Search Results (66)

While IPV is often studied as a predictor of housing insecurity, few U.S. studies explore how different forms of housing instability may contribute to intimate partner violence (IPV) risk. Using a mixed-methods approach and a cross-sectional design, this study examined the association between four housing instability domains and IPV among a sample of tenants that had either experienced eviction or were at high risk for eviction. Tenants in Harris and Travis counties (Texas, USA) completed an online survey (n = 1085; March–July 2024). Housing instability was assessed across four domains: homelessness, lease violations, utility hardship, and poor housing quality. IPV was measured using the Hurt, Insult, Threaten, Scream Screener. Covariate-adjusted logistic regression models suggest indicators within the four housing instability domains were associated with IPV risk. Within the homelessness domain, experiences with lifetime homelessness (AOR = 1.92, 95%CI 1.61–2.28), in the past 12 months living in unconventional spaces (AOR = 2.10, 95%CI 1.92–2.29), and moving in with others (AOR = 1.20, 95%CI 1.06–1.36) were associated with IPV. Within the lease violations domain, missed rent payments (AOR = 1.69, 95%CI 1.68–1.71) and non-payment lease violations (AOR = 2.50, 95%CI 2.29–2.73) in the past 12 months were associated with IPV. Utility shutoffs (AOR = 1.62, 95%CI 1.37–1.91) and unsafe housing (AOR = 1.65, 95%CI 1.31–2.09) in the past 12 months were associated with IPV. Homelessness, housing-related economic hardships and substandard living conditions predict an elevated risk of IPV. Full article

Temperature increases due to climatic changes have been increasingly recognized as posing significant public health challenges, with wide-ranging socio-economic implications. This scoping review examines the relationship between high temperatures and violence against women (VAW) globally. Nine studies from both high-income and low- and middle-income countries were included in this review. The findings suggest an overall positive association between high temperatures and rates of VAW. Theoretical frameworks, including the temperature–aggression hypothesis and routine activity theory, offer insights into the mechanisms driving this relationship. Key risk factors such as socioeconomic status, urban heat island effects, rurality, patriarchal norms, and alcohol consumption were considered to be risk factors affecting rates of VAW. Despite growing evidence, research gaps persist, particularly in regions with high rates of VAW and in the form of qualitative studies that capture women’s lived experiences. The positive associations between temperature and VAW underscore the urgency of integrating gender-sensitive strategies into climate adaptation policies to mitigate the compounding risks of climate change and gender-based violence. Full article

Gender-based violence is a social problem that affects the health of women in all countries, cultures, ages and economic status; its complexity requires a transdisciplinary approach. However, this study will emphasize the care provided by nursing in emergency services. Objectives: To explore the experiences of nursing professionals in the emergency area in relation to the approach to gender-based violence considering care management skills. Methods: A qualitative study with semi-structure interviews was conducted; the saturation was reached with the participation of 20 nursing professionals from emergency rooms. The study employed qualitative content analysis and the software QCAmap for organization and extraction of analysis. Results: The category called “Specific Approaches to Risk and Vulnerability” was characterized by its comprehensiveness, evident in its association with experiences in screening, follow-up, measures to prevent re-victimization, and ensuring privacy. The most relevant subcategories, based on the redundancy, were empathy, which encompasses affective aspects; education on forms of abuse not recognized by the victim; and multidisciplinary and multisectoral action to address patients’ needs effectively. Conclusions: Nursing professionals valued both the psychological and physical aspects of patients, highlighting the importance of multidisciplinary coordination and the protection of integrity. Awareness and offering help are key interventions during the activation of protocols for addressing gender-based violence. Full article

The criminological approach to relapse is based, on the one hand, on the theories that explain the risk of relapse, including the risk level assessment tools, and on the other hand, on the rehabilitation theories—the Risk-Need-Responsivity (RNR) Model and The Good Live Model (GLM), which explain the mechanisms of reducing the risk of relapse in the assisted desistance paradigm. The objectives of this study focus on identifying the predictors of relapse in correlation with relapse inhibitors that combine a number of personal, psycho-emotional factors with psychopathological, socio-economic, and cultural accents. The method used is that of the case study from the perspective of clinical criminology, referring to forensic psychiatry through specific techniques and working procedures of some institutions in the correctional system—territorial structures of probation (TSP) in cooperation with the penitentiary system. The results of the study focus on the impact of standardized programs on the reduction in the risk of relapse after prison (RRR) and on personal and socio-familial factors involved in post-executional surveillance and post-criminal assistance. In conclusion, the current study highlights the need to corroborate the clinical or subjective assessment of relapse risk with the actual or objective assessment, which also includes the risk of violence in the framework of community monitoring from the perspective of community or social psychiatry. Full article

Interpersonal violence involves intentional physical harm or force with psychological effects, influenced by interpersonal and societal factors. Health systems play a vital role in detecting and addressing such violence, requiring improved training and surveillance. Our hospital established a registry of suspected violence cases reported by healthcare professionals to enhance understanding, prevention strategies, and recognition of violence types and risk factors. Since 2009, all admitted patients suspected of experiencing violence were included, regardless of age or gender. Data from 2009 to 2022 covered demographics, violence details, medical interventions, and legal actions. Among 1284 patients, 83.4% were seen in the emergency department, with women comprising 80.8%, and with a mean age of 33.19 years. Reports of violence rose from 1.9% in 2009 to 16.9% in 2022. Risk factors included pregnancy [5.6%], age below 18 or over 80 [18.9%], disability [10.2%], and psychiatric conditions [11.3%]. Perpetrators were known in 56.8% of cases, mainly intimate partners [25.2%], with 29.4% of victims living with the aggressor. Doctors were primary reporters, and injury reports were issued in 65.5% of cases. Violence types included physical [44.5%], sexual [22.4%], psychological [13.3%], and economic [12.5%], with 36.3% of cases involving multiple types. Routine hospital screening and trained staff can improve victim support and enable injury prevention programs. Full article

Social fragility, defined as the inability of a society to manage risks and resolve conflicts without violence or external aid, is closely linked to early fertility and domestic violence, particularly among vulnerable populations. These challenges were exacerbated by the COVID-19 pandemic, which exposed regional disparities across Colombia, particularly in areas with weak social infrastructure and high dependence on public policies. This study integrates data from all Colombian departments on annual births, deaths by cause, domestic violence by perpetrator, and other demographic factors to construct key indicators of early fertility and structural inequalities. To measure fragility, we developed the Early Fertility Fragility Index (EFFI) and refined it using a Generalized Linear Model (GLM) to identify the most critical predictors of early fertility risk. The findings reveal marked regional disparities, with departments exhibiting high Indigenous and migrant populations, high domestic violence rates, and weak social protection systems experiencing the greatest fragility and the most pronounced increases in early fertility. However, these results reflect correlational relationships rather than causal effects. Further research using longitudinal or experimental designs is needed to establish causality.. In contrast, urbanized regions with stronger social and economic infrastructures showed greater resilience. These results highlight how structural inequalities intensify the effects of crises on vulnerable populations. The refined EFFI model provides a robust framework for assessing regional fragility and guiding evidence-based policy interventions. Addressing these disparities requires regionally tailored strategies that prioritize investment in social infrastructure, reproductive health services, and protective policies to mitigate the long-term consequences of early fertility and social fragility in Colombia. Full article

School violence is a prevalent phenomenon across Southern African Development Community (SADC), affecting children’s psychosocial and mental well-being. As part of SADC’s educational goals, access to quality education is a priority and is beneficial for the region’s economic growth and development. This goal cannot be achieved without addressing school violence at its roots. Using Arksey and O’Malley’s five-step framework, this scoping review explored evidence of contextual factors that contribute to school violence in the region. Twenty-four articles were included, and six themes were identified: home contextual factors, parental factors, community risk factors, school contextual factors, sociability factors, and demographic and individual characteristics. The findings suggest that factors contributing to school violence were from the learners’ immediate environments, including exposure to violence at home and poor parental methods, interactions with teachers and lack of appropriate disciplinary methods and processes, disruptive ideas related to masculinity, lack of understanding and intolerance to demographic and individual differences, and exposure to violence, drugs, and alcohol at the community level. To address this phenomenon, a comprehensive approach is needed, which includes developing clear school policies, teacher training on managing disruptive behaviours and professionalism, mapping incidents of school violence, and interventions involving collaboration between schools, parents, and school social workers to curb school violence. Full article

This article focuses on the health impacts of the gender-based violence (GBV) experienced by migrant and refugee women (MRW) survivors in their migration/settlement journeys in Canada, and their challenges in accessing healthcare. Adopting a feminist and intersectional lens, I draw upon qualitative in-depth interviews with 48 migrant women conducted between 2020 and 2022. GBV is a frequent experience in the migration and (re)settlement journey and has wide-ranging and cross-secting emotional-psychological, socio-economic, physical, as well as sexual and reproductive health consequences which, in turn, impact settlement and integration and may increase vulnerability to further GBV as a result. Drawing upon a “social determinants of health” approach, I aim to understand the workings of barriers to healthcare access and help seeking for MRW survivors of GBV in Canada. The social determinants of health involve structural (e.g., legal, financial, linguistic, knowledge, healthcare access) barriers, mediated by gender, intersecting with various positionalities and identities. GBV unambiguously impacts on the health and well-being of all survivors, but the extent of harm varies significantly depending on the intersections of positions and identities of survivors. The migration context entails unique barriers to MRW help seeking and healthcare access as well as aggravates the impacts of other barriers on MRW. My objective is to show how GBV affects the health status of MRW survivors in Canada in the specific context of healthcare access and help-seeking barriers MRW face, conceptualized as risk factors for reproducing GBV. Full article

Resource conflicts constitute a major global issue in areas rich in natural resources. The modeling of factors influencing natural resource conflicts (NRCs), including environmental, health, socio-economic, political, and legal aspects, presents a significant challenge compounded by inadequate data. Quantitative research frequently emphasizes large-scale conflicts. This study presents a novel multilevel approach, SEFLAME-CM—Spatially Explicit Fuzzy Logic-Adapted Model for Conflict Management—for advancing understanding of the relationship between NRCs and drivers under territorial and rebel-based typologies at a community level. SEFLAME-CM is hypothesized to yield a more robust positive correlation between the risk of NRCs and the interacting conflict drivers, provided that the conflict drivers and input variables remain the same. Local knowledge from stakeholders is integrated into spatial decision-making tools to advance sustainable peace initiatives. We compared our model with spatial multi-criteria evaluation for conflict management (SMCE-CM) and spatial statistics. The results from the Moran’s I scatter plots of the overall conflicts of the SEFLAME-CM and SMCE-CM models exhibit substantial values of 0.99 and 0.98, respectively. Territorial resource violence due to environmental drivers increases coast-wards, more than that stemming from rebellion. Weighing fuzzy rules and conflict drivers enables equal comparison. Environmental variables, including proximity to arable land, mangrove ecosystems, polluted water, and oil infrastructures are key factors in NRCs. Conversely, socio-economic and political factors seem to be of lesser importance, contradicting prior research conclusions. In Third World nations, local communities emphasize food security and access to environmental services over local political matters amid competition for resources. The synergistic integration of fuzzy logic analysis and community perception to address sustainable peace while simultaneously connecting environmental and socio-economic factors is SEFLAME-CM’s contribution. This underscores the importance of a holistic approach to resource conflicts in communities and the dissemination of knowledge among specialists and local stakeholders in the sustainable management of resource disputes. The findings can inform national policies and international efforts in addressing the intricate underlying challenges while emphasizing the knowledge and needs of impacted communities. SEFLAME-CM, with improvements, proficiently illustrates the capacity to model intricate real-world issues. Full article

Aim: To understand the factors that influence family violence towards First Nations women, to inform practises and policies to support these women and improve their engagement in maternal child health services. Design: A qualitative study, using narrative inquiry integrated with the Indigenous philosophy ‘Dadirri’, and thematic analysis of the data. Materials and Methods: Survey of 10 Maternal Child Health nurses in 2019, and interviews of 35 Aboriginal mothers in 2021. Results: The nurses identified drugs, alcohol, socio-economic issues, the history of effects of colonisation on First Nations peoples, and stress as perceived factors influencing family violence, and acceptance, fear, cultural beliefs, and mistrust, for women’s low reporting of violence. Factors that influenced nurses’ ability to identify family violence were mistrust and understanding of Aboriginal culture. Low self-esteem, lack of belonging, and not being heard were identified by the mothers as factors that influence family violence. Fear of child protective services, shame, mistrust, and poor rapport with the nurses contributed to their low reporting of violence. The most significant factor for the mothers to disclose violence is fear of losing her child, mistrust, and the questioning process. Conclusions: Nurses’ understanding of Indigenous culture is critical to develop trust and improve the engagement of First Nations women. A significant difference in the synthesis of data between the nurses and their First Nations consumers was conspicuous. Research regarding the benefit of models and interventions that recognise the social determinants of health and well-being on health outcomes as well as the value of culturally strong health services aimed to encourage an earlier identification of risk, ideally from the antenatal period to the child’s fifth birthday, is imperative. The implications of this research are of international importance for First Nations families and challenge current nursing practises to address the human rights challenge of the inequity in health outcomes between First Nation and non-First Nation children, their exposure to family violence, and their over-representation in child protection services. Full article

Willingness to intervene as an effective bystander is critical in preventing partner violence and fostering safety among college students. Informed by the Social Determinants of Health framework, this conceptual paper provides an overview of the background and historical evolution of bystander intervention and invites a rethinking of how various factors impact bystander intervention for partner violence among college students by highlighting the roles of (1) economic factors and education, (2) sexual beliefs, myths, and media, (3) gender values and norms, (4) environmental factors, (5) college students at risk, (6) social support network and access to services, (7) acculturation and familiarity with the U.S. culture, and (8) cost-benefit analyses. We also discuss potential practice, research, and policy implications. Understanding the Social Determinants of Health is instrumental in addressing the root cause of intersecting health disparities, which is vital in preventing violence, encouraging bystander intervention, and creating a safer community. Full article

Introduction. Violence against healthcare workers (HCWs) is a widespread, underreported, and inadequately prevented problem. Only a few companies have efficient systems for assessing the extent of the phenomenon. Methods. In 2005, the health surveillance service of a public health company introduced a system that monitored violence experienced by HCWs by means of three items from the Violent Incident Form (VIF) integrated with departmental in-depth analyses using the participatory ergonomics group technique. Results. In 2005, the annual rate of physical assaults was 8.2%, that of threats was 12.0%, and the harassment rate was 19.6%. Over the past twenty years of observation (2005–2024), the percentage of workers who reported experiencing a physical attack in the previous year at their periodic medical examination has fluctuated between 5.8% and 11.1%, except for the years 2020 and 2021 when, during the COVID-19 pandemic, the rate was 3.9% and 3.2%, respectively. During the same pandemic period, the annual threat rate, which ranged from 9.4% to 20.1%, dropped to 7.7%, while the prevalence of harassment, which was between 13.5 and 19.6, fell to 7.2%. HCWs believe that (i) limiting visitor access, (ii) a better balance of the demand for services, and (iii) a better attitude towards HCWs were the causes of the reduced rate of violence during the pandemic. Conclusions. Recording the violence experienced during health surveillance is an economical, reliable, and sustainable risk assessment method. Full article

Domestic violence is a widespread problem in both stable and crisis contexts. During crisis-driven periods, such as environmental, economic, political, and health emergencies, existing gender inequalities are exacerbated, and the risks of violence against women (VAW) are amplified. This qualitative study explores the experiences of professionals working in VAW organisations in a Central Asian country during the COVID-19 pandemic. By interviewing 45 professionals from social care organisations in Kazakhstan, this study aims to understand the impact of COVID-19 on the ability of VAW organisations to assist victims of domestic violence and comprehend the adjustments they made to support victims. The findings shed light on the challenges faced by VAW organisations, including reduced capacity, increased service demand, the shift to remote services, and funding cuts. The study highlights the critical role of these organisations in crises and urges the consideration of lessons learned to prevent VAW in emergency and non-emergency situations. In the Central Asian region, where domestic violence is persistent, this research offers valuable insights for interventions during and after crises. The study offers effective strategies for achieving Sustainable Development Goal 5.2, which aims to eliminate violence against women, and SDG 3.8, ensuring access to healthcare, psychological support, and safe environments. Full article

This paper defines the first internationally comparable measure of the risk of economic violence to acknowledge its prevalence in different countries and its geographical and gender heterogeneity. Thanks to the availability of micro-data from the OECD/International Network on Financial Education survey, currently used to track financial literacy in different countries, we define a measure of the risk of economic violence (REV) that takes into consideration three macro-areas: (a) the risk of being prevented from acquiring and accumulating financial resources; (b) the risk of being unaware and not having access to personal and/or household financial resources; and (c) the risk of financial dependency. The definition of the new economic violence risk measure (REV) then allows us to verify with real data the presence of women’s greater exposure to the risk of economic violence and the presence of gender differences in the determinants of economic violence risk. Finally, we verify that financial literacy protects individuals from the risk of economic violence, without gender differences. Full article

In the 21st century, climate change has emerged as a critical global public health challenge. Women experience the most severe impacts of climate change, intensifying pre-existing gender inequalities. This scoping review aims to explore the intersection of climate change, health, and gender, considering the social determinants of health. The methods for this review follow the Arksey and O’Malley framework for a scoping review and the PRISMA-ScR checklist. The review, covering January 2019 to February 2024, included PubMed, LILACS, and SciELO databases. We identified 71 studies with 19 meeting the inclusion criteria. The results revealed the differential effects of climate change on health according to gender in areas such as mental health, reproductive health, gender-based violence, occupational health, and health issues associated with heat and air pollution. Our findings also elucidated how socio-economic and gender inequities intersect, exacerbating the risk of experiencing these effects. In conclusion, the study highlights a clear need for gender-sensitive climate policies and interventions to address these disparities and protect vulnerable populations from the health impacts of climate change. Full article