Using the Consolidated Framework for Implementation Research to Increase Provider Screening for Intimate Partner Violence in Rural Health Clinics

2016 ◽  
Vol 26 (4) ◽  
pp. 384-392 ◽  
Author(s):  
Annah K. Bender
Keyword(s):  
Intimate Partner Violence ◽  
Rural Health ◽  
Implementation Research ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Clinics ◽  
Rural Health Clinics

scholarly journals Intimate partner violence in pregnancy: a cross-sectional study from post-conflict northern Uganda

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e027541
Author(s):  
Susan Clarke ◽  
Robyn Richmond ◽  
Eleanor Black ◽  
Helen Fry ◽  
James Henry Obol ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Northern Uganda ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Health Clinics ◽  
Post Conflict ◽  
Rural Health Clinics ◽  
In Pregnancy

ObjectivesTo determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants.DesignCross-sectional survey.SettingTwo rural health clinics in post-conflict northern Uganda.ParticipantsWomen attending two rural health clinics for a new service providing cervical cancer screening, who had experienced pregnancy.Primary and secondary outcome measuresData were collected by a questionnaire using validated questions from the demographic health survey women’s questionnaire and the domestic violence module. Data were entered into tablets using Questionnaire Development System software. Bivariate and multivariate logistic regression was performed, using experience of IPV in pregnancy as the dependent variable. SPSS V.25 was used for all analysis.ResultsOf 409 participant women, 26.7% (95% CI 18.6% to 35.9%) reported having been slapped, hit or beaten by a partner while pregnant. For 32.3% (95% CI 20.2% to 37.9%) of the women the violence became worse during pregnancy. Women who had ever experienced IPV in pregnancy were more likely to have experienced violence in the previous 12 months (OR 4.45, 95% CI 2.80 to 7.09). In multivariate logistic regression, the strongest independent associations with IPV in pregnancy were partner’s daily drinking of alcohol (OR 2.02, 95% CI 1.19 to 3.43) and controlling behaviours (OR 1.17, 95% CI 1.03 to 1.33).ConclusionsThe women in this study had more exposure to IPV in pregnancy than previously reported for this region. Women’s previous experience of intimate partner violence, partner’s daily use of alcohol and his controlling behaviours were strong associations with IPV in pregnancy. This study highlights the uneven distribution of risk and the importance of research among the most vulnerable population in rural and disadvantaged settings. More research is needed in local rural and urban settings to illuminate this result and inform intervention and policy.

Predictors of intimate partner violence in patients attending general health services at rural health facilities in Makueni county, Kenya

2020 ◽  
Vol 20 ◽  
pp. 200191
Author(s):  
Victoria Mutiso ◽  
Christine Musyimi ◽  
Tahilia Rebello ◽  
Isaiah Gitonga ◽  
Albert Tele ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Health Services ◽  
Rural Health ◽  
Partner Violence ◽  
General Health ◽  
Intimate Partner ◽  
Health Facilities

Intimate Partner Violence: Barriers to Action and Opportunities for Intervention Among Health Care Providers in São Paulo, Brazil

2019 ◽  
pp. 088626051988100 ◽  
Author(s):  
Dabney P. Evans ◽  
Danielle Z. Shojaie ◽  
Kashika M. Sahay ◽  
Nancy Williams DeSousa ◽  
Casey D. Hall ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Critical Role ◽  
Intimate Partner ◽  
Care Providers ◽  
Health Clinics ◽  
Public Health Clinics

Health care providers (HCPs) who directly interact with women play a critical role in intimate partner violence (IPV) prevention and response. The aim of this study was to identify the structural and interpersonal barriers to IPV response among HCPs working in public health clinics in Santo André, Brazil. Eligible participants included all HCPs providing direct care to individuals at three public health clinics. Participants self-administered an adapted Knowledge, Attitudes, and Practices survey on IPV. Data were analyzed using Epi Info 7 and SAS 9.4. 114 HCPs completed surveys. Less than half of HCPs (41%, n = 34) reported ever having asked a woman about abuse in the past year. HCPs who perceived fewer barriers were more likely to report asking about IPV. The top three reported barriers to asking women about IPV included the following: few opportunities for one-on-one interaction (77%, n = 65), a lack of privacy (71%, n = 60), and fear of offending women (71%, n = 60). Fewer providers who perceived the barriers of lack of privacy asked about IPV (50.8%, n = 33 compared with 84.2%, n = 16; p < .05); less providers who perceived few opportunities for private patient interactions asked about IPV (48.3%, n = 29 compared with 75.0%, n = 18; p < .05). Our results support the need for a systems approach of institution-wide reforms altering the health care environment and avoiding missed opportunities in IPV screening and referring women to appropriate resources or care. Two of the most frequently reported barriers to asking IPV were structural in nature, pointing to the need for policies that protect privacy and confidentiality. Within the Brazilian context, our research highlights the role of HCPs in the design and implementation of IPV interventions that both strengthen health systems and enable providers to address IPV.

scholarly journals Intimate partner violence and early interruption of exclusive breastfeeding in the first three months of life

2016 ◽  
Vol 32 (10) ◽  
Author(s):  
Maria Helena Hasselmann ◽  
Ana Cristina Lindsay ◽  
Pamela J. Surkan ◽  
Gabriela Vasconcellos de Barros Vianna ◽  
Guilherme L. Werneck
Keyword(s):  
Intimate Partner Violence ◽  
Exclusive Breastfeeding ◽  
Partner Violence ◽  
Intimate Partner ◽  
Relative Risks ◽  
Health Clinics ◽  
Conflict Tactics Scales ◽  
24 Hour Recall ◽  
Conflict Tactics

Abstract: The aim of this study was to investigate the role of intimate partner violence in the early interruption of exclusive breastfeeding in the first three months of life. We used data from a prospective cohort of 564 children attending four primary health clinics in Rio de Janeiro, Brazil. Interruption of exclusive breastfeeding was defined as a child receiving any kind of liquid or solid, regardless of breast milk intake, measured by a 24 hour recall. The Portuguese version of the Conflict Tactics Scales (CTS-1) was used to assess intimate partner violence. Associations were expressed as prevalence ratios and relative risks and their respective 95% confidence intervals. Children of mothers who experienced severe violence had 30% greater likelihood of early interruption of exclusive breastfeeding in the second month of life as compared to those who did not experience this type of violence. Strategies in health services for promoting exclusive breastfeeding should consider identifying and addressing family violence.

Guns, Alcohol, and Intimate Partner Violence: The Epidemiology of Female Suicide in New Mexico

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 121-126 ◽  
Author(s):  
Lenora Olson ◽  
Frank Huyler ◽  
Arthur W Lynch ◽  
Lynne Fullerton ◽  
Deborah Werenko ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
New Mexico ◽  
American Indians ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Injury Death ◽  
Female Suicide ◽  
Blood Alcohol Levels ◽  
Associated Risk Factors

Suicide is among the leading causes of death in the United States, and in women the second leading cause of injury death overall. Previous studies have suggested links between intimate partner violence and suicide in women. We examined female suicide deaths to identify and describe associated risk factors. We reviewed all reports from the New Mexico Office of the Medical Investigator for female suicide deaths occurring in New Mexico from 1990 to 1994. Information abstracted included demographics, mechanism of death, presence of alcohol/drugs, clinical depression, intimate partner violence, health problems, and other variables. Annual rates were calculated based on the 1990 census. The New Mexico female suicide death rate was 8.2/100,000 persons per year (n = 313), nearly twice the U. S. rate of 4.5/100,000. Non-Hispanic whites were overrepresented compared to Hispanics and American Indians. Decedents ranged in age from 14 to 93 years (median = 43 years). Firearms accounted for 45.7% of the suicide deaths, followed by ingested poisons (29.1%), hanging (10.5%), other (7.7%), and inhaled poisons (7.0%). Intimate partner violence was documented in 5.1% of female suicide deaths; in an additional 22.1% of cases, a male intimate partner fought with or separated from the decedent immediately preceding the suicide. Nearly two-thirds (65.5%) of the decedents had alcohol or drugs present in their blood at autopsy. Among decedents who had alcohol present (34.5%), blood alcohol levels were far higher among American Indians compared to Hispanics and non-Hispanic Whites (p = .01). Interpersonal conflict was documented in over 25% of cases, indicating that studies of the mortality of intimate partner violence should include victims of both suicide and homicide deaths to fully characterize the mortality patterns of intimate partner violence.

Intimate Partner Violence and Help-Seeking

2017 ◽  
Vol 22 (4) ◽  
pp. 263-281 ◽  
Author(s):  
Solveig Lelaurain ◽  
Pierluigi Graziani ◽  
Grégory Lo Monaco
Keyword(s):  
Social Psychology ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Help Seeking ◽  
Intimate Partner ◽  
Review Of The Literature ◽  
Social Concern ◽  
Inclusion Criteria ◽  
Inhibiting Factors ◽  
Wide Range

Abstract. Intimate partner violence (IPV) is a global social concern: many women are affected by this phenomenon and by the difficulty of putting an end to it. This review of the literature aims to identify help-seeking facilitating and inhibiting factors in response to IPV. It was carried out on the PsycINFO and Medline databases using the following keywords: “intimate partner violence,” “domestic violence,” “help-seeking,” and “help-seeking barrier.” Ninety out of 771 eligible publications were included on the basis of inclusion criteria. The results highlight that (1) research on this phenomenon is very recent and underdeveloped in Europe, (2) theoretical and conceptual frameworks are poorly developed and extended, (3) there is a significant impact of violence characteristics (e.g., severity, type) on help-seeking, and (4) help-seeking is a complex and multifactorial process influenced by a wide range of factors simultaneously individual and social. To conclude, these findings lead us to propose a psychosocial conceptualization of the help-seeking process by indicating how the levels of explanation approach in social psychology can be applied to this field of research in order to increase our understanding of this phenomenon.

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