Du Mont Janice, Macdonald Sheila, White Meghan, Turner Linda
Author Affiliations: 1Women's College Research Institute, Women's College Hospital and the Dalla Lana School of Public Health, University of Toronto; 2Women's College Hospital and Ontario Network of Sexual Assault/Domestic Violence Treatment Centres; and 3Ontario Network of Sexual Assault/Domestic Violence Treatment Centres.
J Forensic Nurs. 2013 Jul-Sep;9(3):129-39. doi: 10.1097/JFN.0b013e31829e9608.
Little is known about the characteristics of women with disabilities who have experienced abuse and their satisfaction with care received from specialized healthcare providers working in hospital-based violence services.
To address this gap, we surveyed clients presenting to 30 sexual assault/domestic violence treatment centers (SA/DVTCs) in Ontario.
Of the 920 women aged 12 years or older who completed a survey, 194 (21%) reported having a disability. Bivariate analyses revealed that women with a disability who experienced abuse were more likely than those without a disability to be older, separated, widowed or divorced, and unemployed; to live alone or to be homeless or living in a shelter; and to report less support from family and friends or colleagues. Women with disabilities were less likely to have been assaulted by acquaintances known for < 24 hours, to be students, and to have been accompanied to the SA/DVTC by another person. Women with disabilities were also more likely than those without disabilities to sustain physical injuries in the assault. Despite these significant differences, almost all women with disabilities rated the care received as excellent or good (97%) and reported that they received the care needed (98%); were able to choose the preferred care (95%); felt safe during the visit (96%); and were treated sensitively (97%), respectfully (96%), and in a nonjudgmental manner (96%). Furthermore, 96% stated that they would recommend the services to others.
Women with disabilities were overwhelmingly satisfied with SA/DVTC services. However, given their distinct vulnerabilities and increased risk of being injured, attending health providers should receive training relevant to working with this population.
对于遭受虐待的残疾女性的特征以及她们对在医院暴力服务部门工作的专业医疗服务提供者所提供护理的满意度，我们知之甚少。
为填补这一空白，我们对安大略省30个性侵犯/家庭暴力治疗中心（SA/DVTC）的就诊客户进行了调查。
在920名年龄在12岁及以上且完成调查的女性中，194名（21%）报告有残疾。双变量分析显示，遭受虐待的残疾女性比无残疾女性更有可能年龄较大、分居、丧偶或离婚且失业；独自生活、无家可归或住在收容所；报告从家人、朋友或同事那里得到的支持较少。残疾女性遭受相识时间不足24小时的熟人袭击的可能性较小，是学生的可能性较小，且由他人陪同前往SA/DVTC的可能性较小。残疾女性在袭击中遭受身体伤害的可能性也比无残疾女性更大。尽管存在这些显著差异，但几乎所有残疾女性都将所接受的护理评为优秀或良好（97%），并报告她们得到了所需的护理（98%）；能够选择首选护理（95%）；在就诊期间感到安全（96%）；并得到了体贴的治疗（97%）、尊重的治疗（96%）和无偏见的治疗（96%）。此外，96%的人表示会向他人推荐这些服务。
残疾女性对SA/DVTC服务极为满意。然而，鉴于她们明显的脆弱性和受伤风险增加，提供医疗服务的人员应接受与该人群合作相关的培训。
