Intimate Partner Violence Among LGBTQ+ Adults in Latin America and the Caribbean: A Systematic Review and Meta-Analysis Open Access

Huster, Sofia (Spring 2022)

Permanent URL: https://etd.library.emory.edu/concern/etds/9z903138t?locale=pt-BR%2A
Published

Abstract

Background: Rates of intimate partner violence (IPV) among lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ+) individuals may be equivalent to or higher than rates among the general population (Edwards et al., 2015). Understanding IPV among LGBTQ+ populations is of particular importance in Latin America and the Caribbean (LAC), as this region has some of the highest rates of violence against this population (Malta et al., 2019). This study presents the first systematic review and meta-analysis of the literature on IPV among LGBTQ+ adults in LAC, focused on four key areas: prevalence, measurement, risk and protective factors, and interventions.

Methods: Ten electronic databases were searched for key terms. Articles were included in the review if they: (1) were published after 2000; (2) contained samples of LGBTQ+ adults over the age of 18 (3) included any form of IPV (physical, sexual, psychological, etc.); and (4) reported on one of the four key aims.

Results: Out of 1,234 articles, 22 articles met inclusion criteria. Our findings show LBGTQ+ people in LAC experience IPV at similar or higher rates as heterosexuals; the pooled prevalence of any IPV victimization among studies in this review was 28% and ranged from 0.4-91.4%. Inconsistencies in estimates may be due to inconsistent measures and variability in subpopulations. Further, this review identified key risk factors for IPV among these populations included alcohol use, perceived/experienced discrimination, transactional sex, and childhood/adolescent experiences of violence. Protective factors and interventions are not well understood in this context, as there was little to no data.

Conclusion: The research on IPV among LGBTQ+ adults in LAC is limited but has been growing in recent years. However, research has primarily focused on men who have sex with men and transgender women. There is a need to develop studies focusing on bisexual populations, transgender men, intersex, and other sexual gender minority populations. The high prevalence of IPV among LGBTQ+ individuals in LAC, inconsistency in definitions and measures, unique risk factors and lack of interventions found in this review demonstrate the need for further standardized research on this population.

Table of Contents

INTRODUCTION                                                                                                               1

Background                                                                                                                        1

Prevalence                                                                                                                          4

Measurement                                                                                                                     6

Risk and Protective Factors                                                                                             7

Interventions                                                                                                                     10

Context                                                                                                                              11

Purpose                                                                                                                               11

METHODS                                                                                                                           13

Research Questions and Aims                                                                                         13

Search Strategy                                                                                                                   13

Inclusion/Exclusion Criteria                                                                                            14

Title/Abstract Review                                                                                                        14

Full Text Review                                                                                                                 15

Quality Assessment                                                                                                           16

Data Extraction and Analysis                                                                                           17

RESULTS                                                                                                                         19

Overview of studies                                                                                                            19

Meta-analysis of prevalence                                                                                             27

Overview                                                                                                                             27

Any IPV Victimization                                                                                                       28

Physical IPV Victimization                                                                                                29

Sexual IPV Victimization                                                                                                   29

Psychological IPV Victimization                                                                                      30

Qualitative Studies                                                                                                            31

Summary                                                                                                                            32

IPV Perpetration                                                                                                                 39

Descriptive analysis of measurement                                                                             40

Descriptive analysis of risk factors                                                                                  43

Descriptive analysis of protective factors                                                                      46

Descriptive analysis of correlates and associations                                                     47

Descriptive analysis of interventions                                                                             54

DICUSSION                                                                                                             55

Study Overview                                                                                                                  55

Prevalence                                                                                                                           58

Measurement                                                                                                                      65

Risk Factors                                                                                                                          70

Protective factors                                                                                                                76

Correlates and associations                                                                                              77

Interventions                                                                                                                        79

Limitations                                                                                                                            80

Conclusions and Implications                                                                                           82

REFERENCES                                                                                                                   87

APPENDICES                                                                                                                      112

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