Alessandra Guedes

Ms. Alessandra Guedes

Unicef Innocenti Research Centre, 50121 Florence, Italy
orcid

Research Focus & Metrics

Academic Career Length

7Years (2020-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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21 February 2022 in Revista Panamericana de Salud Pública
Verified
Journal Article
Open access
PDF file
SBSarah Bott
Sarah Bott
Alessandra GuedesAlessandra Guedes
Alessandra Guedes
ARAna P. Ruiz-Celis
Ana P. Ruiz-Celis
JMJennifer Adams Mendoza
Jennifer Adams Mendoza
Objetivo. Describir lo que se sabe acerca de la prevalencia nacional de la violencia por parte de la pareja íntima (VPI) contra las mujeres en las Américas, en los diversos países y en el transcurso del tiempo, incluida la cobertura geográfica, calidad y comparabilidad de los datos nacionales. Métodos. Se realizó una revisión sistemática y reanálisis de las estimativas nacionales de la VPI basadas en la población de 1998 a 2017 en las Américas. Las cifras se reanalizaron para comparabilidad o se extrajeron de los informes, incluida la prevalencia por tipo (física; sexual; o física y/o sexual), marco temporal (alguna vez; durante el último año) y perpetrador (cualquiera pareja en la vida; pareja actual/más reciente). En los países con tres (3+) rondas de datos, se aplicaron las pruebas de Cochran-Armitage y de ji cuadrada de Pearson para evaluar si los cambios en el transcurso del tiempo fueron significativos (p < 0,05). Resultados. Se encontraron encuestas elegibles en 24 países. Las mujeres reportaron haber sufrido alguna vez violencia física y/o sexual por parte de la pareja íntima con tasas que variaron desde el 14% a 17% en Brasil, Panamá y Uruguay hasta más de la mitad (58,5%) en Bolivia. La prevalencia de violencia física y/o sexual por parte de la pareja íntima durante el último año varió desde 1,1% en el Canadá hasta 27,1% en Bolivia. La evidencia preliminar sugiere una posible disminución en la prevalencia reportada para ciertos tipos de VPI en ocho países; sin embargo, algunos cambios fueron pequeños, ciertos indicadores no se modificaron significativamente y se observaron incrementos significativos en la prevalencia reportada de violencia física por parte de la pareja íntima durante el último año en la República Dominicana. Conclusiones. La VPI contra las mujeres sigue siendo un problema de salud pública y de derechos humanos en las Américas; sin embargo, la base de evidencia al respecto tiene deficiencias, lo que apunta a la necesidad de datos de mejor calidad y más comparables, a fin de movilizar y monitorear a la prevención y la respuesta ante la violencia.

22 December 2020 in Child Abuse & Neglect
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Journal Article
Open access
CFCamilla Fabbri
Camilla Fabbri
ABAmiya Bhatia
Amiya Bhatia
MPMax Petzold
Max Petzold
MJMunkhbadar Jugder
Munkhbadar Jugder
Alessandra GuedesAlessandra Guedes
Alessandra Guedes
KDKaren Devries
Karen Devries
The COVID-19 pandemic could increase violence against children at home. However, collecting empirical data on violence is challenging due to ethical, safety, and data quality concerns. This study estimated the anticipated effect of COVID-19 on violent discipline at home using multivariable predictive regression models. Children aged 1-14 years and household members from the Multiple Indicator Cluster Surveys (MICS) conducted in Nigeria, Mongolia, and Suriname before the COVID-19 pandemic were included. A conceptual model of how the COVID-19 pandemic could affect risk factors for violent discipline was developed. Country specific multivariable linear models were used to estimate the association between selected variables from MICS and a violent discipline score which captured the average combination of violent disciplinary methods used in the home. A review of the literature informed the development of quantitative assumptions about how COVID-19 would impact the selected variables under a "high restrictions" pandemic scenario, approximating conditions expected during a period of intense response measures, and a "lower restrictions" scenario with easing of COVID-19 restrictions but with sustained economic impacts. These assumptions were used to estimate changes in violent discipline scores. Under a "high restrictions" scenario there would be a 35%-46% increase in violent discipline scores in Nigeria, Mongolia and Suriname, and under a "lower restrictions" scenario there would be between a 4%-6% increase in violent discipline scores in these countries. Policy makers need to plan for increases in violent discipline during successive waves of lockdowns.

9 December 2021 in BMJ Global Health
Verified
Journal Article
Open access
PDF file
SBSarah Bott
Sarah Bott
ARAna P Ruiz-Celis
Ana P Ruiz-Celis
JMJennifer Adams Mendoza
Jennifer Adams Mendoza
Alessandra GuedesAlessandra Guedes
Alessandra Guedes
Introduction Intersections between violent discipline (physical punishment and/or verbal aggression) of children and intimate partner violence (IPV) against women have received growing international attention. This study aimed to determine how many Latin American and Caribbean (LAC) countries had national data on co-occurring IPV and violent discipline in the same household, how estimates compared and whether violent discipline was significantly associated with IPV. Methods A systematic search (following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) was used to identify which LAC countries had eligible, national co-occurrence data. The most recent eligible dataset in each country was obtained and reanalysed for comparability. Standardised national estimates were produced for prevalence of violent discipline, physical and/or sexual IPV and co-occurrence among ever partnered women of reproductive age living with a child aged 1–14. Bivariate analyses and logistic regressions produced levels and odds ratios (ORs) of physical punishment and verbal aggression in households affected by IPV (past year and before past year) compared with never, adjusted for sociodemographic characteristics. Results Nine countries had eligible datasets. Co-occurring physical punishment with past year IPV ranged from 1.7% (Nicaragua) to 17.5% (Bolivia); and with IPV ever from 6.0% (Nicaragua) to 21.2% (Haiti). In almost all countries, children in IPV affected households experienced significantly higher levels and ORs of physical punishment and verbal aggression, whether IPV occurred during or before the past year. Significant adjusted ORs of physical punishment ranged from 1.52 (95% CI 1.11 to 2.10) in Jamaica to 3.63 (95% CI 3.26 to 4.05) in Mexico for past year IPV; and from 1.50 (95% CI 1.23 to 1.83) in Nicaragua to 2.52 (95% CI 2.30 to 2.77) in Mexico for IPV before past year. Conclusions IPV is a significant risk factor for violent discipline, but few national surveys in LAC measure both. Co-occurrence merits greater attention from policymakers and researchers.

28 November 2022 in BMC Public Health
Verified
Journal Article
Open access
PDF file
SBSarah Bott
Sarah Bott
ARAna P. Ruiz-Celis
Ana P. Ruiz-Celis
JMJennifer Adams Mendoza
Jennifer Adams Mendoza
Alessandra GuedesAlessandra Guedes
Alessandra Guedes
Background: Violent discipline of children and intimate partner violence (IPV) against women are global public health and human rights problems. To address calls for more evidence on intersections, this study aimed to expand knowledge about correlates of physical child punishment, physical IPV against women and their co-occurrence (both) in the same household. Methods: Using national, population-based survey datasets from Colombia, Mexico and Peru, multinomial logistic regressions examined correlates of three mutually exclusive patterns of violence in the household: physical child punishment (only), physical IPV ever (only) and co-occurrence (both), each compared with no violence, after adjusting for other factors. Logistic regression was used to analyse odds ratios of physical child punishment in households affected by IPV past year and before past year compared with never, after adjusting for other factors. Results: In all countries, adjusted odds ratios (aOR) of co-occurrence were significantly higher among women with lower education, more than one child, a child aged 2–5, a partner who tried to socially isolate her, and a history of childhood violence (caregiver violence and/or IPV exposure). They were significantly lower among women who reported collaborative partnerships (joint decision-making and/or shared chores). Co-occurrence was also significantly correlated with a history of child marriage/early motherhood in Colombia and Mexico, partner’s excess drinking in Mexico and Peru, agreement that physical child punishment was necessary in Peru and partner’s history of childhood violence in Colombia and Mexico. Evidence of shared risk factors was strongest for social isolation and caregiver histories of childhood violence and of shared protective factors for collaborative partnership dynamics. In all countries, associations between physical child punishment and physical IPV remained significant after adjusting for other factors, suggesting that correlations could not be explained by shared risk factors alone. Conclusions: These findings are consistent with several theories relevant for violence prevention: 1) more collaborative, gender equitable partnerships may protect both children and women from violence; 2) violence between intimate partners may ‘spill over’ into violence against children (as correlations could not be explained by shared risk factors alone); and 3) there appears to be strong evidence of intergenerational transmission of violence.

16 November 2022 in medRxiv
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Preprint
Open access
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APAmber Peterman
Amber Peterman
KDKaren Devries
Karen Devries
Alessandra GuedesAlessandra Guedes
Alessandra Guedes
JCJoht Singh Chandan
Joht Singh Chandan
SMSonica Minhas
Sonica Minhas
ABAmiya Bhatia
Amiya Bhatia
Changes in research practice during the COVID-19 pandemic necessitates renewed attention to ethical protocols and reporting for data collection on sensitive topics. We systematically searched journal publications from the start of the pandemic to November 2021, identifying 75 studies that collected primary data on violence against women and children. We assess the transparency of ethics reporting and adherence to relevant guidelines against a 14-item checklist of best practices. Studies reported adhering to best practices on 31% of scored items with highest reporting for ethical clearance (87%) and informed consent/assent (84/83%) and lowest reporting for facilitating referrals for minors and soliciting participant feedback (both 0%). Violence studies of primary data collected during COVID-19 report on few ethical standards, obscuring stakeholder ability to enforce a ‘do no harm’ approach and to assess the reliability of findings. We offer recommendations and guidelines to improve future reporting and implementation of ethics within violence studies.