Barriers in the Utilization of Domestic Violence Services Among Arab Immigrant Women: Perceptions of Professionals, Service Providers &amp; Community Leaders

Kulwicki, Anahid; Aswad, Barbara C.; Carmona, Talita; Ballout, Suha

doi:10.1007/s10896-010-9330-8

Cited by 106 publications

(134 citation statements)

References 13 publications

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“…It is known that cultural barriers within the immigrant community can restrict women's use of domestic violence services. 42,43 Women in rural communities expressed shame and embarrassment when asked about domestic violence, preferring to discuss it with a female physician. This fi nding suggests that health care systems may need to adapt domestic violence interventions to the local community with particular care given to urban vs rural differences in women's lived experience and willingness to disclose.…”

Section: Discussionmentioning

confidence: 99%

Involving the Health Care System in Domestic Violence: What Women Want

Usta¹,

Antoun²,

Ambuel³

et al. 2012

The Annals of Family Medicine

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PURPOSE Domestic violence is prevalent among women using primary health care services in Lebanon and has a negative effect on their health, yet physicians are not inquiring about it. In this study, we explored the attitudes of these women regarding involving the health care system in domestic violence management. METHODSWe undertook a qualitative focus group study. Health care professionals in 6 primary health care centers routinely screened women for domestic violence using the HITS (Hurt, Insult, Threaten, Scream) instrument. At each center, 12 women who were screened (regardless of the result) were recruited to participate in a focus group discussion.RESULTS Most of the 72 women encouraged involvement of the health care system in the management of domestic violence and considered it to be a "socially accepted way to break the silence." Women expected health care professionals to have an "active conscience"; to be open minded, ready to listen, and unhurried; and to respect confi dentiality. Additionally, they recommended mass media and community awareness campaigns focusing on family relationships to address domestic violence.CONCLUSIONS Addressing domestic violence through the health care system, if done properly, may be socially acceptable and nonoffensive even to women living in conservative societies such as Lebanon. The women in this study described characteristics of health professionals that would be conducive to screening and that could be extrapolated to the health care of immigrant Arab women. Ann Fam Med 2012;10:213-220. doi:10.1370/afm.1336. INTRODUCTIOND omestic violence is prevalent worldwide and associated with considerable morbidity and mortality.1,2 Women exposed to domestic violence are more likely to have physical symptoms, poor pregnancy outcomes, sexually transmitted infections, and elective abortions. [3][4][5][6] Such consequences lead to poorer physical and mental health, more hospitalizations, greater use of outpatient care for acute problems, and less preventive care. [7][8][9][10] Although numerous medical associations, governmental agencies, and advocacy groups recommend routinely screening for or inquiring about domestic violence, 11,12 many physicians, even in developed countries, do not follow these recommendations 13 for various reasons, including lack of knowledge, inadequate training, and fear of offending patients. 14 Several studies have been conducted in developed countries to identify women's attitudes toward routine screening and disclosure of domestic violence in health care settings. A systematic review of 20 peer-reviewed quantitative studies concluded that 43% to 85% of female respondents were in favor of universal screening for intimate partner violence. 213 HE A LT H C A R E A ND D O MES T IC VIOL ENCEincluding victims of violence, would actually endorse screening for such violence under certain conditions: assurance of privacy, a nonjudgmental clinician, and provision of a rationale for the purpose of the screen. 16In addition, female patients in the Unite...

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Section: Discussionmentioning

confidence: 99%

Involving the Health Care System in Domestic Violence: What Women Want

Usta¹,

Antoun²,

Ambuel³

et al. 2012

The Annals of Family Medicine

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“…Essas palavras evidenciam a imagem que os profissionais criam das vítimas, que se encontram imersas em um comportamento prejudicial à saúde. A baixa autoestima pode estar associada às consequências da violência e ao isolamento social (3) .…”

Section: Urbana Ruralunclassified

“…É a principal forma de agravo, por causas externas, contra as mulheres, sobrepondo os assaltos, estupros por desconhecidos e acidentes de carro (3) . É conceituada pela Lei nº11.340/2006, como "qualquer ação ou omissão baseada no gênero que lhe cause morte, lesão, sofrimento físico, sexual ou psicológico e dano moral ou patrimonial" (4) .…”

Section: Introductionunclassified

Representa��es sociais da viol�ncia dom�stica contra a mulher entre profissionais de sa�de: um estudo comparativo

Broch

Silva

Acosta

et al. 2017

R. Enferm. Cent. O. Min.

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RESUMOObjetivo: identificar e comparar as representações sociais da violência doméstica contra a mulher entre profissionais que atuam em Unidades de Saúde da Família das zonas urbana e rural. Métodos: pesquisa qualitativa, baseada na Teoria das Representações Sociais. Colheram-se os dados entre julho e novembro de 2013 pelas técnicas de evocações livres e entrevistas, que foram tratadas pelo software EVOC e análise contextual, respectivamente. Resultados: comparando o núcleo das representações dos profissionais das áreas urbanas e rurais foi observada uma conotação negativa do objeto, bem como a presença de elementos comuns como "agressão" e "covardia". A representação também comportou diferentes dimensões entre os profissionais, provavelmente influenciadas pelo contexto de trabalho dos profissionais de saúde. Conclusão: espera-se que os resultados sirvam de subsídio para um repensar sobre as práticas dos profissionais que atendem diariamente vítimas de violência, com destaque para a sua prevenção e identificação dos casos. Descritores: Violência doméstica; Saúde; Estratégia saúde da família. ABSTRACTObjective: to identify and compare the social representations of domestic violence against women among professionals working in Family Health Units in urban and rural areas. Methods: qualitative research based on the Social Representations Theory. Data were collected between July and November 2013, by the techniques of free evocation and interviews, which were treated by the EVOC software and content analysis, respectively. Results: the comparison of the core of the representations of professionals from urban and rural areas revealed a negative connotation of the object, as well as the presence of common elements such as "aggression" and "cowardice". The representation also had different dimensions among the professionals, probably influenced by the work context of the health professionals. Conclusion: we hope that the results serve as a subsidy for a rethinking of the practices of professionals who assist victims of violence in the daily routine of the services, with emphasis on prevention and identification of cases. Descriptors: Domestic violence; Health; Family health strategy. RESUMENObjetivo: identificar y comparar las representaciones sociales de la violencia doméstica contra la mujer entre profesionales que actúan en Unidades de Salud de la Familia de las zonas urbanas y rurales. Métodos: investigación cualitativa, basada en la Teoría de las Representaciones Sociales. Se recogieron los datos entre julio y noviembre de 2013 por las técnicas de evocaciones libres y entrevistas, que fueron tratadas por el software EVOC y análisis contextual, respectivamente. Resultados: comparando el núcleo de las representaciones de los profesionales de las áreas urbanas y rurales se observó una connotación negativa del objeto, así como la presencia de elementos comunes como "agresión" y "cobardía". La representación también comportó diferentes dimensiones entre los profesionales, probablemente influenciadas por el contexto de...

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“…Strengths of the culture can be identified as a way to hold the abuser accountable and can be integrated into victim services. Kulwicki et al (2010) identified cultural competent strategies to aid in the design of intimate partner violence programs and services for Arab women and can be used in the creation of programs to address honor crimes. The evaluation of these programs, especially as they relate to the prevention of honor crimes, is a viable area for future research.…”

Section: Policy Implicationsmentioning

confidence: 99%

An Exploratory Study of Honor Crimes in the United States

2016

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There is a lack of research on honor crimes within the United States. We used an open source search methodology to identify the victim-offender relationship and motivations for this crime within the United States. Using data collected based on the protocol for the United States Extremist Crime Database (ECDB), we identified a total of 16 honor crimes with 40 victims that occurred between January 1st 1990 and December 31st 2014 in the United States. Based on our findings, the overarching motivations for honor crimes in the United States were the perpetrator's former partner beginning the process of separation and the westernized behavior of the victim, typically the offender's daughter or step-daughter. Honor crimes were not limited to current/ former intimate partners or daughters, as they also included the death of extended family members (e.g. in-laws, nieces, and cousins). Policy implications and directions for future research on honor crimes are discussed.

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Barriers in the Utilization of Domestic Violence Services Among Arab Immigrant Women: Perceptions of Professionals, Service Providers & Community Leaders

Cited by 106 publications

References 13 publications

Involving the Health Care System in Domestic Violence: What Women Want

Involving the Health Care System in Domestic Violence: What Women Want

Representa��es sociais da viol�ncia dom�stica contra a mulher entre profissionais de sa�de: um estudo comparativo

An Exploratory Study of Honor Crimes in the United States

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