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残疾女性中的亲密伴侣暴力:医疗保健的认知和卫生专业人员的态度。

Intimate partner violence in women with disabilities: perception of healthcare and attitudes of health professionals.

机构信息

a Andalusian School of Public Health , Granada , Spain.

b CIBER Epidemiology and Public Health (CIBERESP) , Madrid , Spain.

出版信息

Disabil Rehabil. 2018 May;40(9):1059-1065. doi: 10.1080/09638288.2017.1288273. Epub 2017 Feb 23.

Abstract

PURPOSE

Intimate partner violence (IPV) is a major social problem and public health issue, but we still have a relatively small amount of data about partner violence in women with disabilities. The main objective of this study was to understand the experiences of women with disabilities who are or have been abused by their partners and to explore the knowledge, views and training requirements of primary care professionals.

METHOD

Qualitative study using semi-structured interviews with women with disabilities who had experienced IPV (n = 14), and focus groups with healthcare professionals (n = 16).

RESULTS

Women with disabilities suffer specific forms of abuse. Because they depend on the people around them to take action, they are subordinate and this can prolong the abuse. The healthcare staff frequently mentioned that it is often difficult to notice that women with disabilities are being abused. Their lack of training about disabilities and gender-based violence makes them less sure of their ability to identify and deal with any possible cases of abuse.

CONCLUSIONS

The difficulties described by the women interviewed are broadly speaking the same as those described by the healthcare professionals consulted. A number of suggestions for improvements are provided based on the results found. Implications for Rehabilitation The rehabilitation of abused disabled women implies that women perceive the health system as a resource to resolve their situation. Healthcare professionals should be trained on how to detect, treat and communicate with disabled women who experience partner violence. Is needed to establish a comprehensive system of coordination between services involved in caring for abused women and with disabilities.

摘要

目的

亲密伴侣暴力(IPV)是一个重大的社会问题和公共卫生问题,但我们对于残疾女性中伴侣暴力的数据仍然相对较少。本研究的主要目的是了解曾遭受或正在遭受伴侣虐待的残疾女性的经历,并探讨初级保健专业人员的知识、观点和培训需求。

方法

采用半结构式访谈对曾遭受 IPV 的残疾女性(n=14)进行定性研究,并对医疗保健专业人员(n=16)进行焦点小组讨论。

结果

残疾女性遭受特定形式的虐待。由于她们依赖周围的人采取行动,因此她们处于从属地位,这可能会延长虐待行为。医护人员经常提到,通常很难注意到残疾女性正在受到虐待。他们对残疾和基于性别的暴力缺乏培训,这使他们对自己识别和处理任何可能的虐待案件的能力不太有把握。

结论

接受采访的女性所描述的困难与咨询的医疗保健专业人员所描述的困难大致相同。根据发现的结果提供了一些改进建议。

康复意义

受虐待的残疾女性的康复意味着女性将卫生系统视为解决其问题的资源。医疗保健专业人员应接受培训,了解如何发现、治疗和与遭受伴侣暴力的残疾女性进行沟通。需要建立一个综合协调服务系统,涉及照顾受虐待妇女和残疾妇女的服务。

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