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Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies

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dc.contributor.author Hughes, Karen
dc.contributor.author Bellis, Mark
dc.contributor.author Jones, Lisa
dc.contributor.author Wood, Sara
dc.contributor.author Bates, Geoff
dc.contributor.author Eckley, Lindsay
dc.contributor.author McCoy, Ellie
dc.contributor.author Mikton, Christopher
dc.contributor.author Shakespeare, Tom
dc.contributor.author Officer, Alana
dc.date.accessioned 2018-08-02T21:39:53Z
dc.date.available 2018-08-02T21:39:53Z
dc.date.issued 2012
dc.identifier.citation Hughes, Karen; Bellis, Mark; Jones, Lisa; Wood, Sara; Bates, Geoff; Eckley, Lindsay; McCoy, Ellie; Mikton, Christopher; Shakespeare, Tom; Officer, Alana (2012). Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies. The Lancet: 379 (9826), pp. 1621-1629. en_US
dc.identifier.uri http://www.who.int/disabilities/publications/violence_children_lancet.pdf?ua=1
dc.identifier.uri http://hdl.handle.net/20.500.11990/909
dc.description.abstract Background: About 15% of adults worldwide have a disability. These individuals are frequently reported to be at increased risk of violence, yet quantitative syntheses of studies of this issue are scarce. We aimed to quantify violence against adults with disabilities. Methods: In this systematic review and meta-analysis, we searched 12 electronic databases to identify primary research studies published between Jan 1, 1990, and Aug 17, 2010, reporting prevalence estimates of violence against adults (aged mainly ≥ 18 years) with disabilities, or their risk of violence compared with non-disabled adults. We included only studies reporting violence occurring within the 12 months before the study. We assessed studies with six core quality criteria, and pooled data for analysis. Findings: Of 10 663 references initially identified, 26 were eligible for inclusion, with data for 21 557 individuals with disabilities. 21 studies provided data suitable for meta-analysis of prevalence of violence, and ten for meta-analysis of risks of violence. Pooled prevalence of any (physical, sexual, or intimate partner) recent violence was 24· 3% (95% CI 18· 3–31· 0) in people with mental illnesses, 6· 1% (2.5–11.1) in those with intellectual impairments, and 3· 2% (2· 5–4· 1) in those with non-specific impairments. We identified substantial heterogeneity in most prevalence estimates (I2 >75%). We noted large uncertainty around pooled risk estimates. Pooled crude odds ratios for the risk of violence in disabled compared with non-disabled individuals were 1· 50 (95% CI 1· 09–2· 05) for all studies combined, 1·31 (0· 93–1.84) for people with non-specific impairments, 1· 60 (1· 05–2· 45) for people with intellectual impairments, and 3· 86 (0· 91–16· 43) for those with mental illnesses. Interpretation: Adults with disabilities are at a higher risk of violence than are non-disabled adults, and those with mental illnesses could be particularly vulnerable. However, available studies have methodological weaknesses and gaps exist in the types of disability and violence they address. Robust studies are absent for most regions of the world, particularly low- income and middle-income countries. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher World Health Organization (WHO) en_US
dc.subject Meta-analysis en_US
dc.subject Disabled en_US
dc.subject Impairment en_US
dc.subject Underserved Populations en_US
dc.subject Vulnerable Populations en_US
dc.subject Violent Crime en_US
dc.subject Violent Victimization en_US
dc.subject Risk Factors en_US
dc.subject Mental Disorders en_US
dc.subject Mental Health en_US
dc.subject Mental Health Disorders en_US
dc.subject Mentally Ill en_US
dc.subject Cognitive Disability en_US
dc.subject Intellectual Disability en_US
dc.subject Developmentally Delayed en_US
dc.subject Developmental Disability en_US
dc.subject International en_US
dc.subject Physical Assault en_US
dc.subject Sexual Violence en_US
dc.subject Sexual Abuse en_US
dc.subject Intimate Partner Violence en_US
dc.subject Domestic Violence en_US
dc.subject Family Violence en_US
dc.title Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies en_US
dc.type Article en_US


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