Pederson Ann, Mirlashari Jila, Lyons Janet, Brotto Lori A
Population Health School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
J Fam Violence. 2023;38(3):571-583. doi: 10.1007/s10896-022-00371-z. Epub 2022 Mar 22.
Gender-based Violence (GBV) during the perinatal period is a serious concern as it is associated with many adverse outcomes for both the mother and the baby. It is well known that violence is under-reported. Thus, official statistics (both police reports and survey data) underestimate the prevalence of violence in general and during the perinatal period specifically. In this study conducted in Canada, we sought to explore the barriers to and facilitators of women disclosing their experiences of GBV within healthcare services to safely facilitate more disclosure in the future and reduce the harms that arise from GBV. We used thematic analysis to analyze in-depth interviews with 16 healthcare providers (nurses, midwives and physicians) and 12 survivors of GBV. The data reflect three main themes: "raising awareness of gender-based violence", "creating a shift in the healthcare system's approach toward gender-based violence" and "providing support for survivors and care providers." Our findings suggest that the healthcare system should increase its investments in raising awareness regarding GBV, training healthcare providers to respond appropriately, and building trust between survivors and healthcare providers. Healthcare providers need to be aware of their role and responsibility regarding identifying GBV as well as how to support survivors who talk about violence. Expanding a relationship-based approach in the care system and providing support for both survivors and health care providers would likely lead to more disclosures.
围产期基于性别的暴力（GBV）是一个严重问题，因为它会给母亲和婴儿带来许多不良后果。众所周知，暴力行为的报告率很低。因此，官方统计数据（警方报告和调查数据）总体上低估了暴力行为的发生率，尤其是围产期的暴力发生率。在加拿大进行的这项研究中，我们试图探究女性在医疗服务中披露其GBV经历的障碍和促进因素，以便未来安全地促使更多人披露，并减少GBV造成的伤害。我们采用主题分析法，对16名医疗服务提供者（护士、助产士和医生）和12名GBV幸存者进行了深入访谈。数据反映出三个主要主题：“提高对基于性别的暴力的认识”、“改变医疗系统应对基于性别的暴力的方式”以及“为幸存者和护理提供者提供支持”。我们的研究结果表明，医疗系统应增加投资，以提高对GBV的认识，培训医疗服务提供者做出适当反应，并在幸存者和医疗服务提供者之间建立信任。医疗服务提供者需要意识到他们在识别GBV方面的作用和责任，以及如何支持谈论暴力行为的幸存者。在护理系统中扩展基于关系的方法，并为幸存者和医疗服务提供者提供支持，可能会导致更多的披露。
