1.4 Is routine enquiry about domestic violence acceptable to women? Study Sample Study ref LoE Aim/setting/population/methods Findings Comments design size Cohort III-2 32 Aim: to describe violence-related coping and Qualitative and quantitative findings () interviews; help-seeking, and preferences for health care indicated that formal helpseeking is data from based intervention uncommon and that informal help 1,038 sources are most frequently sought. Setting: India surveys Quantitative results revealed that, while Population: perinatal women residing in few (<5%) women had been screened income communities for violence in the health care setting, Methods: Indepth interviews were conducted most (67%) would be willing to disclose with women who had recently given birth and abuse if asked. self-reported recent violence from husbands, When presented with a list of possible followed by survey data collection from clinic-based violence support mothers seeking immunization for their infants interventions, participants endorsed ages 6 months or younger at three large crisis counseling and safety planning as urban health centers. most helpful (90.9%). IV 27 Aim: to understand the risks and benefits of Seven of 9 ED disclosures were () disclosing IPV to clinicians across specialties. characterized as unhelpful; the majority of disclosures in PC and OB/GYN were Setting: United States characterized as beneficial. There were Population: English-speaking female IPV no harmful disclosures in any setting. survivors Unhelpful disclosures resulted in Methods: In-depth interviews describing emotional distress and alienation from medical encounters related to abuse were health care. analyzed for common themes. Encounters Regardless of whether disclosure with health care clinicians were categorized occurred, beneficial encounters were by outcome (IPV disclosure by patient, characterised by familiarity with the discovery evidenced by discussion of IPV by clinician, acknowledgement of the clinician without patient disclosure, or abuse, respect and relevant referrals. attribute (beneficial, unhelpful, harmful), and specialty (emergency department (ED), primary care (PC), obstetrics/gynecology (OB/GYN)).
1.4 Is routine enquiry about domestic violence acceptable to women? Study ref Study design LoE Sample size Aim/setting/population/methods Findings Comments () Cohort III-2 32 interviews; data from 1,038 surveys Aim: to describe violence-related coping and help-seeking, and preferences for health care based intervention Setting: India Population: perinatal women residing in communities Methods: Indepth interviews were conducted with women who had recently given birth and self-reported recent violence from husbands, followed by survey data collection from mothers seeking immunization for their infants ages 6 months or younger at three large urban health centers. Qualitative and quantitative findings indicated that formal helpseeking is uncommon and that informal help sources are most frequently sought. Quantitative results revealed that, while few (<5%) women had been screened for violence in the health care setting, most (67%) would be willing to disclose abuse if asked. When presented with a list of possible clinic-based violence support interventions, participants endorsed crisis counseling and safety planning as most helpful (90.9%). () IV 27 Aim: to understand the risks and benefits of disclosing IPV to clinicians across specialties. Setting: United States Population: English-speaking female IPV survivors Methods: In-depth interviews describing medical encounters related to abuse were analyzed for common themes. Encounters with health care clinicians were categorized by outcome (IPV disclosure by patient, discovery evidenced by discussion of IPV by clinician without patient disclosure, or attribute (beneficial, unhelpful, harmful), and specialty (emergency department (ED), primary care (PC), obstetrics/gynecology (OB/GYN)). Seven of 9 ED disclosures were characterized as unhelpful; the majority of disclosures in PC and OB/GYN were characterized as beneficial. There were no harmful disclosures in any setting. Unhelpful disclosures resulted in emotional distress and alienation from health care. Regardless of whether disclosure occurred, beneficial encounters were characterised by familiarity with the clinician, acknowledgement of the abuse, respect and relevant referrals. income
Family%20violence%20evaluation%20report%2016May17.docx