Violence Against Adolescent Girls During the COVID-19 Pandemic: Quantitative Evidence From Rural and Urban Communities in Maharashtra, India

Purpose: While the "shadow pandemic" of violence against women during the global health crisis caused by COVID-19 is well documented, little is known about its impact on adolescent girls. This study assesses the pandemic's effect on different forms of violence against girls in Maharashtra, India. Methods: Adolescent girls from rural communities and urban slum pockets in Pune and Sangli, Maharashtra, were recruited between February and April 2022. Girls were eligible for participation if they were aged 13-18 years, irrespective of additional characteristics such as school attendance, caste or socioeconomic status. Quantitative data on health-related and socioeconomic impacts of the COVID-19 pandemic, family violence, and intimate partner violence (IPV; for married/partnered girls) were collected using audio-and computer-assisted self-interview techniques. We estimated a multivariable logistic regression model to assess the pandemic's impact on violence risk. Results: Three thousand forty-nine adolescent girls were recruited into the study, 251 (8.2%) of whom had been married as children. Two thousand and three (65.7%) girls reported exposure to at least one form of family violence in the preceding year and 405 (71.7%) partnered girls reported incidents of IPV. Domestic violence risk increased significantly in households that suffered greater economic harm (odds ratio = 1.19, 95% confidence interval 1.13-1.26) and negative health consequences (odds ratio = 1.76, 95% confidence interval 1.54-2.02) from the pandemic. Similarly, greater detrimental health and economic impacts were associated with higher IPV risk. Discussion: The COVID-19 pandemic has substantially increased girls' vulnerability to violence. Preventive measures and concerted, youth-focused policy efforts to extend support services to adolescent violence survivors are urgently needed. (c) 2023 Society for Adolescent Health and Medicine. All rights reserved.