The acceptability of routine inquiry about domestic violence towards women: a survey in three healthcare settings.

Adrian A. Boyle · Peter Brian Jones

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Intimate Partner and Family Violence Sexual Assault and Victimization Studies Elder Abuse and Neglect

Abstract

BACKGROUND: Domestic violence is frequently only disclosed when healthcare staff directly inquire. Healthcare staff worry that inquiry may offend. AIM: To identify the characteristics of women who find inquiry about domestic violence by healthcare staff unacceptable. DESIGN OF STUDY: Anonymous interview based cross-sectional study. SETTING: Three general practice surgeries, one antenatal clinic and one emergency department in Cambridge, England, with a total of 2306 women attending for health care. METHOD: Cross-sectional survey. RESULTS: In total 1452 completed questionnaires were returned; response rate 63%. One hundred and twenty-two women (8.4%) indicated that they found inquiry by healthcare staff unacceptable. Women at the emergency department and GP surgeries were more likely to find inquiry unacceptable (odds ratio [OR] = 3.3, 95% confidence interval [CI] = 1.1 to 9.9) and (OR = 3.9, 95% CI = 1.3 to 11.5) respectively, than in the antenatal clinic. Women at the antenatal clinic reported lower rates of abuse within 1 year than at the emergency department or antenatal clinic. Abuse within 1 year was strongly associated with finding inquiry unacceptable (OR = 4.5, 95% CI = 1.8 to 11.4), but not lifetime abuse (OR = 0.9, 95% CI = 0.5 to 1.9). CONCLUSIONS: Inquiry about domestic violence by healthcare staff is acceptable to most women. Acceptability is highest in women who have not been abused in the last year and who are attending the antenatal clinic. Women who attend the antenatal clinic have lower rates of abuse within 1 year.

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References

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2013Women's views and experiences of antenatal enquiry for domestic abuse during pregnancy 2006Responding to intimate partner violence: what role for general practice?2007GPs' perception of their role in the identification and management of family violence 2017Ready, willing and able? A survey of clinicians’ perceptions about domestic violence screening in a regional hospital emergency department

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