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Domestic Violence Incidence in Atlanta, Georgia Before and During COVID-19

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Domestic violence is known to be one of the most prevalent forms of gender-based violence in emergency contexts and anecdotal data during the COVID-19 pandemic suggest that related restrictions on movement may exacerbate such violence. As such, the purpose of this study was to measure differences in domestic violence incident reports from police data in Atlanta, Georgia, before and during COVID-19. Thirty weeks of crime data were collected from the Atlanta Police Department (APD) in an effort to compare Part I offense trends 2018-2020. Compared with weeks 1-31 of 2018 and 2019, there was a growth in Part I domestic crimes during 2020 as reported to the APD. In addition, trendlines show that 2020 domestic crimes were occurring at a relatively similar pace as the counts observed in previous years leading up to the pandemic. A spike in domestic crimes was recorded after city and statewide shelter-in-place orders. The rise of cumulative counts of domestic crimes during the COVID-19 period of 2020 compared with the previous 2 years suggests increased occurrence of domestic violence. The co-occurring pandemics of COVID-19 and domestic violence come amidst a period of racial justice reckoning in the United States; both have a disproportionate impact on Black, Indigenous, and People of Color. As the country grapples with how to deal with health and safety concerns related to the pandemic, and the unacceptable harms being perpetrated by police, a public health approach is strongly warranted to address both universal health care and violence prevention.
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Domestic Violence in Atlanta, Georgia
Before and During COVID-19
Dabney P. Evans, PhD, MPH,
1
Shila Rene´ Hawk, PhD,
2
and Carrie E. Ripkey, MPH
1
Abstract
Domestic violence is known to be one of the most prevalent forms of gender-based violence in emergency contexts and
anecdotal data during the COVID-19 pandemic suggest that related restrictions on movement may exacerbate such violence. As
such, the purpose of this study was to measure differences in domestic violence incident reports from police data in Atlanta,
Georgia, before and during COVID-19. Thirty weeks of crime data were collected from the Atlanta Police Department (APD) in
an effort to compare Part I offense trends 2018–2020. Compared with weeks 1–31 of 2018 and 2019, there was a growth in Part
I domestic crimes during 2020 as reported to the APD. In addition, trendlines show that 2020 domestic crimes were occurring at
a relatively similar pace as the counts observed in previous years leading up to the pandemic. A spike in domestic crimes was
recorded after city and statewide shelter-in-place orders. The rise of cumulative counts of domestic crimes during the COVID-
19 period of 2020 compared with the previous 2 years suggests increased occurrence of domestic violence. The co-occurring
pandemics of COVID-19 and domestic violence come amidst a period of racial justice reckoning in the United States; both have
a disproportionate impact on Black, Indigenous, and People of Color. As the country grapples with how to deal with health and
safety concerns related to the pandemic, and the unacceptable harms being perpetrated by police, a public health approach is
strongly warranted to address both universal health care and violence prevention.
Keywords: domestic violence, intimate partner violence, COVID, violence against women, police, crime
Introduction
Intimate partner violence (IPV), including physical,
sexual, and psychological abuse by a past or current
intimate partner [World Health Organization (WHO)
2012], is a ‘‘shadow pandemic’’ that has both preceded
and paralleled the global COVID-19 pandemic (Mlambo-
Ngcuka 2020; Moreira and Pinto de Costa 2020). One of
the most pervasive human rights violations in the world,
before COVID-19, one in three women and girls were
victimized by an abusive partner during their lifetime
(Garcı´a-Moreno et al. 2013).
IPV is known to be one of the most prevalent forms of
gender-based violence in emergency contexts (Stark and Ager
2011); increases in violence, including IPV are a manifesta-
tion of existing gender inequities exacerbated by the cascading
impacts of emergencies (John et al. 2020). During the 2014–
2016 Ebola Virus Disease epidemic in West Africa—which
included strict quarantine measures—widespread increases in
IPV were observed (Onyango et al. 2019). Studies of the
impact of Hurricane Katrina found increased rates of IPV after
the natural disaster; rates of violence against women rose from
4.6 cases per 100,000 per day to >16 cases per 100,000 per
day among those displaced by the storm (Bell and Folkerth
2016). Based on both existing literature and emerging evi-
dence, there is reason to believe that COVID-19 will follow
this pattern of increased violence.
Data from earlier emergencies and anecdotal data during
the pandemic suggest that COVID-19-related restrictions on
movement may exacerbate IPV. Early in the pandemic, coun-
tries hard hit by COVID-19 began raising the alarm bell about
the impacts of the disease on IPV occurrence. France saw a
36% increase in the number of reported IPV cases (Godin 2020;
Strianese 2020). Police in China reported that 90% of the
causes of recent IPV cases could be attributed to the pandemic
(Wanqing 2020). An online survey of 15,000 Australian women
found that 65.4% of women who experienced IPV during the
pandemic experienced violence for the first time, or observed an
1
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
2
Applied Research Services, Inc., Atlanta, Georgia, USA.
ªDabney P. Evans et al. 2020; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative
Commons Attribution Noncommercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits any noncommercial use, dis-
tribution, and reproduction in any medium, provided the original author(s) and the source are cited.
VIOLENCE AND GENDER
Volume 00, Number 00, 2020
Mary Ann Liebert, Inc.
DOI: 10.1089/vio.2020.0061
1
escalation in the intensity or frequency of violence relative to
earlier experiences, supporting the notion of emergencies ex-
acerbating underlying vulnerabilities and inequities (Boxall
et al. 2020). Increased economic strain and diminished health
care capacity to support survivors are among the potential rea-
sons for such dramatic effects.
Before COVID-19, nearly 20 people every minute in
the United States were physically abused by an intimate
partner (Black et al. 2011). Early concerns about increases
in IPV during the pandemic have prompted mental health
organizations to issue statements outlining the potential
impacts of COVID-19 on IPV [Abramson 2020; Sub-
stance Abuse and Mental Health Services Administration
(SAMHSA) 2020]. These concerns have proven to be well
founded as early reporting indicated significant increases
in calls to police and domestic violence hotlines (Bosman
2020; Crombie 2020).
In Georgia—even before the onset of shelter-in-place
regulations—there was a 79% increase in domestic violence
cases in comparison with the previous year, suggesting that
individuals were experiencing significant impacts early in
the outbreak (Burns 2020). Georgia is notable because it
was the first US state to ‘‘re-open’ (Jarvie 2020); although
the state did not experience a COVID-19 case spike initially
by August 2020 it was among a number of states where
both COVID-19 cases and deaths were increasing—and at
numbers significantly higher than they had been during
movement restrictions (New York Times 2020).
As concerns about the ‘‘shadow pandemic’’ mount and as
COVID-19 cases continue, the need for additional data on
the impacts of COVID-19 on IPV are apparent (Emezue
2020; UN Women 2020). In the absence of real-time IPV-
related data, domestic crime data serve as the best available
proxy measure. The purpose of this study was to measure
differences in domestic violence incident reports from po-
lice data in Atlanta, Georgia, before and during COVID-19.
Materials and Methods
Setting
Before the pandemic Georgia ranked 10th in the nation
for the rate at which women were killed by men; the
state’s certified domestic violence agencies answered
52,282 crisis calls in 2019; yet, over 4,700 women and
their children were turned away from shelters owing to
lack of space demonstrating the significant health need for
Georgians even before COVID-19 [Georgia Commission
on Family Violence (GCFV) 2020; Violence Policy
Center (VPC) 2019].
Georgia instituted a mandatory shelter–in-place order one
month after the first known COVID-19 case in the state (Fig. 1).
The statewide shelter in place was lifted on May 1, 2020 despite
continuing infections, although high-risk individuals were urged
to continue sheltering in place (Raymond 2020). In addition to
the COVID-19 pandemic, widespread civil unrest and protests
followed the murder of George Floyd including several high-
profile events in Atlanta in late May and early June (Fausset and
Levenson 2020; Macaya and Hayes 2020). The murder of
Rayshard Brooks by an Atlanta Police officer shortly thereafter
escalated tensions between civil society and municipal authori-
ties (Wall Street Journal 2020).
Data source
The Atlanta Police Department (APD) is one of the few
that provide open source crime data that are regularly
FIG. 1. Timeline of COVID-19 and racial unrest in Georgia.
2 EVANS ET AL.
updated. Part I offense data are released for public use based
on all incidents stored in the APD electronic Integrated
Compliance Information System (ICIS) Case Management
and available through the APD Open Data portal. The APD
Open Data portal can be queried by current day or the prior
day for an HTML list of incidents. Historical data from 2009
to 2019 can also be downloaded as a comma delimited
(.csv) file. The APD feeds these data into the LexisNexis
Community Crime Map for the public to filter and plot with
basic analytical tools. Preliminary testing of crime patterns
during the pandemic using the mapping dashboard sug-
gested further analysis were warranted.
Through a separate portal, select year-to-date 2020 incident-
level data can be extracted, lagging a maximum of 2 weeks
from the current date. These data are based on APD crime
incidents and are posted by the APD Weekly Crime Reports.
PDFs with management stats include aggregate totals by week
on common crimes of concern and arrests. None of the afore-
mentioned formats, however, include domestic crime counts.
Measures
Part I crime types are defined by the Federal Bureau of
Investigation’s (FBI) Uniform Crime Reports (UCR) (U.S.
Department of Justice, n.d.). If multiple crimes occur during
the same event, the incident is captured using the ‘‘hierarchy
rule,’’ which ranks Part I crimes from most to least serious
as follows: homicide, manslaughter, rape, robbery, assault,
burglary, larceny-theft, motor vehicle theft, and arson (U.S.
Department of Justice 2011). APD offense definitions fol-
low the standards set by the FBI with the exception of arson,
which is excluded from the APD data as Part I offense. The
incident-level data for Atlanta include only the most serious
offense occurring during the episode (i.e., APD offense id#).
This differs from the FBI’s UCR program data, which are
recorded by victim allowing for multiple crimes to be in-
cluded within a single report.
Domestic crimes are as subset of Part I crimes—most
often appearing as a subcategory of assault but also as a
subset of other serious crimes such as homicide. Domestic
crimes can include nonpartner relationships, such as family
violence and child abuse. Therefore, our measure is broader
than IPV, but inclusive of it. Because crime data routinely
uses the term domestic crimes, we use the term domestic
violence instead of the term IPV when making reference to
the data used here and reserve use of the term IPV for
references to the larger literature on this topic.
Study ethics
The study was reviewed by the Emory University Institu-
tional Review Board and deemed exempt from review based
on the nature of the secondary analysis of de-identified data.
Data collection and management
Crime data were collected on August 10, 2020 from the
APD Open Data Portal historical repository to capture
2018–2019 incidents; the Crime Data Downloads portal was
queried to gather 2020 year-to-date incidents [Atlanta Police
Department (APD) 2020]. The historical dataset and 2020
data can be queried by month, year, and crime type among
other attributes, all of which were extracted. The raw data
files were imported to SPSS, and then merged into an
original incident-level dataset. Measures for analyses were
coded into week-level measures by study year, 2018–2020.
Six cumulative crime counts were calculated summing Part I
and domestic crimes reported within the same 7 days for
each year (i.e., week total plus all prior week totals). Two
measures of the 2020 percent change in Part I and domestic
crimes were computed by taking the difference in the most
recent incident counts from the year before, then using the
prior year total as the denominator or expected baseline (i.e.,
2020 # -2019 #/2019 #). Three per capita crime rate mea-
sures were set to equal the cumulative count multiplied per
standard unit of residents over the estimated yearly population
(e.g., 2020 rate =weekly aggregate # ·100,000/2020 popula-
tion). Population estimates were retrieved from the United
States Census Bureau. Finally, the complete dataset was ex-
ported to Microsoft Excel software for data visualization in
analyses.
Data analysis
Crime data were examined for changes in Atlanta do-
mestic crimes before and during the pandemic. First, we
questioned whether domestic crimes had increased in 2020
compared with prior years and if so, whether the timing
aligned with the issuance of city and/or state-level shelter-
in-place orders. Graphing the cumulative counts allowed us
to model yearly trendlines through August 1, 2020 and as-
sess the sharpness of their divergence across years. Second,
we questioned how much domestic crimes had changed
from the year prior and if the observed change was simply
reflective of the general crime trends in the city. A layer bar
chart was generated using percent change computations for
all Part I and domestic crimes to explore the variance in the
subset of incidents within the broader crime context. Third,
we questioned if the observed changes in domestic crime
patterns were reflective of population changes over time.
We explored this by tabulating the domestic crime counts
normalized to the city population as a rate per 100,000
residents and crosswalking the rows. These analyses per-
mitted us to examine the fluctuations and intensity of do-
mestic crimes while accounting for population size across
years—an apples-to-apples comparison.
Results
Compared with weeks 1–31 of 2018 and 2019 there has
been a growth in Part I domestic crimes during 2020 as
reported to the APD (Fig. 2). By week 31 of 2020, a total of
376 domestic incidents had been reported. Leading up to the
pandemic the trendlines show that 2020 domestic crimes
were occurring at a relatively similar pace as the counts
observed in previous years, even overlapping with 2019.
Then, a spike in domestic crimes was recorded following
city and statewide shelter-in-place order (weeks 12–13). The
uptick gained in intensity each passing week until it leveled
off during the same time that the statewide shelter-in-place
order was lifted in week 18. Domestic crimes began rising
again in weeks 24–28, the period corresponding with the
fallout from the murder of Rayshard Brooks and a spike in
COVID-19 cases pulling the 2020 domestic crimes line
even further from earlier years.
DOMESTIC VIOLENCE IN ATLANTA DURING COVID-19 3
To understand the extent of the domestic crimes increase
and see if it mirrored broader crime trends, we examined the
percent change in crimes across the Part I total relative to
domestic crimes (Fig. 2). The 2019–2020 percent change for
domestic crimes was larger, yet in the same direction as all
Part I offenses until week 14 when the statewide shelter in
place was in effect.
In the subsequent weeks, domestic crimes increased by
11%, whereas Part I offenses decreased by 20%—a 31%
difference (Fig. 3). It is notable that some of the highest
domestic crime percent changes took place during the time
that city and statewide shelter-in-place orders were in effect,
whereas the largest decreases in Part I offenses align with
the protests after George Floyd’s death (Table 1).
Because population increases might affect domestic crimes
counts, rates were calculated to validate yearly comparison
results and report the effect size. Table 1 displays the Part I
domestic crimes rates per 100,000 residents by year. It is
estimated that the Atlanta population increased by more than
25,000 people between 2018 and 2020. After controlling for
that difference, our results show that domestic crimes per
capita have been rising in 2020 compared with previous years.
In week 31, there were nearly 72 domestic crimes per 100,000
residents: over a 5-unit increase from the same weeks in 2018
and 2019.
Discussion
COVID-19 is a ‘once in a century pandemic’ that has
posed unprecedented challenges to health and economic
systems; globally greater than 243 million women and girls
are simultaneously at risk of increasing violence as part of the
‘‘shadow pandemic’’ (Gates 2020). Recognizing the potential
for increased IPV risk as a result of the pandemic and its
associated movement restrictions, this study sought to explore
differences in domestic crime incidents reported to the police
in Atlanta, Georgia before and during COVID-19.
We found that cumulative counts of domestic crimes
were higher during the COVID-19 period of 2020 than in
the preceeding two years suggesting increased occurrence
of domestic violence, especially during shelter-in-place
orders. This is consistent with a reported 42% increase in
domestic violence calls, only 2% of which were repeat
offenses suggesting increased first-time violence during
the COVID-19 period (Braverman 2020). People in vio-
lent relationships may experience difficulty calling for
help and they may be unsure if police will report to be able
to help them given COVID-19. These call data suggest
that at least some proportion of people experiencing vio-
lence are able to reach out to police; our data on increased
incident reports suggest that police are reporting to assist
during domestic incidents.
We observed that overall Part I offenses substantially
decreased during the COVID-19 period relative to the
previous year. This finding is in contrast to National
Crime Victimization Survey data from 2015 to 2018,
which indicated a 28% increase in violent victimizations
(Morgan and Oudekerk 2019). As a small silver lining to
the tremendous harms of the pandemic itself, our findings
suggest that during the first few months of the COVID-19
pandemic Part I offenses slowed indicating a general de-
crease in crime in Atlanta, Georgia, even during periods of
FIG. 2. Growth in Atlanta Po-
lice Department reported Part I
domestic crimes through August 1
by year.
4 EVANS ET AL.
FIG. 3. Year-to-date Part I offenses: 2020–2019 percent change total versus domestic crimes through July 25, 2020.
5
civil unrest; this is in contrast to media portrayal of civil
protests during this period being violent or characterized
by criminal activity.
However, during the same time period domestic crimes
increased substantially, corroborating the ‘‘shadow pan-
demic’’ hypothesis and prior reports. People experiencing
violence in their relationships during emergencies must
weigh the risks of leaving during an uncertain time or
staying and facing potential harm at the hands of a partner.
The time during and shortly after a survivor leaves a violent
relationship is known to be among the most dangerous and
is a known femicide risk factor (Campbell et al. 2003).
These domestic incident data also suggest an overall in-
crease in IPV. Under normal circumstances: poverty, un-
employment, economic stress, and social isolation are all
risk factors for violence perpetration (Centers for Disease
Control and Prevention 2019; Jewkes et al. 2013). Many of
these factors worsen in the contexts of natural disasters and
emergencies, including notable increases in financial strain
(UN Women 2020). Unemployment claims in Georgia have
surged 400% since the onset of the pandemic, likely indi-
cating co-occurring financial stress for many isolated at
home (Hagemann and Booker 2020; Kanell 2020). Al-
though employment status was not a variable in our data, the
high unemployment rates in Georgia as a result of the
COVID-19 pandemic may be contributing to higher incident
reports and IPV occurrence. Addressing unemployment and
financial hardship at the family level through the provision
of direct economic assistance, unemployment benefits, and
the reduction of housing and food insecurity should be a
priority endeavor that would benefit those facing harms as a
result of COVID-19 and those at risk of experiencing IPV.
In addition, current pandemic response efforts ought to
consider ways to specifically direct resources to domestic
violence prevention and response programming—including
as follow-up to Part I offenses—and in emergency rooms
where those experiencing injury as a result of domestic
crimes are likely to receive care; future emergency and
preparedness plans should similarly include scaled-up IPV
response given what is now known about the increased
likelihood of increases in IPV during public health emer-
gencies and natural disasters.
At the same time COVID-19 has been ravaging the
United States, the country has experienced a racial justice
reckoning (Elving 2020). As calls to defund the police
mount, policy makers and communities must grapple with
how to simultaneously address the health and safety con-
cerns related to the pandemic—including potential increases
in IPV—and the unacceptable harms being perpetrated by
police against Black, Indigenous, and People of Color
(BIPOC) [Black Lives Matter (BLM) 2020; Sinyangwe and
McKesson 2020]. A public health approach is warranted to
address both universal health care and violence prevention;
police divestment and community investment strategies
Table 1. Atlanta Police Reported Part I Domestic Crime Rate per 100,000 Residents
Week No. Start date End date
2020 Rate
(population
estimated 523,738)
2019 Rate
(population
estimated. 506,811)
2018 Rate
(population
estimated 498,044)
2 January 5 January 11 4.201 2.170 3.213
3 January 12 January 18 5.346 4.538 5.421
4 January 19 January 25 6.683 5.919 8.031
5 January 26 February 1 8.974 6.314 9.838
6 February 2 February 8 10.310 8.682 12.248
7 February 9 February 15 13.556 11.641 13.653
8 February 16 February 22 15.848 13.220 16.464
9 February 23 February 29 17.184 15.785 18.874
10 March 1 March 7 19.094 16.377 20.079
11 March 8 March 14 21.576 18.350 22.689
12 March 15 March 21 23.485 19.534 24.697
13 March 22 March 28 26.731 22.099 26.504
14 March 29 April 4 27.686 24.269 28.512
15 April 5 April 11 28.640 27.032 30.720
16 April 12 April 18 34.177 28.018 32.527
17 April 19 April 25 37.041 29.794 35.740
18 April 26 May 2 38.569 32.557 37.748
19 May 3 May 9 40.669 35.122 40.358
20 May 10 May 16 43.533 38.081 41.563
21 May 17 May 23 45.061 39.462 43.972
22 May 24 May 30 48.116 42.028 45.578
23 May 31 June 6 50.598 43.409 47.787
24 June 7 June 13 53.080 45.974 50.598
25 June 14 June 20 57.281 48.736 53.007
26 June 21 June 27 59.572 53.274 55.417
27 June 28 July 4 62.627 55.642 58.629
28 July 5 July 11 65.300 59.391 60.637
29 July 12 July 18 66.636 61.956 63.448
30 July 19 July 25 69.882 63.929 64.854
31 July 26 August 1 71.792 76.557 66.661
6 EVANS ET AL.
complement a public health approach and center BIPOC
who are disproportionately impacted by both COVID-19
and IPV [Godoy and Wood 2020; Petrosky et al. 2017; The
Movement for Black Lives ( M4BL) 2020].
Limitations
We used readily available crime data to examine differ-
ences in Part I offenses including domestic offenses during the
COVID-19 period. Our data come from one city, thus may not
be generalizable; however, they do provide evidence into what
is happening within Atlanta, Georgia, which policy makers
can utilize. Although these data are timely and may serve as a
rapidly available proxy, they are not equivalent to standard
health measures such as IPV incidence. Because domestic
crimes can include nonpartner relationships such as family
violence, this measure is broader than IPV although inclusive
of it; therefore, our data cannot be used as a direct measure of
IPV. However, previous research suggests around half of vi-
olent victimizations go unreported to the police ( Morgan and
Kena 2018). Therefore, it is likely that the data on domestic
crime presented here are still an underestimation of IPV. The
absence of domestic crimes during Part II incidents within our
data is another limitation, although one that underscores the
idea that our data are reflective of an underestimation. Given
that health data routinely lag years behind—and given the
urgency of the potential harms of the pandemic—we believe
use of police data are appropriate even given their limitations.
Conclusions
As the COVID-19 pandemic continues, future research
exploring differences in IPV-related injuries in health care
settings and IPV support services demand and utilization
during the COVID-19 pandemic would complement the data
presented, especially because anecdotal reports suggest a
marked increase in demand for services (Fox 5 Atlanta 2020;
Oppenheimer and Rayam 2020). Additional analysis ac-
counting for pandemic-related movement restrictions would
also provide nuance into the effects of these restrictions on
IPV occurrence, allowing for more appropriate planning by
policy makers as they work to balance protection of public
health with limitations on free movement during the COVID-
19 pandemic and in other future public health emergencies.
Acknowledgments
The authors thank the APD for the provision of timely open
source crime data. The authors are also grateful to the Injury
Prevention Research Center at Emory University for facili-
tating the introduction of the authors and this collaboration.
Author Disclosure Statement
No competing financial interests exist.
Funding Information
No funding was received in support of this work.
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Address correspondence to:
Dabney P. Evans, PhD, MPH
Hubert Department of Global Health
Rollins School of Public Health
Emory University
1518 Clifton Road, NE, Mailstop 1518-002-7BB
Atlanta, GA 30322
USA
E-mail: dabney.evans@emory.edu
8 EVANS ET AL.
... The results of a study in Atlanta, Georgia, showed that the number of domestic violence incidents increased during the COVID-19 pandemic in 2020 compared to 2018, indicating a rise in domestic violence rates during this period [9]. According to a study in Peru, the rate of domestic violence complaints increased by 48% compared to pre-pandemic levels [10]. ...
... The results of the literature review show that quarantine, social distancing, social isolation, school and business closures, and travel restrictions have made many people around the world victims of domestic violence [9][10][11][12][13][14][15][16]18]. In the study by Jetelina et al. prolonged quarantine, concerns about disease transmission, stressors (such as job loss, insufficient income and social support limitations), access to a large amount of information about COVID-19 infection and its prognosis on social media, hopelessness, fatigue and job burnout, were reported as factors associated with domestic violence during the COVID-19 pandemic [19]. ...
... The literature review indicates that quarantine and its consequences, such as social distancing and isolation, school and business closures, and travel restrictions imposed by governments to prevent the spread of CO-VID-19 infection, are primary contributors to the rise in domestic violence during this pandemic [9][10][11][12][13][14][15][16]18]. Studies show an increase in domestic violence following stay-at-home orders, with rates rising by 10%-27% in the U.S., 40%-50% in Brazil, 30% in France, 18% in Spain, and tripling in China [21]. ...
... Interviews with our participants revealed a consistent IPV pattern that supports prior research [23,41,42]: women from all socio-economic backgrounds experienced some form of IPV prior to the COVID-19 pandemic. ...
... These findings align with previous research showing that before the pandemic, around 35% of women globally experienced IPV [42]. They are also supported by other studies that report risk factors for IPV, including lower socio-economic status, unemployment or financial dependence on the perpetrator, limited social support, geographic isolation, and community tolerance of IPV [23,41,42]. A correlation was noted between middle and lower socio-economic status and IPV incidence before the pandemic [42], but, unlike our study, no distinctions were made between the types of violence women were facing. ...
... A correlation was noted between middle and lower socio-economic status and IPV incidence before the pandemic [42], but, unlike our study, no distinctions were made between the types of violence women were facing. Our findings concur with some studies that conclude that women are generally more subjected to psychological violence than to other forms of IPV [42], with racialized and indigenous women facing higher IPV rates in general [41]. ...
Article
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The COVID-19 pandemic brought on a marked increase in intimate partner violence (IPV) worldwide, Mexico being no exception. Factors that exacerbated gender-based violence (GBV) in the household during the pandemic include gendered loss of income, regression in access to social and legal justice resources, reversal to more traditional gender norms and roles, and increased alcoholism. While there are studies about the prevalence and determinants of IPV in rural and urban Mexico, there appears to be a lack of information regarding how these realities differed as they interacted with the compounding pressures of the COVID-19 pandemic. Stemming from 10 ethnographic interviews with women across rural and urban localities of Oaxaca, Mexico City, and Mexico State, who were recruited from NGOs providing psychological and legal services against GBV, we analyze some factors associated with the prevalence of IPV during confinement. We conclude that all women in our study experienced IPV both before and during the pandemic, with variations in IPV patterns influenced by their rural or urban residence, socio-economic status, ethnic-racial identity, and proximity to the abuser’s network. We also found that not all impacts were negative, rather COVID-19 measures had a paradoxical effect for some women where restrictions on geographical mobility and decrease in access to alcohol became pivotal protective factors. We recommend that public policymakers and civil society organizations alike pay attention to these differential challenges and benefits in their crisis responses.
... While efforts are underway within the criminal justice and public health sectors to better track violent deaths, deficient surveillance systems limit efforts to estimate the annual incidence of femicide in the U.S. Here, we position femicide as a preventable death that should be treated as a social and public health problem and a distinct form of homicide in the legal code. This approach is especially salient, given the documented increase of non-lethal intimate partner violence (IPV) in major cities (5) and nationally (6) during the COVID-19 pandemic, demonstrating the collateral impacts of public-health crises on violence against women (VAW). ...
... Lacking a clear legal definition of femicide in the U.S. and a surveillance system that identifies and classifies these murders accurately, such acts may appear isolated, hiding the scope of the problem and limiting public health prevention and legal response. Drawing from our experience researching VAW in the U.S. (5,17,18) and lessons learned from countries in Latin America (10,19) and the UK (20-22), we call upon U.S. policy makers to implement three urgent actions regarding the legal conceptualization and surveillance of femicide data in the U.S.: ...
... The trend lines indicate that the public health system (WONDER) consistently captures more female homicides than does the crime tracking system (UCR). While the crude rate of reported female homicides has decreased since the 1980s, an uptick in female homicides appeared in 2020 during the COVID-19 pandemic, which corroborates other studies (5,17). Regarding intimate partner homicides, UCR data indicate that intimate partners perpetrate about one third of all female homicides; however, a substantial percentage of female homicides are missing information on victim-perpetrator relationship. ...
... In the U.S., very early media reports emphasized a rise in domestic violence hotline calls 1 [6,7]. Since then, evidence has accumulated of elevated levels of VAW, particularly IPV, in communities across the U.S. during the early months of the pandemic [8][9][10][11]. This violence coupled with the disparate economic impacts of the COVID-19 pandemic on women have the potential to reverse the limited progress made on curbing VAW during recent decades [12]. ...
... A recent meta-analysis of VAW during the COVID-19 pandemic also suggests an increase in reported incidents of IPV in the U.S. [11]. While a few studies indicate no increase in IPV [32,33] or even a decrease [34], Piquero and colleagues' [11] review indicated an overall increase in IPV, with a mean effect size of 0.87 in the U.S. Importantly, prior studies looking at the impact of COVID-19 on VAW in the U.S. had been limited in scope to a single city with multiple measures of violence or several cities but with only one measure of IPV [8,35,36], which may have misrepresented the actual nature of the pandemic's effects on violence against women [37]. ...
Article
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Background The necessary execution of non-pharmaceutical risk-mitigation (NPRM) strategies to reduce the transmission of COVID-19 has created an unprecedented natural experiment to ascertain whether pandemic-induced social-policy interventions may elevate collateral health risks. Here, we assess the effects on violence against women (VAW) of the duration of NPRM measures that were executed through jurisdictional-level orders in the United States. We expect that stay-at-home orders, by reducing mobility and disrupting non-coresident social ties, are associated with higher incident reporting of VAW. Methods We used aggregate data from the Murder Accountability Project from January 2019 through December 2020, to estimate count models examining the effects of the duration of jurisdictional-level (N = 51) stay-at-home orders on femicide. Additionally, we used data from the National Incident-Based Reporting System to estimate a series of count models that examined the effects of the duration of jurisdictional-level (N = 26) stay-at-home orders on non-lethal violence against women, including five separate measures of intimate partner violence (IPV) and a measure of non-partner sexual violence. Results Results from the count models indicated that femicide was not associated with COVID-19 mitigation strategies when adjusted for seasonal effects. However, we found certain measures of non-lethal VAW to be significantly associated in adjusted models. Specifically, reported physical and economic IPV were positively associated with stay-at-home orders while psychological IPV and non-partner sexual violence were negatively associated with stay-at-home orders. The combination measure of all forms of IPV was positively associated with the duration of stay-at-home orders, indicating a net increase in risk of IPV during lockdowns. Conclusions The benefits of risk-mitigation strategies to reduce the health impacts directly associated with a pandemic should be weighed against their costs with respect to women’s heightened exposure to certain forms of violence and the potentially cascading impacts of such exposure on health. The effects of COVID-19 NPRM strategies on IPV risk nationally and its immediate and long-term health sequelae should be studied, with stressors like ongoing pandemic-related economic hardship and substance misuse still unfolding. Findings should inform the development of social policies to mitigate the collateral impacts of crisis-response efforts on the risk of VAW and its cascading sequelae.
... The GCFV found a 42% increase in family violence-related fatalities in Georgia from 2012 to 2022 (27). These data align with an increase in IPV calls and cases attributed to the COVID-19 pandemic suggesting a "new normal" for family and intimate partner violence in Atlanta (28). ...
Article
Full-text available
Introduction: Hospitals and community-based organizations (CBOs) provide the service-base for survivors of intimate partner violence (IPV), particularly those in acute crisis. Both settings face discrete challenges in meeting survivors' needs. In hospitals these challenges include the pressures of a fast-paced work setting, and a lack of trauma-informed and survivor-centered care. Connections to community care are often unmeasured, with relatively little known about best practices. Often IPV survivors who receive hospital care fail to connect with community-based services after discharge. Despite the critical role of CBOs in supporting IPV survivors, there is limited research examining the perspectives and insights of CBO staff on the challenges and opportunities for improving care coordination with hospitals. The purpose of this study was to address this knowledge gap by characterizing CBO staff perceptions of IPV care coordination between hospital and community-based organizations in Metropolitan Atlanta. Methods: We used a qualitative study design to conduct a cross-sectional examination of the perceptions and experiences of staff working at CBOs serving IPV survivors in Metropolitan Atlanta, Georgia. The adapted in-depth interview (IDI) guide was used to explore: (1) IPV survivor experiences; (2) Survivors' needs when transitioning from hospital to community-based care; (3) Barriers and facilitators to IPV care coordination; and (4) Ideas on how to improve care coordination. Data analysis consisted of a thematic analysis using MAXQDA Analytics Pro 2022. Results: Participants (N = 14) included 13 women and one man who were staff of CBOs serving IPV survivors in Metropolitan Atlanta. CBO staff perceived that: (1) IPV survivors face individual-, organizational-, and systems-level barriers during help seeking and service provision; (2) Care coordination between hospitals and CBOs is limited due to siloed care provision; and (3) Care coordination can be improved through increased bidirectional efforts. Conclusion: Our findings highlight the multi-level barriers IPV survivors face in accessing community-based care following medical care, the limitations of existing hospital-CBO coordination, and opportunities for improvement from the perspectives of CBO staff. Participants identified silos and inconsistent communication/relationships between hospital and CBOs as major barriers to care connections. They also suggested warm handoffs and a Family Justice Center to support care connection.
... The comparison of seasonal observation periods also showed a substantial increase in domestic violence during the pandemic. This increase is consistent with findings from previous studies [22][23][24][25][26][27]. In Austria, during the first year of the COVID-19 crisis, namely 2020, there was a significant increase in phone calls to the Women's Helpline Against Violence. ...
Article
Full-text available
Background: An alarming increase in domestic violence was reported during the COVID-19 pandemic worldwide. The aim of this study is to investigate changes in the frequency and the nature of domestic violence at the largest level-one trauma center in Austria. Methods: All patients admitted to our institution with domestic violence injuries 15 months before and after the beginning of the COVID-19 pandemic were included. For our analysis, we investigated the frequency of trauma patients after domestic violence in relation to all other trauma patients. Furthermore, age, sex, citizenship, injury pattern, injured body regions, injury mechanism, offender–victim relationship, and hospitalization rate were also analyzed. Results: Among all trauma patients admitted, the ratio of patients who reported domestic violence injuries increased from 0.465% to 0.548% since the start of the pandemic. In addition, out of the total count of domestic violence victims, the percentage of Austrian citizens increased significantly from 51.2% to 60.6% (p = 0.016). All other parameters showed no significant changes pre and post-pandemic. Conclusion: The COVID-19 pandemic contributed to a relative increase in patients with domestic violence injuries at the largest trauma unit in Austria, along with a significant increase among Austrian citizens. The remaining study parameters did not differ significantly, indicating that the frequency changed during the pandemic but not the underlying pattern of domestic violence.
Article
This integrative review aims to analyze and synthesize existing literature to inform our understanding of the multifaceted dimensions of domestic violence during the first year of the COVID-19 pandemic, using a holistic and ecological framework. Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) study design, searches were conducted on six databases, yielding a final sample of 58 articles. The study comprehensively overviews North America, South America, Asia, Europe, Africa, and worldwide research. The literature reveals an alarming increase in domestic violence victimization during the pandemic in most regions and studies, exacerbating pre-existing vulnerabilities. The increase in domestic violence during the pandemic is linked to ecological factors such as lower physical and mental health, rising substance use, and financial stress, which heightened individuals’ vulnerability. Lockdowns exacerbated these issues by increasing confinement in homes, disrupting support services, and limiting victims’ access to help. Barriers to help-seeking and amplified personal and professional stressors at the care level are identified. Advocacy for improved awareness, cooperation, and inclusive national and institutional policies emerges. This study underscores the urgency of empirical research to generate reliable data on the pandemic’s impact on domestic violence. The findings of this study highlight the importance of understanding unique factors affecting specific groups, as well as informing prevention efforts and targeted interventions. Recognizing the mutual benefit of research–practice partnerships is crucial in addressing and preventing domestic violence. This research contributes to a deeper understanding of domestic violence during the pandemic’s first year, guiding empirically informed interventions and policy changes.
Article
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Before COVID-19, 1 in 3 women and girls, globally, were victimized by an abusive partner in intimate relationships. However, the current pandemic has amplified cases of domestic violence (DV) against women and girls, with up to thrice the prevalence in DV cases compared to the same time last year. Evidence of the adverse effects of the pandemic on DV is still emerging, even as violence prevention strategies are iteratively being refined by service providers, advocacy agencies, and survivors to meet stay-at-home mandates. Emotional and material support for survivors is a critical resource increasingly delivered using digital and technology-based modalities, which offer several advantages and challenges. This paper rapidly describes current domestic violence mitigation approaches using digital solutions, signaling emerging best practices to support survivors, their children, and abusers during stay-at-home advisories. Some examples of technology-based strategies and solutions are presented. An immediate priority is mapping out current digital solutions in response to COVID-related domestic violence, and outlining issues with uptake, coverage, and meaningful use of digital solutions.
Technical Report
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This paper presents the findings from an online survey of 15,000 Australian women about their experience of domestic violence during the initial stages of the COVID-19 pandemic. In the three months prior to the survey, conducted in May 2020, 4.6 percent of women who responded to the survey experienced physical or sexual violence from a current or former cohabiting partner. Almost six percent (5.8%) of women experienced coercive control and 11.6 percent reported experiencing at least one form of emotionally abusive, harassing or controlling behaviour. For many women, the pandemic coincided with the onset or escalation of violence and abuse. Two-thirds of women who experienced physical or sexual violence by a current or former cohabiting partner since the start of the COVID-19 pandemic said the violence had started or escalated in the three months prior to the survey. Many women, particularly those experiencing more serious or complex forms of violence and abuse, reported safety concerns were a barrier to help-seeking.
Article
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The COVID‐19 pandemic exposes underlying inequalities in our socio‐economic and health systems, such as gender‐based violence (GBV). In emergencies, particularly ones that involve quarantine, GBV often increases. Policymakers must utilize community expertise, technology and existing global guidelines to disrupt these trends in the early stages of the COVID‐19 epidemic. Gender norms and roles relegating women to the realm of care work puts them on the frontlines in an epidemic, while often excluding them from developing the response. It is critical to value women’s roles in society and include their voices in the decision‐making process to avoid unintended consequences and ensure a comprehensive response that caters to the needs of the most vulnerable groups.
Chapter
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During the 2013-2015 Ebola virus disease (EVD) outbreak in West Africa, response efforts focused on containing the disease and reducing the number of new cases to zero. While this focus was important, protocols were never established to protect adolescent girls and young women during the outbreak. As quarantines and school closures were put in place to contain the spread of disease, women and adolescent girls were vulnerable to coercion, exploitation, and sexual abuse, some of which resulted in unwanted pregnancies. Young women and adolescent girls were also unable to attend community meetings where education and instructions were given about how to protect themselves from contracting the disease. While the number of Ebola-infected patients and deaths were recorded accurately, victims of violence during the outbreak went uncounted, unrecognized, and unattended. Gender was overlooked during the response, leaving young girls highly vulnerable. Future response must ensure equitable health systems and consider sexual and reproductive health services as essential during response. The creation of safe spaces and empowering teenage girls with information and support is important. Safe spaces can provide adolescent girls with security, livelihood skills, psychosocial counselling for gender-based violence, and access to sexual and reproductive health information and referral services.
Article
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Homicide is one of the leading causes of death for women aged ≤44 years.* In 2015, homicide caused the death of 3,519 girls and women in the United States. Rates of female homicide vary by race/ethnicity (1), and nearly half of victims are killed by a current or former male intimate partner (2). To inform homicide and intimate partner violence (IPV) prevention efforts, CDC analyzed homicide data from the National Violent Death Reporting System (NVDRS) among 10,018 women aged ≥18 years in 18 states during 2003-2014. The frequency of homicide by race/ethnicity and precipitating circumstances of homicides associated with and without IPV were examined. Non-Hispanic black and American Indian/Alaska Native women experienced the highest rates of homicide (4.4 and 4.3 per 100,000 population, respectively). Over half of all homicides (55.3%) were IPV-related; 11.2% of victims of IPV-related homicide experienced some form of violence in the month preceding their deaths, and argument and jealousy were common precipitating circumstances. Targeted IPV prevention programs for populations at disproportionate risk and enhanced access to intervention services for persons experiencing IPV are needed to reduce homicides among women.
Article
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Background: Rape perpetration is under-researched. In this study, we aimed to describe the prevalence of, and factors associated with, male perpetration of rape of non-partner women and of men, and the reasons for rape, from nine sites in Asia and the Pacific across six countries: Bangladesh, China, Cambodia, Indonesia, Papua New Guinea, and Sri Lanka. Methods: In this cross-sectional study, undertaken in January 2011–December 2012, for each site we chose a multistage representative sample of households and interviewed one man aged 18–49 years from each. Men self-completed questions about rape perpetration. We present multinomial regression models of factors associated with single and multiple perpetrator rape and multivariable logistic regression models of factors associated with perpetration of male rape with population-attributable fractions. Findings: We interviewed 10 178 men in our study (815–1812 per site). The prevalence of non-partner single perpetrator rape varied between 2·5% (28/1131; rural Bangladesh) and 26·6% (225/846; Bougainville, Papua New Guinea), multiple perpetrator rape between 1·4% (18/1246; urban Bangladesh) and 14·1% (119/846; Bougainville, Papua New Guinea), and male rape between 1·5% (13/880; Jayapura, Indonesia) and 7·7% (65/850; Bougainville, Papua New Guinea). 57·5% (587/1022) of men who raped a non-partner committed their first rape as teenagers. Frequent reasons for rape were sexual entitlement (666/909; 73·3%, 95% CI 70·3–76·0), seeking of entertainment (541/921; 58·7%, 55·0–62·4), and as a punishment (343/905; 37·9%, 34·5–41·4). Alcohol was a factor in 249 of 921 cases (27·0%, 95% CI 24·2–30·1). Associated factors included poverty, personal history of victimisation (especially in childhood), low empathy, alcohol misuse, masculinities emphasising heterosexual performance, dominance over women, and participation in gangs and related activities. Only 443 of 1933 men (22·9%, 95% CI 20·7–25·3) who had committed rape had ever been sent to prison for any period. Interpretation: Rape perpetration committed by men is quite frequent in the general population in the countries studied, as it is in other countries where similar research has been undertaken, such as South Africa. Prevention of rape is essential, and interventions must focus on childhood and adolescence, and address culturally rooted male gender socialisation and power relations, abuse in childhood, and poverty. Funding: Partners for Prevention—a UN Development Programme, UN Population Fund, UN Women, and UN Volunteers regional joint programme for gender-based violence prevention in Asia and the Pacific; UN Population Fund Bangladesh and China; UN Women Cambodia and Indonesia; United Nations Development Programme in Papua New Guinea and Pacific Centre; and the Governments of Australia, the UK, Norway, and Sweden.
Article
Intimate Partner Violence (IPV) is a global pandemic and many have been victims of it long before Covid-19. International organizations have documented an increase in IPV reports during the current pandemic, raising awareness of the potential causes for such an increase. Reflecting on risk factors associated with IPV, and the underlying need of the perpetrators to exert control over the victims, it becomes increasingly important to understand how the current policies of social distancing, self-isolation, and lockdown can precipitate episodes of IPV. Furthermore, access to specialized services and health care can be compromised, and health care professionals face new challenges and demands imposed by the pandemic while managing IPV cases. This article begins by examining the main risk factors more commonly associated with IPV in the literature. It proceeds by reflecting on how these risk factors may be exacerbated during the Covid-19 pandemic, which can explain the increased number of reports. Finally, it emphasizes the new challenges faced by health care professionals, while assisting IPV victims during the pandemic and provides possible recommendations on actions to implement during and beyond the Covid-19 pandemic to prevent such cases.
Article
Methods: A scoping review of mental and physical health effects experienced by women following natural disasters in the United States was conducted. Articles from 2000-2015 were included. Databases examined were PubMed, PsycInfo, Cochrane, JSTOR, Web of Science, and databases available through ProQuest, including ProQuest Research Library. Results: A total of 58 articles were selected for inclusion, out of an original 149 that were selected for full-text review. Forty-eight articles, or 82.8%, focused on mental health outcomes. Ten articles, or 17.2%, focused on IPV. Discussion Certain mental health outcomes, including PTSD, depression, and other significant mental health concerns, were recurrent issues for women post-disaster. Despite the strong correlation between experience of mental health consequences after disaster and increased risk of domestic violence, studies on the risk and mediating factors are rare. The specific challenges faced by women and the interrelation between negative mental health outcomes and heightened exposure to IPV following disasters require a solid evidence base in order to facilitate the development of effective interventions. Additional research informed by theory on probable health impacts is necessary to improve development/implementation of emergency relief policy. Bell SA , Folkerth LA . Women's mental health and intimate partner violence following natural disaster: a scoping review. Prehosp Disaster Med. 2016;31(6):1-10.