加强受赌博相关亲密伴侣暴力影响的女性的服务体验。
Strengthening the service experiences of women impacted by gambling-related intimate partner violence.
机构信息
Central Queensland University, University Drive, Bundaberg, QLD, 4670, Australia.
Southern Cross University, Military Rd, East Lismore, NSW, Australia.
出版信息
BMC Public Health. 2022 Apr 14;22(1):745. doi: 10.1186/s12889-022-13214-9.
BACKGROUND
While problem gambling does not directly cause intimate partner violence (IPV), it exacerbates that violence significantly. Women experiencing both gambling harm and IPV often find themselves in challenging situations; furthermore, stigma and shame frequently act as barriers to seeking help from health and social service agencies. Despite the links between problem gambling and IPV, little is known about women's experiences of using support services for both IPV and gambling related issues. This paper explores positive experiences of help-seeking for gambling-related IPV in Australia by adopting a strengths-based research approach.
METHODS
Qualitative, unstructured interviews were conducted for a larger study exploring the nature of the relationship between problem gambling and IPV. To gain new insights into the service experiences of women impacted by gambling related IPV, interviews with 48 women with lived experience of IPV relating to a male partner's gambling, and 24 women with lived experience of IPV relating to their own gambling were reanalysed using thematic analysis.
RESULTS
Three themes emerged from the data signifying or demonstrating strength-based responses: 'Commitment to Integrated and Collaborative Responses'; 'Therapeutic Support'; and 'Instrumental Support'. The themes highlight the importance of recognising the intersectionality of gambling related IPV and supporting the person 'at the centre of the service'. Tangible and instrumental supports, such as emergency accommodation and financial assistance, were also central to the recovery process.
CONCLUSION
Effective service responses are dependent on understanding how problem gambling and IPV intersect. Importantly, service providers must recognise and address the many facets of each woman's situation and the shame associated with resolving interdependent and complex issues. Responding to the needs of women impacted by gambling related IPV requires both individual-level awareness and organisational support; recommendations to strengthen service provision are provided.
背景
虽然赌博问题不会直接导致亲密伴侣暴力（IPV），但它会显著加剧这种暴力。同时经历赌博伤害和 IPV 的女性往往会发现自己处于充满挑战的境地；此外，耻辱感常常成为她们寻求健康和社会服务机构帮助的障碍。尽管赌博问题与 IPV 之间存在联系，但对于女性在使用针对 IPV 和赌博相关问题的支持服务方面的体验却知之甚少。本研究采用基于优势的研究方法，探讨了澳大利亚女性在寻求与赌博相关的 IPV 问题方面的积极体验。
方法
为了更深入地了解受赌博相关 IPV 影响的女性的服务体验，对 48 名经历过与男性伴侣赌博相关的 IPV 的女性和 24 名经历过与自己赌博相关的 IPV 的女性进行了定性、非结构化访谈。对这些访谈进行重新分析，采用主题分析方法，以获取有关赌博相关 IPV 问题的新见解。
结果
从数据中出现了三个主题，这些主题标志或表明了基于优势的反应：“致力于综合和协作的反应”；“治疗性支持”；和“工具性支持”。这些主题强调了认识到赌博相关 IPV 的交叉性并支持“服务中心的人”的重要性。有形和工具性的支持，如紧急住宿和经济援助，也是恢复过程的核心。
结论
有效的服务反应取决于理解赌博问题和 IPV 是如何相互交叉的。重要的是，服务提供者必须认识到并解决每个女性情况的许多方面，以及与解决相互依存和复杂问题相关的耻辱感。满足受赌博相关 IPV 影响的女性的需求需要个人层面的意识和组织支持；提供了加强服务提供的建议。
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