Magnussen Lois, Shoultz Jan, Hansen Kay, Sapolu Merina, Samifua Mili
Department of Nursing, University of Hawaii at Manoa, Honolulu, HI 96744, USA.
J Community Health. 2008 Dec;33(6):389-94. doi: 10.1007/s10900-008-9110-z.
The purpose of this study was to examine cultural perceptions, awareness, responses, and actions recommended about IPV by Samoan women served by a Community Health Center (CHC). THEORETICAL FOUNDATION: This investigation is a part of a series of exploratory community based participatory research (CBPR) studies based on critical social theory.
This qualitative study was conducted using focus groups with Samoan women served by a health center. Analysis of qualitative data was accomplished using content analysis. Demographic data were analyzed using descriptive methods.
Eight Samoan women, 18 years and older participated in the focus groups.
The instruments were translated from English to Samoan and back translated into English. The facilitators conducted an initial focus group and a validation group with the same participants. Sessions were taped and transcribed in Samoan and back translated into English.
The women clearly identified IPV and were aware that it occurs in their cultural group. They identified multiple responses of individual women, families, and communities to IPV. In Samoa there was a formalized process for addressing this problem that has been changed in Hawai'i. The CHCs are viewed as an important resource for the families and can be a source of interventions.
Health care providers should be aware of differences between Western notions of independence and the ideals of interdependence held by specific cultural groups. The CHC personnel have raised questions about the appropriateness of using tools that were developed for use with Western women with immigrant women.
本研究的目的是调查社区健康中心(CHC)服务的萨摩亚女性对亲密伴侣暴力(IPV)的文化认知、意识、反应及建议采取的行动。理论基础:本调查是基于批判社会理论的一系列探索性社区参与式研究(CBPR)的一部分。
本定性研究通过对健康中心服务的萨摩亚女性进行焦点小组访谈开展。定性数据的分析采用内容分析法。人口统计学数据采用描述性方法进行分析。
8名18岁及以上的萨摩亚女性参与了焦点小组访谈。
工具从英语翻译成萨摩亚语,再回译成英语。主持人对相同的参与者进行了初始焦点小组访谈和验证小组访谈。访谈进行了录音,并转录成萨摩亚语,然后回译成英语。
这些女性明确识别出亲密伴侣暴力,并意识到这种情况在她们的文化群体中存在。她们指出了女性个体、家庭和社区对亲密伴侣暴力的多种反应。在萨摩亚,解决这个问题有一个正式的程序,而在夏威夷这个程序已有所改变。社区健康中心被视为家庭的重要资源,并且可以成为干预的来源。
医疗保健提供者应意识到西方独立观念与特定文化群体所秉持的相互依存理想之间的差异。社区健康中心的工作人员对将为西方女性开发的工具用于移民女性的适用性提出了疑问。