Intimate Partner Violence; Are Saudi Physicians in Primary Health Care Setting Ready to Identify, Screening, and Respond?

Zaenb Husain Alsalman · Marwa Mahmoud Shafey · Laila Al Ali

10 citations0/0 files storedInternational Journal of Women s Health

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

Abstract

Introduction: Intimate partner violence (IPV) is a growing hot topic in Saudi Arabia and primary health care (PHC) physicians play a significant role in preventing it. Our objective was to assess the PHC Physicians' readiness and barriers to identify, screen, and respond to IPV in Saudi Arabia. Methods: A cross-sectional study recruited physicians working in PHC centers in Saudi Arabia. Data was collected using a modified online self-administered questionnaire based on the PREMIS "The Physician Readiness to Identify and Manage IPV." The questionnaire consisted of respondent profile, perceived preparedness and knowledge, actual knowledge, practice issues, and opinion regarding barriers. Results: Among 169 PHC physicians, 60.9% had never experienced any formal IPV training. Around one-fifth of participants have a good perceived and actual knowledge, whereas one-third have a good perceived preparedness. Nearly half of the participants (46.7%) do not screen for IPV and two-thirds of them (66.3%) have never identified an IPV case during the previous 6 months. The logistic regression model showed that family physicians were 2.27 times more likely to have a good knowledge than a general practitioner, and participants with IPV training were more likely to have a good level of perceived preparedness, perceived knowledge, and more likely to perform screening of IPV. Conclusion: The low level of PHC physicians' readiness to identify and respond to IPV is worrisome. Findings emphasize the urgent need for an IPV training program, a supportive work environment, and a clear referral system in order to help the practitioner to provide comprehensive services and ensure safety plans for abused women.

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2006Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence 2009Intimate Partner Violence Screening Tools 2018Recent intimate partner violence against women and health: a systematic review and meta-analysis of cohort studies 2015Screening women for intimate partner violence in healthcare settings 2017Preventing intimate partner violence across the lifespan : a technical package of programs, policies, and practices 2012Screening Women for Intimate Partner Violence: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation 2011Implementing successful intimate partner violence screening programs in health care settings: Evidence generated from a realist-informed systematic review 2007Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses

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