Spangaro Jo, Spence Nigel, Man Nicola, Walsh Jeannette, Cameron Jacqui, Hegarty Kelsey, Koziol-McLain Jane, McMahon Tadgh, Zwi Anthony, Toole-Anstey Chye, Perry-Indermau Astrid
School of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
BMC Womens Health. 2025 Apr 9;25(1):167. doi: 10.1186/s12905-025-03698-z.
Intimate partner violence (IPV) is highly prevalent globally, with increased risk for women in situations of conflict, post conflict and resettlement. The Safety and Health after Arrival (SAHAR) study tested IPV screening with women accessing settlement services in New South Wales, Australia, using the validated ACTS tool, along with brief response involving risk assessment, safety planning and referral. A three month follow-up telephone survey was administered to women who had attended four participating sites which delivered the intervention. The survey explored the nature of any IPV experienced, factors associated with disclosure, and responses provided to those who identified IPV. Data is reported on 316 women of whom 48 (15%) identified current IPV. For 45 women who responded to Composite Abuse Scale items, the most common forms of abuse were forced isolation from family/friends (56% 25/45), blame for abusive behaviour (53% 24/45), "put downs" (44% 20/45) and physical violence 38% (17/45). Psychological distress and post-migration stressors were significantly higher for women who disclosed IPV compared to those who did not. Length of residency in Australia and whether the screening occurred during the first or subsequent service visits, were not associated with the likelihood of disclosing IPV. The majority of women who disclosed reported the caseworker's response to be helpful and involved risk assessment, safety planning and referral. Screening and response to disclosure in settlement services provide opportunities to address abuse experienced by this group of women who are less likely to report experiences of abuse or use mainstream services.
亲密伴侣暴力（IPV）在全球范围内高度普遍，在冲突、冲突后和重新安置情况下，女性面临的风险更高。“抵达后的安全与健康”（SAHAR）研究在澳大利亚新南威尔士州，对使用经过验证的ACTS工具并结合包括风险评估、安全规划和转介在内的简短应对措施，来获取定居服务的女性进行了IPV筛查。对曾在四个提供该干预措施的参与地点接受服务的女性进行了为期三个月的随访电话调查。该调查探讨了所经历的任何IPV的性质、与披露相关的因素，以及对识别出IPV的女性所提供的应对措施。报告了316名女性的数据，其中48名（15%）识别出当前存在IPV。对于45名对综合虐待量表项目作出回应的女性，最常见的虐待形式是被强迫与家人/朋友隔离（56%，25/45）、对虐待行为的指责（53%，24/45）、“贬低”（44%，20/45）和身体暴力（38%，17/45）。与未披露IPV的女性相比，披露IPV的女性心理困扰和移民后应激源明显更高。在澳大利亚的居住时间以及筛查是在首次还是后续服务访问期间进行，与披露IPV的可能性无关。大多数披露情况的女性报告称，个案工作者的回应很有帮助，且涉及风险评估、安全规划和转介。定居服务中的筛查和对披露情况的应对措施，为解决这类不太可能报告虐待经历或使用主流服务的女性所遭受的虐待提供了机会。
