Garimella R, Plichta S B, Houseman C, Garzon L
San Jose State University, College of Health Science, California 95192-2988, USA.
J Womens Health Gend Based Med. 2000 May;9(4):405-11. doi: 10.1089/15246090050020727.
Our purpose was to measure the beliefs of physicians about victims of spouse abuse and to examine factors related to holding positive (e.g., supportive) and negative beliefs about providing services to victims of domestic violence. This was a total site sample of 150 physicians (76 responded; RR 51%), surveyed at one time, practicing in a large general hospital and the surrounding urban/periurban area. Four specialities are represented: emergency medicine, family practice, obstetrics-gynecology, and psychiatry. Three aspects of beliefs are measured: beliefs toward physician role in assisting victims of spouse abuse, beliefs about victims of spouse abuse, and beliefs about resources available to physicians to assist victims of spouse abuse. Almost all (97%) physicians believe it is part of their role to assist victims of domestic violence. Almost one third (30%) hold victim-blaming attitudes toward victims of spouse abuse, and the majority (70%) do not believe that they have the resources available to them to assist victims of domestic violence. Being female, younger, practicing obstetrics-gynecology, and having fewer years in practice are all significantly related to holding supportive (positive) beliefs. The majority of negative beliefs held are about resource availability. Hence, training programs may need to be developed locally for physicians and tailored to individual community characteristics. Training programs should also emphasize the importance of understanding the victims of spouse abuse and of not blaming the victims for the violence.
我们的目的是衡量医生对配偶虐待受害者的看法，并研究与对家庭暴力受害者提供服务持有积极（如支持性）和消极看法相关的因素。这是一个在一家大型综合医院及周边城市/城郊地区执业的150名医生的全样本（76人回复；回复率51%），一次性进行调查。涵盖四个专业领域：急诊医学、家庭医学、妇产科和精神病学。衡量看法的三个方面：医生对协助配偶虐待受害者角色的看法、对配偶虐待受害者的看法以及对医生可用于协助家庭暴力受害者的资源的看法。几乎所有（97%）医生都认为协助家庭暴力受害者是他们职责的一部分。近三分之一（30%）的医生对配偶虐待受害者持有指责受害者的态度，而大多数（70%）医生认为他们没有可用于协助家庭暴力受害者的资源。女性、年轻、从事妇产科工作以及执业年限较少都与持有支持性（积极）看法显著相关。所持有的消极看法大多与资源可用性有关。因此，可能需要为医生在当地制定培训项目，并根据个别社区的特点进行调整。培训项目还应强调理解配偶虐待受害者以及不将暴力归咎于受害者的重要性。
