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The Impact of the COVID-19 on Physical Violence, Sexual Violence and Neglect Against Children: A Systematic Review
Tomomi Nakaike1, Dung Anh Nguyen2, Abdelrahman M Makram2,3
1School of Tropical Medicine and Global Health, Nagasaki University, Japan.
Insights
The COVID-19 pandemic did not significantly alter rates of child physical/sexual violence or neglect. Further self-reported studies are needed, especially in low- and middle-income countries, for a clearer understanding of child abuse.
Area of Science:
- Public Health
- Epidemiology
- Child Welfare
Background:
- The COVID-19 pandemic disrupted child protection services and increased parental stress.
- Understanding the pandemic's impact on child violence and neglect is crucial.
Purpose of the Study:
- To systematically review and meta-analyze the prevalence of child physical and sexual violence and neglect before and during the COVID-19 pandemic.
- To identify any significant changes in these forms of child maltreatment globally.
Main Methods:
- Systematic review and meta-analysis (SR/MA) of 11 publications.
- Searched 11 electronic databases in March 2022; registered protocol in PROSPERO (CRD42022377660).
- Analyzed pooled odds ratios, with subgroup analyses by country and child sex.
Main Results:
- No significant evidence found to suggest the COVID-19 pandemic impacted the prevalence of physical/sexual violence or neglect against children.
- This finding remained consistent even after subgroup analyses by country and child sex.
Conclusions:
- The study found no significant change in child physical/sexual violence or neglect rates before and during the COVID-19 pandemic.
- Limitations include reliance on hospital records and child protection services; more self-reported data is recommended.
- Further research, particularly in low- and middle-income countries, is needed for a comprehensive understanding of child abuse and neglect.
Background:
COVID-19 caused the interruption of child protection services and economic/psychological burdens on parents. Therefore, in this systematic review and meta-analysis (SR/MA), we aimed to identify the impact of the worldwide COVID-19 pandemic on physical and sexual violence and neglect against children by investigating the change in the prevalence of these events before and during the COVID-19 pandemic.
Methods:
The protocol of this study was registered in PROSPERO with the registration number CRD42022377660. We included any studies eligible for meta-analysis comparing physical and sexual violence and neglect against children before and during the COVID-19 pandemic. Eleven electronic databases were systematically searched in March 2022. The meta-analysis was conducted using STATA, pooled odds ratios were calculated and subgroups by countries and sex of children (when possible) were analysed.
Results:
A total of 11 publications were included in the meta-analysis. Overall, we found no significant evidence to support that the COVID-19 pandemic impacted the prevalence or proportion of the three types of violence against children, even after segregating the data to the country or sex levels.
Conclusion:
Overall, our analysis revealed no significant change in physical and sexual violence, as well as neglect against children before and during the COVID-19 pandemic, with the majority of data sources being hospital records and child protection services. More self-reported studies should be performed, especially in low- and middle-income countries, for a better understanding of child abuse and neglect around the world.
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