scholarly journals “I’ll tell you what’s important to me…”: lessons for women’s health screening

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bayla M. M. Ostrach
Keyword(s):  
Intimate Partner Violence ◽  
Women’S Health ◽  
Women's Health ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Screening ◽  
Screening Tools ◽  
Community Members ◽  
South Central ◽  
Screening Questions

Abstract Background Providers face increasing demands to screen for various health issues. Family medicine, primary care, and obstetric providers are encouraged to screen women universally for intimate partner violence, which could be challenging without comprehensive screening tools. The screening expectations and demands motivated providers and staff in south-central Appalachia (U.S.) to engage community members in streamlining women’s health screening tools, and integrating intimate partner violence screening questions, through a Human-Centered Design (HCD) process. The objective of this article is to present participants’ experiences with and perceptions of the HCD process for developing screening tools for women’s health. Methods This was a qualitative, phenomenological study conducted with community members (n = 4) and providers and staff (n = 7) who participated in the HCD process. Sampling was purposive and opportunistic. An experienced qualitative researcher conducted open-ended, semi-structured interviews with participants. Interviews were transcribed and coded for thematic analysis. Results Community members reported that in the HCD sessions they wanted clinicians to understand the importance of timing and trust in health screening. They focused on the importance of taking time to build trust before asking about intimate partner violence; not over-focusing on body weight as this can preclude trust and disclosure of other issues; and understanding the role of historical oppression and racial discrimination in contributing to healthcare mistrust. Providers and staff reported that they recognized the importance of these concerns during the HCD process. Conclusions Community members provided critical feedback for designing appropriate tools for screening for women’s health. The findings suggest that co-designing screening tools for use in clinical settings can facilitate communication of core values. How, when, and how often screening questions are asked are as important as what is asked—especially as related to intimate partner violence and weight.

scholarly journals Exploring the Linkages between Substance Use, Natural Disasters, Pandemics, and Intimate Partner Violence against Women: A Rapid Review in the Context of COVID-19

Sexes ◽  
2021 ◽  
Vol 2 (4) ◽  
pp. 509-522
Author(s):  
Andreea C. Brabete ◽  
Lindsay Wolfson ◽  
Julie Stinson ◽  
Nancy Poole ◽  
Sarah Allen ◽  
...  
Keyword(s):  
Public Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Women’S Health ◽  
Women's Health ◽  
Partner Violence ◽  
Intimate Partner ◽  
Rapid Review ◽  
Physical And Mental Health ◽  
Partner Violence Against Women

Rates of intimate partner violence (IPV) and substance use have risen during the COVID-19 pandemic, with potentially enduring effects on women’s health. A rapid review was conducted on IPV and women’s substance use in the context of the COVID-19 pandemic. The rapid review explored two separate research questions with a view to integrate the literature related to: (1) containment, social isolation, pandemics, disasters, lockdowns, and IPV; and (2) the relationships between substance use and IPV. Two different searches for each question were conducted between May and October 2020 and n = 47 articles were included. Women experience multiple physical and mental health consequences related to IPV that can be exacerbated by public health crises such as pandemics and disasters. Perpetrators may use these events as a tactic to threaten, isolate, or use coercive control. Similar tactics are reported in the complex relationship between IPV and substance use, where substance use can accompany IPV and/or be used as a coping mechanism for survivors. The findings highlight long standing women’s health concerns made further visible during the COVID-19 pandemic. Additional research is needed to identify actions required to reduce gender inequities and harms associated with IPV and substance use, and to adequately tailor and prepare effective responses in the context of future public health crises.

Effects of Intimate Partner Violence Versus Poverty on Women's Health

2001 ◽  
Vol 7 (10) ◽  
pp. 1122-1143 ◽  
Author(s):  
CHERYL A. SUTHERLAND ◽  
CRIS M. SULLIVAN ◽  
DEBORAH I. BYBEE
Keyword(s):  
Intimate Partner Violence ◽  
Women’S Health ◽  
Women's Health ◽  
Partner Violence ◽  
Intimate Partner

scholarly journals Lived experience of intimate partner violence among women using antiretroviral therapy and other outpatient services in Wolaita Zone, Ethiopia: A phenomenological study

2020 ◽  
Author(s):  
Mengistu Meskele ◽  
Nelisiwe Khuzwayo ◽  
Myra Taylor
Keyword(s):  
Intimate Partner Violence ◽  
Antiretroviral Therapy ◽  
Women’S Health ◽  
Lived Experience ◽  
Women's Health ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Outpatient Services ◽  
Hiv Test

Abstract Background: Ethiopia is one of the nations which has an enormous burden of intimate partner violence (IPV), and where it is usually difficult to talk about HIV separately from IPV. Objectives: This research aimed to explore the lived experience of IPV against women using antiretroviral therapy (ART) and other outpatient services in Wolaita Zone, Ethiopia Methods: We used an Interpretive (hermeneutic) Phenomenological Analysis design among purposely selected adult women aged 18-49 years. A total of 43 women involved in this study, of whom 30 were using ART, and 13 women were using other health services. We used an in-depth interview and focus group discussions until data saturation, while conscious of the need to maintain the scientific rigor, dependability, and credibility. The data were transcribed verbatim and translated into English. We read the transcripts repeatedly to understand the content. We used NVivo 11 software to assist with data organization, and also, we used the framework analysis method. Results: We identified five themes from this analysis, namely: “women's terrifying experiences of violence,” “the effect of violence on women's health,” “support/lack of support /partner’s controlling behaviors,” “women’s feelings about the available services,” and “IPV prevention strategies from the perspective of women.” Interviewees described their violent experiences which included wife-beating, being stigmatized in front of others, having material thrown at the woman’s face, wife’s hand and teeth were broken, forced sex, restriction of movement, name-calling, threats to hurt, being insulted, being left alone, and the withdrawal of finances. The negative health impacts reported included abortion, infection with HIV and other sexually transmitted diseases, disability, child’s death, and depression. The disclosure of HIV test information resulted in violence. Inappropriate punishment of the perpetrator and the lack of a supportive women’s network to avert IPV were perceived as legal limitations .by the women. Conclusions: IPV is a considerable health burden, varying in its presentation and its negative impact on women’s health. Improved laws should provide justice for all victims. Establishing a women’s network to assist should be emphasized. Unwise HIV test result disclosure leads to IPV; hence HIV disclosure should be facilitated through health care providers.

Human-Centered Design for Women’s Health Screening Tool Redevelopment: Participant Experiences (Preprint)

2019 ◽  
Author(s):  
Bayla Ostrach
Keyword(s):  
Community Engagement ◽  
Women’S Health ◽  
Women's Health ◽  
Design Process ◽  
Healthcare Delivery ◽  
Health Screening ◽  
Screening Tools ◽  
Community Members ◽  
Human Centered Design ◽  
Delivery Of Care

BACKGROUND Human-Centered Design (HCD) is an innovation or design process that emphasizes collective input from stakeholders. A growing body of literature examines the science of patient and community engagement in health research yet little qualitative research to date examines how community members recruited to collaborate on designing health practice variations and delivery of care perceive and experience such a process. OBJECTIVE Examine perceptions of a Human-Centered Design process as an engagement tool to inform delivery of care and practice innovation in women’s health screening. METHODS Primary qualitative data collected at a medical education center/network of clinics, and in the surrounding community. Qualitative study used opportunistic and purposive sampling recruiting participants from an earlier HCD process undertaken to redesign screening tools. Participants were purposively and sampled from among eligible participants who participated in the Human-Centered Design process to develop women’s health screening tools and who were community members and/or clinicians/clinical staff. All eligible participants who agreed to participate were interviewed using a semi-structured, open-ended guide. Interviews were audio-recorded, transcribed, hand-coded, and analyzed using modified Grounded Theory. RESULTS Community members and clinicians reported divergent views of the HCD process; both groups valued the opportunity to participate. Some found the process easy to engage; others found it confusing or even embarrassing. CONCLUSIONS Community members and clinicians valued being part of determining the best process for healthcare delivery and practice innovation or variation; concerns remained about access to and full participation in the process. Though a promising option and valuable process, the HCD process was not equally comfortable or accessible for all. Community engagement beyond the clinical team to developing practice variation is important but must be undertaken thoughtfully. CLINICALTRIAL Not applicable

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