Chang Judy C, Decker Michele, Moracco Kathryn E, Martin Sandra L, Petersen Ruth, Frasier Pamela Y
University of North Carolina at Chapel Hill, USA.
J Am Med Womens Assoc (1972). 2003 Spring;58(2):76-81.
To describe positive and negative consequences of health care screening for intimate partner violence from the perspectives of female survivors.
We conducted 7 semistructured focus group interviews with 41 women in battered women's shelters or intimate partner violence support groups.
Positive consequences of screening included: recognizing that the violence was a problem, decreased isolation, and feeling that the medical provider cared. Negative consequences included: feeling judged by the provider, increased anxiety about the unknown, feeling that the intervention protocol was cumbersome or intrusive, and disappointment in the provider's response.
We found that both positive and negative consequences can result from screening for intimate partner violence and that they are related to provider behavior. The positive consequences described by the participants reflect changes in their attitudes, thoughts, and feelings that may precede help seeking. A better understanding of consequences can help providers tailor screening approaches and interventions for intimate partner violence.
从女性幸存者的角度描述医疗保健机构筛查亲密伴侣暴力行为的积极和消极后果。
我们对受虐妇女庇护所或亲密伴侣暴力支持小组中的41名女性进行了7次半结构化焦点小组访谈。
筛查的积极后果包括:认识到暴力是个问题、孤独感减轻、感觉医疗服务提供者关心自己。消极后果包括:感觉受到提供者的评判、对未知情况的焦虑增加、感觉干预方案繁琐或具有侵扰性、对提供者的反应感到失望。
我们发现,筛查亲密伴侣暴力行为可能会产生积极和消极后果,且这些后果与提供者的行为有关。参与者描述的积极后果反映了她们在寻求帮助之前态度、思想和感受的变化。更好地理解这些后果有助于提供者为亲密伴侣暴力行为量身定制筛查方法和干预措施。