Krantz G, Van Phuong T, Larsson V, Thi Bich Thuan N, Ringsberg K C
Centre for Health Equity Studies, Stockholm University and Karolinska Institute, SE-106 91 Stockholm, Sweden.
Public Health. 2005 Nov;119(11):1048-55. doi: 10.1016/j.puhe.2005.03.015. Epub 2005 Aug 8.
A qualitative study was conducted among healthcare staff and district and community leaders in May and June 2002 to describe their perceptions of violence occurring between intimate partners. It focused on male violence towards females, and its forms, consequences and preparedness to act in a rural setting in Vietnam.
Twenty men and 20 women were strategically selected for focus group discussions and a phenomenographic approach was employed.
Violence was described not only as physical but also, primarily, as affecting women's mental health status. Mental violence was exemplified as verbally offending, ignoring or humiliating a woman. Sexual abuse was mentioned less frequently. IPV was considered to be a private matter, occurring in the home away from relatives, neighbours and the local community. Only very serious cases would seek health care. Divorce and deteriorating family finances were reported as serious consequences, not least for the children. Local reconciliation groups, comprised of trusted community members, played a role in mediating, while health professionals were found to be uninformed about prevalence rates and reluctant to intervene.
Gender-based violence needs to receive attention from policy makers, and effective advocacy programmes are needed at all levels. In Vietnam, partner violence against women seems to be recognized at Government level. At community level, Women's Union staff and local reconciliation groups are prepared to act. However, the subject is surrounded by silence. We found that healthcare workers exhibited a lack of understanding of violence against women as a health problem in their own working environment.
2002年5月和6月，对医护人员、地区及社区领导人开展了一项定性研究，以描述他们对亲密伴侣间暴力行为的看法。研究聚焦于男性对女性的暴力行为及其形式、后果，以及越南农村地区对此采取行动的准备情况。
有策略地挑选了20名男性和20名女性进行焦点小组讨论，并采用了现象学方法。
暴力行为不仅被描述为身体暴力，主要还被描述为影响女性心理健康状况。精神暴力表现为辱骂、忽视或羞辱女性。性虐待提及较少。亲密伴侣暴力被视为私事，发生在远离亲属、邻居和当地社区的家中。只有非常严重的情况才会寻求医疗救助。据报告，离婚和家庭经济恶化是严重后果，对孩子的影响尤其大。由受信任的社区成员组成的当地调解小组发挥了调解作用，而卫生专业人员对患病率不知情且不愿干预。
基于性别的暴力行为需要政策制定者予以关注，各级都需要有效的宣传方案。在越南，政府层面似乎认识到了伴侣对女性的暴力行为。在社区层面，妇联工作人员和当地调解小组准备采取行动。然而，这个话题却无人提及。我们发现，医护人员对在其工作环境中针对女性的暴力行为作为一个健康问题缺乏理解。
