Encouraging Asian Immigrant Women to Disclose Intimate Partner Violence in Primary Care Settings

2020 ◽  
pp. 088626052095964
Author(s):  
Paula Tavrow ◽  
Danny Azucar ◽  
Dan Huynh ◽  
Caroline Yoo ◽  
Di Liang ◽  
...  
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Immigrant Women ◽  
Cultural Beliefs ◽  
Primary Care Clinic ◽  
The United States ◽  
Intimate Partner ◽  
Asian Immigrant ◽  
Care Clinic

Risks of intimate partner violence (IPV) often are higher among immigrant women, due to dependency, language barriers, deportation fears, cultural beliefs, and limited access to services. In the United States, Asian immigrant women experiencing IPV often are reluctant to disclose abuse. Viewing videos that depict IPV survivors who have successfully obtained help might encourage disclosure. After conducting formative research, we created brief videos in four Asian languages (Korean, Mandarin Chinese, Thai, and Vietnamese) for use in primary care clinic consultation rooms. We then conducted in-depth interviews with 60 Asian immigrant women in California to get their perspectives on how helpful the videos might be in achieving disclosure. Most participants believed the videos would promote disclosure in clinics, although those who had been abused seemed more skeptical. Many had stereotyped views of victims, who they felt needed to be emotive to be credible. Videos should be upbeat, highlighting the positive outcomes of escaping violence and showing clearly each step of the process. Various types of IPV should be described, so that women understand the violence is not exclusively physical. Victims would need reassurance that they will not be arrested, deported, or forced to leave their abusers. Discussing the benefits of escaping violence to children could be influential. Victims also must be convinced that providers are trustworthy, confidential, and want to help. To assist immigrant populations to disclose IPV to a health provider, videos need to be culturally relevant, explain various types of violence, allay fears, and show clear processes and benefits.

Screening for Intimate Partner Violence in a Pediatric Primary Care Clinic

PEDIATRICS ◽  
2008 ◽  
Vol 121 (1) ◽  
pp. e85-e91 ◽  
Author(s):  
H. Dubowitz ◽  
L. Prescott ◽  
S. Feigelman ◽  
W. Lane ◽  
J. Kim
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Primary Care Clinic ◽  
Intimate Partner ◽  
Pediatric Primary Care ◽  
Care Clinic

Intimate Partner Violence Screening and Referral Practices in an Outpatient Care Setting

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5877-5888 ◽  
Author(s):  
Cari Jo Clark ◽  
Lynette M. Renner ◽  
Mary E. Logeais
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Primary Care Clinic ◽  
Well Being ◽  
Intimate Partner ◽  
Care Providers ◽  
Care Clinic ◽  
Barriers And Opportunities ◽  
Academic Primary Care

Health care providers who screen for intimate partner violence (IPV) and counsel patients can reduce victimization and positively impact women’s health and well-being; yet only 2% to 50% of medical professionals report routinely screening female patients. The purpose of this study was to identify current practices, policies, barriers, and opportunities for a coordinated and routinized response to IPV in an outpatient academic primary care clinic. Data were collected through interviews and the Physician Readiness to Manage Intimate Partner Violence questionnaire. Data on IPV screening practices over a 5-month period were also available through the electronic health record. Study participants expressed that there was no uniform method of documenting screening results and great variability in the patient populations and circumstances that prompted screening. Over two thirds of the survey respondents reported either a lack of IPV protocol or a lack of knowledge about one if it existed. Providers and staff who participated believed it was within their scope of work to screen for IPV and recognized IPV as a serious health threat; however, they cited an absence of patient education resources, a lack of staff training and awareness, and no established IPV referral network as barriers to screening for IPV. The results of the pilot are in line with existing research highlighting a general lack of screening, variability in process, and the absence of systems-level policies and protocols and linkages to community resources. Pilot findings have been used to initiate a project which encompasses routinized screening, documentation, and care coordination between providers and community organizations to improve patient well-being.

scholarly journals Dangerous Abusive Relationships and Sources of Resilience for South Asian Immigrant Women Survivors of Intimate Partner Violence

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Bushra Sabri ◽  
Shreya Bhandari ◽  
Anuja Shah
Keyword(s):  
Women Survivors ◽  
Childhood Abuse ◽  
South Asian ◽  
Partner Violence ◽  
Immigrant Women ◽  
The United States ◽  
Intimate Partner ◽  
Asian Immigrant ◽  
Drug Problems ◽  
South Asian Immigrant

This study explored South Asian immigrant women survivors’ perspectives on intimate partner relationships that could lead to severe violence or a homicide and sources of resilience for South Asian immigrant survivors in the United States. The study recruited 16 South Asian immigrant survivors for in-depth interviews and focus groups. Data were analyzed using thematic analysis. Survivors shared some characteristics of dangerous partner such as controlling behavior, anger issues, infidelity, alcohol and drug problems, and history of childhood abuse. Incidents of severe physical abuse, threats to kill, possession of a weapon, and suspicious behavior led survivors to feel fearful for their lives. Sources of resilience in the community (e.g., support from formal sources of help) and at the individual level (e.g., education) were discussed. The needs for culturally informed services and to generate awareness of services among South Asian immigrants were highlighted.

Mexican Immigrant Women’s Reconstruction of Punishment and Victimhood in Intimate Partner Violence

2019 ◽  
Vol 26 (9) ◽  
pp. 987-1007
Author(s):  
Blanca Ramirez ◽  
Devon Thacker Thomas
Keyword(s):  
United States ◽  
Intimate Partner Violence ◽  
Law Enforcement ◽  
Partner Violence ◽  
Immigrant Women ◽  
The United States ◽  
Intimate Partner ◽  
Reference Points ◽  
Mexican Immigrant ◽  
Mexican Immigrant Women

Utilizing 20 in-depth, semi-structured interviews with Mexican immigrant women in Southern California, we argue that participants employ a bifocal lens to develop perceptions of intimate partner violence (IPV). By drawing on existing knowledge from Mexico as reference points, the findings show that participants construct law enforcement as the appropriate intervention in the United States. As a result, they construct new norms for victims on how to address IPV. Ultimately, this research suggests that perceptions of laws and law enforcement as change agents in ending IPV within the United States may create, in fact, a false sense of security in Mexican immigrant women.

A Trauma-Informed Analysis of the Violence Against Women Act’s Provisions for Undocumented Immigrant Women

2018 ◽  
Vol 24 (13) ◽  
pp. 1540-1556 ◽  
Author(s):  
Nadine Shaanta Murshid ◽  
Elizabeth A. Bowen
Keyword(s):  
United States ◽  
Intimate Partner Violence ◽  
Violence Against Women ◽  
Partner Violence ◽  
Immigrant Women ◽  
The United States ◽  
Intimate Partner ◽  
Undocumented Immigrant ◽  
Analysis Framework ◽  
Trauma Informed

Immigrant women in the United States are among the groups disproportionately affected by intimate partner violence (IPV). Undocumented immigrants generally have fewer resources for coping with violence and may experience a range of personal, cultural, and immigration status–related barriers to reporting violence and accessing help. Thus, undocumented immigrant victims of IPV could benefit significantly from policies that promote access to trauma-informed services and legal options. This article applies a trauma-informed policy analysis framework to the Violence Against Women Act’s immigration protections to demonstrate how the Act’s U-Visa provisions and implementation practices could be improved by incorporating trauma-informed principles of trustworthiness and transparency, empowerment, choice, safety, collaboration, and intersectionality.

scholarly journals Prevalence of intimate partner violence and associated factors amongst women attending antenatal care at Outapi clinic, Namibia: A descriptive survey

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Leonard T. Bikinesi ◽  
Robert Mash ◽  
Kate Joyner
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Emotional Abuse ◽  
Primary Care Clinic ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Lifetime Prevalence ◽  
Care Clinic ◽  
Type Of Abuse ◽  
Descriptive Survey

Background: Intimate partner violence (IPV) is a significant and largely hidden public health problem for all women and, during pregnancy, can have significant effects on the health of both mother and the unborn baby. Previous Namibian studies suggest rates of IPV as high as 36%, although few studies have been conducted in primary care.Aim: To determine the prevalence of IPV amongst women attending antenatal care.Setting: Outapi primary care clinic, Namibia.Methods: A descriptive survey administering a validated questionnaire to 386 consecutive participants.Results: The mean age of the participants was 27.5 years (standard deviation = 6.8), 335 (86.8%) were unmarried, 215 (55.7%) had only primary school education and 237 (61.4%) were in their third trimester. Overall, 51 participants (13.2%) had HIV and 44 (11.4%) had teenage pregnancies. The reported lifetime prevalence of IPV was 39 (10.1%), the 12-month prevalence was 35 (9.1%) and the prevalence during pregnancy was 31 (8.0%). Emotional abuse was the commonest type of abuse in 27 (7.0%). The commonest specific abusive behaviour was refusing to provide money to run the house or look after the children whilst the partner spent money on his priorities (4.9%). Increased maternal age was associated with an increase in the occurrence of IPV.Conclusion: The reported lifetime prevalence of IPV was 10.1%, with emotional abuse being the commonest type of abuse. Increased age was associated with an increase in reported IPV. IPV is significant enough to warrant that healthcare providers develop guidelines to assist women affected by IPV in Namibia.

Sign in / Sign up

Export Citation Format

Share Document