Huntley Alyson L, Szilassy Eszter, Potter Lucy, Malpass Alice, Williamson Emma, Feder Gene
Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, England.
The Centre for Gender and Violence Research, School for Policy Studies, Social Science Complex, 8 Priory Road, Bristol, BS8 1TZ, England.
BMC Health Serv Res. 2020 Nov 26;20(1):1085. doi: 10.1186/s12913-020-05931-x.
Domestic violence and abuse is a violation of human rights which damages the health and wellbeing of victims, their families and their friends. There has been less research on the experiences and support needs of male victims than those of women. Historically research on men's experiences has not focused on what constitutes effective, needs-led service provision. The aim of this paper was to conduct an integrated mixed methods synthesis of systematic review evidence on the topic of help-seeking by male victims of domestic violence and abuse.
An integrated mixed methods synthesis approach was taken to enhance our understanding of the complex phenomenon of help seeking by, and service provision to male victims. This process also identifies gaps in the evidence. Using previously identified systematic review data; mixed methods data from four primary-level service evaluation studies, along with expert and patient consultation were used to develop research propositions. Primary-level qualitative interview and survey data from 12 studies of men experiences were mapped onto the propositions to support them.
Fourteen propositions were composed. Seven propositions were supported or at least partly supported by the qualitative data. These supported propositions were used to make recommendations for policy and practice particularly concerning service preferences of male victims. The remaining seven propositions were not specifically supported by the qualitative data. These unsupported propositions were used to develop research recommendations concerning the need to further understand the potential blurred boundaries of victim-perpetrator, hybrid perpetrator-victim experiences, men who are/have been victims of childhood sexual abuse and determining the level of risk for men. They also highlight the need to produce better guidance for the response of the police & the criminal justice system. Finally, they highlight the need to produce the most appropriate service for men in terms of access, linkage, substance/alcohol abuse, mental health, sexuality, and race.
Integrated mixed-methods synthesis of systematic review evidence is a relatively novel approach. This approach can lead to recommendations for policy and practice as well as highlighting gaps in the research agenda as shown in this example.
家庭暴力和虐待是对人权的侵犯，会损害受害者及其家人和朋友的健康与幸福。相较于女性受害者，针对男性受害者经历及支持需求的研究较少。从历史上看，关于男性经历的研究并未聚焦于什么构成有效的、以需求为导向的服务提供。本文旨在对关于家庭暴力和虐待男性受害者寻求帮助这一主题的系统评价证据进行综合混合方法的综合分析。
采用综合混合方法的综合分析方法，以增进我们对男性受害者寻求帮助及为其提供服务这一复杂现象的理解。这一过程还能找出证据中的差距。利用先前确定的系统评价数据；来自四项基层服务评估研究的混合方法数据，以及专家和患者咨询意见，用于提出研究命题。来自12项关于男性经历研究的基层定性访谈和调查数据被映射到这些命题上以提供支持。
共形成了14个命题。其中7个命题得到了定性数据的支持或至少部分支持。这些得到支持的命题被用于为政策和实践提出建议，特别是关于男性受害者的服务偏好。其余7个命题未得到定性数据的具体支持。这些未得到支持的命题被用于提出研究建议，涉及需要进一步理解受害者与施虐者之间潜在的模糊界限、混合施虐者 - 受害者经历、曾遭受童年性虐待的男性受害者以及确定男性的风险水平。它们还强调需要为警方和刑事司法系统的应对制定更好的指导方针。最后，它们强调需要在获取服务、服务衔接、物质/酒精滥用、心理健康、性取向和种族方面为男性提供最合适的服务。
对系统评价证据进行综合混合方法的综合分析是一种相对新颖的方法。如本示例所示，这种方法可以为政策和实践提出建议，并突出研究议程中的差距。
