Sanhueza-Morales Tatiana, Michaelsen Sonia, Touati Nassera, Barrio Lourdes Rodriguez Del
Universidad de Concepción, Concepción, Chile.
École nationale d'administration publique, Montréal, QC, Canada.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251323091. doi: 10.1177/17455057251323091. Epub 2025 Mar 25.
Intimate partner violence (IPV) can have serious physical and mental health consequences for women. Women from immigrant and/or ethnic minority backgrounds may face additional barriers in accessing support. This research was based in a multicultural and marginalized neighborhood in Montreal (Canada) with a high incidence of IPV.
(1) To better understand the needs and challenges of women survivors of IPV who come from immigrant and/or ethnic minority backgrounds, and the barriers they face in seeking help; (2) to understand the perspectives of community organization workers on immigrant and ethnic minority survivors' needs and barriers in accessing services, as well as their knowledge about how to best support survivors.
We employed a mixed-methods design using a community-based participatory approach. Bronfenbrenner's socioecological model was used as a theoretical framework to analyze the findings.
We conducted in-depth individual interviews with 7 female survivors of IPV from immigrant and/or ethnic minority backgrounds and conducted surveys with 23 community organization workers.
The study shows a dissonance in views between survivors and workers. The survivors identified barriers to accessing support at each level of Bronfenbrenner's ecosystem, reflecting the complexity of their situations. For example, (1) macro-system: inadequacy of the legal system, racism; (2) exo-system: accessibility of services, poor quality of services, distrust of institutions; (3) micro-system: social and family pressure, poor social integration; (4) onto-system: language barriers, lack of knowledge of resources, feelings of fear and shame. The workers mainly noted barriers at the onto-level, which was primarily linked to gender and immigration status. Only 52% had ever attended a training on IPV. Most of their organizations had no referral protocol nor educational material about services for IPV for clients.
Community-based organizations that do not specialize in IPV often work with survivors and are therefore an important resource in IPV prevention and survivor care. Training them on IPV, sensitizing them to understand the systemic barriers the survivors experience, and equipping their organizations are key strategies for developing a coordinated, community-based response to IPV.
亲密伴侣暴力（IPV）会对女性的身心健康造成严重后果。来自移民和/或少数族裔背景的女性在获得支持方面可能会面临更多障碍。本研究以加拿大蒙特利尔一个多元文化且边缘化的社区为基础，该社区亲密伴侣暴力发生率很高。
（1）更好地了解来自移民和/或少数族裔背景的亲密伴侣暴力女性幸存者的需求和挑战，以及她们在寻求帮助时面临的障碍；（2）了解社区组织工作者对移民和少数族裔幸存者在获得服务方面的需求和障碍的看法，以及他们对如何最好地支持幸存者的认识。
我们采用了基于社区参与式方法的混合方法设计。运用布朗芬布伦纳的社会生态模型作为理论框架来分析研究结果。
我们对7名来自移民和/或少数族裔背景的亲密伴侣暴力女性幸存者进行了深入的个人访谈，并对23名社区组织工作者进行了调查。
研究表明幸存者和工作者之间存在观点上的不一致。幸存者指出了在布朗芬布伦纳生态系统的各个层面获得支持的障碍，反映出她们情况的复杂性。例如，（1）宏观系统：法律制度不完善、种族主义；（2）外部系统：服务的可及性、服务质量差、对机构的不信任；（3）微观系统：社会和家庭压力、社会融合度低；（4）个体系统：语言障碍、缺乏资源知识、恐惧和羞耻感。工作者主要指出了个体层面的障碍，这主要与性别和移民身份有关。只有52%的人曾参加过关于亲密伴侣暴力的培训。她们所在的大多数组织都没有针对亲密伴侣暴力受害者的服务转介协议或教育材料。
不专门从事亲密伴侣暴力问题工作的社区组织经常与幸存者合作，因此是预防亲密伴侣暴力和照顾幸存者的重要资源。对他们进行亲密伴侣暴力问题培训，使他们敏感地认识到幸存者所经历的系统性障碍，并为他们的组织提供资源，是制定基于社区的协调应对亲密伴侣暴力的关键策略。
