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Violence Against Women During COVID-19 Pandemic: A Comparative Study from a Turkish Emergency Department

Published online by Cambridge University Press:  19 May 2022

İmran Gökçen Yılmaz Karaman Open the ORCID record for İmran Gökçen Yılmaz Karaman [Opens in a new window] ,
Zeynep Akı ,
Mustafa Emin Çanakçı Open the ORCID record for Mustafa Emin Çanakçı [Opens in a new window] ,
Ali Ercan Altınöz  and
Engin Özakın Open the ORCID record for Engin Özakın [Opens in a new window]
İmran Gökçen Yılmaz Karaman*
Affiliation:
Psychiatrist, Osmangazi University, Faculty of Medicine, Department of Psychiatry, Eskişehir, Turkey
Zeynep Akı
Affiliation:
Medical Doctor, Emergency Medicine Trainee, Osmangazi University, Faculty of Medicine, Department of Emergency, Eskişehir, Turkey
Mustafa Emin Çanakçı
Affiliation:
Emergency Medicine Specialist, Osmangazi University, Faculty of Medicine, Department of Emergency, Eskişehir, Turkey
Ali Ercan Altınöz
Affiliation:
Psychiatrist, Osmangazi University, Faculty of Medicine, Department of Psychiatry, Eskişehir, Turkey
Engin Özakın
Affiliation:
Emergency Medicine Specialist, Osmangazi University, Faculty of Medicine, Department of Emergency, Eskişehir, Turkey
*
Correspondence: Dr. İmran Gökçen Yılmaz Karaman, Eskişehir Osmangazi University, Faculty of Medicine, Department of Psychiatry, Eskişehir, Turkey, E-mail: gokcenylmz@yahoo.com
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Abstract

Objective:

Violence against women (VAW) is a major public health problem and a violation of women’s human rights. The coronavirus disease 2019 (COVID-19) pandemic has worsened gender inequality, resulting in a heightened incidence of VAW. This study aims to assess the characteristics of women who admit to the emergency department (ED), both before the pandemic and during the pandemic. The secondary aim is to compare the frequencies of violence cases between periods.

Methods:

By single-center, retrospective, and cross-sectional design, the periods of April 10 - December 31, 2020 and April 10 - December 31, 2019 were compared. The outcomes of the study were the daily ED admission numbers of both sexes, the prevalence of VAW cases in the ED, as well as sociodemographic and clinical variables of the women who were exposed to violence.

Results:

During the pandemic period, number of VAW cases in the ED increased 13% and the ratio of VAW cases to all ED admissions tripled compared to the pre-pandemic period. Women exposed to VAW were more likely to be without social insurance, injured in the trunk part of their body, and having a life-threatening injury in the pandemic period. In both periods, women were attacked by an intimate partner, dominantly (42.6% and 54.1%, respectively). In addition, among all admissions of adults to the ED, women’s percentage decreased while men’s admission ratios increased during the pandemic period. Admissions to ED declined 47.7% during the COVID-19 pandemic compared to the year before.

Conclusion:

Cases of VAW tend to increase during the pandemic, and health care settings should be well-organized to respond to survivors.

Keywords

COVID-19emergency departmentpandemicviolence against women
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 37 , Issue 4 , August 2022 , pp. 462 - 467
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

World Health Organization. Violence against women, 2021. https://www.who.int/news-room/fact-sheets/detail/violence-against-women. Accessed January 25, 2022.Google Scholar
Karakoç, B, Gülseren, L, Çam, B, Gülseren, Ş, Tenekeci, N, Mete, L. Prevalence of intimate partner violence and associated factors. Noro Psikiyatri Arşivi. 2015;52(4):324–330.CrossRefGoogle ScholarPubMed
Cepeda, I, Lacalle-Calderon, M, Torralba, M. Measuring violence against women: a global index. J Interpers Violence. 2021;8862605211037424.Google ScholarPubMed
World Health Organization. Violence Against Women Prevalence Estimates, 2018: Global, Regional, and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non-Partner Sexual Violence Against Women. Geneva, Switzerland: World Health Organization; 2021.Google Scholar
Santos, IBD, Leite, FMC, Amorim, MHC, Maciel, PMA, Gigante, DP. Violence against women in life: study among primary care users. Cien Saude Colet. 2020;25(5):1935–1946.CrossRefGoogle ScholarPubMed
World Health Organization. WHO Director General’s opening remarks at the media briefing on COVID-19 - March 11, 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Accessed January 1, 2022.Google Scholar
European Centre for Disease Prevention and Control. Data on country response measures to COVID-19. https://www.ecdc.europa.eu/en/publications-data/download-data-response-measures-covid-19. Accessed January 25, 2022.Google Scholar
Roesch, E, Amin, A, Gupta, J, García-Moreno, C. Violence against women during COVID-19 pandemic restrictions. BMJ. 2020;369:m1712.CrossRefGoogle ScholarPubMed
Nesset, MB, Gudde, CB, Mentzoni, GE, Palmstierna, T. Intimate partner violence during COVID-19 lockdown in Norway: the increase of police reports. BMC Public Health. 2021;21(1):2292.CrossRefGoogle ScholarPubMed
Mlambo-Ngcuka, P. Violence against women and girls: the shadow pandemic. https://www.unwomen.org/en/news/stories/2020/4/statement-ed-phumzile-violence-against-women-during-pandemic. Accessed February 1, 2022.Google Scholar
Whitehead, M, Taylor-Robinson, D, Barr, B. Poverty, health, and COVID-19. BMJ. 2021;372:n376.CrossRefGoogle Scholar
Standish, K, Weil, S. Gendered pandemics: suicide, femicide, and COVID-19. J Gend Stud. 2021;30:1–13.CrossRefGoogle Scholar
Parkinson, D, Zara, C. The hidden disaster: domestic violence in the aftermath of natural disaster. Australian Journal of Emergency Management. 2013;28(2):28–35.Google Scholar
Gebrewahd, GT, Gebremeskel, GG, Tadesse, DB. Intimate partner violence against reproductive age women during COVID-19 pandemic in northern Ethiopia 2020: a community-based cross-sectional study. Reprod Health. 2020;17(1):152.CrossRefGoogle ScholarPubMed
Yari, A, Zahednezhad, H, Gheshlagh, RG, Kurdi, A. Frequency and determinants of domestic violence against Iranian women during the COVID-19 pandemic: a national cross-sectional survey. BMC Public Health. 2021;21(1):1727.CrossRefGoogle ScholarPubMed
Akalin, A, Ayhan, F. Intimate partner violence against women in Turkey during the COVID-19 pandemic. Issues Ment Health Nurs. 2022;43(1):68–75.CrossRefGoogle ScholarPubMed
Sediri, S, Zgueb, Y, Ouanes, S, et al. Women’s mental health: acute impact of COVID-19 pandemic on domestic violence. Arch Womens Ment Health. 2020;23(6):749–756.CrossRefGoogle ScholarPubMed
Plášilová, L, Hůla, M, Krejčová, L, Klapilová, K. The COVID-19 pandemic and intimate partner violence against women in the Czech Republic: incidence and associated factors. Int J Environ Res Public Health. 2021;18(19):10502.CrossRefGoogle ScholarPubMed
Hoehn-Velasco, L, Silverio-Murillo, A, de la Miyar, JRB. The great crime recovery: crimes against women during, and after, the COVID-19 lockdown in Mexico. Econ Hum Biol. 2021;41:100991.CrossRefGoogle ScholarPubMed
Bhattaram, S, Shinde, VS, Lamba, I, Gladwin, RS, Sharma, KVS. Impact of COVID-19 lockdown on self-harm and violence among patients presenting to the emergency department. Am J Emerg Med. 2022;51:262–266.CrossRefGoogle ScholarPubMed
Nittari, G, Sagaro, GG, Feola, A, Scipioni, M, Ricci, G, Sirignano, A. First surveillance of violence against women during COVID-19 lockdown: experience from “Niguarda” Hospital in Milan, Italy. Int J Environ Res Public Health. 2021;18(7):3801.CrossRefGoogle ScholarPubMed
Boyle, A, Robinson, S, Atkinson, P. Domestic violence in emergency medicine patients. Emerg Med J. 2004;21(1):9–13.10.1136/emj.2003.007591CrossRefGoogle ScholarPubMed
Abbott, J, Johnson, R, Koziol-McLain, J, Lowenstein, SR. Domestic violence against women. Incidence and prevalence in an emergency department population. JAMA. 1995;273(22):1763–1767.CrossRefGoogle Scholar
Farchi, S, Polo, A, Asole, S, Ruggieri, MP, Di Lallo, D. Use of emergency department services by women victims of violence in Lazio region, Italy. BMC Womens Health. 2013;13:31.CrossRefGoogle ScholarPubMed
Tullio, V, Zerbo, S, Lanzarone, A, Spagnolo, EV, Malta, G, Argo, A. The violence of men against women: medico-legal and psychological issues. Med Leg J. 2020;88(1):37–40.CrossRefGoogle ScholarPubMed
Republic of Turkey Ministry of Interior. 2 Gün Sokağa Çıkma Yasağı. https://www.icisleri.gov.tr/2-gun-sokaga-cikma-yasagi. Accessed December 22, 2021.Google Scholar
Kaji, AH, Schriger, D, Green, S. Looking through the retrospectoscope: reducing bias in emergency medicine chart review studies. Ann Emerg Med. 2014;64(3):292–298.CrossRefGoogle Scholar
Turkstat. Population by province, single age and sex, 2007-2020. 2021 Source: Address Based Population Registration System, 2007-2020. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2020-37210. Accessed December 22, 2021.Google Scholar
Holland, KM, Jones, C, Vivolo-Kantor, AM, et al. Trends in US emergency department visits for mental health, overdose, and violence outcomes before and during the COVID-19 pandemic. JAMA Psychiatry. 2021;78(4):372–379.10.1001/jamapsychiatry.2020.4402CrossRefGoogle ScholarPubMed
Venter, A, Lewis, CM, Saffy, P, Chadinha, LP. Locked down: impact of COVID-19 restrictions on trauma presentations to the emergency department. S Afr Med J. 2020;111(1):52–56.CrossRefGoogle ScholarPubMed
Gosangi, B, Park, H, Thomas, R, et al. Exacerbation of physical intimate partner violence during COVID-19 pandemic. Radiology. 2021;298(1):E38–E45.CrossRefGoogle ScholarPubMed
Patra, P, Prakash, J, Patra, B, Khanna, P. Intimate partner violence: wounds are deeper. Indian J Psychiatry. 2018;60(4):494–498.Google ScholarPubMed
Hartnett, KP, Kite-Powell, A, DeVies, J, et al. Impact of the COVID-19 pandemic on emergency department visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699–704.CrossRefGoogle ScholarPubMed
Adjemian, J, Hartnett, KP, Kite-Powell, A, et al. Update: COVID-19 pandemic-associated changes in emergency department visits - United States, December 2020-January 2021. MMWR Morb Mortal Wkly Rep. 2021;70(15):552–556.10.15585/mmwr.mm7015a3CrossRefGoogle Scholar
Beynon, CE, Gutmanis, IA, Tutty, LM, Wathen, CN, MacMillan, HL. Why physicians and nurses ask (or don’t) about partner violence: a qualitative analysis. BMC Public Health. 2012;12:473.CrossRefGoogle ScholarPubMed
Çalıkoglu, EO, Aras, A, Hamza, M, Aydin, A, Nacakgedigi, O, Sexism, Koga PM., attitudes, and behaviors towards violence against women in medical emergency services workers in Erzurum, Turkey. Glob Health Action. 2018;11(1):1524541.CrossRefGoogle ScholarPubMed
van der Wath, A, van Wyk, N, Janse van Rensburg, E. Emergency nurses’ experiences of caring for survivors of intimate partner violence. J Adv Nurs. 2013;69(10):2242–2252.CrossRefGoogle ScholarPubMed
Republic of Turkey, Social Security Institution. Yeşil Kartlıların Sağlık Yardımlarından Yararlanmaları. http://www.sgk.gov.tr/wps/portal/sgk/tr/saglik/alo170_bimersss/saglik_hizmetleri/yesil_kartlilar_saglik_yardimi. Accessed December 22, 2021.Google Scholar