Morse Diane S, Paldi Yael, Egbarya Samah Salaime, Clark Cari Jo
Center for Community Health, University of Rochester School of Medicine, Jerusalem, Israel.
Fam Syst Health. 2012 Mar;30(1):19-31. doi: 10.1037/a0027137. Epub 2012 Feb 13.
This study informs health care approaches to gender-based family violence through focus groups with Jordanian women. The authors conducted a thematic qualitative analysis of 12 focus groups among 70 married, divorced, or widowed women about their experiences and beliefs regarding family violence. Five themes relevant to health care providers were identified. Three of the themes addressed participant-perceived causes of gender-based family violence: (1) unmet gender role expectations; (2) stigma and social norms; and (3) extended family roles. The fourth theme reflected effects on victims. The fifth theme reflected protective qualities and help-seeking behaviors. The themes identified in the analysis revealed multiple ways that gender-based family violence can contribute to health problems and that it can be kept secret by Jordanian women as patients. Potential clues are described for the violence which may not be typically explored in a medical encounter. Additional ways that Jordanian families may seek help from other family or clergy instead of police and family violence agencies are described. Implications of these results for health care providers who care both for Jordanians and Arab immigrants in Western cultures are discussed.
本研究通过与约旦女性进行焦点小组讨论，为基于性别的家庭暴力的医疗保健方法提供了信息。作者对70名已婚、离异或丧偶女性组成的12个焦点小组进行了主题定性分析，了解她们关于家庭暴力的经历和信念。确定了与医疗保健提供者相关的五个主题。其中三个主题涉及参与者所认为的基于性别的家庭暴力的原因：（1）未满足的性别角色期望；（2）耻辱感和社会规范；（3）大家庭角色。第四个主题反映了对受害者的影响。第五个主题反映了保护特质和求助行为。分析中确定的主题揭示了基于性别的家庭暴力可能导致健康问题的多种方式，以及约旦女性作为患者可能会对其保密。描述了暴力行为的潜在线索，这些线索在医疗问诊中可能不会被典型地探究。还描述了约旦家庭可能向其他家庭成员或神职人员而非警察和家庭暴力机构寻求帮助的其他方式。讨论了这些结果对在西方文化中照顾约旦人和阿拉伯移民的医疗保健提供者的影响。
