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Dheensa S, McLindon E, Spencer C, Pereira S, Shrestha S, Emsley E, Gregory A. Healthcare Professionals' Own Experiences of Domestic Violence and Abuse: A Meta-Analysis of Prevalence and Systematic Review of Risk Markers and Consequences. TRAUMA, VIOLENCE & ABUSE 2023; 24:1282-1299. [PMID: 34978481 DOI: 10.1177/15248380211061771] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Background: Globally, healthcare professionals (HCPs) are increasingly asked to identify and respond to domestic violence and abuse (DVA) among patients. However, their own experiences of DVA have been largely ignored.Aim: To determine the prevalence of current and lifetime DVA victimisation among HCPs globally, and identify risk markers, consequences and support-seeking for DVA.Method: PubMed, EMBASE, PsycINFO, CINAHL ASSIA and ProQuest were searched. Studies about HCPs' personal experience of any type of DVA from any health service/country were included. Meta-analysis and narrative synthesis were adopted.Results: Fifty-one reports were included. Pooled lifetime prevalence was 31.3% (95% CI [24.7%, 38.7%] p < .001)) and past-year prevalence was 10.4% (95% CI [5.8%, 17.9%] p <.001). Pooled lifetime prevalence significantly differed (Qb=6.96, p < .01) between men (14.8%) and women (41.8%), and between HCPs in low-middle income (64.0%) and high-income countries (20.7%) (Qb = 31.41, p <.001). Risk markers were similar to those in the general population, but aspects of the HCP role posed additional and unique risks/vulnerabilities. Direct and indirect consequences of DVA meant HCP-survivors were less able to work to their best ability. While HCP-survivors were more likely than other HCPs to identify and respond to DVA among patients, doing so could be distressing. HCP-survivors faced unique barriers to seeking support. Being unable to access support - which is crucial for leaving or ending relationships with abusive people - leaves HCP-survivors entrapped.Conclusion: Specialised DVA interventions for HCPs are urgently needed, with adaptations for different groups and country settings. Future research should focus on developing interventions with HCP-survivors.
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Affiliation(s)
- Sandi Dheensa
- Domestic Violence and Abuse Health Research Group, Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK
| | - Elizabeth McLindon
- The Royal Women's Hospital, University of Melbourne, Melbourne, VIC, Australia
- Department of General Practice, University of Melbourne, Melbourne. VIC, Australia
| | | | - Stephanie Pereira
- Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Satya Shrestha
- Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
- Dhulikhel Hospital, Kathmandu University, Dhulikhel, Nepal
| | - Elizabeth Emsley
- Domestic Violence and Abuse Health Research Group, Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK
| | - Alison Gregory
- Domestic Violence and Abuse Health Research Group, Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK
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Sawyer S, Parekh V, Williams A, Williams B. Are Australian paramedics adequately trained and prepared for intimate partner violence? A pilot study. J Forensic Leg Med 2014; 28:32-5. [DOI: 10.1016/j.jflm.2014.09.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Accepted: 09/17/2014] [Indexed: 11/15/2022]
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Dousek S, Parekh V, Williams A, Williams B. Are Australian paramedics prepared for intimate partner violence? Emerg Med Australas 2012; 24:686-7. [DOI: 10.1111/1742-6723.12013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Simon Dousek
- Department of Community Emergency Health and Paramedic Practice; Monash University; Melbourne; Victoria; Australia
| | - Vanita Parekh
- Clinical Forensic Medical Services; Canberra; Australian Capital Territory; Australia
| | | | - Brett Williams
- Department of Community Emergency Health and Paramedic Practice; Monash University; Melbourne; Victoria; Australia
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Pre-hospital provider recognition of intimate partner violence. J Forensic Leg Med 2010; 17:359-62. [DOI: 10.1016/j.jflm.2010.08.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2010] [Revised: 07/10/2010] [Accepted: 08/16/2010] [Indexed: 11/22/2022]
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Abstract
BACKGROUND The incidence of acute cases of intimate partner violence (IPV) in the Emergency Department (ED) patients is between 2 and 7.2%. Ongoing IPV may be an immediate cause of presentation for medical care, or it may not be readily apparent. Over the last two decades efforts to improve identification of IPV in the ED have been successful. METHODS A medline literature search from 1981-2001 was performed. A review of intimate partner violence from the emergency department provider perspective is performed. A discussion of the screening/detection of intimate partner violence and the barriers to improving detection rates is provided. RESULTS The review of the current literature shows that IPV is a frequent cause of illness or injury in patients presenting in the ED. Screening programs for intimate partner violence have shown to increase the identification of patients experiencing acute episodes of abuse and seeking treatment. The difficulty has been in sustaining the programs and improving the screening of patients. Patient, provider and systems barriers prevent adequate recognition and management of the problem. CONCLUSION Detection of IPV in patients presenting to the ED can be improved by providing educational programs and screening tools to health care providers. Sustaining the screening programs is more difficult and requires a health care system-wide effort.
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Affiliation(s)
- Amy A Ernst
- University of California, Davis, Sacramento 95817, USA.
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