scholarly journals Help seeking by male victims of domestic violence and abuse: an example of an integrated mixed methods synthesis of systematic review evidence defining methodological terms

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alyson L. Huntley ◽  
Eszter Szilassy ◽  
Lucy Potter ◽  
Alice Malpass ◽  
Emma Williamson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Domestic Violence ◽  
Mixed Methods ◽  
Service Provision ◽  
Help Seeking ◽  
Qualitative Data ◽  
Male Victims ◽  
Policy And Practice ◽  
Primary Level ◽  
Domestic Violence And Abuse

Abstract Background Domestic violence and abuse is a violation of human rights which damages the health and wellbeing of victims, their families and their friends. There has been less research on the experiences and support needs of male victims than those of women. Historically research on men’s experiences has not focused on what constitutes effective, needs-led service provision. The aim of this paper was to conduct an integrated mixed methods synthesis of systematic review evidence on the topic of help-seeking by male victims of domestic violence and abuse. Methods An integrated mixed methods synthesis approach was taken to enhance our understanding of the complex phenomenon of help seeking by, and service provision to male victims. This process also identifies gaps in the evidence. Using previously identified systematic review data; mixed methods data from four primary-level service evaluation studies, along with expert and patient consultation were used to develop research propositions. Primary-level qualitative interview and survey data from 12 studies of men experiences were mapped onto the propositions to support them. Results Fourteen propositions were composed. Seven propositions were supported or at least partly supported by the qualitative data. These supported propositions were used to make recommendations for policy and practice particularly concerning service preferences of male victims. The remaining seven propositions were not specifically supported by the qualitative data. These unsupported propositions were used to develop research recommendations concerning the need to further understand the potential blurred boundaries of victim–perpetrator, hybrid perpetrator-victim experiences, men who are/have been victims of childhood sexual abuse and determining the level of risk for men. They also highlight the need to produce better guidance for the response of the police & the criminal justice system. Finally, they highlight the need to produce the most appropriate service for men in terms of access, linkage, substance/alcohol abuse, mental health, sexuality, and race. Conclusion Integrated mixed-methods synthesis of systematic review evidence is a relatively novel approach. This approach can lead to recommendations for policy and practice as well as highlighting gaps in the research agenda as shown in this example.

scholarly journals Help-seeking by male victims of domestic violence and abuse (DVA): a systematic review and qualitative evidence synthesis

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e021960 ◽  
Author(s):  
Alyson L Huntley ◽  
Lucy Potter ◽  
Emma Williamson ◽  
Alice Malpass ◽  
Eszter Szilassy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Domestic Violence ◽  
Support Services ◽  
Help Seeking ◽  
Evidence Synthesis ◽  
Secondary Outcome ◽  
Qualitative Evidence Synthesis ◽  
Male Victims ◽  
Qualitative Evidence ◽  
Domestic Violence And Abuse

ObjectivesTo understand help-seeking by male victims of domestic violence and abuse (DVA) and their experiences of support services by systematically identifying qualitative and mixed-method studies and thematically synthesising their findings.DesignSystematic review and qualitative evidence synthesis. Searches were conducted in 12 databases and the grey literature with no language or date restrictions. Quality appraisal of the studies was carried out using the Critical Appraisal Skills Programme tool. Reviewers extracted first and second order constructs related to help-seeking, identified themes and combined them by interpretative thematic synthesis.SettingDVA experienced by male victims and defined as any incident or pattern of incidents of controlling coercive or threatening behaviour, violence or abuse among people aged 18 or over who are or have been intimate partners or family members, regardless of gender or sexuality.ParticipantsMale victims of DVA.InterventionsAny intervention which provides practical and/or psychological support to male victims of DVA including but not limited to DVA-specific services, primary healthcare and sexual health clinics.Primary and secondary outcome measuresQualitative data describing help-seeking experiences and interactions with support services of male victims of domestic violenceResultsWe included twelve studies which were published between 2006 and 2017. We grouped nine themes described over two phases (a)barriers to help-seeking: fear of disclosure, challenge to masculinity, commitment to relationship, diminished confidence/despondency and invisibility/perception of services; and (b)experiences of interventions and support: initial contact, confidentiality, appropriate professional approaches and inappropriate professional approaches.ConclusionThe recent publication of the primary studies suggests a new interest in the needs of male DVA victims. We have confirmed previously identified barriers to help-seeking by male victims of DVA and provide new insight into barriers and facilitators to service provision.PROSPERO registration numberCRD42016039999.

scholarly journals Help-seeking among lesbian, gay, bisexual and/or transgender victims/survivors of domestic violence and abuse: The impacts of cisgendered heteronormativity and invisibility

2019 ◽  
Vol 56 (4) ◽  
pp. 554-570 ◽  
Author(s):  
Catherine Donovan ◽  
Rebecca Barnes
Keyword(s):  
Domestic Violence ◽  
Social Problem ◽  
Help Seeking ◽  
Qualitative Data ◽  
Research Evidence ◽  
Individual Responsibility ◽  
Practice Research ◽  
Policy And Practice ◽  
Ecological Analysis ◽  
Domestic Violence And Abuse

Despite growing research into domestic violence and abuse (DVA) in lesbian, gay, bisexual and/or trans (LGB and/or T) people’s relationships, LGB and/or T people remain largely invisible in DVA policy and practice. Research evidence indicates that they primarily seek help from privatised sources such as counsellors/therapists and friends. The gap in knowledge about LGB and/or T victims/survivors’ help-seeking reflects and reinforces the success of neoliberal trends in privatising social problems by promoting self-care and individual responsibility. Using qualitative data from a mixed-methods UK study, this article offers an ecological analysis of LGB and/or T victims/survivors’ help-seeking decisions and barriers, demonstrating how cisgendered heteronormativity and LGBT invisibility permeate help-seeking at individual, interpersonal and socio-cultural levels. The conclusion argues for LGBT DVA to be recognised as a social problem rather than a private trouble. Recommendations are offered for necessary steps towards better recognising and supporting LGB and/or T victims/survivors.

scholarly journals “I Have Guys Call Me and Say ‘I Can’t Be the Victim of Domestic Abuse’”: Exploring the Experiences of Telephone Support Providers for Male Victims of Domestic Violence and Abuse

2020 ◽  
pp. 088626052094455
Author(s):  
Benjamin Hine ◽  
Elizabeth A. Bates ◽  
Sarah Wallace
Keyword(s):  
Domestic Violence ◽  
Help Seeking ◽  
Domestic Abuse ◽  
Academic Research ◽  
Male Victims ◽  
Structured Interviews ◽  
Service Engagement ◽  
Abused Men ◽  
Domestic Violence And Abuse ◽  
Gender Specific

While previous studies have begun to provide evidence on the experiences of male victims of domestic violence and abuse (DVA), current understanding in this area is still limited, and subject to narrow methods of inquiry. Moreover, little is known regarding the challenges of providing support to men in abusive relationships, and how barriers to effective service engagement are experienced by both men and service practitioners. This is an important area for exploration, as the gender-specific experiences and needs of men have been historically overlooked within academic research and service provision. The present study therefore had two principal aims: first, to provide more detailed information regarding the nature and context of abuse toward, and help-seeking experiences of, male victims, and second, to explore the experiences of those supporting abused men. Semi-structured interviews were conducted with four call handlers at a U.K. domestic abuse charity supporting male victims. Transcribed interviews were subjected to thematic analysis, revealing a superordinate theme of stereotypes and expectations of men which affected all the other three overarching and eight subthemes, including those detailing the range and severity of abuse suffered, the role of family and friends, barriers to reporting for abused men, and challenges in supporting them. Implications for services working with male victims of DVA are discussed: centered around the need for recognition, increased awareness, increased resourcing, and the provision of gender-inclusive services catering for the gender-specific needs of men.

scholarly journals Psychosocial influences on help-seeking behaviour for cancer in low-income and lower middle-income countries: a mixed-methods systematic review

2021 ◽  
Vol 6 (2) ◽  
pp. e004213
Author(s):  
Grace McCutchan ◽  
Bahr Weiss ◽  
Harriet Quinn-Scoggins ◽  
Anh Dao ◽  
Tom Downs ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Cancer Treatment ◽  
Help Seeking ◽  
Middle Income ◽  
Cancer Symptoms ◽  
Middle Income Countries ◽  
Help Seeking Behaviour ◽  
Psychosocial Influences

IntroductionStarting cancer treatment early can improve outcomes. Psychosocial factors influencing patients’ medical help-seeking decisions may be particularly important in low and lower middle-income countries (LMIC) where cancer outcomes are poor. Comprehensive review evidence is needed to understand the psychosocial influences on medical help-seeking for cancer symptoms, attendance for diagnosis and starting cancer treatment.MethodsMixed-methods systematic review registered on PROSPERO (CRD42018099057). Peer-reviewed databases were searched until April 2020 for studies assessing patient-related barriers and facilitators to medical help-seeking for cancer symptoms, diagnosis and treatment in adults (18+ years) living in LMICs. Quality of included studies was assessed using the Critical Appraisal Skills Programme tool. Data were synthesised using meta-analytic techniques, meta-ethnography or narrative synthesis as appropriate.ResultsOf 3963 studies identified, 64 were included. In quantitative studies, use of traditional, complementary and alternative medicine (TCAM) was associated with 3.60 higher odds of prolonged medical help-seeking (95% CI 2.06 to 5.14). Qualitative studies suggested that use of TCAM was a key barrier to medical help-seeking in LMICs, and was influenced by causal beliefs, cultural norms and a preference to avoid biomedical treatment. Women face particular barriers, such as needing family permission for help-seeking, and higher stigma for cancer treatment. Additional psychosocial barriers included: shame and stigma associated with cancer such as fear of social rejection (eg, divorce/disownment); limited knowledge of cancer and associated symptoms; and financial and access barriers associated with travel and appointments.ConclusionDue to variable quality of studies, future evaluations would benefit from using validated measures and robust study designs. The use of TCAM and gender influences appear to be important barriers to help-seeking in LMIC. Cancer awareness campaigns developed with LMIC communities need to address cultural influences on medical help-seeking behaviour.

DO MALE VICTIMS OF INTIMATE PARTNER VIOLENCE (IPV) DESERVE HELP? SOME REFLECTIONS BASED ON A SYSTEMATIC REVIEW

2015 ◽  
Vol 49 (01n02) ◽  
pp. 51-63 ◽  
Author(s):  
WALLACE WAI-HUNG TSANG
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Social Services ◽  
Partner Violence ◽  
Psychological Factors ◽  
Help Seeking ◽  
Intimate Partner ◽  
Real Problem ◽  
Male Victims ◽  
Service Barriers

Based on a systematic review of 32 articles on help-seeking by male victims of intimate partner violence (IPV), this study attempts to understand why men tend not to seek help in IPV. The review of the selected literature establishes that male victimization in IPV is a real problem. However, men tend not to seek help for a variety of reasons, most of which are attributable to either psychological factors or external service barriers. Based on the findings of this study, the implications of the failure to deliver social services to men suffering various forms of domestic violence are discussed.

scholarly journals Healthy Weight Services in England before, during and after pregnancy: a mixed methods approach

2020 ◽  
Author(s):  
Frankie Fair ◽  
Katie Marvin-Dowle ◽  
Madelynne Arden ◽  
Hora Soltani
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Mixed Methods ◽  
Body Mass ◽  
Service Provision ◽  
Qualitative Data ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Mixed Methods Approach ◽  
National Guidance

Abstract Background: Maternal overweight and obesity are associated with numerous adverse outcomes including higher rates of maternal and infant mortality and morbidity. Overweight and obesity before, during and after pregnancy are therefore a significant public health priority in England. This project explored and mapped healthy weight service availability at different stages of the childbearing cycle.Methods: A mixed methods approach included a questionnaire-based survey disseminated through Local Maternity Systems and semi-structured interviews or focus groups with providers and commissioners. Current maternal weight service provision was explored along with some of the barriers and facilitators for providing, delivering and accessing healthy weight services. Descriptive statistics were reported for quantitative data and content analysis was used for thematic reporting of qualitative data. Results: A total of 88 participants responded to the survey. All services were offered most frequently during pregnancy; with healthy eating and/or weight management services offered more often than physical activity services. Few services were targeted specifically at women with a raised body mass index. There was a high degree of inconsistency of service provision in different geographical areas. Several themes were identified from qualitative data including "equity and variation in service provision", "need for rigorous evaluation", "facilitators” to encourage better access or more effective service provision, including prioritisation, a change in focus and co-design of services, "barriers" encountered including financial and time obstacles, poor communication and insufficiently clear strategic national guidance and "the need for additional support”.Conclusions: There is a need to reduce geographical variation in services and the potential health inequalities that this may cause. Improving services for women with a raised body mass index as well as services which encourage physical activity require additional emphasis. There is a need for more robust evaluation of services to ensure they are fit for purpose. An urgent need for clear national guidance so that healthcare providers can more effectively assist mothers achieve a healthy weight gain was identified. Commissioners should consider implementing strategies to reduce the barriers of access identified such as childcare, transport, location and making services free at the point of use.

scholarly journals Exploring the Domestic Abuse Narratives of Trans and Nonbinary People and the Role of Cisgenderism in Identity Abuse, Misgendering, and Pathologizing

2020 ◽  
pp. 107780122097136
Author(s):  
Michaela M. Rogers
Keyword(s):  
Domestic Violence ◽  
Empirical Research ◽  
Qualitative Data ◽  
Empirical Studies ◽  
Secondary Analysis ◽  
Inclusion Criteria ◽  
Conceptual Tool ◽  
Semistructured Interviews ◽  
Domestic Violence And Abuse

Drawing on data from two empirical studies, this article employs cisgenderism as a conceptual tool to explore trans people’s experiences of domestic violence and abuse (DVA). Distinct modes of cisgenderism are analyzed. These are identity abuse, microaggressions, misgendering, and pathologizing practices. Qualitative data were collected via semistructured interviews ( n = 24). Two inclusion criteria were used for this secondary analysis requiring participants to self-identify as trans or nonbinary and have experience of DVA. The findings illuminate the extent of cisgenderism as underpinning experiences of DVA. The article ends with a call for further theoretical and empirical research in this regard.

scholarly journals Use of emergency contraception among women with experience of domestic violence and abuse: a systematic review

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Natalia V. Lewis ◽  
Theresa H. M. Moore ◽  
Gene S. Feder ◽  
John Macleod ◽  
Penny Whiting
Keyword(s):  
Systematic Review ◽  
Domestic Violence ◽  
Emergency Contraception ◽  
Domestic Violence And Abuse
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