Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings

Violence against women and girls (VAWG) is a global human rights and public health concern. Food insecurity is a sign of severe poverty, and likely to heighten women’s vulnerability to VAWG and men’s perpetration of it. However, the extent of the association and the multiple pathways between food in...

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Main Authors: Abigail M. Hatcher, Sabrina Page, Lele Aletta van Eck, Isabelle Pearson, Rebecca Fielding-Miller, Celine Mazars, Heidi Stöckl
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021293/?tool=EBI
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author Abigail M. Hatcher
Sabrina Page
Lele Aletta van Eck
Isabelle Pearson
Rebecca Fielding-Miller
Celine Mazars
Heidi Stöckl
author_facet Abigail M. Hatcher
Sabrina Page
Lele Aletta van Eck
Isabelle Pearson
Rebecca Fielding-Miller
Celine Mazars
Heidi Stöckl
author_sort Abigail M. Hatcher
collection DOAJ
description Violence against women and girls (VAWG) is a global human rights and public health concern. Food insecurity is a sign of severe poverty, and likely to heighten women’s vulnerability to VAWG and men’s perpetration of it. However, the extent of the association and the multiple pathways between food insecurity and VAWG are not well understood. We systematically assessed peer reviewed quantitative and qualitative literature to explore this in low- and middle-income countries. Fixed effects meta-analysis was used to synthesize quantitative evidence. Qualitative data was analyzed using thematic analysis. From a search of 732 titles, we identified 23 quantitative and 19 qualitative or mixed-methods peer-reviewed manuscripts. In a meta-analysis of 21 cross-sectional studies with 20,378 participants, food insecurity was associated with doubled odds of reported VAWG (odds ratio [OR] = 2.38, 95% confidence interval [CI] = 1.82–3.10). This finding was consistent for both women’s experience or male perpetration of VAWG. Qualitative and mixed-methods papers offered insight that underlying conditions of inequitable gender norms, economic deprivation, and social isolation frame both food insecurity and VAWG. Food insecurity may trigger survival behaviors due to household stress and lack of meeting expected gender roles, which leads to VAWG. VAWG exposure may lead to food insecurity if women are more impoverished after leaving a violent household. Potential protective factors include financial stability, the involvement of men in VAWG programming, transformation of gender norms, and supporting women to develop new networks and social ties. Strong evidence exists for a relationship between food security and VAWG. Future funding should target causal directions and preventive options through longitudinal and interventional research. Strategies to ensure households have access to sufficient food and safe relationships are urgently needed to prevent VAWG.
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spelling doaj.art-dab85d96334b4a4f96bff89fb6d23bcd2023-09-03T14:34:48ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0129Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settingsAbigail M. HatcherSabrina PageLele Aletta van EckIsabelle PearsonRebecca Fielding-MillerCeline MazarsHeidi StöcklViolence against women and girls (VAWG) is a global human rights and public health concern. Food insecurity is a sign of severe poverty, and likely to heighten women’s vulnerability to VAWG and men’s perpetration of it. However, the extent of the association and the multiple pathways between food insecurity and VAWG are not well understood. We systematically assessed peer reviewed quantitative and qualitative literature to explore this in low- and middle-income countries. Fixed effects meta-analysis was used to synthesize quantitative evidence. Qualitative data was analyzed using thematic analysis. From a search of 732 titles, we identified 23 quantitative and 19 qualitative or mixed-methods peer-reviewed manuscripts. In a meta-analysis of 21 cross-sectional studies with 20,378 participants, food insecurity was associated with doubled odds of reported VAWG (odds ratio [OR] = 2.38, 95% confidence interval [CI] = 1.82–3.10). This finding was consistent for both women’s experience or male perpetration of VAWG. Qualitative and mixed-methods papers offered insight that underlying conditions of inequitable gender norms, economic deprivation, and social isolation frame both food insecurity and VAWG. Food insecurity may trigger survival behaviors due to household stress and lack of meeting expected gender roles, which leads to VAWG. VAWG exposure may lead to food insecurity if women are more impoverished after leaving a violent household. Potential protective factors include financial stability, the involvement of men in VAWG programming, transformation of gender norms, and supporting women to develop new networks and social ties. Strong evidence exists for a relationship between food security and VAWG. Future funding should target causal directions and preventive options through longitudinal and interventional research. Strategies to ensure households have access to sufficient food and safe relationships are urgently needed to prevent VAWG.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021293/?tool=EBI
spellingShingle Abigail M. Hatcher
Sabrina Page
Lele Aletta van Eck
Isabelle Pearson
Rebecca Fielding-Miller
Celine Mazars
Heidi Stöckl
Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
PLOS Global Public Health
title Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
title_full Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
title_fullStr Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
title_full_unstemmed Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
title_short Systematic review of food insecurity and violence against women and girls: Mixed methods findings from low- and middle-income settings
title_sort systematic review of food insecurity and violence against women and girls mixed methods findings from low and middle income settings
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021293/?tool=EBI
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