“…The above figures make no reference to help-seeking via health services, despite the serious health consequences of DV such as depression, sleep problems, abortion, pain, and hypertension [4][5][6][7][8][9]. DV results in substantial social and economic costs related to treating the physical and psychological impacts on women, absence from work, reduced quality of life, and problems with integrating into society [10,11].…”
Background
Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 months' period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.
Methods
In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.
Results
Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.
Conclusions
Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.
“…The above figures make no reference to help-seeking via health services, despite the serious health consequences of DV such as depression, sleep problems, abortion, pain, and hypertension [4][5][6][7][8][9]. DV results in substantial social and economic costs related to treating the physical and psychological impacts on women, absence from work, reduced quality of life, and problems with integrating into society [10,11].…”
Background
Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 months' period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.
Methods
In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.
Results
Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.
Conclusions
Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.
“…The experience of spouses coping with dementia‐related aggression, as well as that of spouses dealing with lifelong IPV and dementia‐related aggression, was only partially examined in prior studies (Ferreira et al., ; Koenig et al., ; O'Leary et al., ; Wharton & Ford, ). The aim of the current study was to provide an in‐depth exploration of the spouses' perceptions and to examine the differences between the phenomenological experiences of these two groups.…”
Section: Lifelong Intimate Partner Violence and Dementia Carementioning
confidence: 99%
“…While the literature on caregiving for an aging individual with dementia focuses on burden of care (Stensletten, Bruvik, Espehaug, & Drageset, 2016), the literature on IPV in later life tends to focus on relationships, relying on theoretical frameworks such as the power and control paradigm (Brandl, 2000). However, only a few studies have examined the experiences of women coping with lifelong IPV accompanied by dementia-related violent behavior (Ferreira, Loxton, & Tooth, 2017;Koenig, Rinfrette, & Lutz, 2006;O'Leary, Jyringi, & Sedler, 2005). A recent study revealed that many of the spouses of partners with dementia who display aggressive behavior lack support and feel isolated and vulnerable in the face of dementia-related IPV (Tyrrell, Hillerås, Skovdahl, Fossum, & Religa, 2016).…”
Section: Lifelong Intimate Partner Violence and Dementia Carementioning
Purpose
The aim of the present study was to differentiate between the lived experience of two groups of women caregiving for a partner with dementia. One group was coping with lifelong intimate partner violence (IPV) and dementia‐related violence (Group 1); the other group was coping with dementia‐related violence only (Group 2).
Design
An interpretive phenomenological analysis perspective was used. Data collection was performed through in‐depth, semistructured interviews with eight female spouses of men with dementia from each of the two above‐mentioned groups, followed by a content analysis.
Findings
Comparing the narratives of the aging women revealed their different experiences over several dimensions: (a) the identification of violence as a symptom of dementia; (b) the use of past couplehood memories; (c) feelings over time; (d) willingness to care for the partner with dementia; and (e) a prospective view of life.
Conclusions
The complexities of being old and having to cope with caregiving responsibilities for a spouse with dementia, accompanied by violent behaviors, emphasize the significance of the couple's past relationship. This notion should be taken into account in practical interventions.
Clinical Relevance
As part of the aging process, there is an increase in people who are engaged in dementia‐related violence. Nurses' education and practice should focus on the dynamics of dyads coping with violence and identify the particular needs of the caregiver spouse in this context.
“…The above gures make no reference to help-seeking via health services, despite the serious health consequences of VAW such as depression, sleep problems, abortion, pain, and hypertension (9). VAW results in substantial social and economic costs related to treating the physical and psychological impacts on women, absence from work, reduced quality of life, and problems with integrating into society (10) (11).…”
Background
Violence against women (VAW) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of VAW have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.
Methods
In-depth interviews were carried out with 20 women who had experienced violence from their husbands. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.
Results
Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about VAW. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.
Conclusions
Palestinian women’s agency to be proactive in help-seeking for VAW is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between VAW and many common presentations such as depression, to ask sensitively about VAW in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in VAW.
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