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.

背景：在全球范围内，医疗保健专业人员 (HCP) 越来越多地被要求识别和应对患者的家庭暴力和虐待 (DVA)。然而，他们自己的 DVA 经历在很大程度上被忽略了。

目的：确定全球 HCP 中当前和终生 DVA 受害的流行率，并确定 DVA 的风险标志、后果和寻求支持。

方法：搜索 PubMed、EMBASE、PsycINFO、CINAHL ASSIA 和 ProQuest。包括关于来自任何卫生服务/国家的任何类型 DVA 的 HCP 个人经历的研究。采用元分析和叙述综合。

结果：共纳入 51 篇报告。汇总的终生患病率为 31.3%（95% CI [24.7%，38.7%] p < .001），过去一年的患病率为 10.4%（95% CI [5.8%，17.9%] p <.001）。男性 (14.8%) 和女性 (41.8%) 之间以及中低收入国家 (64.0%) 和高收入国家 (20.7%) 的 HCP 之间的汇总终生患病率存在​​显着差异 (Qb=6.96，p < .01 ) （ Qb = 31.41, p<.001). 风险标记与一般人群中的风险标记相似，但 HCP 角色的某些方面带来了额外和独特的风险/脆弱性。DVA 的直接和间接后果意味着 HCP 幸存者无法发挥其最佳能力。虽然 HCP 幸存者比其他 HCP 更有可能在患者中识别和应对 DVA，但这样做可能会令人痛苦。HCP 幸存者在寻求支持时面临着独特的障碍。无法获得支持——这对于离开或结束与虐待者的关系至关重要——使 HCP 幸存者陷入困境。

结论：迫切需要对 HCP 进行专门的 DVA 干预，并针对不同的群体和国家环境进行调整。未来的研究应侧重于开发针对 HCP 幸存者的干预措施。