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Record W4409340517 · doi:10.1038/s41562-025-02144-2

The health effects associated with physical, sexual and psychological gender-based violence against men and women: a Burden of Proof study

2025· review· en· W4409340517 on OpenAlexaff
Caroline Stein, Luísa Sório Flor, Gabriela Gil, Mariam Khalil, Molly E Herbert, Aleksandr Y. Aravkin, Alejandra Arrieta, María José Baeza, Flavia Bustreo, Jack Cagney, Renzo Calderón-Anyosa, Sinclair Carr, Jaidev Kaur Chandan, Joht Singh Chandan, Carolina V. N. Coll, Fabiana Martins Dias de Andrade, Gisele Nepomuceno de Andrade, Alexandra N Debure, Erin DeGraw, Ben Hammond, Simon I Hay, Felícia Marie Knaul, Rachel Qian Hui Lim, Susan A. McLaughlin, Nicholas Metheny, Sonica Minhas, Jasleen K Mohr, Erin C Mullany, Christopher J L Murray, Erin M O’Connell, Vedavati Patwardhan, Sofia Reinach, Dalton Scott, Cory N Spencer, Reed J D Sorensen, Heidi Stöckl, Aisha Twalibu, Aiganym Valikhanova, Nádia Vasconcelos, Peng Zheng, Emmanuela Gakidou

Bibliographic record

VenueNature Human Behaviour · 2025
Typereview
Languageen
FieldSocial Sciences
TopicIntimate Partner and Family Violence
Canadian institutionsMcGill University
FundersBill and Melinda Gates Foundation
KeywordsMiscarriagePsychiatryAbortionMedicineAnxietyPublic healthReproductive healthClinical psychologyPsychologyPopulationPregnancyEnvironmental health

Abstract

fetched live from OpenAlex

The health impacts of exposure to physical, sexual or psychological gender-based violence (GBV) against men and women are substantial yet not well delineated. We systematically reviewed and meta-analysed 40 studies to evaluate the associations between GBV (including but not limited to intimate partner violence) and eight health outcomes: sexually transmitted infections excluding HIV, maternal abortion and miscarriage, HIV/AIDS, major depressive disorder, anxiety disorders, drug use disorders, alcohol use disorders and self-harm. Using the Burden of Proof methods, we generated conservative metrics of association-including star ratings from one to five-reflecting both effect size and evidence strength. Sexual violence was associated with six outcomes, with moderate, three-star evidence of association for sexually transmitted infections, maternal abortion and miscarriage, and major depressive disorder-increasing the risk by at least 104%, 101% and 50%, respectively. Seven outcomes were associated with physical GBV with two- or one-star associations, reflecting weak associations and/or inconsistent evidence. Of the four health outcomes analysed in relation to psychological GBV, one, major depressive disorder, had a significant association with a one-star rating. These findings emphasize the serious health consequences of GBV for survivors and the necessity of additional data to further our understanding of this complex public health issue.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.941
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.051
GPT teacher head0.428
Teacher spread0.376 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2025
Admission routes1
Has abstractyes

Explore more

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