Search Results (147)

The COVID-19 pandemic contributed to more severe and frequent intimate partner violence (IPV) among victims, and less availability of services; however, this research has largely been conducted on only female victims. We investigated the COVID-19 pandemic’s contribution to more severe and frequent IPV among male victims, barriers to getting help, and factors contributing to both increased severity/frequency and barriers. Participants included 318 male IPV victims from English-speaking Western countries who reported being the victim of IPV during the pandemic. They completed a Qualtrics questionnaire asking about their IPV experiences, mental health, COVID-19-related experiences in general and IPV experiences in specific. Overall, 47.8% of the participants experienced an increase in frequency and/or severity of IPV victimization, with help-seeking barriers, job loss, being confined to the house with their aggressor, and prior trauma independently predicting increases. Also, 75.5% reported one or more barriers to accessing help; such barriers were independently predicted by increased severity/frequency of IPV, financial strain, relationship length, being married, using marijuana, severe depression, prior trauma, IPV stigma, and coercive control victimization. Results are discussed in terms of their consistency with the literature on female victims, and the need for gender inclusive research, service provisions, and service recommendations in light of crises such as the COVID-19 pandemic. Full article

The COVID-19 pandemic significantly increased adolescent digital engagement, but whether the rise in cyberbullying persists beyond the crisis is not well understood, especially in Southeast Asia. This study examined social media addiction, perceived stress, emotional intelligence, and cyberbullying among 416 Thai secondary students (grades 7–12) during the pandemic-to-endemic transition (June–October 2023). Participants completed validated Thai-language instruments assessing cyberbullying, social media addiction, perceived stress, and emotional intelligence. Results showed 66.4% of adolescents were involved in cyberbullying, with 32.2% as bully-victims. Social media addiction correlated with cyberbullying perpetration (r_s = 0.33, p < 0.001) and victimization (r_s = 0.22, p < 0.001), as did perceived stress (r_s = 0.20 and 0.29; p < 0.001). Emotional intelligence showed negative correlations with cyberbullying perpetration (r_s = −0.15, p = 0.002) and victimization (r_s = −0.10, p = 0.048). Over one-third (34.4%) were at high risk for social media addiction. These findings indicate that during the pandemic-to-endemic transition, Thai adolescents showed elevated cyberbullying involvement, high social media addiction, and moderate-to-high stress—a profile consistent with sustained digital risk. These results highlight the need for integrated interventions that address digital wellness, stress management, and the development of emotional intelligence among Thai adolescents. Full article

Introduction: Gender-based violence and femicide represent the most extreme manifestation of a deep-rooted cultural distortion embedded within patriarchal social structures. In this study, adopting a comparative and multidisciplinary approach, we analyzed the evolution of international legislation and the major historical milestones in the protection of women’s rights and the prevention of gender-based violence at both the global and Italian levels. Specific protocols such as the “Pink code” were examined, with particular attention to medico-legal implications and the clinical management of victims, highlighting how violence against women continues to be fuelled by stereotypes, discrimination, and unequal power relations. Materials and Methods: Gender-based violence and femicide were examined from both national and international perspectives. A total of 73 scientific articles in English and 28 legal sources were selected from an initial pool of 918 publications, through a narrative review with a structured search strategy of international and Italian legislation and scientific literature. Electronic databases (PubMed and Google Scholar) were searched for the period 2000–2025. Only original observational studies, medico-legal analyses, epidemiological reports, and forensic case series were included. Cases primarily related to pregnancy, migration, infanticide, suicide, or substance abuse were excluded to reduce heterogeneity and focus on violence rooted in gender-based power asymmetries. Results: The legislative analysis shows a progressive strengthening of protection mechanisms, particularly between 2012 and 2023, following the ratification of the Istanbul Convention, the increase in intimate partner violence, and the COVID-19 pandemic. In Italy, the repeal of discriminatory norms and the introduction of specific legislative measures have led to increased attention toward prevention, protection, and prosecution of gender-based violence. Protocols such as the ‘Pink Code’, an Italian hospital-based multidisciplinary pathway activated mainly in emergency departments for the early identification, clinical care, medico-legal documentation, and judicial protection of victims of gender-based violence, have improved multidisciplinary management of victims within healthcare and judicial settings, although significant challenges remain regarding the full enforcement of legislation and the effective protection of women. The analysis focuses on female victims, in accordance with the Italian legal definition of gender-based violence, while other forms of gender-related violence were considered beyond the scope of this review. Conclusions: Despite substantial legal advances, combating gender-based violence clearly requires an integrated approach that combines prevention, assistance, and prosecution. Strengthening collaboration among institutions, healthcare services, and the judicial system—consistent with international recommendations—is essential to ensure an effective and rights-based response to victims. Overcoming the cultural and social barriers that perpetuate violence remains a fundamental priority, alongside promoting genuine gender equality. Full article

The COVID-19 pandemic increased Intimate Partner Violence (IPV) internationally and disrupted health services. The pandemic also exacerbated risk factors linked to IPV, such as deteriorating mental health. As access to health care became restricted, IPV survivors faced barriers to help-seeking. No study has examined the factors related to IPV help-seeking intent during the pandemic, which might differ from actual behavior. The aim is to examine the impact of number of COVID-19 cases and health on IPV help-seeking and disclosure intent. A cross-sectional survey in the USA in April 2020 assessed health status, IPV (victimization and perpetration), help-seeking and disclosure intent. Linear models were used (N = 1346). Upper income positively correlated with help-seeking and disclosure intent. In terms of number of COVID-19 cases and PTSD symptomology with help-seeking intent, changes in daily life correlated positively with disclosure intent, but experience of violence correlated negatively. There were significant demographic differences. Inconsistency in the reporting of violence across scales was a notable issue. The findings on mental health support the existing literature. Healthcare providers in all settings should prioritize IPV screening. Access to care should be maximized through continued improvement/expansion of online services and policy changes that remove barriers (such as lapse in insurance coverage or financial burden). Full article

Background: The impact of the COVID-19 pandemic on temporal trends in peer violence and bullying deserves closer scrutiny. The aim of the present study was to examine temporal trends in peer violence and bullying among school-aged children before and after the COVID-19 pandemic. Methods: Data from the Health Behaviour in School-aged Children (HBSC) surveys (2013/2014–2021/2022) were analyzed to track changes in peer violence and bullying over time. The sample encompassed over 700,000 students aged 11, 13, and 15 from more than 40 countries across Asia, Europe, and North America. Results: Traditional (school) bullying perpetration and victimization did not change significantly over time. A significant decreasing trend in engagement in physical fighting between the 2013/2014 and 2021/2022 surveys was observed among male participants aged 15. In contrast, a significant increasing trend in engagement in physical fighting was observed among female participants aged 11 and 13 years. Following the pandemic, increases in cyberbullying perpetration and victimization were observed among students aged 11 and 13, a trend not evident among 15-year-olds. Conclusion: Except for cyberbullying, the pandemic did not appear to influence trends in peer violence and bullying, which remained largely stable or reflected trajectories that had begun prior to the pandemic. Full article

The COVID pandemic highlighted the importance of vaccine development and availability worldwide. Operation Warp-Speed in the United States accelerated vaccine production by several major pharmaceutical manufacturers, averting some of the normal administrative processes. The result has been a financial windfall for those companies. Some recent data has shown that the COVID vaccine can cause negative side effects in some patients. There are provisions in U.S. law that allow victims of vaccine injuries to recover compensation through the court system. However, even then tort remedies are limited by federal law. Since the review process was rushed during the pandemic, should tort immunity still be available to those pharmaceutical companies? This paper will discuss the legal and ethical issues involved in vaccine tort immunity. Full article

Researchers, media outlets, and stakeholders in adolescent well-being have raised concerns that increased reliance on electronic communication during the COVID-19 pandemic may have led to a rise in cyberbullying among youth. This exploratory study examined potential changes in cyberbullying behaviors among adolescents in the U.S. and India using longitudinal survey data collected before and during COVID-19-related shutdowns. This study included 92 participants from the U.S. and 38 from India who took part in a cohort study, reporting on their experiences with cyberbullying perpetration and victimization at two time points. Our preliminary findings suggest that there was no significant increase in cyberbullying involvement in either country following the onset of the pandemic. The findings from our exploratory work offer early insights into adolescent digital engagement during a global crisis and highlight the importance of including youth from diverse contexts in cyberbullying research. Full article

In recent years, Italy has experienced a significant increase in violence against healthcare workers, mirroring a global trend. Manifesting as verbal, physical, psychological, and material aggression, this phenomenon endangers both personnel safety and the foundational principles of the National Health Service (SSN) as outlined in Article 32 of the Italian Constitution. The escalation—most acute in emergency departments, psychiatric units, inpatient wards, and community services—affects a broad spectrum of professionals, compromising care quality and institutional integrity. Data from the FNOMCeO-CENSIS Report 2023–2024 reveal over 18,000 reported incidents in 2024, with verbal assaults disproportionately affecting female nursing staff. The COVID-19 pandemic further exacerbated systemic vulnerabilities, heightening user dissatisfaction and psychological strain among healthcare providers. In response, legislative actions—such as Law No. 113/2020 and Decree-Law No. 137/2024—aim to strengthen prevention, monitoring, and penal measures. This article examines legal, institutional, and organizational responses, including on-the-ground and hospital-based strategies to mitigate violence. Adopting a multidisciplinary perspective, it analyzes recent policy developments, regional dynamics, and victim-perpetrator profiles, arguing that safeguarding healthcare environments is both a public security priority and an ethical imperative essential to preserving the dignity of care work and the resilience of the health system. Full article

Background The COVID-19 epidemic had a deleterious impact on mental health and substance abuse and led to an increase in several forms of violence, including self-harm and interpersonal violence among youth from low- and middle-income countries. Nevertheless, the relationship between the variables and their directionality has not been recognized. This study describes the relationship directionality between these variables among 18- to 20-year-old Mexican youths during the COVID-19 pandemic. Methods The longitudinal cohort study comprises an evolving group of young Mexican adults: 1390 participants aged 18 in 2021, 654 aged 19 in 2022, and 442 aged 20 in 2023. Proportions by sex—50% were matched in every cohort, and the evolution–age sample accomplishment accounted for 47% in 2022 and 32% in 2023. Results According to a structural equation model, which fit the data from 195 iterations with 246 parameters (X²[2722] = 8327.33, p < 0.001), yielding a CFI of 0.946, a TLI of 0.943, and an RMSEA of 0.029 [0.028–0.029]), perpetrating intimate violence, preceded by suffering intimate violence, combined with suffering anxiety symptoms, was associated with self-harm–suicide thoughts and behaviors (ShSTB), marked distress, dysfunction, and somatization symptoms. The relationship was stronger in women and 20-year-old Mexicans. In men, this pathway was exclusively associated with ShSTB. Suffering from intimate violence has been associated with depression, anxiety, and PTSD symptoms, as well as harmful alcohol use. Conclusions During an epidemic, prevention programs should be designed to warn about self-harm–suicide thoughts and behaviors, not only to ensure the safety of the victims of intimate personal-violence but also to prevent the suicidal behavior of perpetrators. Full article

Background and Objectives: This study explores gender variations in the associations between lifestyle choices, mental health, and social behaviors among adolescents in the Transylvania region of Romania. The analysis is based on data obtained through the Global School-Based Student Health Survey (GSHS). Materials and Methods: Data on 900 Romanian adolescents aged 11–18 years were obtained via the GSHS. This study evaluated nutritional statuses through BMI Z-scores, employing World Health Organization (WHO) cut-offs applied to self-reported height and weight; furthermore, it assessed well-being and perceived health; worries and sleep anxiety; social connections through having friends, loneliness, peer support, and emotional support; parental bonding relations; experiences of being bullied; safety and protection factors, including distance learning during the COVID-19 pandemic and testing or vaccinations for COVID-19; and social behaviors, including the use of social networks. A multiple logistic regression was used to predict sleep disturbance anxiety, depending on sex, bullying, cyberbullying, loneliness, social network use, and peer support. Results: Results showed that the majority of the adolescents reported having one or more friends (96.8%), with no significant difference between girls and boys (p = 0.071). There were no statistically significant differences in bullying and cyberbullying experiences between sexes (p = 0.063). Notably, gender disparities exist in both health perceptions and risk behaviors, with girls experiencing higher rates of negative health perceptions, sleep anxiety (p < 0.001), and loneliness (p = 0.011) and boys exhibiting more overweight/obesity (p < 0.001) and school truancy (p = 0.027). According to the results, loneliness is significantly associated with a higher likelihood of sleep-disturbing anxiety (p < 0.001). Students who have experienced cyberbullying are more likely to also experience traditional bullying. Students who feel lonely are more likely to be victims of bullying. Conclusions: This study reveals significant gender disparities in adolescent health, particularly in mental health, risk behaviors, and social support. It highlights the need for gender-specific interventions to address these challenges and promote healthy development. Furthermore, this study emphasizes the importance of social connections, family support, and parental involvement in adolescent well-being. Addressing bullying, promoting mental health awareness, and providing accessible support services are crucial for improving adolescent health in Romania. Full article

The COVID-19 pandemic has had an enormous economic impact on society. One of the little-known links is the impact of the pandemic on corporate social responsibility. The main aim of this research was to compare the situation before and during the pandemic, which allows the assessment of the impact of the pandemic on the rates and ways of implementing CSR in different organizations. A new research model incorporating all CSR dimensions was created to examine the implementation rates through 83 indicators. The findings indicate an overall decrease in CSR activities during the pandemic. Employee and community activities were the most affected. However, the biggest disparities were recorded in the environmental dimension. The originality of the study lies in the development of a novel methodological approach to documenting the CSR involvement in organization and its application to compare the pandemic and post-pandemic levels. By understanding the effects of major adverse events, it is possible to further develop its evolution and combat the barriers that led to a decrease in CSR areas during the pandemic. Full article

Bullying poses significant challenges to adolescent health and well-being. This time-trend study examined the impact of the COVID-19 pandemic on bullying behaviors and associated emotional and behavioral difficulties among Greek adolescents. Data were collected from two cross-sectional surveys in 2016 (n = 1574) and 2023 (n = 5753) conducted in Greece. Both samples comprised students aged 12–16 years, with near-equal gender distribution (2016, 53.4% girls; 2023, 54.5% girls) and a predominance of urban residents (approximately 73% in both samples). Traditional and cyberbullying experiences were assessed via structured questionnaires, while mental health outcomes were measured using the Strengths and Difficulties Questionnaire (SDQ). Post-pandemic findings revealed substantial increases in bullying involvement; traditional bullying victimization rose from 12.4% to 21.7%, and cyberbullying victimization increased from 4.0% to 11.6%. Correspondingly, mean SDQ total scores increased significantly from 8.59 to 14.16, reflecting heightened emotional and behavioral problems. Logistic regression analyses identified male gender, urban residence, and non-traditional family structures as significant predictors of bullying involvement. These results underscore the amplified burden of bullying and mental health difficulties in the post-pandemic era, highlighting the urgent need for targeted prevention and intervention strategies to address both traditional and cyberbullying within diverse sociodemographic contexts. Full article

Adolescence is a crucial transition stage for young people. While many physical, psychological, and social developmental changes are taking place, this may also be the time of a teenager’s first love relationship. At this stage of early romance, adolescents sometimes experience violent abusive relationships, and the choices around this reality could be linked to family upbringing and history. The objective of the study was to determine the relationship between such violent encounters in early teenage love relationships and family functionality using the Intrafamily Relationships Evaluation Test (FF-SIL). This study explored the experiences of secondary students at a school in southern Peru in 2022 during the COVID-19 pandemic. A quantitative method was used, entailing a descriptive, cross-sectional, correlational approach. The questionnaire was administered to 153 student respondents. The results show that 45.1% of students come from moderately functional families, followed by 29.4% from dysfunctional families. Likewise, 24% of adolescents report having experienced violence in their relationships, which is relatively equally distributed across all levels of family functionality. Although no significant relationship was found between family functionality and violence (p > 0.05), the present study highlights the existence of bidirectionality in violence between adolescent partners, with a slightly higher incidence in violence perpetrated by women. In terms of violence, the violence received (22%) exceeds the violence exerted (13%) during dating. In both categories, victims of physical violence prevail, and no significant gender differences are found. These results provide a piece of baseline information for preventing adolescent dating violence in education institutions, also a reference for health and other social policymakers. Full article

Incarcerated women report extremely high rates of lifetime sexual violence victimization. Survivors Healing from Abuse: Recovery through Exposure (SHARE) is an exposure-based group therapy specifically designed for incarcerated women survivors of sexual violence. SHARE has been continuously delivered in a women’s prison for more than 12 years. However, like many prisons during the COVID-19 pandemic, the prison ceased all in-person programming between March 2020 and July 2021. In response, the SHARE treatment team pivoted to a hybrid telehealth delivery model (i.e., group participants gathering in a facility group room and therapists joining via video, displayed on a computer screen within the group room). Given the lack of evidence for hybrid telehealth in carceral settings, and specifically for group therapy for sexual trauma, the current study compared ratings on internalizing symptoms (Brief Symptom Inventory-18 or BSI-18), posttraumatic stress symptoms (Posttraumatic Checklist-5 or PCL-5), and group cohesion ratings (Inclusion of Self in Other scale, or IOS) for participants who received SHARE in person (n = 21) or through hybrid telehealth (n = 19). The results demonstrated that participants of in-person and hybrid telehealth SHARE groups reported similar significant reductions in BSI-18 (15.21 in person vs. 16.00 in hybrid telehealth) and PCL-5 (30.78 in person vs. 26.40 in hybrid telehealth) scores pre- to post-treatment and comparable IOS ratings (5.06 in person vs. 5.31 in hybrid telehealth). The findings suggest hybrid telehealth is an effective and feasible treatment modality for meeting the need for trauma-focused therapy in prisons. Future studies examining the effectiveness and implementation of trauma-focused hybrid telehealth groups in prisons are warranted. Full article

Background: Gender-based violence (GBV) remains a significant and entrenched issue affecting various aspects of daily life. Entrenched within South African institutions, cultures, and traditions, GBV disproportionately impacts women and girls, exacerbated by prevailing gender stereotypes and biases. Despite South Africa’s reputation as one of the most difficult countries for women, this assertion is debatable. This study aimed to delve into the firsthand experiences of GBV victims during the COVID-19 lockdown in Region F of Gauteng Province, South Africa. Methods: A qualitative approach and interpretative phenomenological design were used. The setting of the study was a non-governmental organization in Region F of Gauteng Province. The population of women aged 18 to 49 who encountered GBV during the lockdown was sampled. Twelve participants were interviewed through face-to-face unstructured interviews guided by a central question. Thematic analysis was employed to scrutinize the data and ethical protocols and trustworthiness were meticulously observed throughout the study. Results: Findings revealed that GBV victims during the lockdown encountered various challenges, including limited access to transportation, financial constraints, poverty, unemployment, substance abuse, and inadequate welfare services, contributing to heightened suicidal tendencies. Recommendations were formulated based on the research findings. Full article