scholarly journals Is it coercive controlling violence? A cross-sectional domestic violence and abuse survey of men attending general practice in England.

2017 ◽  
Vol 7 (3) ◽  
pp. 417-427 ◽  
Author(s):  
Marianne Hester ◽  
Cassandra Jones ◽  
Emma Williamson ◽  
Eldin Fahmy ◽  
Gene Feder
2018 ◽  
Vol 69 (680) ◽  
pp. e199-e207 ◽  
Author(s):  
Joni Jackson ◽  
Natalia V Lewis ◽  
Gene S Feder ◽  
Penny Whiting ◽  
Timothy Jones ◽  
...  

BackgroundEvidence of an association between exposure to domestic violence and abuse (DVA) and use of emergency contraception (EC) is lacking in the UK.AimTo quantify the association between exposure to DVA and consultations for EC in general practice.Design and settingNested case-control study in UK general practice.MethodUsing the Clinical Practice Research Datalink, the authors identified all women all women aged 15–49 years registered with a GP between 1 January 2011 and 31 December 2016. Cases with consultations for EC (n = 43 570) were each matched on age and GP against four controls with no consultations for EC (n = 174 280). The authors calculated odds ratios (ORs) and 95% confidence intervals (CIs) for the association between exposure to DVA in the previous year and consultations for EC. Covariates included age, ethnicity, socioeconomic status, pregnancy, children, alcohol misuse, and depression.ResultsWomen exposed to DVA were 2.06 times more likely to have a consultation for EC than unexposed women (95% CI = 1.64 to 2.61). Women aged 25–39 years with exposure to DVA were 2.8 times more likely to have a consultation for EC, compared with unexposed women (95% CI = 2.08 to 3.75). The authors found some evidence of an independent effect of exposure to DVA on the number of consultations for EC (OR 1.48, 95% CI = 0.99 to 2.21).ConclusionA request for EC in general practice can indicate possible exposure to DVA. Primary care consultation for EC is a relevant context for identifying and responding to DVA as recommended by the World Health Organization and National Institute for Health and Care Excellence guidelines. DVA training for providers of EC should include this new evidence.


Author(s):  
Ahmad Hamad Aldosary

Background: Domestic violence and abuse (DVA) has a major impact on women's lives, their psychological, physical, and reproductive health and mostly occurring behind closed doors. The objective of this study was to explore the prevalence of DVA among Saudi women, to determine factors related to each type of abuse, identify sources of abuse, and level of disclosure.Methods: A cross-sectional study was conducted through an online survey using social networking platforms. Four hundred and twenty-one women completed the validated Arabic version of the NorVold domestic abuse questionnaire.Results: The lifetime prevalence of DVA was 69.9%. The most prevalent type of violence was emotional abuse, followed by physical abuse (47%), and subsequently sexual abuse (35%). Among the abused women, 25.6% (n=75) had experienced all types of abuse. Fathers, mothers, and brothers were the main perpetrators of emotional violence, while brothers, mothers, and fathers were the main perpetrators of physical abuse; relatives (not from the family) and brothers were the main perpetrators of sexual violence. Approximately 26% of the emotionally abused try to seek help, 78.7% did not disclose the abuse to their doctors, and 16.5% of the physically abused try to seek help; however, 82.2% were unable to inform their doctors after abuse, only 8.7% of sexually abused women try to get help after abuse, and 90% cannot inform their doctors.Conclusions: DVA against Saudi women is unacknowledged, and national research data are urgently required to assess the prevalence of DVA and risk factors for abused women.


2014 ◽  
Vol 16 (03) ◽  
pp. 281-288 ◽  
Author(s):  
Emma Williamson ◽  
Sue K. Jones ◽  
Giulia Ferrari ◽  
Thangam Debbonaire ◽  
Gene Feder ◽  
...  

AimTo evaluate a training intervention for general practice-based doctors and nurses in terms of the identification, documentation, and referral of male patients experiencing or perpetrating domestic violence and abuse (DVA) in four general practices in the south west of England.BackgroundResearch suggests that male victims and perpetrators of DVA present to primary care clinicians to seek support for their experiences. We know that the response of primary care clinicians to women patients experiencing DVA improves from training and the establishment of referral pathways to specialist DVA services.MethodThe intervention consisted of a 2-h practice-based training. Outcome measures included: a pre-post, self-reported survey of staff practice; disclosures of DVA as documented in medical records pre-post (six months) intervention; semi-structured interviews with clinicians; and practice-level contact data collected by DVA specialist agencies.ResultsResults show a significant increase in clinicians’ self-reported preparedness to meet the needs of male patients experiencing or perpetrating DVA. There was a small increase in male patients identified within the medical records (6 pre- to 17 post-intervention) but only five of those patients made contact with a specialist DVA agency identified within the referral pathway. The training increased clinicians’ confidence in responding to male patients affected by DVA. The increase in recorded identification of DVA male patients experiencing or perpetrating DVA was small and contact of those patients with a specialist DVA support service was negligible. We need to better understand male help seeking in relation to DVA, further develop interventions to increase identification of male patients experiencing or perpetrating DVA behaviours, and facilitate access to support services.


BJPsych Open ◽  
2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Roos E. Ruijne ◽  
Astrid M. Kamperman ◽  
Kylee Trevillion ◽  
Carlo Garofalo ◽  
Femke E. Jongejan ◽  
...  

BackgroundDespite the high prevalence of domestic violence and abuse (DVA) among patients with psychiatric conditions, detection rates are low. Limited knowledge and skills on DVA in mental healthcare (MHC) professionals might contribute to poor identification.AimsTo assess the level of, and factors associated with, DVA knowledge and skills among MHC professionals.MethodA total of 278 professionals in Dutch MHC institutions completed a survey assessing factual knowledge, perceived knowledge, perceived skills and attitudes about DVA.ResultsOn average, low scores were reported for perceived skills and knowledge. MHC professionals in primary care scored higher than those working with individuals with severe mental illness (P<0.005). Levels of factual knowledge were higher; levels of attitudes moderate. Previous training was positively associated with skills (odds ratios (OR) = 3.0) and attitudes (OR = 2.7). Years of work was negatively associated with factual knowledge (OR = 0.97). Larger case-loads predicted higher scores on skills (OR = 2.1).ConclusionsTraining is needed, particularly for clinicians working with patients with severe mental illness.Declaration of interestNone.


2015 ◽  
pp. cmv070 ◽  
Author(s):  
Cath Larkins ◽  
Jessica Drinkwater ◽  
Marianne Hester ◽  
Nicky Stanley ◽  
Eszter Szilassy ◽  
...  

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