Involving the Health Care System in Domestic Violence: What Women Want

被引:41
作者
Usta, Jinan [1 ]
Antoun, Jumana [1 ]
Ambuel, Bruce [2 ]
Khawaja, Marwan [3 ]
机构
[1] Amer Univ Beirut, Dept Family Med, Beirut, Lebanon
[2] Med Coll Wisconsin, Dept Family & Community Med, Milwaukee, WI 53226 USA
[3] Amer Univ Beirut, Fac Hlth Sci, Beirut, Lebanon
关键词
domestic violence; health care system; women; Lebanon; Arab world; screening; primary health care; culture; battered women; spouse abuse; INTIMATE PARTNER VIOLENCE; ARAB IMMIGRANT WOMEN; BATTERED WOMEN; WIFE ABUSE; ATTITUDES; PROFESSIONALS; INTERVENTION; EXPERIENCES; PHYSICIANS; DISORDERS;
D O I
10.1370/afm.1336
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
PURPOSE Domestic violence is prevalent among women using primary health care services in Lebanon and has a negative effect on their health, yet physicians are not inquiring about it. In this study, we explored the attitudes of these women regarding involving the health care system in domestic violence management. METHODS We undertook a qualitative focus group study. Health care professionals in 6 primary health care centers routinely screened women for domestic violence using the HITS (Hurt, Insult, Threaten, Scream) instrument. At each center, 12 women who were screened (regardless of the result) were recruited to participate in a focus group discussion. RESULTS Most of the 72 women encouraged involvement of the health care system in the management of domestic violence and considered it to be a "socially accepted way to break the silence." Women expected health care professionals to have an "active conscience"; to be open minded, ready to listen, and unhurried; and to respect confidentiality. Additionally, they recommended mass media and community awareness campaigns focusing on family relationships to address domestic violence. CONCLUSIONS Addressing domestic violence through the health care system, if done properly, may be socially acceptable and nonoffensive even to women living in conservative societies such as Lebanon. The women in this study described characteristics of health professionals that would be conducive to screening and that could be extrapolated to the health care of immigrant Arab women.
引用
收藏
页码:213 / 220
页数:8
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