Suryavanshi Nishi, Naik Shilpa, Waghmare Smita, Gupte Nikhil, Khan Sameer, Mave Vidya, Deluca Andrea, Gupta Amita, Golub Jonathan, Bollinger Robert C, Shankar Anita
BJ Government Medical College - Johns Hopikns University Clinical Trial Unit, Jai Prakash Narayan Road, Pune, 411001, India.
BJ Government Medical College, Department of Obstetrics and Gynaecology, Jai Prakash Narayan Road, Pune, India.
BMC Womens Health. 2018 Jan 15;18(1):19. doi: 10.1186/s12905-018-0515-2.
Gender-based violence (GBV) is a major global public health concern and is a risk factor for adverse health outcomes. Early identification of GBV is crucial for improved health outcomes. Interactions with health care providers may provide a unique opportunity for routine GBV screening, if a safe, confidential environment can be established.
Between November 2014 and February 2015, a cross-sectional, observational study was conducted where women were interviewed about their opinions concerning GBV screening in a tertiary health care setting in Pune, India. Trained counsellors interviewed 300 women at different out-patient and in-patient departments using a semi-structured questionnaire.
Twenty-three percent of these women reported experiencing GBV in their life. However, 90% of women said they had never been asked about GBV in a health care setting. Seventy-two percent expressed willingness to be asked about GBV by their health care providers, with the preferred provider being nurses or counsellors. More than half (53%) women reported face-to-face interview as the most preferred method for screening. There were no major differences in these preferences by GBV history status.
Our study provides evidence for preferred GBV screening methods and optimal provider engagement as perceived by women attending a public hospital.
基于性别的暴力(GBV)是全球主要的公共卫生问题,也是不良健康结果的一个风险因素。早期识别GBV对于改善健康结果至关重要。如果能够建立一个安全、保密的环境,与医疗服务提供者的互动可能为常规GBV筛查提供独特的机会。
2014年11月至2015年2月,在印度浦那的一家三级医疗机构进行了一项横断面观察性研究,询问女性对GBV筛查的看法。经过培训的咨询师使用半结构化问卷在不同的门诊和住院科室对300名女性进行了访谈。
23%的女性报告在生活中遭受过GBV。然而,90%的女性表示在医疗机构中从未被问及GBV。72%的女性表示愿意让医疗服务提供者询问她们是否遭受过GBV,首选的询问者是护士或咨询师。超过一半(53%)的女性报告面对面访谈是最受欢迎的筛查方式。按GBV病史状况划分,这些偏好没有重大差异。
我们的研究为公立医院就诊女性所认可的首选GBV筛查方法和最佳询问者参与情况提供了证据。