Fact sheet No 239: Violence against Women - June 2000
Violence against women and girls is a major health and human rights concern. Women can experience physical or mental abuse throughout their lifecycle, in infancy, childhood and/or adolescence, or during adulthood or older age. While violence has severe health consequences for the affected, it is a social problem that warrants an immediate coordinated response from multiple sectors.
Definition of violence against women
A group of international experts convened by WHO in February 1996 agreed that the definition adopted by the United Nations General Assembly provides a useful framework for the Organization’s activities. The Declaration on the Elimination of Violence against Women (1993) defines violence against women as “any act of gender-based violence that results in, or is likely to result in, physical, sexual or mental harm or suffering to women, including threats of such acts, coercion or arbitrary deprivation of liberty, whether occurring in public or in private life.”
This encompasses, inter alia, “physical, sexual and psychological violence occurring in the family and in the general community, including battering, sexual abuse of children, dowry-related violence, rape, female genital mutilation and other traditional practices harmful to women, non-spousal violence and violence related to exploitation, sexual harassment and intimidation at work, in educational institutions and elsewhere, trafficking in women, forced prostitution, and violence perpetrated or condoned by the state.”
Growing public health concern
• In every country where reliable, large-scale studies have been conducted, results indicate that between 10% and 50% of women report they have been physically abused by an intimate partner in their lifetime.*
Most studies on violence against women indicate that:
• the perpetrators of violence against women are almost exclusively men;
Pathways of violence
Violence against women arises from a combination of individual biological and psychological characteristics as well as social, economic and political factors. The diagram below depicts how the interaction of these individual and social characteristics can constitute protective or risk factors that shape the nature and the consequences of violence.
Measurement of violence against women: data shows only the tip of the iceberg
Accurate and comparable data on violence against women are needed to strengthen advocacy efforts, help policymakers understand the problem, and guide the design of preventive interventions. Unfortunately, data collection efforts that measure the scope and magnitude of the situation of violence against women are hampered by a number of factors, including a) the influence of social and cultural norms in determining what constitutes violence, impeding universal consensus on a definition of violence against women; and, b) changes in reported rates of abuse according to the definition of violence used, the way questions are asked, the type of target population, and the setting of the interview (privacy, familiarity of environment, etc).
A public health approach to the prevention of violence against women
• Collect data to accurately define the problem
Impact of violence against women
Violence against women has serious consequences for their physical and mental health. Abused women are more likely to suffer from depression, anxiety, psychosomatic symptoms, eating problems, and sexual dysfunctions. Violence may affect the reproductive health of women through:
• the increase of sexual risk-taking among adolescents,
Consequences such as HIV/AIDS or unplanned pregnancies may in themselves act as risk factors for further aggression, forming a cycle of abuse.
Effects of violence may also be fatal as a result of intentional homicide, severe injury or suicide.
Burden on health care system
Violence presents an undue burden on the health system:
• Studies from the United States, Zimbabwe and Nicaragua indicate that women who have been physically or sexually assaulted use health services more than women with no history of violence, thus increasing health care costs.
Violence has indirect effects on the society. It represents a drain on the economically productive workforce and generates a climate of fear and insecurity:
• Canada’s national survey on violence against women reported that 30% of battered wives had to cease regular activities due to the abuse, and 50% of women had to take sick leave from work because of the harm sustained.
WHO speaks out: action to address violence against women
• Comprehensive database exists on violence against women and girls, including published and unpublished data from around the globe on domestic violence, rape and sexual assault, child abuse and female genital mutilation.
For further information, journalists can contact:
WHO Press Spokesperson and Coordinator, Spokesperson’s Office, WHO HQ, Geneva, Switzerland/Tel +41 22 791 4458/2599/Fax +41 22 791 4858/e-Mail: email@example.com
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