BACKGROUND Intimate partner violence (IPV) is the most pervasive form of gender-based violence, often first experienced in adolescence. While the prevalence of IPV is known to be exacerbated in humanitarian settings, little is known in regard to the economic burden of IPV between conflict-affected and non-conflicted-affected groups of women and girls. This top-down costing study examines the total health burden of physical IPV in Colombia, and whether these costs differ by conflict exposure. METHODS We utilized a nationally representative sample of 13-24-year-old females from the Violence Against Children Surveys (VACS) in Colombia conducted in 2018. Using physical IPV prevalence, the analysis was conducted in four steps: 1) estimate the relative risk of seven IPV-associated health outcomes among the sample and subgroups, 2) estimate the population attributable fraction of IPV for each health outcome, 3) quantify the burden of IPV in disability-adjusted life years (DALYs), and 4) assign health costs in US dollars to the estimated DALYs. RESULTS We found that the single year health burden associated with physical IPV was $90.6 million USD. Moreover, nearly 40% of the economic burden of physical IPV among females aged 13-24 in Colombia was from those who were conflict-affected (24%). CONCLUSION Our findings demonstrate that at least 16% of the overall health costs among females 13-24 in Colombia is from the preventable epidemic of physical IPV. In order to prevent and mitigate the costs of gender-based violence, multi-lateral and government investment is critically needed to prevent IPV and support women and girls.

中文翻译：

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哥伦比亚亲密伴侣暴力的经济负担：13-24 岁女性的估计健康成本。

背景 亲密伴侣暴力 (IPV) 是最普遍的基于性别的暴力形式，通常首先出现在青春期。虽然已知 IPV 的流行在人道主义环境中会加剧，但对于受冲突影响和未受冲突影响的妇女和女童群体之间的 IPV 经济负担知之甚少。这项自上而下的成本核算研究调查了哥伦比亚物理 IPV 的总体健康负担，以及这些成本是否因冲突暴露而不同。方法 我们使用了 2018 年在哥伦比亚进行的暴力侵害儿童调查 (VACS) 中具有全国代表性的 13-24 岁女性样本。使用物理 IPV 流行率，分析分四个步骤进行：1) 估计相对风险样本和亚组中七项与 IPV 相关的健康结果，2) 估计每个健康结果的 IPV 人口归因分数，3) 量化残疾调整生命年 (DALY) 中 IPV 的负担，以及 4) 将以美元为单位的健康成本分配给估计的 DALY。结果 我们发现与身体 IPV 相关的单年健康负担为 9060 万美元。此外，在哥伦比亚 13-24 岁的女性中，近 40% 的身体 IPV 经济负担来自受冲突影响的女性 (24%)。结论 我们的研究结果表明，哥伦比亚 13-24 岁女性的总体健康成本中至少有 16% 来自可预防的身体 IPV 流行病。为了预防和减轻基于性别的暴力的代价，迫切需要多边和政府投资来预防 IPV 并支持妇女和女童。