When committed against pregnant women, sexual violence may have adverse health consequences for both the mother and the unborn child. To date, no studies have systematically summarized the global prevalence of sexual violence against pregnant women. We conducted a comprehensive search of PubMed, Embase and Web of Science from inception dates to January 2021 for studies reporting the prevalence of sexual violence against pregnant women. Prevalence was estimated using a random-effects meta-analysis. Heterogeneity was evaluated using the I2 statistic. Differences by study level characteristics were estimated through subgroup analysis and meta-regression. A total of 10 cross-sectional studies (a total of 8,439 participants) were included. The pooled proportion of sexual violence was 0.31 (95% CI: 0.22-0.40). Subgroup analyses showed higher prevalence of sexual violence against pregnant women in the 2010-2019 period (0.35, 95% CI0.15-7.53) and developing countries (0.32, 95% CI0.19-0.45). Almost one in three (31%) pregnant women around the world has been a victim of sexual violence in their lifetime. Sexual violence against pregnant women continues to be a major public health challenge. The global prevalence of sexual violence against pregnant women warrants the collective attention of the entire society.

目的 了解我国全科医生留职意愿现状和影响因素,为稳定全科医生队伍提供参考.方法 于2021年3-5月,采用多阶段分层随机抽样的方法,在我国东、中、西部随机抽取4 632名全科医生进行问卷调查.结果 共纳入4 578名全科医生,其留职意愿平均得分为(21.67±4.05)分.工作地在中部(β=-0.07)或西部(β=-0.04)、文化程度较高(β=-0.05)、日均工作时间较长(β=-0.05)、加班频率高(β=-0.05)、工作压力大(β=-0.12)是降低全科医生留职意愿的主要因素.而年龄较大(β=0.21)、工作年限较长(β=0.04)、拥有副高及以上职称(β=0.06)、年收入较高(β=0.07)则是提升全科医生留职意愿的主要因素.结论 我国全科医生离职意愿处于中等水平,影响全科医生留职意愿的因素众多,政府和相关管理者应采取相应措施,稳定全科医生队伍,提升我国全科医生的职业吸引力.

The objectives of this study were to determine coronavirus disease 2019 (COVID-19) vaccination hesitancy and influencing factors in China, while broadening the applicability of the Vaccine Hesitancy Scale (VHS). A cross-sectional survey was conducted in China from 4th to 26th February 2021. Convenience sampling method was adopted to recruit participants. A total of 2,361 residents filled out the questionnaire. Confirmatory factor analysis was used on the validation set to confirm the latent structure that resulted from the exploratory factor analysis, which was conducted on the construction set. Multiple linear regression model analyses were used to identify significant associations between the identified the revised version of VHS subscales and hypothesized explanatory variables. Two subscales were identified within the VHS through data analysis, including “lack of confidence in the need for vaccines” and “aversion to the risk of side effects.” The results indicated that the hesitancy of the participants in our sample was both driven the two mainly aspects. In addition, more than 40% of the participants expressed hesitation in half of the items in VHS. This study characterized COVID-19 vaccine hesitancy in China, and identified disparities in vaccine hesitancy by socio-demographic groups and knowledge about the vaccine. Knowledge of the vaccine was statistically linked to respondents’ answers to the clustered ‘lack of confidence’ and ‘risks perception’ items. Our results characterize Chinese citizens’ COVID-19 vaccine concerns and will inform targeted health communications.