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探索影响国民警卫队医院中女性家庭暴力经历及其求助行为的社会人口学因素。

Exploring the Sociodemographic Factors Influencing Women's Experiences With Domestic Violence and Their Help-Seeking Behaviors at the National Guard Health Hospitals.

作者信息

Alsupiany Awateif O, Aseeri Hatem, Ababtain Hind A, Shamou Jinan Z, Abusulaiman Roaa M, Alwahibah Salma O, Baashr Zubaida A, Al Harbi Fares F

机构信息

Department of Mental Health, King Abdulaziz Medical City, Riyadh, SAU.

King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU.

出版信息

Cureus. 2025 Jul 5;17(7):e87337. doi: 10.7759/cureus.87337. eCollection 2025 Jul.

Abstract

Background Domestic violence is recognized as a public health issue. It has adverse impacts on women's physical, mental, and reproductive well-being. This study aimed to ascertain the sociodemographic attributes of domestic violence in women who seek help at the National Guard Health (NGH) hospitals, as well as examine the psychological condition of the victims. Methods This was a retrospective-prospective, descriptive cross-sectional study conducted in four regions in Saudi Arabia (Riyadh, Jeddah, Al Madinah, and Al-Ahsa). The data collection tool was a questionnaire consisting mainly of three sections (the sociodemographic characteristics, abuse characteristics, and victim's knowledge and ways to get help), developed and validated by the study authors and field experts. Data were collected from the electronic data extraction system (BestCare) and through structured phone interviews conducted by a well-trained research team. Results A total of 292 women participated, with a median age of 31 years (IQR, 26-38). A percentage of 8.5% reported suffering violence from many people. Husbands were the foremost perpetrators (196, 67.1%), and physical violence represented 166 cases (57%). Among the victims, the prevalence of anxiety/spectrum disorder increased from 15 (5.2%) to 22 (7.5%); 59 (20.1%) reported suicide attempts, while 18 (6.1%) had suicidal ideation. Almost one-third (112, 33.3%) of the victims were referred to social service follow-up, 74 (22%) to the family therapy clinic, 33 (9.8%) to the psychiatry outpatient department, and 28 (8.3%) were admitted for protection. Violence was ongoing in 36 (12.3%) of the victims; hospitals and police were the primary sources of getting help (56, 18.4%). Filing a legal complaint and involving family members were cited as the most helpful way to help stop the violence, followed by health facility intervention as the next most beneficial modality by 34 (11.4%) of the victims, in which psychiatry was the most helpful. Victims know about the domestic violence team services mainly through official referrals from other teams, while the media has almost no role. Conclusion Our findings showed that domestic violence was prevalent, notably in the form of physical abuse. Most victims were the same age or younger than their perpetrators, and some had the same education level. Most of the perpetrators were military-employed husbands. The findings also reveal a mixed pattern in how victims of abuse sought help. Suicidal attempts and ideation were also commonplace among the victims. Hospitals and police were the primary sources of help for the victims. Although social media can play a crucial role in raising awareness and providing education, this aspect has often been overlooked.

摘要

背景

家庭暴力被视为一个公共卫生问题。它对女性的身体、心理和生殖健康产生不利影响。本研究旨在确定在国民警卫队健康(NGH)医院寻求帮助的女性中家庭暴力的社会人口学特征,并检查受害者的心理状况。方法:这是一项在沙特阿拉伯四个地区(利雅得、吉达、麦地那和艾哈萨)进行的回顾性-前瞻性描述性横断面研究。数据收集工具是一份问卷,主要由三个部分组成(社会人口学特征、虐待特征以及受害者的知识和寻求帮助的方式),由研究作者和领域专家制定并验证。数据从电子数据提取系统(BestCare)收集,并通过一个训练有素的研究团队进行的结构化电话访谈收集。结果:共有292名女性参与,中位年龄为31岁(四分位间距,26 - 38岁)。8.5%的女性报告遭受来自多人的暴力。丈夫是最主要的施暴者(196人,67.1%),身体暴力占166例(57%)。在受害者中,焦虑/谱系障碍的患病率从15例(5.2%)增加到22例(7.5%);59例(20.1%)报告有自杀未遂,18例(6.1%)有自杀意念。几乎三分之一(112人,33.3%)的受害者被转介接受社会服务跟进治疗,74例(22%)被转介到家庭治疗诊所,33例(9.8%)被转介到精神科门诊,28例(8.3%)被收治以获得保护。36例(12.3%)的受害者暴力行为仍在持续;医院和警方是获得帮助的主要来源(56例,18.4%)。提出法律投诉和让家庭成员参与被认为是帮助制止暴力最有效的方式,其次,34例(11.4%)的受害者认为卫生机构干预是第二有效的方式,其中精神科帮助最大。受害者主要通过其他团队的官方转介了解家庭暴力团队服务,而媒体几乎没有发挥作用。结论:我们的研究结果表明,家庭暴力很普遍,尤其是身体虐待形式。大多数受害者与施暴者年龄相同或更小,有些教育水平也相同。大多数施暴者是有军方工作的丈夫。研究结果还揭示了受害者寻求帮助的方式呈现出混合模式。自杀未遂和意念在受害者中也很常见。医院和警方是受害者获得帮助的主要来源。尽管社交媒体在提高认识和提供教育方面可以发挥关键作用,但这方面往往被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68c/12322196/9960a7da4ef9/cureus-0017-00000087337-i01.jpg

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