Physical Harm Research Articles

Autonomy, Violence, and Consent in the Obstetric Field

Abstract Obstetric violence is a structural form of gender, medical, and sexual violence perpetrated by health providers and institutions during pregnancy, birth, and postpartum. It can produce physical, psychological, and symbolic harm to pregnant/birthing people and their families. Obstetric violence results from structural conditions in the technocratic model of birth and the acceptance of biomedicine as the authoritative knowledge in health care. This phenomenon produces patients’ loss of autonomy and capacity to provide informed consent, which increases their vulnerability to unjustified medical procedures, resulting in negative birth experiences. In this paper, I argue that individual autonomy is necessary but not sufficient for legitimately consenting to obstetric care and preventing violence. The liberal framework of individual autonomy often ignores that childbirth is a social event where multiple individuals and cultural factors influence the consent process. Consequently, I discuss the role of relational autonomy in obstetric decision-making and describe some structural barriers that negatively intervene in this process. Finally, I propose that doulas and midwives can help nurture autonomy and caregiving skills in obstetric patients and health providers. This strategy protects the informed consent process, prevents obstetric violence, and can be effective in recentering childbirth in pregnant people and their families.

Teaching mobility, teaching gender in the ladies’ compartments of Mumbai local trains

The local trains of Mumbai, known for their excessive crowding and cramped conditions, are a popular public transport system due to the vast spread of the network and cheap pricing. These trains are also used extensively by women due to the provision of exclusive segregated ladies’ compartments. However, women still need to negotiate with crowds, and push and jostle as they struggle to board and deboard trains. Through an ethnographic study of women’s experiences of travelling by trains, I examine how women learn to be mobile and teach others, such as their children, to navigate the local train system. Analysing women’s narratives of how they learnt to use trains, I find that teaching mobility and teaching gender go hand-in-hand, as women simultaneously internalise codes of appropriate femininity to protect themselves from physical and sexual harm, but also subvert mainstream femininities, as they embark on their everyday train journeys.

PressProtect: Helping Journalists Navigate Social Media in the Face of Online Harassment

Social media has become a critical tool for journalists to disseminate their work, engage with their audience, and connect with sources. Unfortunately, journalists also regularly endure significant online harassment on social media platforms, ranging from personal attacks to doxxing to threats of physical harm. In this paper, we seek to understand how to make social media usable for journalists who face constant digital harassment. To begin, we conduct a set of need-finding interviews with Asian American and Pacific Islander journalists to understand where existing platform tools and newsroom resources fall short in adequately protecting journalists, especially those of marginalized identities. We map journalists' unmet needs to concrete design goals, which we use to build PressProtect, an interface that provides journalists greater agency when engaging with readers on Twitter/X. Through user testing with eight journalists, we evaluate PressProtect and find that participants felt it effectively protected them against harassment and could also generalize to serve other visible and vulnerable groups. We conclude with a discussion of our findings and recommendations for social platforms hoping to build defensive defaults for journalists facing online harassment.

High Prevalence of Dysfunctional Animal–Visitor Interactions in 225 Southeast Asian Zoos and Aquariums

Humans have long delighted in being entertained by captive wild animals. In zoos and aquariums, animal–visitor interactions allow visitors to experience direct or indirect contact with animals. Well-managed animal–visitor interactions can help zoos and aquariums contribute to their educational objectives by eliciting pro-conservation behaviours from visitors while providing good animal welfare for the animals involved. However, some interactions are dysfunctional because they cause physical and psychological harm to the animal and reinforce negative values and beliefs towards conservation. We aimed to assess how dysfunctional animal–visitor interactions are and whether accreditation by zoological associations reduced the number of such interactions. We visited Thai zoos in person and conducted online monitoring of facilities in Southeast Asia. We report 1165 animal–visitor interactions in nine Southeast Asian countries in 225 zoos and aquariums. Taking photos with animals (“selfies”) and riding on animals were scored as the animal–visitor interactions that were the most dysfunctional. The number of animal–visitor interactions was not less in accredited zoos, and there was little difference among countries. Behaviour change needs to form a strategy for change, in addition to robust legislation and improved efforts by zoological associations to push members to maintain standards and mentor non-accredited facilities.

Compensation to Ex-Wives for Domestic Violence in Indonesia

This paper examines divorce lawsuits caused by domestic violence committed by husbands against wives, focusing on the rights of women as victims. In such cases, wives can file for divorce and demand compensation for the physical and psychological harm they have suffered. The study employs a qualitative approach with an analytical descriptive method, using the library method to gather and analyze both primary and secondary literature, including legal documents, laws, scientific articles, and case reports. The research aims to identify patterns, challenges, and solutions related to legal protection for victims of domestic violence in divorce proceedings. The findings reveal that while there are legal provisions for compensation, significant challenges remain, such as social stigma, economic dependence, and limited access to legal resources, which complicate women's ability to claim their rights. Additionally, societal attitudes and gaps in law enforcement further hinder the realization of justice for victims. The study concludes that public awareness campaigns and stronger advocacy are essential to empowering women and ensuring their rights are protected throughout the divorce process. It also emphasizes the need for stricter law enforcement to hold perpetrators accountable and provide justice for victims. This research contributes to improving legal and social frameworks for the protection of women facing domestic violence.

Black Girls Seeing Urban Schools: Visual, Affective, and Discursive (Re)Conceptualizations of Safety

Joining the chorus of Black/Critical Race Feminist scholarship in education, this article explores how both affect and visuality inform understandings of safety for Black girls in schools. Using participatory visual ethnography, I explore how five young Black women at a Philadelphia magnet school conceptualize safety as an affective achievement of visionary school design. I argue that any attempt to address safety for Black girls in urban schools must include attention to the visual school culture and the affective dimensions of the school environment to fully account for the ways these dimensions counter or enable further physical, emotional, or spiritual harm.

Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study.

To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation. Cross-sectional study. A large Danish university hospital. Patients (≥18 years) from various surgical specialities, such as orthopaedic, spinal, abdominal, gynaecological, thoracic, vascular and urological surgery whose surgery was cancelled <2 weeks prior to the scheduled date due to hospital-related causes.OutcomePatient-reported physical and non-physical harm, defined as physical worsening, emotional strain and other consequences, measured using a patient-reported survey. We identified 785 patients whose surgery was cancelled from 1 December 2021 to 1 June 2022, of whom 436 (55.5%) responded to the electronic survey. Physical worsening was reported by 42% and emotional strain by 48% of patients. One-third of patients reported an inability to continue daily activities, and 28% reported a need for an increased dose of analgesics. Emotional strain included various negative feelings such as being disappointed (59%) and lonely (31%). Furthermore, 44% of the respondents feared deterioration of their disease and 9% experienced anxiety of dying. The relative risk of emotional strain was higher in females than in males (54% vs 41%, adjusted relative risk (RR)=1.32 (1.08; 1.63)). A waiting period >30 days compared with ≤30 days was associated with a higher risk of physical worsening (25.3% vs 48.9%, adjusted RR=1.93 (1.42; 2.63)). Harm, measured as physical worsening and emotional strain, is reported with severity by nearly half of respondents following cancellation.

Intimate Partner Violence and Associated Factors Among Pregnant Women in the Conflicted Northeast Ethiopia: A Cross-Sectional Study.

Intimate partner violence (IPV), perpetrated by male partners, inflicts physical, sexual, or psychological harm on women. During pregnancy, it becomes a significant public health concern and human rights violation, especially in conflict-affected areas, affecting both mother and fetus negatively. Research in Ethiopia often overlooks nonusers of antenatal services, primarily conducted in health facilities. This study addresses this gap, aiming to provide valuable insights into community dynamics. Hence, this study assessed the prevalence and factors associated with IPV during pregnancy in the conflict-affected district of Northeast Ethiopia. A community-based cross-sectional study surveyed 603 postpartum women in the Argoba district, Amhara region Northeast Ethiopia, from March 26 to April 25, 2023, utilizing a multistage sampling technique. Data collection employed a structured questionnaire, coded, and entered into Epi-data 4.6, then analyzed using SPSS version 26. Descriptive and Binary logistic regression analyses were conducted. Adjusted odds ratios were computed at a 95% confidence interval [CI], with a significance level set at p < 0.05. Model fit and multicollinearity were assessed for validity. The study found an overall prevalence of 45.1% (95% CI: 41.1-49.1) for IPV during pregnancy, with psychological violence being the most prevalent (38.0%), followed by physical (24.7%) and sexual violence (18.6%). Factors significantly associated with IPV included unwanted pregnancy (AOR = 1.94; 95% CI: 1.10-3.47), women's acceptance of violence (AOR = 2.39; 95% CI: 1.64-3.48), having a partner who chews khat (AOR = 1.99; 95% CI: 1.31-3.03), and spouse's engagement in multiple sexual partners (AOR = 1.63; 95% CI: 1.03-2.58). The study's findings indicate a higher prevalence compared to others, with key factors including unwanted pregnancy, acceptance of violence, khat chewing, and multiple sexual partners. Recommendations include comprehensive sex education, awareness campaigns, relationship counseling, community engagement, improved healthcare access, stronger legal frameworks, and empowerment programs.

Public perceptions of the health impacts of climate change: a survey study in Greece

Abstract Background Climate change is the biggest global health threat of the 21st century. Despite the tremendous challenges, many people remain unaware of the human health implications of climate change. People perceptions about the health harms of climate change can increase public support for the action needed to reduce climate change. The aim of this study was to examine the public perception of climate change as a human health issue in Greece. Methods A population survey study was conducted from October to December 2023 in the municipalities of Messini and Alexandroupoli, Greece, following proportional quota sampling. A questionnaire was developed and included measures about the socio-demographic background of participants, their understanding of key facts about climate change and their views about climate change thread to human health. Results 406 individuals with a mean age 37.7 (sd = 14.8) participated in the study. Participants understood that climate change is happening (93.6%) and 54% of them think climate change is mostly or entirely caused by human activities, whereas 38% think it is caused equally by human activities and natural causes, and about 8% think climate change is mostly or entirely caused by natural causes. A majority of participants reported that climate change has adversely affected the health of people in various way, either a moderate amount or a great deal, including physical or mental harm from forest fires (90%), physical or mental harm from storms and floods (87%), heat-related illnesses (82%), illness due to reduced outdoor air quality (70%) and loss of housing for residents displaced by extreme weather events (70%). Conclusions Participants viewed climate change as an important cause of health harm, however they partially understood that climate change is caused by humans. Public health authorities should educate the public and policymakers about the climate change and advocate for policies to address the human health challenges of climate change. Key messages • Public health authorities should educate the public and policymakers about the climate change problem and its impact to human health. • Providing people with information about the health harms of climate change can increase public support for the actions needed to reduce emissions.

Towards better prepared prisons: monitoring and response to the use of new substances inside prison

Abstract The use of new psychoactive substances (NPS) became an emerging issue in prisons in a number of European countries in 2014-2015. Synthetic cannabinoids were the new psychoactive substances most often reported, followed by synthetic cathinones, synthetic opioids and new benzodiazepines. Quantitative qualitative data on prison and drugs provided by 27 European Member States, Norway and Turkey to the EMCDDA (European Monitoring Centre for Drugs and Drug Addiction). An exploratory study conducted in 2017 found signs of NPS use in prison in 22 countries. Based on 2021-2022 data from a few countries, the lifetime prevalence of NPS in prison ranges from &amp;lt;1 to 19%, with large variation by country. Anecdotal information from 2024 referred to the use of new strong synthetic opioids (nitazene) inside prison. A wide range of physical and mental health harms (e.g. psychosis, disorientation, suicidal ideation, aggressiveness to others or self-harm) has been associated with acute intoxication by, and chronic consumption of NPS inside prison. Recent overdoses associated with the use of nitazene were reported in some prisons in Ireland and the UK. Additionally, the use of NPS in prison can have a disturbing impact on prison management, internal violence and bullying. To date, interventions to tackle the problems related to the use of NPS in prison have tended to focus on supply reduction and controls. Health and social interventions have begun to emerge, but they remain limited. Despite signs of increasing challenges posed by the emergence of NPS since several years, prisons remain largely unprepared to monitor and respond to those challenges. A new key task of the revised EMCDDA mandate (EUDA - European Drug Agency from 2nd of July) is to be better prepared to monitor, forecast and respond to new challenges in the drug field. Prisons should be prepared to adequately address the new challenges posed by the NPS to benefit the health and security of people living and working in prison.

Alcohol related emergencies among adolescents admitted in a referral acute-care center for adults in Genoa, northwest Italy

Abstract Background As a result of underage drinking, adolescents have an increased risk of physical, mental, emotional, and social harm. Methods In order to assess the emergencies for alcohol use, data of the emergency department (ED) of San Martino Hospital - the referral acute-care center for adults in Genoa, Northwest Italy - was analyzed retrospectively. 330 records of 320 adolescents visiting the ED between 2014 and 2023 were considered. Results The median age of access was 16 (IQR 2), 54.8% were males, 17.4% had foreign nationalities, and the average blood alcohol concentration (BAC) was 1.8 g/L (SD 0.7), with 14.7% testing positive for other substances (6.1% benzodiazepines and 11.2% other drugs). 16.8%, 46.6% and 36.6% were assigned an emergency, urgent, and not-urgent acuity code. 2.8% had a repeated episode, 3.4% had to be removed for inappropriate behavior, 7.8% left spontaneously, 13.1% were hospitalized for additional care (5.5% in the Psychiatry ward). The average length of stay was 1.24 days (SD 5.86). Multivariable logistic regression showed that higher age, an emergency code and the use of other substances were positively associated with hospitalization [ORs 1.74 (95%CI 1.1-2.7), p 0.01; 7.1 (95%CI 2.2-22.4) p &amp;lt; 0.001; and 15.6 (95%CI 6.8-35.6) p &amp;lt; 0.001, respectively]. Admission in Psychiatry, in particular, was strongly associated with the use of other substances [OR 11.8 (95%CI 3.8-36.6), p &amp;lt; 0.001]. Multivariable linear regression showed that, in comparison with other access reasons, accidents and decreased consciousness were associated with higher BAC [beta 0.6 (95%CI 0.1-1.1), p 0.01; beta 0.8 (95%CI 0.3-1.2) p &amp;lt; 0.001]. Length of stay, however, was associated with lower BAC [beta -0.2 (95%CI -0.3 -0.01), p 0.04]. Conclusions In Italy, binge drinking affects 120,000 adolescents aged 11-17. Our findings highlight the harm of this practice and support the need for prompt interventions to reduce the onset and prevalence of adolescent alcohol use.

A systematic review of cancer overdiagnosis in multimorbid patients

Abstract Background Cancer screening looks for early signs of cancer in people who do not currently exhibit symptoms. However, screening can also identify abnormalities that do not progress to produce symptoms or death. This could include the identification of tumours, which stop growing or grow very slowly; patients usually die with them rather than from them. We systematically reviewed the literature to investigate the harmful consequences of cancer overdiagnosis in multi-morbid patients. Methods We followed the PRISMA reporting guidelines and registered the review with PROSPERO (CRD42024475175). A Population, Intervention, Comparator, Outcome and Study design (PICOS) framework was used as an organising framework. Peer-reviewed studies were included except case series, case report reviews and conference abstracts. Four large databases (Medline, Embase, APA Psych INFO and Scopus) were searched in Nov23 using appropriate keywords grouped into categories: multimorbidity, overdiagnosis, patient harms, cancer screening. Titles were screened according to the eligibility criteria and their quality assessed. Studies needed to have investigated the extent of harm caused by overdiagnosis (e.g., overtreatment). Results A total of 200 articles were retrieved, with seven meeting our inclusion criteria. All included studies were based in the US. Breast and prostate cancer overdiagnosis was reported to be 15% higher in multimorbid populations compared to the average-risk population. Multimorbid individuals were more vulnerable to the harms of cancer overdiagnosis, with psychological, physical and financial harms reported. Conclusions These findings contribute valuable insights into the intricate interplay between comorbidities, cancer overdiagnosis, and associated harms. Radical treatment interventions in multi-morbid patients can carry greater risk of complications. Current screening guidelines only address average-risk populations; future guidelines need to reflect these findings. Key messages • Cancer overdiagnosis was found to be higher in multimorbid populations compared to the average-risk population. • Multimorbid individuals are also more vulnerable to the harms of cancer overdiagnosis.

The magnitude of parental physical harms: a descriptive report of 76 abusive children in Isfahan.

Victimization of parents by their children is a widespread phenomenon. However, there is a shortage of literature regarding the abusive behavior of children in Iranian society. The primary focus of this study was to highlight the magnitude and nature of the abusive behavior of a handful of Iranian children toward their parents. The sample study comprised 76 cases referred to the Isfahan Forensic Department (IFD) from September 2015 to October 2016. Data were computer analyzed using SPSS-21 by running a couple of descriptive-analytical tests. Most of the victims were elderly mothers above 60 years old. The victims were mostly injured in the neck and head. The majority of the offenders were between 20 to 30 years old, unemployed, with a family history of substance abuse. Significant differences (p less than 0.05) were observed in some variables: gender (women), age (over 60 years), harassment in the residence, having financial authority, 4 children or more (in victims group) and unemployment, single, age between 21-30 years (in offenders group). Children's abusive behavior towards their parents is a multifactorial phenomenon. Family constitution and background appeared to play a pivotal role in shaping the offenders' social behavior and reaction to their parents. Nonetheless, there is a need to explore further the possible causes of parental victimization.

A bibliometric analysis and visualization of global food addiction over the last decade.

Food addiction is a chronic psychological disorder resulting from repeated consumption of highly palatable foods, leading to physical and mental harm. It involves individuals who struggle to control their intake of high-energy, high-fat, and high-sugar foods, often experiencing withdrawal reactions and intense cravings that trigger binge eating during stress. Recent research has focused on the impact of food addiction on physical health, nutrition, and mental well-being. This study aims to review and analyze current evidence on food addiction to advance research in China. A total of 941 articles on food addiction published between January 2013 and April 2023 were analyzed using the Web of Science Core Collection. CiteSpace software was utilized to identify research trends, collaborations among disciplines, authors, and institutions, as well as key topics and emerging keywords. The number of publications on food addiction has steadily increased over the past decade, with the United States leading in research output (393 articles). The University of Michigan and author Gearhardt AN were prominent contributors. Key research topics included obesity, eating disorders, addiction, and overeating. Emerging themes encompassed obesity psychology, food composition, brain function, and behavioral addiction. Global research on food addiction primarily focuses on understanding the psychological and neurological underpinnings, metabolic implications, addictive behaviors, and treatment modalities such as sleeve gastrectomy. Future research aims to develop personalized prevention and intervention strategies for food addiction.

Abuse of Authority by Village Head in Cases of Sexual Violence against Women

The government's efforts to combat sexual violence in society are embodied in the Law on the Elimination of Sexual Violence, reflecting the State's responsibility to protect and improve the psychological well-being of victims, whether they have experienced physical or psychological harm. Protection of women in the workplace is crucial, and ensuring their rights is a legal imperative. The prevalence of sexual violence against women in work environments, often driven by power imbalances, highlights the urgent need for effective legal protection. This research aims to examine the influence of power relations on sexual violence crimes committed by regional officials and to identify optimal legal protections for women who are victims of sexual violence. Employing a normative juridical approach, the research finds that while existing laws are generally adequate for addressing sexual violence, their implementation falls short of expectations. Recommendations include enhancing legal protection to be more victim-centered, as current regulations primarily focus on penalizing perpetrators. There is a need for policies that provide comprehensive protection and justice for female victims of sexual violence.

Gender-Based Violence in the Context of Mothering: A Critical Canadian Health Perspective

Violence against women is a predominant, human rights violation, globally. Understood as any act of gender-based violence resulting in physical, sexual, or psychological harm or suffering to women, approximately 35% of women experience violence across the lifespan. While violence can be experienced at any age, women of reproductive age suffer the greatest prevalence, underscoring that for many women, experiencing violence or the health and social sequelae, which may follow violence, co-occurs with mothering. Mothering in the context of gender-based violence in Canada is complex and multifaceted. In this article, the interplay among gender-based violence and the childbearing stages of pregnancy, birth, and postpartum are explored using an intersectional lens, including consideration of social disparities and equity-deserving groups. Approaches to address gender-based violence among childbearing women, such as an ecological approach and trauma- and violence-informed care, are discussed as implications for further research and practice.

Development and Validation of the Intimate Partner Sexual Violence Scale (IPSVS): A Multi-Dimensional Scale to Measure Sexual Violence in Intimate Relationships.

Intimate partner sexual violence (IPSV) is defined as any non-consensual sexual behavior perpetrated within an intimate relationship. It is overwhelmingly perpetrated by men against women and causes significant harm to the health and wellbeing of victim/survivors. Although it is generally accepted that IPSV is globally prevalent, to date, comprehensive instruments to measure IPSV have been lacking. Moreover, existing measurement tools have largely failed to capture the diversity of perpetrator tactics, the deeply degrading and dehumanizing nature of many IPSV behaviors, and the role of perpetrator intent. As a result, there is a dearth of robust quantitative data to help understand the nature and magnitude of the problem. This article describes the development of a new multi-dimensional measurement tool-the Intimate Partner Sexual Violence Scale (IPSVS). The IPSVS is grounded in qualitative evidence from victim/survivors and examines IPSV as a multi-dimensional phenomenon with perpetrator intent as a central organizing principle. Following consultation with experts, a representative sample of 702 women victim/survivors in Australia completed an online survey including 34 IPSV behaviors to establish reliability and validity of the items. Exploratory factor analysis revealed 20 items across 3 factors-"Dominance and humiliation," "Emotional coercion," and "Aggressive indifference"-explaining 52.681% of the variance. Cronbach's alphas ranged from .741 to .890. These domains highlight that different perpetrator motivations may underlie different types of IPSV, challenging the predominant classification of IPSV according to severity or level of physical harm. The IPSVS has the potential to dramatically improve measurement of sexual violence in intimate relationships and has important implications for future research and practice.

The impact of climate change-related disasters on mental health and epigenetics: a narrative review

Climate change has contributed to an increase in the frequency and intensity of natural disasters such as droughts, wildfires, hurricanes, and floods, leading to both immediate physical harm and long-term mental health consequences. Survivors often experience psychological distress, including anxiety, depression, and post-traumatic stress disorder (PTSD), as a result of these traumatic events. This narrative review explores the intersection of climate change-related disasters, mental health outcomes, and epigenetic modifications. Specifically, we summarize recent findings on how environmental stressors influence both mental health and epigenetic changes, such as DNA methylation. Emerging evidence suggests that epigenetic mechanisms, particularly DNA methylation, could mediate the effects of climate change-related stress on mental health, potentially contributing to the onset of mental disorders like depression, panic disorder, autism spectrum disorder, and attention deficit hyperactivity disorder. We also discuss other epigenetic mechanisms, such as histone modifications and non-coding RNAs, and emphasize the importance of longitudinal studies to capture the dynamic nature of epigenetic changes over time. Finally, we propose future research directions to deepen our understanding of the complex relationships between climate change-related disasters, mental health outcomes, and epigenetic mechanisms, which will pave the way for more effective mental health interventions and policy integration.

Midwife students' attitudes towards violence against women: A pilot study.

The United Nations define violence against women (VAW) as any gender-based violence that causes mental, physical, or economic harm and restricts freedom. The topic has not been studied before in the context of the midwifery curriculum in Estonia. The purpose of the study is to investigate the attitudes of midwife students towards VAW. This pilot study followed a mixed-methods approach. The study population consisted of 77 midwifery students at Tallinn Health Care College from 2022-2023. The online survey was distributed to all Tallinn Health Care College midwifery students. The pilot study is used to validate the questionnaire and obtain initial information. The results show that the midwife students of this study have personal experiences and exposures to different types of violence, and some midwife students had sociocultural misconceptions about VAW. Midwife students have limited knowledge of the impact of violence on women's health and the legislation regarding violence. Midwife students stated that they would not be able to properly help the woman as a victim, as they lack knowledge, skills, and experience, which is an unfortunate factor. The present pilot study showed that midwife students' attitudes towards VAW need improvement. The study raises the need to investigate midwife students' attitudes towards VAW with a larger sample, better-designed method, and validated questionnaire. Topics related to violence should be included in the midwifery curriculum, along with developing practical skills.

Towards Securing Smart Homes: A Systematic Literature Review of Malware Detection Techniques and Recommended Prevention Approach

The exponential growth of the Internet of Things (IoT) sector has resulted in a surge of interconnected gadgets in smart households, thus exposing them to new cyber-attack susceptibilities. This systematic literature review investigates machine learning methodologies for detecting malware in smart homes, with a specific emphasis on identifying common threats such as denial-of-service attacks, phishing efforts, and zero-day vulnerabilities. By examining 56 publications published from 2019 to 2023, this analysis uncovers that users are the weakest link and that there is a possibility of attackers disrupting home automation systems, stealing confidential information, or causing physical harm. Machine learning approaches, namely, deep learning and ensemble approaches, are emerging as effective tools for detecting malware. In addition, this analysis highlights prevention techniques, such as early threat detection systems, intrusion detection systems, and robust authentication procedures, as crucial measures for improving smart home security. This study offers significant insights for academics and practitioners aiming to protect smart home settings from growing cybersecurity threats by summarizing the existing knowledge.