Measuring human rights violations from an ecological perspective using a locally generated instrument: a cross-sectional study of Palestinians in the Israeli-occupied West Bank

This study underscores the importance of considering the family and community as potential human rights perpetrators and highlights the significance of using mixed methods in research to ground findings in participant experiences. Particularly during wartime, as violence permeates daily life, the combination of violations from family, community, government, and military occupiers is likely to be synergistic, exacerbating the experienced suffering and making life increasingly difficult to endure. This may also lead to significant negative impacts on health, whether physical or mental, as health is fundamentally a social and political construct.