학술논문

Attitudes and behaviours of family physicians towards clinical practice around intimate partner violence: a view from the Çankaya district of Ankara, Turkey.
Document Type
Article
Source
Australian Journal of Primary Health. 2023, Vol. 29 Issue 6, p625-636. 12p.
Subject
*ATTITUDES of medical personnel
*PHYSICIAN-patient relations
*PUBLIC health
*DOMESTIC violence
*VIOLENCE
*INTIMATE partner violence
*COMPARATIVE studies
*GENDER
*QUESTIONNAIRES
*INFORMATION resources
*DESCRIPTIVE statistics
*SOCIAL skills
*SOCIODEMOGRAPHIC factors
*CYBERBULLYING
Language
ISSN
1448-7527
Abstract
Background: Although family physicians (FPs) often encounter patients who have been subjected to intimate partner violence (IPV), the data on FPs' response to IPV is limited. This study aimed to determine FPs' attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods: An online questionnaire designed to elicit sociodemographic information and FPs' attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results: Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P < 0.05). Despite diagnosing IPV, some physicians did not intervene/guide their patients, and some only consoled their patients because they thought the situation was inevitable. The reasons for not taking official action included insufficient time, feeling uncomfortable talking about violence, lack of information about the detection and reporting, and the thought that the woman would not leave her abusive partner. Conclusions: The results showed that among the physicians who encountered IPV, female sex, family medicine speciality training, and IPV training resulted in acting more consciously in diagnosing violence, implementing referral and notification systems, and approaching IPV survivors. The prevention of IPV could be made possible by supporting FPs with ongoing training, breaking down stereotypes and prejudices about gender roles, and changing the structures that maintain unequal power relationships. Intimate partner violence (IPV) is a global problem. With a small sample, this study determines family physicians' attitudes towards IPV. Although IPV survivors attend primary healthcare services, there is a lack of knowledge and varying attitude among family physicians towards IPV. Family medicine speciality training and IPV training raise awareness about recognising, referring, and approaching IPV survivors. Female physicians have greater knowledge and a better approach to IPV survivors than males. Reducing gender inequality and education is critical in the prevention of IPV. [ABSTRACT FROM AUTHOR]