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Domestic violence related disclosure among women and girls in Ethiopia: a systematic review and meta-analysis.
Reproductive Health ( IF 3.6 ) Pub Date : 2019-12-23 , DOI: 10.1186/s12978-019-0845-z
Berhanu Boru Bifftu 1 , Berihun Assefa Dachew 2, 3 , Bewket Tadesse Tiruneh 1 , Lemma Derseh Gezie 1 , Yonas Deressa Guracho 4
Affiliation  

BACKGROUND Domestic violence is common public health problem. Domestic violence related disclosure is an important first step in the process of prevention, control and treatments of domestic violence related adverse effect. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of domestic violence related disclosure and synthesize its associated factors. METHODS We followed the PRISMA Guidelines to report the results of the finding. Databases including PubMed, Cochrane Library and Web of Sciences were searched. The heterogeneity between studies was measured by the index of heterogeneity (I2 statistics) test. Funnel plots and Egger's test were used to determine publication bias. Moreover, sensitivity analysis was carried out. To calculate the pooled prevalence, a random effects model was utilized. RESULTS Twenty one eligible studies were included in this systematic review and meta-analysis. The pooled prevalence of domestic violence related non-disclosure was found to be 36.2% (95% CI, 31.8-40.5%). Considering violence as normal or not serious, shame, embarrassment and fear of disclosure related consequences were the common barriers for non-disclosure. CONCLUSION More than one third of women and girls were not disclosed their experience of domestic violence. The finding of this study suggests the need of evaluation and strengthening of the collaborative work among different sectors such as: policy-makers, service providers, administrative personnel and community leaders including the engagement of men partner. This study also suggests the needs of women empowerments against the traditional belief, attitude, and practice.

中文翻译:

埃塞俄比亚妇女和女童中与家庭暴力有关的信息披露:系统回顾和荟萃分析。

背景技术家庭暴力是普遍的公共卫生问题。与家庭暴力有关的信息披露是预防,控制和治疗与家庭暴力有关的不利影响过程中的重要的第一步。因此,这项系统的审查和荟萃分析旨在确定家庭暴力相关披露的汇总患病率,并综合其相关因素。方法我们遵循PRISMA指南报告了调查结果。搜索包括PubMed,Cochrane图书馆和Web of Sciences在内的数据库。研究之间的异质性通过异质性指数(I2统计)测试进行衡量。使用漏斗图和Egger检验确定出版偏倚。此外,进行了敏感性分析。为了计算合并患病率,使用了随机效应模型。结果本系统评价和荟萃分析包括21项符合条件的研究。发现与家庭暴力相关的未披露信息的合并患病率为36.2%(95%CI,31.8-40.5%)。考虑到暴力是正常的还是不严重的,羞辱,尴尬和害怕与披露有关的后果是不公开的常见障碍。结论三分之一以上的妇女和女童没有透露其家庭暴力经历。这项研究的结果表明,需要评估和加强不同部门之间的协作工作,例如:决策者,服务提供者,行政人员和社区领导人,包括男性伙伴的参与。这项研究还提出了赋予妇女权力以对抗传统信仰,态度和实践的需求。
更新日期:2019-12-23
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