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2.
BMC Med ; 19(1): 20, 2021 02 05.
Artículo en Inglés | MEDLINE | ID: mdl-33541357

RESUMEN

BACKGROUND: There is little information on care-seeking patterns for sexual assault and domestic violence during the COVID-19 pandemic. The objective of this study was to examine the changes in emergency department (ED) admissions for sexual assault and domestic violence since the COVID-19 pandemic was declared. METHODS: Observational ED admissions data from The Ottawa Hospital were analyzed from March 4 to May 5 (62 days) in 2020 (COVID-19 period) and compared to the same period in 2018 (pre-COVID-19). Total and mean weekly admissions were calculated for all-cause ED admissions and for sexual and domestic violence cases. A Poisson regression (without offset term) was used to calculate the weekly case count ratio and 95% confidence intervals (CI) between the two time periods. Case characteristics were compared using chi-square tests, and percent differences were calculated. RESULTS: Compared to pre-COVID-19, total ED admissions dropped by 1111.22 cases per week (32.9% reduction), and the Sexual Assault and Domestic Violence Program cases dropped 4.66 cases per week. The weekly case count ratio for sexual assault cases was 0.47 (95% CI 0.79-0.27), equivalent of 53.49% reduction in cases, and 0.52 (95% CI 0.93-0.29), equivalent to a 48.45% reduction in physical assault cases. The characteristics of presenting cases were similar by age (median 25 years), sex (88.57% female), assault type (57.14% sexual assault, 48.57% physical assault), and location (31.43% patient's home, 40.00% assailant's home). There was a significant increase in psychological abuse (11.69% vs 28.57%) and assaults occurring outdoors (5.19% vs 22.86%). CONCLUSION: This study found a decrease in ED admissions for sexual assault and domestic violence during COVID-19, despite societal conditions that elevate risk of violence. Trends in care-seeking and assault patterns will require ongoing monitoring to inform the provision of optimal support for individuals experiencing violence, particularly as countries begin to re-open or lock-down again.


Asunto(s)
/epidemiología , Violencia Doméstica/tendencias , Servicio de Urgencia en Hospital/tendencias , Pandemias , Aceptación de la Atención de Salud , Delitos Sexuales/tendencias , Adulto , Control de Enfermedades Transmisibles/tendencias , Violencia Doméstica/psicología , Femenino , Humanos , Masculino , Ontario/epidemiología , Aceptación de la Atención de Salud/psicología , Delitos Sexuales/psicología , Adulto Joven
3.
Rev Paul Pediatr ; 39: e2020267, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33146295

RESUMEN

OBJECTIVE: Social isolation is currently identified as the best way to prevent the infection by the new coronavirus. However, for some social groups, such as children and adolescents, this measure carries a contradiction: the home, which should be the safest place for them, is also a frequent environment of a sad aggravation: domestic violence. This study aims to evaluate the notifications of interpersonal/self-inflicted violence available in the Information System for Notifiable Diseases in the State of Santa Catarina (southern Brazil), for the juvenile age group, before and during the new coronavirus pandemics. METHODS: Cross-sectional, descriptive study of violence against children and adolescents (from 0 to 19 years) notified by health professionals by completing and entering the occurrence in the Information System for Notifiable Diseases of the State of Santa Catarina in 11 weeks in which the social isolation measure was instituted as mandatory, comparing with the same period before this measure. RESULTS: During the study period, 136 municipalities in Santa Catarina made 1,851 notifications. There was a decrease of 55.3% of them in the isolation period, and the difficulties encountered in seeking protection and assistance institutions were listed. CONCLUSIONS: The society needs to be aware of possible cases of violence in the children and adolescent population. It is important to provide accessible, effective, and safe ways for complaints and notifications, as well as a quick response to the cases, aiming at protecting victims and minimizing damages to prevent the perpetuation of the violence.


Asunto(s)
Maltrato a los Niños , Bienestar del Niño , Infecciones por Coronavirus/epidemiología , Violencia Doméstica , Neumonía Viral/epidemiología , Adolescente , Salud del Adolescente/tendencias , Betacoronavirus , Brasil/epidemiología , Niño , Maltrato a los Niños/prevención & control , Maltrato a los Niños/estadística & datos numéricos , Salud del Niño/tendencias , Estudios Transversales , Recolección de Datos/métodos , Recolección de Datos/estadística & datos numéricos , Violencia Doméstica/prevención & control , Violencia Doméstica/tendencias , Femenino , Humanos , Masculino , Evaluación de Necesidades , Pandemias
6.
Cad Saude Publica ; 35(11): e00195118, 2019.
Artículo en Portugués | MEDLINE | ID: mdl-31691785

RESUMEN

This study analyzes time trends in verbal bullying, domestic violence, and involvement in fights with firearms among adolescents in Brazilian state capitals from 2009 to 2015. The study of trends uses data from the Brazilian National Survey of School Health (PeNSE) in 2009, 2012, and 2015 among ninth-graders enrolled in public and private schools in the country's 26 state capitals and the Federal District. The analysis focused on domestic violence, verbal bullying, and involvement in fights with cold steel weapons and firearms in the 30 days prior to the interview. Logistic regression was performed, adjusted for sociodemographic and behavioral characteristics, with analysis of each type of violence in Brazil and in the capital cities, according to sex. The trends were spatialized. For the capital cities as a whole, from 2009 to 2015 there was an increase of 12% (95%CI: 1.11-1.14) in domestic violence, 10% (95%CI: 1.08-1.11) in verbal bullying, and 7% (95%CI: 1.05-1.09) and 7% (95%CI: 1.05-1.08) in involvement in fights with firearms and cold steel weapons, respectively. Domestic violence increased in all the capital cities. In 96.3%, 70.4%, and 62.9% of the capital cities, respectively, there were increases in verbal bullying and involvement in fights with cold steel weapons and firearms, while there were stationary trends in the other capital cities. There was an upward trend in these forms of violence in the majority of the capital cities, evidencing the need to implement public policies to mitigation the different types of violence among adolescents.


Asunto(s)
Acoso Escolar/estadística & datos numéricos , Violencia Doméstica/estadística & datos numéricos , Violencia Doméstica/tendencias , Adolescente , Conducta del Adolescente , Consumo de Bebidas Alcohólicas , Brasil , Fumar Cigarrillos , Femenino , Encuestas Epidemiológicas , Humanos , Drogas Ilícitas , Masculino , Características de la Residencia , Instituciones Académicas/estadística & datos numéricos , Factores Socioeconómicos , Población Urbana , Armas
7.
Afr Health Sci ; 19(1): 1499-1506, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31148977

RESUMEN

Background: Violence against women represents a violation of a fundamental human right and is a significant cause of death and disability worldwide. In developing countries, this issue is particularly dramatic and in sub-Saharan Africa were reached 65% of women reporting domestic violence. Objective: In this study, we assessed the burden and pattern of domestic violence registered at Beira Central Hospital, Mozambique from 2011 to 2015. Methods: We performed a descriptive analysis of data collected at the CHB Legal Medicine Service. Results: In five years, are recorded a total amount of 1,491 admissions for domestic violence of which 1307 were females. About 80% of all female cases are represented by the 11-40 age range and, in almost 90% the aggressor was the current or past partner. More than 75% were cases of repeated violence and in more than 60% there were minors attending the phenomenon. Conclusion: It is crucial to act immediately and with a multi-disciplinary approach in order to fight domestic violence, especially against women due to its dramatic consequences as isolation, inability to work, loss of wages, lack of participation in regular activities and limited ability to care for themselves and their children.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Violencia de Pareja/estadística & datos numéricos , Parejas Sexuales/psicología , Adolescente , Adulto , Anciano , Violencia Doméstica/psicología , Violencia Doméstica/tendencias , Femenino , Humanos , Violencia de Pareja/psicología , Masculino , Persona de Mediana Edad , Mozambique/epidemiología , Prevalencia , Adulto Joven
8.
Rev Bras Epidemiol ; 21(suppl 1): e180014, 2018 Nov 29.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30517465

RESUMEN

OBJECTIVE: To present trends found in the last three editions of the National Adolescent Student Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE) on violent situations experienced by Brazilian students. METHODS: Time-series study with a focus on the Brazilian state capitals, using PeNSE databases of 2009, 2012, and 2015. The indicators evaluated were: missing classes due to insecurity in the home-school route or at school; involvement in a fight with firearm or melee weapon; and physical assault by an adult of the family. We estimated the prevalence of indicators according to the total number of adolescents, gender, school type, and capital. Trends in prevalence were estimated by linear regression, adjusted for age. RESULTS: We identified a trend in increasing prevalence, with statistical significance, for all selected violence indicators in the period from 2009 to 2015, in Brazilian state capitals. DISCUSSION: The most vulnerable groups were public schools students; male adolescents for involvement in fights with melee weapons or firearms; and female adolescents for physical assault by family members. CONCLUSION: PeNSE contributed to identifying the increase in the prevalence of violence experienced by adolescents, which alerts to the need of planning and implementing policies that help to prevent violence, and promote health and a culture of peace.


Asunto(s)
Conducta del Adolescente/psicología , Encuestas Epidemiológicas/estadística & datos numéricos , Violencia/tendencias , Adolescente , Brasil , Estudios Transversales , Violencia Doméstica/estadística & datos numéricos , Violencia Doméstica/tendencias , Femenino , Violencia con Armas/estadística & datos numéricos , Violencia con Armas/tendencias , Humanos , Masculino , Prevalencia , Instituciones Académicas/estadística & datos numéricos , Instituciones Académicas/tendencias , Factores Sexuales , Factores Socioeconómicos , Estudios de Tiempo y Movimiento , Violencia/psicología , Violencia/estadística & datos numéricos
10.
Praxis (Bern 1994) ; 107(16): 886-892, 2018 Aug.
Artículo en Alemán | MEDLINE | ID: mdl-30086689

RESUMEN

Domestic Violence at the University Emergency Department Bern: A Retrospective Analysis from 2006 to 2016 Abstract. Domestic Violence (DV) is considered as one of the largest medical risks worldwide. In Switzerland, DV is defined as offence requiring public prosecution since 2004. The present retrospective cohort study aims to investigate cases of DV in one of the largest Swiss emergency departments. The aggressors are predominantly male and either (ex-)partner or (ex-)husband of the victim. The head and the extremities are most often injured. Strangulation was documented in 16 % of the cases. Prevalence in our ED is very low with 0.07 % in 2016 (overall 0.09 % 2006-2016) and much lower compared with international data. We assume that we face many unreported cases and that victims are reluctant to seek medical help. Healthcare professionals should receive regular education in domestic violence, standards of care must be defined, and a sensitive and open-minded communication style is essential.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Maltrato Conyugal/estadística & datos numéricos , Heridas y Traumatismos/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Asfixia/diagnóstico , Asfixia/epidemiología , Estudios de Cohortes , Traumatismos Craneocerebrales/diagnóstico , Traumatismos Craneocerebrales/epidemiología , Comparación Transcultural , Estudios Transversales , Violencia Doméstica/legislación & jurisprudencia , Violencia Doméstica/tendencias , Extremidades/lesiones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Derivación y Consulta/legislación & jurisprudencia , Estudios Retrospectivos , Maltrato Conyugal/legislación & jurisprudencia , Suiza , Adulto Joven
11.
J Urban Health ; 95(3): 337-343, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29671187

RESUMEN

Intimate partner homicide (IPH) is a critical public health and safety issue in the USA. In this study, we determine the prevalence and correlates of perpetrator suicide and additional homicides following intimate partner homicide (IPH) in a large, diverse state with high quality data. We extract IPHs from the North Carolina Violent Death Reporting System for 2004-2013 and identify suicides and other homicides that were part of the same incidents. We analyze the likelihood (in odds ration form) of perpetrator suicide and additional homicides using logistic regression analysis. Almost all IPH-suicide cases were by men with guns (86.6%). Almost one-half of IPHs committed by men with guns ended with suicide. Male-perpetrated IPH incidents averaged 1.58 deaths if a gun was used, and 1.14 deaths otherwise. It is well-known that gun access increases the chance that a violent domestic relationship will end in death. The current findings demonstrate that gun IPH is often coupled with additional killings. As suicidal batterers will not be deterred from IPH by threat of punishment, the results underline the importance of preemption by limiting batterers' access to guns.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Violencia Doméstica/tendencias , Homicidio/estadística & datos numéricos , Homicidio/tendencias , Violencia de Pareja/estadística & datos numéricos , Violencia de Pareja/tendencias , Suicidio/estadística & datos numéricos , Suicidio/tendencias , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , North Carolina , Vigilancia de la Población , Distribución por Sexo
12.
Violence Against Women ; 24(16): 1949-1966, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-29504459

RESUMEN

Drawing on ethnographic and historical research, this article illuminates the limitations of the Uruguayan domestic violence services system. In spite of how advocates in Uruguay successfully used a human rights platform to secure legislation and services, this system now faces significant critique. Using Iris Marion Young's work on the "logic of masculinist protection" and historical parallels in Uruguay's welfare system, I discuss how a paternalistic approach may be to blame. I highlight how this paternalism contributes to the paternalism that problematically underlies gendered violence-reinforcing rather than addressing oppressive ideologies and structures that impede improving conditions for women.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Paternalismo , Bienestar Social/psicología , Antropología Cultural , Violencia Doméstica/tendencias , Humanos , Política Pública/tendencias , Uruguay
13.
Nurs Forum ; 53(2): 137-141, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28976537

RESUMEN

Many women worldwide are physically and emotionally abused, and their children are exposed to violence as well, resulting in what has become a worldwide epidemic. The Millennium Development Goals Report 2013 adopted through the United Nations' Development Program recognizes the continued need for global efforts to empower women, reduce child mortality, and improve child health. This literature review of women's experiences while parenting during abuse revealed the utilization of parenting strategies to parent their child(ren) effectively in the most difficult and traumatic of circumstances. Recommendations from all of the articles caution not to remove the child from the mother, but to give both mother and child tailored interventions and a compassionate and empathetic understanding of what these abused mothers' parenting experiences are.


Asunto(s)
Violencia Doméstica/psicología , Responsabilidad Parental/psicología , Padres/psicología , Investigación Cualitativa , Adulto , Niño , Maltrato a los Niños/psicología , Violencia Doméstica/tendencias , Femenino , Humanos , Madres/psicología
14.
Rev. bras. epidemiol ; 21(supl.1): e180014, 2018. tab
Artículo en Portugués | LILACS | ID: biblio-977698

RESUMEN

RESUMO: Objetivo: Apresentar as tendências encontradas nas três últimas edições da Pesquisa Nacional de Saúde do Escolar (PeNSE) sobre situações de violência vivenciadas por escolares brasileiros. Metodologia: Estudo de séries temporais com recorte para as capitais brasileiras, utilizando as bases de dados da PeNSE de 2009, 2012 e 2015. Os indicadores avaliados foram: faltar às aulas por insegurança no trajeto casa-escola ou na escola; envolvimento em briga com arma de fogo ou arma branca; e agressão por adulto da família. Foram estimadas as prevalências dos indicadores para o total dos adolescentes, por sexo, tipo de escola e capitais. As tendências das prevalências foram estimadas por meio de regressão linear, ajustadas por idade. Resultados: Identificou-se tendência de aumento das prevalências, com significância estatística, para todos os indicadores de violência selecionados no período de 2009 a 2015, nas capitais brasileiras. Discussão: Os grupos mais vulneráveis foram escolares das escolas públicas; adolescentes do sexo masculino no caso do envolvimento em brigas com arma branca ou de fogo; e adolescentes do sexo feminino no caso de agressão física por familiar. Conclusão: A PeNSE contribuiu para identificar o aumento das prevalências de violências vividas pelos adolescentes, o que alerta para a necessidade de planejamento e implementação de políticas que contribuam para a prevenção de violência, promoção da saúde e da cultura de paz.


ABSTRACT: Objective: To present trends found in the last three editions of the National Adolescent Student Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE) on violent situations experienced by Brazilian students. Methods: Time-series study with a focus on the Brazilian state capitals, using PeNSE databases of 2009, 2012, and 2015. The indicators evaluated were: missing classes due to insecurity in the home-school route or at school; involvement in a fight with firearm or melee weapon; and physical assault by an adult of the family. We estimated the prevalence of indicators according to the total number of adolescents, gender, school type, and capital. Trends in prevalence were estimated by linear regression, adjusted for age. Results: We identified a trend in increasing prevalence, with statistical significance, for all selected violence indicators in the period from 2009 to 2015, in Brazilian state capitals. Discussion: The most vulnerable groups were public schools students; male adolescents for involvement in fights with melee weapons or firearms; and female adolescents for physical assault by family members. Conclusion: PeNSE contributed to identifying the increase in the prevalence of violence experienced by adolescents, which alerts to the need of planning and implementing policies that help to prevent violence, and promote health and a culture of peace.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Violencia/tendencias , Encuestas Epidemiológicas/estadística & datos numéricos , Conducta del Adolescente/fisiología , Instituciones Académicas/tendencias , Instituciones Académicas/estadística & datos numéricos , Factores Socioeconómicos , Estudios de Tiempo y Movimiento , Violencia/psicología , Violencia/estadística & datos numéricos , Brasil , Factores Sexuales , Prevalencia , Estudios Transversales , Violencia Doméstica/tendencias , Violencia Doméstica/estadística & datos numéricos , Violencia con Armas/tendencias , Violencia con Armas/estadística & datos numéricos
16.
Glob Public Health ; 12(4): 498-513, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-26886155

RESUMEN

Domestic violence (DV) is prevalent among women in India and has been associated with poor mental and physical health. We performed a systematic review of 137 quantitative studies published in the prior decade that directly evaluated the DV experiences of Indian women to summarise the breadth of recent work and identify gaps in the literature. Among studies surveying at least two forms of abuse, a median 41% of women reported experiencing DV during their lifetime and 30% in the past year. We noted substantial inter-study variance in DV prevalence estimates, attributable in part to different study populations and settings, but also to a lack of standardisation, validation, and cultural adaptation of DV survey instruments. There was paucity of studies evaluating the DV experiences of women over age 50, residing in live-in relationships, same-sex relationships, tribal villages, and of women from the northern regions of India. Additionally, our review highlighted a gap in research evaluating the impact of DV on physical health. We conclude with a research agenda calling for additional qualitative and longitudinal quantitative studies to explore the DV correlates proposed by this quantitative literature to inform the development of a culturally tailored DV scale and prevention strategies.


Asunto(s)
Violencia Doméstica/tendencias , Prevalencia , Maltrato Conyugal/tendencias , Violencia Doméstica/estadística & datos numéricos , Femenino , Humanos , India/epidemiología , Persona de Mediana Edad , Maltrato Conyugal/estadística & datos numéricos
17.
Violence Against Women ; 23(5): 584-602, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-27178564

RESUMEN

We focus on an emerging trend in the context of domestic violence-the use of technology to facilitate stalking and other forms of abuse. Surveys with 152 domestic violence advocates and 46 victims show that technology-including phones, tablets, computers, and social networking websites-is commonly used in intimate partner stalking. Technology was used to create a sense of the perpetrator's omnipresence, and to isolate, punish, and humiliate domestic violence victims. Perpetrators also threatened to share sexualized content online to humiliate victims. Technology-facilitated stalking needs to be treated as a serious offense, and effective practice, policy, and legal responses must be developed.


Asunto(s)
Violencia Doméstica/tendencias , Tecnología de la Información/estadística & datos numéricos , Tecnología de la Información/normas , Acecho/complicaciones , Adulto , Víctimas de Crimen/psicología , Femenino , Humanos , Relaciones Interpersonales , Masculino , Factores de Riesgo , Acecho/psicología , Encuestas y Cuestionarios , Victoria
18.
Aten. prim. (Barc., Ed. impr.) ; 48(10): 623-631, dic. 2016. tab, graf
Artículo en Español | IBECS | ID: ibc-158662

RESUMEN

OBJETIVO: Evaluar el nivel de conocimiento y las actitudes de las enfermeras sobre la violencia de género y su relación con las variables sociodemográficas y la detección de casos. DISEÑO: Estudio descriptivo transversal. Emplazamiento. Centros urbanos de salud. PARTICIPANTES: Un total de 167 enfermeras de atención primaria. MEDICIONES PRINCIPALES: Se utilizó un cuestionario que incluía preguntas relativas a conocimientos, percepción del conocimiento y actitudes sobre violencia de género, y que también recogía edad, sexo, estado civil, centro de trabajo y área sanitaria. RESULTADOS: Tasa de respuesta 114 (68,2%). El porcentaje de respuestas acertadas en el test de conocimiento fue de 62,2%, observándose un nivel de conocimiento medio. El conocimiento fue superior en las enfermeras casadas o que viven en pareja (95,2%; p = 0,007). La baja detección (29%) se relaciona con estado civil (p = 0,004), bajo conocimiento (p = 0,008), autopercepción baja de conocimiento (p = 0,002), falta de formación (p = 0,03) y no aplicar el protocolo (p = 0,001). Las enfermeras con autopercepción baja de conocimiento aplican menos el protocolo (OR=0,26 IC95%: 0,1-0,7) y consideran la falta de formación como principal problema para el diagnóstico (OR=11,24; IC 95%: 1,5-81,1). CONCLUSIONES: Hay falta de confianza profesional para abordar el problema. Las actitudes ante la detección y el diagnóstico están más relacionadas con el nivel de autopercepción de conocimiento que con el nivel real. La variable estado civil influye en el nivel de conocimiento. Las enfermeras señalan la falta de formación como el principal obstáculo para dar una respuesta sanitaria eficaz


AIM: To determine the knowledge and attitudes of nurses in Primary Care as regards gender violence and their relationship with socio-demographic factors and cases detected. DESIGN: Cross-sectional, descriptive study. LOCATION: Urban health centres. Participants. A total of 167 nurses working in Primary Care. Main measurements. A questionnaire was used that included questions related to knowledge, knowledge perception and attitudes to gender violence attitudes. Variables such as age, gender, marital status, work place and health area were also analysed. RESULTS: The response rate was 114 (68.26%). The percentage of correct responses in the knowledge questions was 62.2%, with a medium level of knowledge being observed. Married nurses or couples living in a stable relationship obtained a higher score (95.2%, P=.077). The low detection (29%) is associated with marital status (P=.004), low knowledge (p = 0,008), low knowledge perception (P=.001), lack of training (P=.03) and non-implementation of the gender violence protocol (P=.001). Nurses with low self-perception of their knowledge implement the protocol less often (OR=0.26; 95% CI: 0.1-0.7), and they consider that the lack of training is the main problem in determining the diagnosis (OR=11.24; 95% CI: 1.5-81.1). CONCLUSIONS: The level of knowledge was adequate. Nurses have a lack of confidence in terms of their knowledge about gender violence. The detection and diagnosis attitudes are more related to self-perception of levels of knowledge than their real knowledge. Marital status influences the level of knowledge. Professionals state that the lack of training is the main problem to give an efficient healthcare response


Asunto(s)
Humanos , Femenino , Violencia Doméstica/estadística & datos numéricos , Violencia Doméstica/tendencias , Violencia contra la Mujer , Conocimientos, Actitudes y Práctica en Salud , Enfermería Primaria/métodos , Análisis de Varianza , Modelos Logísticos , Atención Primaria de Salud , Estudios Transversales/métodos , Encuestas y Cuestionarios , Personal de Enfermería
19.
BMC Womens Health ; 16: 13, 2016 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-26957314

RESUMEN

BACKGROUND: Domestic Violence (DV) remains a significant global health problem for women in contemporary society. Existing literature on midlife women's experiences of domestic violence is limited and focuses on health implications. Leaving a violent relationship is a dynamic process that often requires multiple attempts and separations prior to final termination. The aim of this study was to explore the process of leaving a violent relationship for midlife women. METHODS: This qualitative study involved fifteen women aged between 40-55 who had accessed residential and non-residential community support services for domestic violence within the UK. Community-based support agencies provided these women with access to letters of invitation and participant information sheet explaining the study. The women notified agency staff who contacted the research team to arrange a mutually convenient time to meet within a safe place for both the women and researchers. It was stressed to all potential participants that no identifiable information would be shared with the agency staff. Women were considered survivors of DV if they defined themselves as such. Data were gathered through semi structured interviews, transcribed verbatim and thematically analysed. RESULTS: Midlife women appear to differ from younger women by transitioning quickly though the stages of change, moving rapidly through the breaking free onto the maintenance stage. This rapid transition is the resultant effect of living with long-term violence causing a shift in the women's perception towards the violent partner, with an associated reclamation of power from within the violent relationship. A realisation that rapid departure from the violence may be critical in terms of personal safety, and the realisation that there was something 'wrong' within the relationship, a 'day of dawning' that had not been apparent previously appears to positively affect the trajectory of leaving. CONCLUSIONS: Midlife women appeared to navigate through the stages of change in a rapid linear process, forging ahead and exiting the relationship with certainty and without considering options. Whilst these findings appear to differ from younger women's process of leaving, further research is needed to explore and understand the optimum time for intervention and support to maximise midlife women's opportunities to escape an abusive partner, before being reflected appropriately in policy and practice.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Libertad , Factores de Tiempo , Adulto , Agresión/psicología , Violencia Doméstica/tendencias , Femenino , Humanos , Persona de Mediana Edad , Investigación Cualitativa , Parejas Sexuales/psicología
20.
Violence Against Women ; 22(12): 1484-95, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-26834152

RESUMEN

The Domestic Violence Project (DVP) began as an experiment but has become my favorite model for teaching law students about domestic violence work. The heart of the course is its emphasis on developing awareness of and compassion for the personally and emotionally challenging dimensions of domestic violence work. I achieve this (i) through an intensive and personal dialogue with students through written journals and responses; (ii) by inviting students to consider creative expression for their final project, and (iii) by teaching students about vicarious trauma and encouraging their understanding of it in themselves and other system players. Students seem to experience this course as an oasis of holistic professional and personal growth within the often dispiriting experience of law school.


Asunto(s)
Derecho Penal/educación , Violencia Doméstica/psicología , Enseñanza/psicología , Derecho Penal/métodos , Curriculum/tendencias , Violencia Doméstica/tendencias , Humanos , Estrés Psicológico/complicaciones , Estrés Psicológico/etiología , Enseñanza/tendencias , Universidades/organización & administración , Voluntarios
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