Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices

Abstract Background Intimate Partner Violence (IPV) is the most common form of interpersonal violence and a major public health problem. The COVID-19 pandemic might have contributed to an increase in IPV experiences. To evaluate changes in IPV prevalence during the pandemic, it is important to consi...

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Main Authors: Diogo Costa, Florian Scharpf, Alexa Weiss, Arin H. Ayanian, Kayvan Bozorgmehr
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-17802-9
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author Diogo Costa
Florian Scharpf
Alexa Weiss
Arin H. Ayanian
Kayvan Bozorgmehr
author_facet Diogo Costa
Florian Scharpf
Alexa Weiss
Arin H. Ayanian
Kayvan Bozorgmehr
author_sort Diogo Costa
collection DOAJ
description Abstract Background Intimate Partner Violence (IPV) is the most common form of interpersonal violence and a major public health problem. The COVID-19 pandemic might have contributed to an increase in IPV experiences. To evaluate changes in IPV prevalence during the pandemic, it is important to consider studies’ methodological characteristics such as the assessment tools used, samples addressed, or administration modes (e.g., face-to-face, telephone or online interviews), since they may influence disclosure and were likely affected by pandemic-imposed mobility restrictions. Methods Systematic review and meta-analysis of empirical studies addressing IPV against women, men, or both, during the COVID-19 period. We searched six electronic databases until December 2021, including articles in English, German, Spanish, French or Portuguese languages. We extracted and synthesised characteristics of studies related to sampling (clinical, community, convenience), type assessment tool (standardised questionnaire, specifically created questions), method of administration (online, telephone, face-to-face), and estimates of different forms of IPV (physical, sexual, psychological). IPV estimates were pooled stratified by study characteristics using random-effects models. Results Of 3581 publications, we included 103 studies. Fifty-five studies used a standardized instrument (or some adaptations) to assess IPV, with the World Health Organisation Questionnaire and the Revised Conflicts Tactics Scales being the most frequent. For 34 studies, the authors created specific questions to assess IPV. Sixty-one studies were conducted online, 16 contacted participants face-to-face and 11 by telephone. The pooled prevalence estimate for any type of violence against women (VAW) was 21% (95% Confidence Interval, 95%CI = 18%-23%). The pooled estimate observed for studies assessing VAW using the telephone was 19% (95%CI = 10%-28%). For online studies it was 16% (95%CI = 13%-19%), and for face-to-face studies, it was 38% (95%CI = 28%-49%). According to the type of sample, a pooled estimate of 17% (95%CI = 9%-25%) was observed for studies on VAW using a clinical sample. This value was 21% (95%CI = 18%-24%) and 22% (95%CI = 16%-28%) for studies assessing VAW using a convenience sample and a general population or community sample, respectively. According to the type of instrument, studies on VAW using a standardized tool revealed a pooled estimate of 21% (95%CI = 18%-25%), and an estimate of 17% (95%CI = 13%-21%) was found for studies using specifically created questions. Conclusions During the pandemic, IPV prevalence studies showed great methodological variation. Most studies were conducted online, reflecting adaptation to pandemic measures implemented worldwide. Prevalence estimates were higher in face-to-face studies and in studies using a standardized tool. However, estimates of the different forms of IPV during the pandemic do not suggest a marked change in prevalence compared to pre-pandemic global prevalence estimates, suggesting that one in five women experienced IPV during this period.
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spelling doaj.art-689249fd8b45429286324c727fddf2982024-03-05T20:38:30ZengBMCBMC Public Health1471-24582024-01-0124111310.1186/s12889-024-17802-9Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choicesDiogo Costa0Florian Scharpf1Alexa Weiss2Arin H. Ayanian3Kayvan Bozorgmehr4Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld UniversityInstitute for Interdisciplinary Research On Conflict and Violence (IKG), Bielefeld UniversityDepartment of Psychology, Bielefeld UniversityInstitute for Interdisciplinary Research On Conflict and Violence (IKG), Bielefeld UniversityDepartment of Population Medicine and Health Services Research, School of Public Health, Bielefeld UniversityAbstract Background Intimate Partner Violence (IPV) is the most common form of interpersonal violence and a major public health problem. The COVID-19 pandemic might have contributed to an increase in IPV experiences. To evaluate changes in IPV prevalence during the pandemic, it is important to consider studies’ methodological characteristics such as the assessment tools used, samples addressed, or administration modes (e.g., face-to-face, telephone or online interviews), since they may influence disclosure and were likely affected by pandemic-imposed mobility restrictions. Methods Systematic review and meta-analysis of empirical studies addressing IPV against women, men, or both, during the COVID-19 period. We searched six electronic databases until December 2021, including articles in English, German, Spanish, French or Portuguese languages. We extracted and synthesised characteristics of studies related to sampling (clinical, community, convenience), type assessment tool (standardised questionnaire, specifically created questions), method of administration (online, telephone, face-to-face), and estimates of different forms of IPV (physical, sexual, psychological). IPV estimates were pooled stratified by study characteristics using random-effects models. Results Of 3581 publications, we included 103 studies. Fifty-five studies used a standardized instrument (or some adaptations) to assess IPV, with the World Health Organisation Questionnaire and the Revised Conflicts Tactics Scales being the most frequent. For 34 studies, the authors created specific questions to assess IPV. Sixty-one studies were conducted online, 16 contacted participants face-to-face and 11 by telephone. The pooled prevalence estimate for any type of violence against women (VAW) was 21% (95% Confidence Interval, 95%CI = 18%-23%). The pooled estimate observed for studies assessing VAW using the telephone was 19% (95%CI = 10%-28%). For online studies it was 16% (95%CI = 13%-19%), and for face-to-face studies, it was 38% (95%CI = 28%-49%). According to the type of sample, a pooled estimate of 17% (95%CI = 9%-25%) was observed for studies on VAW using a clinical sample. This value was 21% (95%CI = 18%-24%) and 22% (95%CI = 16%-28%) for studies assessing VAW using a convenience sample and a general population or community sample, respectively. According to the type of instrument, studies on VAW using a standardized tool revealed a pooled estimate of 21% (95%CI = 18%-25%), and an estimate of 17% (95%CI = 13%-21%) was found for studies using specifically created questions. Conclusions During the pandemic, IPV prevalence studies showed great methodological variation. Most studies were conducted online, reflecting adaptation to pandemic measures implemented worldwide. Prevalence estimates were higher in face-to-face studies and in studies using a standardized tool. However, estimates of the different forms of IPV during the pandemic do not suggest a marked change in prevalence compared to pre-pandemic global prevalence estimates, suggesting that one in five women experienced IPV during this period.https://doi.org/10.1186/s12889-024-17802-9Intimate partner violenceCOVID-19MethodsPrevalenceSystematic review
spellingShingle Diogo Costa
Florian Scharpf
Alexa Weiss
Arin H. Ayanian
Kayvan Bozorgmehr
Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
BMC Public Health
Intimate partner violence
COVID-19
Methods
Prevalence
Systematic review
title Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
title_full Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
title_fullStr Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
title_full_unstemmed Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
title_short Intimate partner violence during COVID-19: systematic review and meta-analysis according to methodological choices
title_sort intimate partner violence during covid 19 systematic review and meta analysis according to methodological choices
topic Intimate partner violence
COVID-19
Methods
Prevalence
Systematic review
url https://doi.org/10.1186/s12889-024-17802-9
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