Bearing witness: ethics in domestic violence research

Bearing witness: ethics in domestic violence research
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DOI:
10.1016/s0140-6736(02)08521-5
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发表时间:
2002-05-04
期刊:
影响因子:
168.9
通讯作者:
Heise, L
Heise, L
中科院分区:
医学1区
文献类型:
--
作者:
Ellsberg, M;Heise, L

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涉及人群的流行病学研究具有内在风险。国际医学科学组织理事会就流行病学研究的伦理原则提供指导,包括尊重人民、不伤害、服从和公正。在这篇文章中,我们讨论了将每个原则应用于家庭暴力人口研究的挑战,在这个问题上,设计不良的研究可能会使妇女在暴力关系中面临很大的风险。主要关注点包括确保受访者在许多人与施虐者生活在一起的情况下的安全,在违规行为可能引发攻击时保护机密性,以及确保面试过程是肯定的,不会造成痛苦。只有当访谈被用来提供关于现有服务的信息,并在必要时成为立即转诊的来源,如果获得高质量的数据,如果调查结果被用来提高对遭受家庭暴力的妇女的认识并改善对她们的服务,研究所带来的固有风险才是合理的。
Epidemiological research involving people has inherent risks. The Council for International Organization of Medical Sciences provides guidance on the ethical principles of epidemiological research, including respect for people, non-maleficence, beneficience, and justice. In this article we discuss the challenges of applying each principle to population research on domestic violence, an Issue In which poorly designed research could put women In violent relationships at substantial risk. Main concerns include ensuring safety of respondents in a context In which many live with their abuser, protecting confidentiality when breaches could provoke an attack, and ensuring the Interview process Is affirming and does not cause distress. The inherent risks entailed in research can only be justified if the Interview Is used to provide Information on available services and Is a source of immediate referral when necessary, if high-quality data are obtained, and If findings are used to raise awareness of, and Improve services for, women who experience domestic violence.