Primary health care physicians' approach toward domestic violence in Tehran, Iran.

Maryam Rasoulian · Mina Shirazi · Marzieh Nojomi

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Intimate Partner and Family Violence Child Abuse and Related Trauma Elder Abuse and Neglect

Abstract

BACKGROUND: Primary health care physicians (PHCPs) are the first in the clinic to detect and help victims of intimate partner violence (IPV). Therefore, their attitude and practice toward domestic violence (DV) are important to manage this problem. The aim of current study was to compare the behavior and attitude of PHCPs about DV versus other health risk factors in Tehran, Iran. METHODS: A convenience sample of 220 PHCPs was evaluated. The study was carried out in April 2012. Two self-administered questionnaires were used to identify physicians' beliefs and behaviors on screening and intervention of DV and other health risk factors. All analyses were performed using SPSS version 18.0 (SPSS, Inc. Chicago, IL). RESULTS: One hundred and ninety eight questionnaires were analyzed. PHCPs' mean age was 39.06 (±7.5) years. Participants were just reported 10% screening of regular patients for DV compared with 29% to 48% for other health risk factors. Mean age of PHCPs was not associated with their approach toward the DV. Compared to male physicians, females spared more time for DV victims. Major of physicians (96%) believed that DV is not a private problem and is something that needs to be addressed cautiously. CONCLUSION: The results of this study indicated that DV screening occurs less than that of other health risk factors. Attitude of majority of PHCPs was positive for addressing this problem.

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References

2002Physical and mental health effects of intimate partner violence for men and women 2005WHO Multi-country Study on Women's Health and Domestic Violence against Women: Initial Results on Prevalence, Health Outcomes and Women's Responses 2002Intimate Partner Violence and Physical Health Consequences 1996Prevalence of Violence Against Pregnant Women 2007Healthcare Utilization and Costs for Women with a History of Intimate Partner Violence 2000Candies in hell: women’s experiences of violence in Nicaragua 2007Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses 1999Domestic Violence and Primary Care: Attitudes, Practices, and Beliefs

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