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Barriers and Facilitators of Disclosing Domestic Violence to the UK Health Service
Journal of Family Violence ( IF 2.7 ) Pub Date : 2021-01-04 , DOI: 10.1007/s10896-020-00236-3
Rebecca L. Heron , Maarten C. Eisma , Kevin Browne

Domestic violence victims frequently visit health care facilities yet rarely disclose, so it is important to understand what factors are barriers and facilitators of disclosure. UK-based qualitative investigations into barriers and facilitators of disclosure in health care settings have suffered from a limited focus on ethnic minority women. Therefore, the aim of this study was to explore victims’ perceptions and experiences of disclosing to health care services and to identify barriers and facilitators of disclosure within an ethnically diverse UK sample. Semi-structured interviews were administered among 29 British (8 ethnic minority) female victims. Content analysis demonstrated that barriers to disclosure were; emotional (e.g., fear, embarrassment/shame and self-blame), physical (e.g., partner’s physical presence, controlling behavior, and manipulation of professionals) and organizational (e.g., appropriateness of setting and time for disclosure). Additional problems for ethnic minority women were language difficulties and religious practices. Facilitators to disclosure were interpersonal relations, safety, and validation from health care professionals. Barriers and facilitators of disclosure in health care services are diverse and some are specific to minority ethnic groups. Health care professionals should receive awareness and skills training to establish a positive, validating, and safe environment for victim disclosure.



中文翻译:

向英国卫生服务局披露家庭暴力的障碍和促进者

家庭暴力受害者经常光顾医疗保健机构,却很少披露,因此了解哪些因素是披露的障碍和促进因素很重要。基于英国的关于卫生保健环境中信息披露障碍和促进因素的定性调查一直受到少数族裔女性关注的困扰。因此,本研究的目的是探讨受害者对医疗保健服务披露的看法和经验,并找出在英国不同种族的样本中披露的障碍和促进者。对29名英国(8个少数民族)女性受害者进行了半结构式访谈。内容分析表明,存在公开障碍。情感的(例如恐惧,尴尬/羞辱和自责),身体的(例如伴侣的身体状态,控制行为,和专业人员的操纵)和组织(例如,适当的设置和披露时间)。少数民族妇女面临的其他问题是语言困难和宗教习俗。披露的促进因素是人际关系,安全性以及卫生保健专业人员的确认。卫生保健服务中的信息披露障碍和促进者多种多样,其中有些是针对少数民族的。卫生保健专业人员应接受意识和技能培训,以建立积极,有效和安全的环境来披露受害人。披露的促进因素是人际关系,安全性以及卫生保健专业人员的确认。卫生保健服务中的信息披露障碍和促进者多种多样,其中有些是针对少数民族的。卫生保健专业人员应接受意识和技能培训,以建立积极,有效和安全的环境来披露受害人。披露的促进因素是人际关系,安全性以及卫生保健专业人员的确认。卫生保健服务中的信息披露障碍和促进者多种多样,其中有些是针对少数民族的。卫生保健专业人员应接受意识和技能培训,以建立积极,有效和安全的环境来披露受害人。

更新日期:2021-01-04
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