Kaye Dan K, Ekström Anna Mia, Johansson Annika, Bantebya Grace, Mirembe Florence M
Department of Obstetrics and Gynaecology, Makerere University Medical School, Kampala, Uganda.
Scand J Public Health. 2007;35(2):180-6. doi: 10.1080/14034940600858490.
Why domestic violence survivors develop adverse outcomes following domestic violence during pregnancy is unclear, but may depend on how survivors cope with the stress of violence. The objective was to describe strategies pregnant adolescents employ in coping with domestic violence.
This was a qualitative study involving 16 in-depth interviews with adolescent domestic violence survivors who attended the antenatal clinic in Mulago hospital, Kampala, Uganda, from January to May 2004. Theoretical sampling, necessitated by the emergent theory from sequential data collection and analysis, further provided diversity of experiences from adolescents of different ages, parity, pregnancy duration, and socioeconomic status until saturation was reached. Data were analyzed using grounded theory.
Survivors described varied experiences of physical, sexual, and psychological violence. Coping strategies employed were analyzed as: Minimizing damage - decreasing impact and severity of violence, withdrawal - physical or social withdrawal, seeking help and retaliation (fighting back). Coping strategies were influenced by adolescence and pregnancy, and are explained in relation to theories of coping with stress.
Coping strategies adopted by pregnant adolescent survivors range from problem-focused approaches to emotion-focused approaches. Coping strategies are influenced markedly by adolescence and pregnancy.
孕期遭受家庭暴力的女性幸存者为何会出现不良后果尚不清楚，但这可能取决于幸存者应对暴力压力的方式。目的是描述怀孕青少年应对家庭暴力所采用的策略。
这是一项定性研究，于2004年1月至5月对16名在乌干达坎帕拉穆拉戈医院产前诊所就诊的青少年家庭暴力幸存者进行了深入访谈。由于从顺序数据收集和分析中产生的理论需要进行理论抽样，进一步提供了来自不同年龄、胎次、孕期和社会经济地位的青少年的多样化经历，直至达到饱和状态。使用扎根理论对数据进行分析。
幸存者描述了身体、性和心理暴力的不同经历。所采用的应对策略被分析为：最小化伤害——降低暴力的影响和严重程度、退缩——身体或社交退缩、寻求帮助和报复（反击）。应对策略受青春期和怀孕的影响，并根据应对压力的理论进行了解释。
怀孕青少年幸存者采用的应对策略从以问题为中心的方法到以情绪为中心的方法不等。应对策略明显受到青春期和怀孕的影响。
