Perceived Changes in Health and Safety Following Participation in a Health Care-Based Domestic Violence Program

Perceived Changes in Health and Safety Following Participation in a Health Care-Based Domestic Violence Program
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DOI:
10.1016/j.jmwh.2008.07.008
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发表时间:
2008-11-01
影响因子:
2.7
通讯作者:
Silverman, Jay G.
Silverman, Jay G.
中科院分区:
医学3区
文献类型:
--
作者:
Hathaway, Jeanne E.;Zimmer, Bonnie;Silverman, Jay G.

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这项描述性研究探讨了健康和安全方面的可感知变化以及这些变化发生的潜在过程。49名遭受亲密伴侣虐待的妇女参加了为期6个月或更长时间的基于医疗保健的家庭暴力(DV)倡导计划。一项对英语和西班牙语的结构化访谈的分析发现,由于参与了该项目,大多数参与者感觉到他们的个人安全和情绪健康方面发生了积极的变化。一些参与者还感觉到他们的身体健康有所改善,不健康的应对行为(例如,暴饮暴食和吸烟)。以及项目参与后的医疗保健。参与者的反应表明了一个改变的过程,在这个过程中,DV宣传服务首先有助于改善安全性和情绪健康,然后促进行为改变。行为改变可能随后有助于身体健康的改善,这也可能有利于情绪健康。需要进行纵向评估,以评估DV宣传和其他针对虐待伴侣的干预措施随着时间的推移对妇女健康和安全的影响。J助产士妇女健康2008;53:547-555(C)2008,由美国护士-助产士学会主办。
This descriptive study explores perceived changes in health and safety and the potential process by which these changes occur. Forty-nine women experiencing intimate partner abuse participated in a health care-based domestic violence (DV) advocacy program for 6 months or more. An analysis of structured interviews in English and Spanish found that the majority of participants perceived positive changes in their personal safety and emotional health because of their involvement in the program. Some participants also perceived improvements in their physical health, unhealthy coping behaviors (e.g., overeating and smoking). and health care following program involvement. Participants' responses suggest a process of change whereby DV advocacy services first contribute to improved safety and emotional health, which then facilitates behavioral changes. Behavioral changes may subsequently contribute to improvements in physical health, which may also benefit emotional health. Longitudinal evaluations are needed to evaluate the impact of DV advocacy and other interventions for partner abuse on women's health and safety over time. J Midwifery Womens Health 2008;53:547-555 (C) 2008 by the American College of Nurse-Midwives.