Search Results (64)

(1) Background: Intrapartum obstetric violence has become increasingly visible and is portrayed as a cross-cutting and complex phenomenon. Despite numerous international debates and extensive reports in the literature, there is limited consensus on its definition, emphasizing the need to clarify the concept. The aim of this article is to analyze the concept of obstetric violence in the care of women in labor in health institutions; (2) Methods: Search and selection of studies using the scoping review methodology, based on the Joanna Briggs Institute guidelines and Rodgers’ conceptual review method for data extraction and analysis; (3) Results: A sample of 49 studies provided a comprehensive understanding of the concept, revealing in its conceptualization attributes of physical, verbal, psychological, sexual, institutional and structural violence. Identification of antecedents of gender inequality and failure of relational, technical and structural standards at the level of health institutions and their professionals, as the main triggers of obstetric violence. Reporting of consequences with a negative impact on maternal and child health; (4) Conclusions: Conceptual analysis with important contributions to the paradigm shift in the work of health professionals. Multiple dimensions, cultural differences and variations in the concept should continue to be examined to improve its research and application. Full article

(1) Background: Traumatic brain injury (TBI) is caused from rapid head acceleration/deceleration, focal blows, blasts, penetrating forces, and/or shearing forces, whereas hypoxic–anoxic injury (HAI) is caused through oxygen deprivation events, including strangulation. Most service-seeking domestic violence (DV) survivors have prior mechanistic exposures that can lead to both injuries. At the time of our study, some evidence existed about the exposure to both injuries over the course of a survivor’s lifetime from abuse sources, yet little was known about their co-occurrence to the same survivor within the same episode of physical intimate partner violence (IPV). To better understand the lived experience of service-seeking DV survivors and the context in which partner-inflicted brain injury (PIBI) is sustained, we sought to understand intentional brain injury (BI) exposures that may need to be addressed and accommodated in services. Our aims were to 1. characterize the lifetime co-occurrence of strangulation and intentional head trauma exposures from all abuse sources to the same survivor and within select physical episodes of IPV and 2. establish the lifetime prevalence of PIBI. (2) Methods: Survivors seeking DV services in the state of Ohio in the United States of America (U.S.) completed interview-administered surveys in 2019 (n = 47). Community-based participatory action approaches guided all aspects of the study development, implementation, and interpretation. (3) Results: The sample was primarily women. Over 40% reported having Medicaid, the government-provided health insurance for the poor. Half had less than a postsecondary education. Over 80% of participants presented to DV services with both intentional head trauma and strangulation exposures across their lifetime from intimate partners and other abuse sources (i.e., child abuse, family violence, peer violence, sexual assault, etc.), though not always experienced at the same time. Nearly 50% reported an experience of concurrent head trauma and strangulation in either the first or last physical IPV episode. Following a partner’s attack, just over 60% reported ever having blacked out or lost consciousness—44% experienced a loss of consciousness (LOC) more than once—indicating a conservative estimate of a probable brain injury by an intimate partner. Over 80% of service-seeking DV survivors reported either a LOC or two or more alterations in consciousness (AICs) following an IPV attack and were classified as ever having a partner-inflicted brain injury. (4) Conclusions: Most service-seeking IPV survivors experience repetitive and concurrent exposures to abusive strangulation and head trauma through the life course and by intimate partners within the same violent event resulting in brain injury. We propose the use of the term partner-inflicted brain injury (PIBI) to describe the physiological disruption of normal brain functions caused by intentional, often concurrent and repeated, traumatic and hypoxic neurologic insults by an intimate partner within the context of ongoing psychological trauma, coercive control, and often past abuse exposures that could also result in chronic brain injury. We discuss CARE (Connect, Acknowledge, Respond, Evaluate), a brain-injury-aware enhancement to service delivery. CARE improved trauma-informed practices at organizations serving DV survivors because staff felt knowledgeable to address and accommodate brain injuries. Survivor behavior was then interpreted by staff as a “can’t” not a “won’t”, and social and functional supports were offered. Full article

More than three decades ago, the Supreme Court of the United States (SCOTUS) ruled that individuals who are not competent (alternatively referred to by the Court as insane) at the time of their scheduled execution cannot be put to death. Despite the years that have passed since the Court’s decision and the literal life-or-death stakes involved, competency for execution (CFE) remains underexplored in the psychological, psychiatric, and legal literature. A number of important legal and ethical issues that arise when a person on death row maintains they are not competent to be executed are still unresolved even after the landmark Supreme Court cases such as Ford v. Wainwright (1986), Panetti v. Quarterman (2007), and Madison v. Alabama (2019). In this first-of-its-kind descriptive study, we analyzed the demographic and case characteristics of the 28 successful Ford claimants—individuals in the United States who have been found to be incompetent to be executed and compared them to the general death row population and homicide cases nationwide. Our findings reveal some similarities but also some differences between these claimants and the general death row population and homicide cases: the successful Ford claimants are exclusively male (in keeping with the general prison population on death row), relatively older, and underrepresented among White and Latinx inmates (i.e., Black claimants are more successful than their White and Latinx counterparts at evading execution). Nearly all (96%) suffer from schizophrenia, with 79% experiencing psychiatric comorbidity, yet only 54% received any significant treatment before or after the criminal offense. The claimants’ cases also involve a higher proportion of child victims, male family members, and female non-family member victims, as well as more multiple-victim cases (not indiscriminate) and fewer intraracial homicides. Fewer victims are male, and more are female. However, the cases do not align with typical male-on-male violent crimes or femicide patterns, such as those involving sexual or domestic violence. Additionally, systematic psycho-legal deficiencies are prevalent, including a low rate of mental health evidence (61%) presented at trials and some cases lacking psychiatric involvement in CFE evaluations. Temporal influence and drastic state variations on CFE evaluation are also noted. Although the small sample size limits generalizability, this small-scale descriptive study offers a number of important insights into the complexities of CFE decisions and lays the groundwork for future research and policy development. Full article

The reality in South Africa is that township school environments are not safe for early-career educators. According to South Africa’s Constitution in the Bill of Rights, every learner has the right to a free, reputable education. Although educators are obligated to facilitate this free education, the right to education does not supersede the right to safety because, without protection, more rights will be violated. This study aimed to explore forms of violence perpetrated by school management teams and learners against early-career educators in township schools in Soshanguve, South Africa. A qualitative research method was used to access deeper information on the topic. Clarke’s six steps of thematic analysis were used to analyse the data. Semi-structured interviews were used to gather information. The major findings of this study revealed four forms of violence experienced by early-career educators, which included physical and verbal violence, financial violence and sexual violence. This study recommends that parents should make a habit of checking their children’s schoolwork. This will hold learners accountable for their work. Parents should minimise engaging in conflict in the presence of their children, as this can have adverse emotional and psychological effects on them. They should provide a supportive environment for their children, which can foster a positive parent–child relationship. In addition, the community should play a proactive role in combating substance abuse by ensuring that substances are not accessible to children. Full article

This study examines cyber sextortion research using a comprehensive bibliometric analysis. In the field of cybersecurity, cyber sextortion is a form of cybercrime that leverages privacy violations to exploit a victim. This study reviewed research developments on cyber sextortion progressively over time by looking at scientific productions, thematic developments, scholars’ contributions, and the future thematic trajectory. A bibliometric approach to analyzing the data was applied, which covered 548 peer-reviewed articles, conference papers, and book chapters retrieved from the Scopus database. Results showed a growth trajectory on various thematic concerns in the cyber sextortion field, which has continued to gain traction since the year 2023. Notably, online child sexual abuse is a growing theme in cyber sextortion research. In addition, among other themes, adolescents, mental health, and dating violence are receiving interest among scholars in this field. Additionally, institutions and prolific scholars from countries such as the United States of America, Australia, and the United Kingdom have established research collaborations to improve understanding in this field. The results also showed that research is observed to be emerging from South Africa and Ghana in the African region. Overall, there is potential for more scientific publications and researchers from Africa to contribute to this growing field. The value this study holds is moving beyond deficit-based approaches to how adolescent youth can be resilient and protected from cyber sextortion. A call for a multidisciplinary approach that moves beyond deficit-based approaches toward resilient and autonomy-based approaches is encouraged so that adolescent youth are protected from exploitation. This approach should focus on investigating proactive and resilience-based interventions informed by individuals’ traits and contexts to aid in building digital resilience in adolescents. Full article

Child maltreatment is a worldwide issue with serious consequences throughout life. Maltreated children tend to be at greater risk of developing aggressive and antisocial behaviours (e.g., violent behaviour in adulthood). The present study aims to analyse how temperament mediates the relationship between childhood trauma and sexual violence perpetration in adolescence. The present cross-sectional study was conducted with 252 Portuguese adolescent students between ages 11 and 20 years (n = 126 boys), of whom 126 self-identified as perpetrators of sexual violence. Overall, the results show that temperament mediated the relationship between emotional abuse and the perpetration of sexual violence. Limitations and implications for future studies were discussed. This study will be crucial for the development of intervention programs on violence and will help to explore these practices in intimate relationships. A better understanding of violence through the identification of variables of interest will allow a better understanding of this phenomenon, deepening the relational dynamics between the different genders. Full article

Background: This study examines child abuse in sports environments through Ecological Systems Theory, revealing the multifaceted nature of abuse and the impact of environmental factors at various levels. Methods: With a study design using the phenomenology approach, a qualitative research method, data were collected through semi-structured, in-depth interviews with 11 Turkish participants, including 5 athletes, 4 coaches, and 2 academics with coaching experience in Sports Sciences. Thematic analysis was used to evaluate the data, categorizing findings into four levels: microsystem, mesosystem, exosystem, and macrosystem. Results: Findings show that at the microsystem level, children are exposed to physical, emotional, and sexual abuse, as well as neglect, largely through interactions with coaches and teammates. Physical abuse includes non-contact forms, like dehydration and forced training, and contact abuse, such as violence from coaches and peers. Emotional abuse manifests through psychological pressures and verbal attacks, creating a toxic environment. At the mesosystem level, excessive parental trust in coaches reduces oversight, leaving children vulnerable. In the exosystem, inadequate supervision of coaches and a lack of response to abuse cases by sports clubs worsen the issue. At the macrosystem level, cultural norms and societal attitudes normalize abuse, especially affecting female athletes. Conclusions: The study highlights the need for comprehensive interventions, including family awareness, stricter coach oversight, and robust policies within sports organizations to protect children. By emphasizing the interaction of individual, familial, and societal factors, this research underscores the importance of collective efforts to ensure safer sports environments. Full article

The Northern Triangle countries, including El Salvador, Guatemala, and Honduras, are sources of a significant number of asylum seekers in the United States today. This article examines the underlying societal dynamics in these countries and considers the typical profile of transgender immigrant women seeking asylum in the U.S. on the legal grounds of having faced gender-based violence in their countries of origin. It analyzes the relevant international conventions as well as the social determinants of the health and mental health of transgender asylum seekers. It draws from 35 cases of transgender immigrant women subjected to child sexual abuse; sexual assault, including assault by police; and forced sex work; it reviews examples from the academic and gray literature, including a precedent-setting case heard before the Inter-American Court on Human Rights. It discusses the implications for social science professionals, including the role of experts of country conditions. It provides guidance for immigrant service providers and advocates, particularly the importance of gender-affirming policies and healthcare to this population deserving of protection. Full article

This study aimed to assess child protection-related needs among drought-affected populations in selected arid counties in Kenya. The specific objectives included: to understand the different underlying vulnerabilities that children and adolescents face during drought with a gender and disability lens; to assess the current or potential presence of emergency risks and their likelihood of occurrence, the capacities, and coping mechanisms of families; identify emerging areas of concern regarding children and adolescents, including those with disability; and informing the interventions through development partners and relevant government ministries. This study adopted a non-experimental design that utilized a mixed-methods approach. The quantitative data collection involved a survey of 1800 households. The information was collected about children (i.e., individuals aged 0–17), their caregivers, and their households. Two methods were used to collect qualitative data. These included Key Informant Interviews (KIIs) and Focus Group Discussions (FGDs). The study established that during drought and in the recovery period, there were increased cases of children dropping out of school mainly due to the migration of families. Child labour and household chores were also mentioned as other vulnerabilities that children and adolescents faced during drought. The findings also noted an inter-linkage between female genital mutilation (FGM), child marriage, and teenage pregnancy across all communities under study. The difficulties occasioned by drought forced many families in ASAL counties to prepare their girls for marriage through the practice of FGM. Despite the high occurrences of sexual violence against children, child marriage, teenage pregnancy, and neglect, the child protection services available for affected children were low. This study recommends strengthening child protection structures at the community level by building the recruitment and capacity of child protection volunteers; sensitizing both parents and children to knowing the proper reporting channels in case of child protection issues; and strengthening the engagement of grassroots organisations, community-based groups, and local-level networks to prevent and respond to child protection concerns. Full article

Child sexual abuse is a form of violence that occurs across nations and cultures. Collective efforts are being made to address this issue within many Indigenous communities. In Australia, Aboriginal and Torres Strait Islander communities have expressed the need for cultural models of healing child sexual abuse. A preliminary exploration of the relevant literature shows a lack of synthesis with regard to the current evidence base. This protocol outlines the methods and background for a scoping review that aims to explore and collate the broad scope of literature related to healing from child sexual abuse within an Indigenous context. The proposed review utilises a ‘population, concept, and context structure’ from the Joanna Briggs Institute to explore the broad scope of the literature within a scoping review framework. The target population is Indigenous survivors of child sexual abuse, including Indigenous populations from six distinct regions: Aboriginal and Torres Strait Islander peoples from Australia; Māori peoples from Aotearoa (New Zealand); First Nations, Inuit and Métis peoples from Canada; Native American peoples from North America; Native peoples from Alaska; and the Sámi peoples of the Sápmi region in Northern Europe. The concept within the review is healing from an Indigenous perspective, which includes a broad range of processes related to both recovery and personal growth. The contexts explored within this review are any context in which healing from child sexual abuse can occur. This may include processes related to disclosure and accessing services, specific interventions or programs for survivors of child sexual abuse, as well as broader non-specific healing programs and personal experiences of healing without intervention. The scoping review will use search strings with broad inclusion and exclusion criteria to capture the potential breadth of perspectives. The search will be conducted across several academic databases and will also include an extensive search for grey literature. This protocol establishes the proposed benefits of this scoping review. Full article

The appearance of new ways of committing sexual violence via technological media and virtual spaces has produced countless situations where sexual abuse of minors may occur. This is the digital scenario surrounding the phenomenon of grooming. The present study focuses on analyzing grooming experienced by Spanish university students during childhood. The sample comprised 3293 students in higher education, 68.3% of whom were female, 30.5% were male, and 1.2% identified as non-binary. The mean age was 18.83 years (SD = 2.28). The results confirmed that sexual abuse of minors has moved towards virtual environments, indicating a prevalence of 12.2% for grooming, which was more likely to have affected women and non-binary people. In addition, student victims of grooming were more often also victims of sextortion. Consumption of pornography was also shown to be particularly important, with the results indicating that students who consumed it and started consuming it before they were 16 years old were more often victims of grooming. These findings should encourage the educational community to develop preventive actions that match the reality of online child sexual abuse. In summary, the only path towards preventing and detecting grooming is to invest in high-quality digital education and sex education from a gender perspective. Full article

Scientific evidence of social impact demonstrates how violence against children is successfully prevented. Currently, the scientific research on social impact has a focus on the analysis of actions that succeed in the implementation of such scientific evidence. This article is based on scientific research that looks at which media actions help or hinder the implementation of evidence-based actions to solve the most sensitive social problems. The social media analytics methodology has identified the posts and reposts generated during two consecutive days by news articles published by three newspapers about the official report on child sexual abuse in Spain. Their analyses have been made through communicative methodology, including voices of adult victims or survivors of child sexual abuse. The results indicate that media information that omits scientific evidence of social impact provokes battles between diverse ideological groups, while information based on scientific evidence of social impact generates consensus among people from different ideologies and actions oriented to overcome the problem. Full article

Intimate partner violence (IPV), particularly sexual and emotional violence, against Black mothers who acquire human immunodeficiency virus (HIV) during childbearing age is a significant health and social concern requiring targeted interventions and precautions. IPV against women increases the chances of early mixed feeding, placing infants at high risk of mother-to-child transmission of HIV and increasing infant morbidities. Although violence complicates many Black mothers’ lives, limited research evidence exists about the critical intersections of violence, HIV, and motherhood. Women’s fear associated with IPV makes them less likely to disclose their positive HIV status to their partners, which subsequently prevents them from applying the guidelines for safe infant feeding practices. This review aims to explore the critical intersections between IPV and HIV and their impact on the infant feeding practices of Black mothers living with HIV. Furthermore, the theme of IPV and how it overlaps with other factors such as HIV-positive status and gender dynamics to compromise the motherhood experience is also the focus of this narrative review of existing literature. Understanding the intersection of IPV and other factors influencing infant feeding practices among women living with HIV will help inform programming and policy interventions for HIV-positive Black women who may experience IPV during the perinatal period. Full article

Over 8 million children in Uganda are considered vulnerable to various forms of maltreatment, of which sexual violence is experienced by 26 girls daily. In the context of Ugandan sport, the types and magnitude of violence against child and young athletes is yet to be determined. The study aims to: (1) examine the barriers associated with prioritizing and implementing policies and programs to safeguard child and young athletes against harassment and abuse in Uganda as perceived by local stakeholders across Ugandan sport, and (2) offer a rights-based framework for implementing positive change in sport safeguarding in Uganda and other countries of similar cultural backgrounds. The study includes eleven (n = 11) purposively selected participants: athletes, coaches, medical practitioners, and policy makers, all born and living in Uganda. This is a qualitative inquiry that involves online in-depth interviews. The Consolidated Framework for Implementation Research (CFIR) guides our exploratory analysis to examine context-specific barriers to better inform key recommendations for interventions. A rights-based, multi-contextual framework (TRAUMA) with multi-stakeholder engagement is proposed as a culturally tailored response for the safeguarding of child and young athletes in Uganda and other similar cultural backgrounds. Full article

All societies should carefully address the child abuse and neglect phenomenon due to its acute and chronic sequelae. Even if artificial intelligence (AI) implementation in this field could be helpful, the state of the art of this implementation is not known. No studies have comprehensively reviewed the types of AI models that have been developed/validated. Furthermore, no indications about the risk of bias in these studies are available. For these reasons, the authors conducted a systematic review of the PubMed database to answer the following questions: “what is the state of the art about the development and/or validation of AI predictive models useful to contrast child abuse and neglect phenomenon?”; “which is the risk of bias of the included articles?”. The inclusion criteria were: articles written in English and dated from January 1985 to 31 March 2023; publications that used a medical and/or protective service dataset to develop and/or validate AI prediction models. The reviewers screened 413 articles. Among them, seven papers were included. Their analysis showed that: the types of input data were heterogeneous; artificial neural networks, convolutional neural networks, and natural language processing were used; the datasets had a median size of 2600 cases; the risk of bias was high for all studies. The results of the review pointed out that the implementation of AI in the child abuse and neglect field lagged compared to other medical fields. Furthermore, the evaluation of the risk of bias suggested that future studies should provide an appropriate choice of sample size, validation, and management of overfitting, optimism, and missing data. Full article