Violence-related coping, help-seeking and health care-based intervention preferences among perinatal women in Mumbai, India.
Violence-related coping, help-seeking and health care-based intervention preferences among perinatal women in Mumbai, India.
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DOI：
10.1177/0886260512469105
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发表时间：
2013-06
影响因子：
2.5
通讯作者：
Silverman JG
中科院分区：
文献类型：
--
作者：
Decker MR;Nair S;Saggurti N;Sabri B;Jethva M;Raj A;Donta B;Silverman JG
家庭暴力是一个重大的公共卫生问题。印度受到的影响尤为严重，估计每三名妇女中就有一名面临伴侣的虐待。目前的混合方法的研究描述了暴力相关的应对和寻求帮助，以及偏好的卫生保健为基础的干预，围产期妇女居住在低收入社区在印度孟买。对最近分娩并自述最近遭受丈夫暴力的妇女进行了深入访谈（n = 32），随后对印度孟买3个大型城市卫生中心为6个月或6个月以下婴儿寻求免疫接种的母亲进行了调查数据收集（n = 1 038）。与会者描述了对披露虐待行为的恐惧和其他障碍，对与暴力有关的正式支助服务的认识水平很低。定性和定量研究结果表明，正式的求助是罕见的，非正式的帮助来源是最经常寻求。定量结果显示，虽然很少有妇女（<5%）在保健环境中接受过暴力筛查，但大多数妇女（67%）在被询问时愿意透露虐待情况。当向参与者提供可能的诊所暴力支持干预措施清单时，参与者认为危机咨询和安全规划最有帮助（90.9%）。研究结果为围产期妇女暴力相关的干预服务提供了方向。在这方面，值得探讨一种多管齐下的办法，包括加强非正式的支助系统，例如邻居和家庭成员，以及促进获得建立在保健系统基础上的正式服务。
Domestic violence is a significant public health issue. India is uniquely affected with an estimated 1 in 3 women facing abuse at the hands of a partner. The current mixed-methods study describes violence-related coping and help-seeking, and preferences for health care—based intervention, among perinatal women residing in low-income communities in Mumbai, India. In-depth interviews were conducted with women who had recently given birth and self-reported recent violence from husbands (n = 32), followed by survey data collection (n = 1,038) from mothers seeking immunization for their infants ages 6 months or younger at 3 large urban health centers in Mumbai, India. Participants described fears and other barriers to abuse disclosure, and there was a low level of awareness of formal support services related to violence. Qualitative and quantitative findings indicated that formal help-seeking is uncommon and that informal help sources are most frequently sought. Quantitative results revealed that, while few (<5%) women had been screened for violence in the health care setting, most (67%) would be willing to disclose abuse if asked. When presented with a list of possible clinic-based violence support interventions, participants endorsed crisis counseling and safety planning as most helpful (90.9%). Findings provide direction for violence-related intervention services for perinatal women. A multipronged approach that includes strengthening the informal support system, for example, neighbors and family members, as well as facilitating access to formal services building on the health care system, warrants exploration in this context.
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影响因子：
2.9
作者：
Miller, Elizabeth;Decker, Michele R.;Silverman, Jay G.
通讯作者：
Silverman, Jay G.
影响因子：
2.3
作者：
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影响因子：
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通讯作者：
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影响因子：
2.2
作者：
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通讯作者：
Santos, Susy C.
影响因子：
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作者：
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通讯作者：
Watts, Charlotte