Taskiran Aysegul Catak, Ozsahin Aysun, Edirne Tamer
Department of Family Medicine, Pamukkale University, Denizli, Turkey.
Prim Health Care Res Dev. 2019 Jun 25;20:e96. doi: 10.1017/S1463423619000288.
Violence against women is a significant public health problem and primary care workers (PCWs) have a crucial role in managing violence against women. However, though intimate partner violence (IPV) is frequently seen in primary care, most cases remain unreported.
This study aims to investigate family physicians' (FPs') and co-working midwifes/nurses' (M/Ns') explanations about their responses to women disclosing IPV and the reasons for their actions.
We conducted a cross-sectional survey via a face-to-face administered questionnaire interview involving 266 PCWs in a selected area in Turkey. We questioned the reasoning behind inappropriate responses such as not examining the patient and document findings, not recording a code of violence, and not notifying the police in the case of a disclosure of IPV.
We surveyed 129 FPs and 137 M/Ns. We found that the disclosure of IPV in primary care is very high, but more than one-third of physicians and half of M/Ns respond inappropriately. Reasons for inappropriate response varied. The majority believed that the victim would continue to live with her batterer, making any report ineffective. Some expressed concern for the women's and their own personal safety, citing an increase in assault cases by perpetrators in the last few years. Many indicated a lack of knowledge about management of violence cases.
Multiple barriers challenge PCWs in helping abused women. Common behaviours, safety concerns, and a lack of knowledge seem to be the major barriers to responding appropriately to IPV. To address this issue appropriately, protective measures for both parties - PCWs and violence victims - need to be enacted and a supportive constitutional and societal organization is required. Screening and identification should lead to interventions that benefit the victims rather than harming them.
针对妇女的暴力是一个重大的公共卫生问题，基层医疗工作者在处理针对妇女的暴力方面起着关键作用。然而，尽管亲密伴侣暴力在基层医疗中经常出现，但大多数案例仍未被报告。
本研究旨在调查家庭医生以及合作的助产士/护士对妇女披露亲密伴侣暴力时的反应及行动原因的解释。
我们通过面对面问卷调查在土耳其选定地区对266名基层医疗工作者进行了横断面调查。我们询问了诸如不检查患者和记录检查结果、不记录暴力代码以及在妇女披露亲密伴侣暴力时不通知警方等不当反应背后的原因。
我们调查了129名家庭医生和137名助产士/护士。我们发现基层医疗中亲密伴侣暴力的披露率很高，但超过三分之一的医生和一半的助产士/护士反应不当。不当反应的原因各不相同。大多数人认为受害者会继续与施暴者生活在一起，因此任何报告都无效。一些人表示担心妇女及其自身的人身安全，提到过去几年施暴者的袭击案件有所增加。许多人表示缺乏暴力案件管理方面的知识。
在帮助受虐妇女方面，基层医疗工作者面临多重障碍。常见行为、安全担忧和知识缺乏似乎是对亲密伴侣暴力做出适当反应的主要障碍。为了妥善解决这个问题，需要为基层医疗工作者和暴力受害者双方制定保护措施，并建立一个支持性的体制和社会机构。筛查和识别应导致有利于受害者而非伤害他们的干预措施。
