Anna Julia Kwiatkowska, Solveig Frøiland, Andrea Solnes Miltenburg, Cynthia Khamala Wangamati
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引用次数: 0
Abstract
Background: Conflict-related sexual violence (CRSV) is a public health issue affecting thousands of survivors and with long-term consequences; however, it is underreported and difficult to investigate. This systematic review, covering 2015 to 2024, will explore sexual violence in conflict zones, extract and summarize the various reported health outcomes, and address knowledge gaps.
Methods: Quantitative, qualitative, and mixed method studies will be included to explore the physical, mental, and social consequences of sexual violence. The WHO definition of sexual violence will guide the review to ensure consistency and alignment with global standards. Search terms will be selected with the assistance of a health information specialist and based on previous research. Only peer-reviewed articles will be included. Two reviewers will independently screen titles and abstracts.. Selected articles will be assessed for quality using the MMAT tool. Covidence will be used to assist in the study selection and data extraction.
Objective: The objective of this study is to assess the reported health consequences of CRSV. Key research questions include the following: how sexual violence is defined in the literature; its physical, mental, and social health consequences; how perpetrators and the type of sexual violence are portrayed; and the contextual factors that facilitate or hinder such violence in conflict settings.
Discussion: In light of ongoing global conflicts, this review will address the urgent need to understand the health consequences of CRSV. Building on previous work, including Ba and Bhopal (Public Health 1(142):121-35, 2017) and to supplement Rubini et al. (Int J Equity Health 27(22):1-227, 2023), this study integrates quantitative, qualitative, and mixed-method research within a Biopsychosocial Model (Engel, Fam Syst Med 1977:317-31, 1992) framework to provide a holistic perspective on CRSV. Recognizing challenges such as underreporting by the survivors-shaped by stigma, safety concerns, and survivor agency (Mannergren-Selimovic, Peacebuilding 30:1-15, 2018)-this review also considers how perpetrators and experiences are portrayed.
背景：与冲突有关的性暴力（CRSV）是一个影响到成千上万幸存者并具有长期后果的公共卫生问题；然而，它被低估，难以调查。这一系统审查将涵盖2015年至2024年，探讨冲突地区的性暴力，提取和总结报告的各种健康结果，并解决知识差距。方法：定量、定性和混合方法研究将包括探讨性暴力的身体、精神和社会后果。世卫组织对性暴力的定义将指导审查工作，以确保与全球标准保持一致和一致。搜索条件将在健康信息专家的协助下根据以前的研究进行选择。只有经过同行评审的文章才会被收录。两名审稿人将独立筛选标题和摘要。将使用MMAT工具评估选定文章的质量。covid将用于协助研究选择和数据提取。目的：本研究的目的是评估已报道的CRSV的健康后果。主要研究问题包括：性暴力在文献中是如何定义的；其对身体、心理和社会健康的影响；如何描绘犯罪者和性暴力的类型；以及在冲突环境中促进或阻碍这种暴力的背景因素。讨论：鉴于正在进行的全球冲突，本次审查将解决了解CRSV的健康后果的迫切需要。在先前工作的基础上，包括Ba和Bhopal（公共卫生1(142):121- 35,2017），并补充Rubini等人（Int J Equity Health 27(22):1- 227,2023），本研究在生物心理社会模型框架内整合了定量、定性和混合方法研究（Engel, Fam system Med 1977:317- 31,1992），以提供CRSV的整体视角。认识到幸存者的低报等挑战——受到耻辱、安全问题和幸存者机构的影响（Mannergren-Selimovic，建设和平30:1-15,2018）——本综述还考虑了如何描绘肇事者和经历。系统评价注册：PROSPERO （CRD42024503037）。
期刊介绍：
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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