Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Hawcroft, Claire; Hughes, Rachael A.; Shaheen, Amira; Usta, Jinan; Elkadi, Hannah; Dalton, Tom; Ginwalla, Khadijah; Feder, Gene

doi:10.1186/s12889-019-6619-2

Cited by 75 publications

(55 citation statements)

References 48 publications

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“…This observational study's community setting, in routine general practice, with borough-wide implementation, with the IRIS effect not significantly different in the four implementation boroughs with diverse populations, makes its results generalisable to similar settings in the UK and potentially to comparable primary care systems in highincome countries. For lower-income countries [30], this healthcare response to DVA is modifiable, if the health setting is safe, using existing community resources if DVA service infrastructure is absent.…”

Section: Discussionmentioning

confidence: 99%

Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme

Sohal

Feder

Boomla

et al. 2020

BMC Med

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Background: It is unknown whether interventions known to improve the healthcare response to domestic violence and abuse (DVA)-a global health concern-are effective outside of a trial. Methods: An observational interrupted time series study in general practice. All registered women aged 16 and above were eligible for inclusion. In four implementation boroughs' general practices, there was face-to-face, practice-based, clinically relevant DVA training, a prompt in the electronic medical record, reminding clinicians to consider DVA, a simple referral pathway to a named advocate, ensuring direct access for women to specialist services, overseen by a national, health-focused DVA organisation, fostering best practice. The fifth comparator borough had only a session delivered by a local DVA specialist agency at community venues conveying information to clinicians. The primary outcome was the daily number of referrals received by DVA workers per 1000 women registered in a general practice, from 205 general practices, in all five northeast London boroughs. The secondary outcome was recorded new DVA cases in the electronic medical record in two boroughs. Data was analysed using an interrupted time series with a mixed effects Poisson regression model. Results: In the 144 general practices in the four implementation boroughs, there was a significant increase in referrals received by DVA workers-global incidence rate ratio of 30.24 (95% CI 20.55 to 44.77, p < 0.001). There was no increase in the 61 general practices in the other comparator borough (incidence rate ratio of 0.95, 95% CI 0.13 to 6.84, p = 0.959). New DVA cases recorded significantly increased with an incident rate ratio of 1.27 (95% CI 1.09 to 1.48, p < 0.002) in the implementation borough but not in the comparator borough (incidence rate ratio of 1.05, 95% CI 0.82 to 1.34, p = 0.699). Conclusions: Implementing integrated referral routes, training and system-level support, guided by a national healthfocused DVA organisation, outside of a trial setting, was effective and sustainable at scale, over four years (2012 to 2017) increasing referrals to DVA workers and new DVA cases recorded in electronic medical records.

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Section: Discussionmentioning

confidence: 99%

Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme

Sohal

Feder

Boomla

et al. 2020

BMC Med

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“…), physicians and other healthcare practitioners may be at the frontline of intervening and supporting survivors of DV. 2 Providing healthcare professionals with training on identifying signs and intervening in a culturally sensitive manner may prove to be beneficial, especially in regards to referring survivors to seek out mental health resources. Mental health interventions focusing on increasing hope may act as a protective factor, particularly against suicidal risk, as found by researchers studying the role of hope as a mediator between IPV and suicide risk among Turkish women.…”

Section: Stigma Against Psychotherapy In Middle Eastern Culturesmentioning

confidence: 99%

A Review of Barriers to Treating Domestic Violence for Middle Eastern Women Living in the United States

Aquino¹,

Baer²,

Behar³

et al. 2019

Psychol Cogn Sci Open J

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A lthough domestic violence (DV) has been a problem throughout history, it is only in the past two decades that researchers have shown interest in analyzing how cultural values and social norms relate to aggression and violence towards women. 1 DV, as noted by Hawcroft et al 2 "includes violence perpetrated by a family member or intimate partner towards another adult. Much of the current international evidence focuses on intimate partner violence (IPV), which is a subset of domestic violence" (p. 2). The Center for Disease Control's Intimate Partner Surveillance publication defines IPV as including "physical violence, sexual violence, stalking and psychological aggression (including coercive tactics) by a current or former intimate partner" (p. 11). 3 Current statistics

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“…This prevalence is raised to 37% in Eastern Mediterranean countries [1,2]. A recent systematic review showed that a doubling of this lifetime prevalence (70%) was reported among Arab women attending health care settings in Arab countries [3].…”

Section: Introductionmentioning

confidence: 99%

Barriers to women’s disclosure of domestic violence in health services in Palestine: qualitative interview-based study

et al. 2020

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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.

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Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Cited by 75 publications

References 48 publications

Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme

Improving the healthcare response to domestic violence and abuse in UK primary care: interrupted time series evaluation of a system-level training and support programme

A Review of Barriers to Treating Domestic Violence for Middle Eastern Women Living in the United States

Barriers to women’s disclosure of domestic violence in health services in Palestine: qualitative interview-based study

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