丹麦女性和全科医生在一般实践中提出亲密伴侣暴力问题的障碍：一项定性研究。
Barriers among Danish women and general practitioners to raising the issue of intimate partner violence in general practice: a qualitative study.
机构信息
Institute of Marketing and Organisation, Aarhus University, Bartholins Allé 10, 8000 Aarhus C, Aarhus, Denmark.
出版信息
BMC Womens Health. 2014 Jun 3;14:74. doi: 10.1186/1472-6874-14-74.
BACKGROUND
Thirty-five percent of Danish women experience sexual or physical violence in their lifetime. However, health care professionals are not in the practice of asking about intimate partner violence (IPV) in Denmark. It is currently unknown what hinders general practitioners from asking about partner violence and how Danish women would perceive such an inquiry. This aspect has not previously been explored in Denmark. An exploratory study was conducted to examine what hinders general practitioners (GPs) from asking and what Danish women's views and attitudes are regarding being asked about IPV.
METHODS
Data were collected through individual and group interviews with a sample of three GPs and a diverse sample of 13 women, including both survivors of partner violence and those without any history of partner violence. An interpretative analysis was performed with the data.
RESULTS
This study provides important knowledge regarding the barriers and attitudes towards inquiry about IPV in primary care in Denmark. Results indicate that Denmark is facing the same challenges when responding to survivors of IPV as other similar countries, including Sweden, Norway, the UK, USA, and Australia. Danish women want general practitioners to ask about violence in a respectful and non-judgemental manner. However, general practitioners are resistant towards such an inquiry and would benefit from training regarding how to respond to women who have been exposed to IPV.
CONCLUSIONS
It is acceptable to inquire about IPV with women in Denmark in a non-judgemental and respectful way. Informing about IPV prevalence is important prior to the inquiry. However, general practitioners require more awareness and training before a favourable environment for this change in procedure can be created. Further large-scale research is needed to support the evidence generated by this small study.
背景
35%的丹麦女性在其一生中会经历性暴力或身体暴力。然而，丹麦的医疗保健专业人员并没有询问亲密伴侣暴力（IPV）的习惯。目前尚不清楚是什么阻碍了全科医生询问伴侣暴力问题，以及丹麦女性会如何看待这样的询问。在丹麦，这方面的情况以前从未被探讨过。进行了一项探索性研究，以研究是什么阻碍了全科医生（GP）进行询问，以及丹麦女性对被询问 IPV 的看法和态度。
方法
通过对三名全科医生和 13 名不同女性（包括曾经遭受过伴侣暴力和没有任何伴侣暴力史的女性）的个人和小组访谈收集数据。对数据进行了解释性分析。
结果
这项研究提供了关于丹麦初级保健中询问 IPV 的障碍和态度的重要知识。研究结果表明，丹麦在应对 IPV 幸存者方面面临着与其他类似国家（包括瑞典、挪威、英国、美国和澳大利亚）相同的挑战。丹麦女性希望全科医生以尊重和非评判的方式询问暴力问题。然而，全科医生对此类询问持抵制态度，并希望接受有关如何回应遭受 IPV 暴露的女性的培训。
结论
在丹麦，以非评判和尊重的方式询问 IPV 是可以接受的。在询问之前，告知 IPV 的流行率很重要。然而，在创造有利于这一程序改变的环境之前，全科医生需要更多的意识和培训。需要进一步进行大规模研究，以支持这项小规模研究产生的证据。
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