACT

The COVID-19 pandemic has made it necessary to find innovative strategies that facilitate safe, private assessment and intervention for intimate partner violence (IPV). IPV is a major source of morbidity and mortality, with women experiencing a lifetime prevalence rate of 22%. Screening pregnant individuals for IPV during the COVID-19 pandemic became critical because a 20% rise in IPV during the pandemic has been estimated. A multidisciplinary stakeholder panel created a process using technology to address this concern. An infographic poster with IPV screening questions and a Quick Response (QR) code was displayed in bathrooms in the perinatal service area. The infographic allowed respondents to signal a safety concern, launching an individualized plan of care to address their needs privately. The pandemic has highlighted how much work needs to be done to ensure that people who experience IPV continue to obtain access to support and health care.


Subject(s)
COVID-19/psychology , Intimate Partner Violence/psychology , Spouse Abuse/prevention & control , COVID-19/epidemiology , Female , Humans , Intimate Partner Violence/prevention & control , Medical Informatics , Pandemics , Pregnancy , SARS-CoV-2 , Social Isolation , Telemedicine
7.
Health Care Women Int ; 41(11-12): 1294-1312, 2020.
Article in English | MEDLINE | ID: covidwho-1263591

ABSTRACT

Intimate partner violence (IPV) is a significant national and global public health concern, with COVID-19 pandemic increasing IPV and associated health issues. Immigrant women may be disproportionately vulnerable to IPV-related health risks during the pandemic. Using qualitative in-depth interviews, we explored the perspectives of service providers (n = 17) and immigrant survivors of IPV(n = 45) on the impact of COVID-19 on immigrant women, existing services for survivors and strategies needed needed to enhance women's health and safety. Participants reported issues such as increased IPV and suggested strategies (e.g. strengthening virtual platforms). The findings could be informative for providers in national and international settings.


Subject(s)
COVID-19/psychology , Emigrants and Immigrants/psychology , Intimate Partner Violence/psychology , Adult , COVID-19/epidemiology , Female , Humans , Middle Aged , Qualitative Research , Quarantine , SARS-CoV-2 , Spouse Abuse/psychology , Survivors/psychology , Women's Health , Young Adult
8.
J Interpers Violence ; 36(9-10): 4899-4915, 2021 05.
Article in English | MEDLINE | ID: covidwho-1127656

ABSTRACT

During the first months of the COVID-19 pandemic, governments instituted a series of measures to control the spread of the virus. The measures were widely believed to increase women's risk of violent victimization, most of which is by an intimate partner. We examined help-seeking during this period in a large U.S. city and used an interrupted time series analysis to assess the effects of three government interventions on domestic violence and sexual assault hotline calls and on "911" calls regarding domestic violence, assault, and rape. Declaration of an emergency appeared to reduce victim calls to the rape crisis hotline and the few "911" calls about rape. School closure was associated with a reduction in "911" calls about assault and rape and victim calls to the domestic violence hotline. Implementation of stay-at-home orders was associated with a gradual increase in domestic violence hotline calls. Although "911" calls regarding assault fell by nearly half, calls to police for domestic violence were unchanged. In sum, there was a decrease in help-seeking for sexual assault and assault in general but not for domestic violence during the initial phases of the COVID-19 outbreak. The analysis underscores the importance of distinguishing between the violence itself, calls to police, and calls to helplines when claims are made about changes over time in violence against women. The opportunities and constraints for each can differ widely under usual circumstances, circumstances that were altered by public health interventions related to the pandemic.


Subject(s)
COVID-19/prevention & control , Domestic Violence/statistics & numerical data , Health Services Accessibility , Help-Seeking Behavior , Intimate Partner Violence/statistics & numerical data , Pandemics/prevention & control , Quarantine/psychology , Rape/statistics & numerical data , Spouse Abuse/statistics & numerical data , COVID-19/epidemiology , COVID-19/psychology , Domestic Violence/psychology , Domestic Violence/trends , Female , Humans , Intimate Partner Violence/psychology , Intimate Partner Violence/trends , Rape/psychology , SARS-CoV-2 , Spouse Abuse/psychology , Spouse Abuse/trends
9.
J Interpers Violence ; 37(13-14): NP11811-NP11835, 2022 07.
Article in English | MEDLINE | ID: covidwho-1105638

ABSTRACT

There is increasing concern about the impact of the COVID-19 pandemic and the lockdown's social and economic consequences on gender-based violence. This study aimed to assess the impact of the COVID-19 pandemic on gender-based violence by comparing the prevalence of spousal violence against women before and during the COVID-19 related lockdown periods. This study was conducted in the Kurdistan Region of Iraq using a self-administered online questionnaire survey after the COVID-19 lockdown period in June 2020. Data were collected from a sample of 346 married women about the occurrence, frequency, and forms of spousal violence before and during the lockdown period. Significant increases in violence were observed from the pre-lockdown period to the lockdown period for any violence (32.1% to 38.7%, p = .001), emotional abuse (29.5% to 35.0%, p = .005), and physical violence (12.7% to 17.6%, p = .002). Regarding emotional abuse, humiliation (24.6% to 28.3%, p = .041) and scaring or intimidation (14.2% to 21.4%, p < .001) significantly increased during the lockdown. For physical violence, twisting the arm or pulling hair (9.0% to 13.0%, p = .004) and hitting (5.2% to 9.2%, p = .003) significantly increased during the lockdown. Forcing to have sexual intercourse also significantly increased during lockdown (6.6% to 9.5%., p = .021). The concerned authorities and women's rights organizations should collaborate to enhance the prevention of violence against women. An effective prevention strategy should emphasize recognizing and acknowledging the extent of the problem, raising awareness about the problem and the available resources to address it, and ensuring social and economic stability. Lessons learned about the increased prevalence of spousal violence against women during the COVID-19 pandemic and the need to adopt appropriate strategies to prevent and address it will be valuable for similar future crises.


Subject(s)
COVID-19 , Spouse Abuse , COVID-19/prevention & control , Communicable Disease Control , Female , Humans , Iraq , Pandemics/prevention & control , Prevalence , Spouse Abuse/psychology
11.
Clin Dermatol ; 38(6): 737-743, 2020.
Article in English | MEDLINE | ID: covidwho-1028860

ABSTRACT

Amid the coronavirus disease 2019 (COVID-19) pandemic, there has been an alarming rise in domestic violence worldwide. Factors believed to be fueling this escalation in domestic violence include increasing social confinement at home during lockdowns and mounting stress levels from unemployment that have resulted from the economic uncertainties of these times. This contribution explores some of the challenges faced by physicians in clinically assessing victims of domestic violence during the COVID-19 era. One such challenge is the increased reliance on telemedicine during the pandemic, a medium of communication that offers a narrower clinical view of patients than is what is usually provided by an in-person examination. In this contribution, we offer suggestions on how best to screen for domestic violence, whether through telemedicine or during an in-person encounter. The history and physical findings that suggest domestic violence are reviewed along with recommendations on how to make the clinical examination more sensitive and compassionate to the needs of the victims. One of the authors of this contribution (L.C.H.) is herself a survivor of domestic violence and has courageously shared, in these pages, details of her harrowing near murder by an abusing husband. From this case history, it is hoped that readers will gain wider insights into what domestic violence means from the perspective of a victim and how we can better help save victims from this widespread and devastating social problem.


Subject(s)
COVID-19/epidemiology , Dermatology , Physician's Role , Spouse Abuse/prevention & control , Survivors/psychology , Female , Humans , SARS-CoV-2 , Spouse Abuse/legislation & jurisprudence , Spouse Abuse/psychology , Telemedicine , Wounds and Injuries/diagnosis
12.
Arch Womens Ment Health ; 23(6): 749-756, 2020 12.
Article in English | MEDLINE | ID: covidwho-871479

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic created a situation of general distress. Although the focus has been initially more on the physical health during the pandemic, mental health concerns linked to the lockdown have quickly risen. This study aims to assess the effect of the COVID-19-related lockdown on Tunisian women's mental health and gender-based violence. An online survey was conducted, using the Depression Anxiety and Stress Scales (DASS-21) and the Facebook Bergen Addiction Scale (FBAS). We chose a female-exclusive social group on Facebook and used the snowball sampling method. A total of 751 participants originating from all the Tunisian regions completed the questionnaire. More than half of the participants (57.3%) reported extremely severe distress symptoms, as per the DASS-21. Those who had a history of mental illness and who were allegedly abused during lockdown were found to have more severe symptoms of depression, anxiety, and stress. Around 40% of women reported problematic social media use. Violence against women also reportedly increased significantly during the lockdown (from 4.4 to 14.8%; p < 0.001). Psychological abuse was the most frequent type of violence (96%). Women who had experienced abuse before the lockdown were at an increased risk of violence during lockdown (p < 0.001; OR = 19.34 [8.71-43.00]). To our knowledge, this is the first study that evaluates the acute impact of COVID-19 on mental health and violence against women in Tunisia, Africa, and the Arab world. It may be a sound basis for developing a more effective psychological intervention aimed at women in these regions.


Subject(s)
Anxiety/psychology , COVID-19/psychology , Depression/psychology , Domestic Violence/statistics & numerical data , Gender-Based Violence/statistics & numerical data , Intimate Partner Violence/statistics & numerical data , Mental Health/statistics & numerical data , Pandemics/prevention & control , Quarantine/psychology , Adult , Aged , Anxiety/ethnology , COVID-19/epidemiology , Depression/ethnology , Domestic Violence/ethnology , Domestic Violence/psychology , Female , Gender-Based Violence/ethnology , Gender-Based Violence/psychology , Health Surveys , Humans , Intimate Partner Violence/ethnology , Intimate Partner Violence/psychology , Mental Disorders/psychology , Middle Aged , Psychological Distress , SARS-CoV-2 , Spouse Abuse/ethnology , Spouse Abuse/psychology , Spouse Abuse/statistics & numerical data , Stress, Psychological/psychology , Surveys and Questionnaires , Tunisia/epidemiology
13.
Cien Saude Colet ; 25(9): 3475-3480, 2020 Sep.
Article in English, Portuguese | MEDLINE | ID: covidwho-853603

ABSTRACT

The study aims to identify marital violence precipitating/intensifying elements during the COVID-19 pandemic. This is a narrative review of the literature, and the search was carried out in May 2020. We employed the PubCovid-19 platform, which is indexed in the United States National Library of Medicine (PubMed) and the Excerpta Medica (EMBASE) database. English descriptors "Domestic violence", "COVID-19", and "Intimate Partner Violence" were used in the search, and nine papers were selected for full-text reading. Three empirical categories were elaborated from the exploration of the selected material: Economic instability, Alcohol and other drugs use/abuse, and Weaker women's support network. Support networks for women in situations of marital violence should be expanded in this pandemic context, with emphasis on the use of digital technologies as possible tools for screening pandemic-related violence cases.


Subject(s)
Coronavirus Infections/epidemiology , Mass Screening/methods , Pneumonia, Viral/epidemiology , Spouse Abuse/statistics & numerical data , Alcohol Drinking/epidemiology , COVID-19 , Female , Humans , Male , Pandemics , Risk Factors , Substance-Related Disorders/epidemiology
14.
Rev Bras Epidemiol ; 23: e200033, 2020.
Article in Portuguese | MEDLINE | ID: covidwho-832589

ABSTRACT

The social isolation imposed by the COVID-19 pandemic brings out, in a empowered way, some worrying indicators about domestic violence and family violence against women. Organizations addressing domestic violence have already seen an increase in domestic violence due to forced coexistence, economic stress and fears about the Coronavirus. The article seeks to establish some relations between social isolation during the COVID-19 pandemic and the increase in violence against women, taking into account the context of a patriarchal society. Data, still incipient, published by the press of several countries were analyzed, as well as reports from international organizations and organizations focused on combating domestic violence. In parallel, a brief literature review with authors who discuss the social role of women in society.


O isolamento social imposto pela pandemia da COVID-19 traz à tona, de forma potencializada, alguns indicadores preocupantes sobre a violência doméstica e a violência familiar contra a mulher. As organizações voltadas ao enfrentamento da violência doméstica já observaram aumento da violência doméstica por causa da coexistência forçada, do estresse econômico e de temores sobre o coronavírus. O artigo busca estabelecer algumas relações entre o isolamento social durante a pandemia da COVID-19 e o aumento da violência contra as mulheres, levando em conta o contexto de uma sociedade patriarcal. Foram analisados dados, ainda incipientes, publicados pela imprensa de diversos países, bem como relatórios de organizações internacionais e organizações direcionadas ao enfrentamento da violência doméstica. Paralelamente, fez-se uma breve revisão de literatura com autores que discutem o papel social da mulher na sociedade.


Subject(s)
Social Isolation/psychology , Spouse Abuse/psychology , Women/psychology , Betacoronavirus , Brazil , COVID-19 , Coronavirus Infections/psychology , Female , Humans , Male , Pandemics , Pneumonia, Viral/psychology , SARS-CoV-2 , Social Support
16.
J Womens Health (Larchmt) ; 29(10): 1239-1242, 2020 10.
Article in English | MEDLINE | ID: covidwho-811361

ABSTRACT

Intimate partner violence (IPV)-defined as physical, psychological, sexual, and/or economic violence typically experienced by women at home and perpetrated by their partners or expartners-is a pervasive form of violence that destroys women's feelings of love, trust, and self-esteem, with important negative consequences on physical and psychological health. Many reports from several countries have underlined a remarkable increase in the cases of IPV during the COVID-19 emergency. In this opinion article, we discussed the hypothesis that such an increase may be related to the restrictive measures enacted to contain the pandemic, including women's forced cohabitation with the abusive partner, as well as the exacerbation of partners' pre-existing psychological disorders during the lockdown. In addition, we retrospectively analyzed some data derived from our practice in a public Italian referral center for sexual and domestic violence (Service for Sexual and Domestic Violence [SVSeD]). These data interestingly revealed an opposite trend, that is, a decrease in the number of women who sought assistance since the beginning of the COVID-19 outbreak. Such a reduction should be interpreted as a negative consequence of the pandemic-related restrictive measures. Although necessary, these measures reduced women's possibilities of seeking help from antiviolence centers and/or emergency services. Owing to the COVID-19 outbreak, there is an urgent need for developing and implementing alternative treatment options for IPV victims (such as online and phone counseling and telemedicine), as well as training programs for health care professionals, especially those employed in emergency departments, to facilitate early detection of IPV.


Subject(s)
Coronavirus Infections/prevention & control , Intimate Partner Violence/statistics & numerical data , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Quarantine/psychology , Sexual Partners/psychology , Spouse Abuse/statistics & numerical data , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Female , Humans , Intimate Partner Violence/psychology , Intimate Partner Violence/trends , Italy/epidemiology , Male , Middle Aged , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Psychological Distance , Retrospective Studies , SARS-CoV-2 , Self Concept , Sex Offenses/psychology , Sex Offenses/trends , Spouse Abuse/psychology , Spouse Abuse/trends
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