The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services.
Screening and response for intimate partner violence (IPV) is recommended for women in priority populations and is implemented in health services across diverse jurisdictions. Most women experiencing IPV strongly support screening, however this is untested with refugee women in resettlement contexts...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0315061 |
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| _version_ | 1841555498745200640 |
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| author | Nigel Spence Jo Spangaro Nicola Man Jacqui Cameron Kelsey Hegarty Jane Koziol-McLain Tadgh McMahon Astrid Perry-Indermaur Chye Toole-Anstey Jeannette Walsh Anthony Zwi |
| author_facet | Nigel Spence Jo Spangaro Nicola Man Jacqui Cameron Kelsey Hegarty Jane Koziol-McLain Tadgh McMahon Astrid Perry-Indermaur Chye Toole-Anstey Jeannette Walsh Anthony Zwi |
| author_sort | Nigel Spence |
| collection | DOAJ |
| description | Screening and response for intimate partner violence (IPV) is recommended for women in priority populations and is implemented in health services across diverse jurisdictions. Most women experiencing IPV strongly support screening, however this is untested with refugee women in resettlement contexts. Around one third of refugee women in Australia experience IPV and face multiple post-migration challenges. SAHAR (Safety and Health after Arrival) tested IPV screening using the ACTS tool, brief intervention, and referral with women accessing four settlement support services. Women attending sites during the study period were invited to participate in a three month follow up survey with participation by 321/375 women recruited (86%). Acceptability of IPV screening was assessed against (i) levels of comfort with the IPV screening questions and (ii) strength of agreement/disagreement with settlement services asking women about being frightened, controlled or hurt by their partners. Of participants who recalled the screening, 93% reported being very or moderately comfortable with being asked the questions (89% who had experienced IPV; 94% of those with no IPV identified). For all participants, 84% strongly or somewhat agreed with services asking the questions, with no significant difference in agreement between disclosing and non-disclosing groups. Those with no recall of the questions had lower overall agreement and higher disagreement than those who recalled the questions (88% and 10%). Acceptability was not associated with age, country of origin, household composition, time since arrival or number of prior service visits. Participants identified 'care shown by the worker', 'talking to someone in my own language', 'trust in the privacy of the service', and 'talking to a female worker' as the factors most important for encouraging discussion of IPV. High acceptance of IPV screening by refugee women supports consideration of implementation across settlement services, a key access point for refugee women with diverse needs. |
| format | Article |
| id | doaj-art-f0abe9317a0440d5b99923375846bfa6 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-f0abe9317a0440d5b99923375846bfa62025-01-08T05:33:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031506110.1371/journal.pone.0315061The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services.Nigel SpenceJo SpangaroNicola ManJacqui CameronKelsey HegartyJane Koziol-McLainTadgh McMahonAstrid Perry-IndermaurChye Toole-AnsteyJeannette WalshAnthony ZwiScreening and response for intimate partner violence (IPV) is recommended for women in priority populations and is implemented in health services across diverse jurisdictions. Most women experiencing IPV strongly support screening, however this is untested with refugee women in resettlement contexts. Around one third of refugee women in Australia experience IPV and face multiple post-migration challenges. SAHAR (Safety and Health after Arrival) tested IPV screening using the ACTS tool, brief intervention, and referral with women accessing four settlement support services. Women attending sites during the study period were invited to participate in a three month follow up survey with participation by 321/375 women recruited (86%). Acceptability of IPV screening was assessed against (i) levels of comfort with the IPV screening questions and (ii) strength of agreement/disagreement with settlement services asking women about being frightened, controlled or hurt by their partners. Of participants who recalled the screening, 93% reported being very or moderately comfortable with being asked the questions (89% who had experienced IPV; 94% of those with no IPV identified). For all participants, 84% strongly or somewhat agreed with services asking the questions, with no significant difference in agreement between disclosing and non-disclosing groups. Those with no recall of the questions had lower overall agreement and higher disagreement than those who recalled the questions (88% and 10%). Acceptability was not associated with age, country of origin, household composition, time since arrival or number of prior service visits. Participants identified 'care shown by the worker', 'talking to someone in my own language', 'trust in the privacy of the service', and 'talking to a female worker' as the factors most important for encouraging discussion of IPV. High acceptance of IPV screening by refugee women supports consideration of implementation across settlement services, a key access point for refugee women with diverse needs.https://doi.org/10.1371/journal.pone.0315061 |
| spellingShingle | Nigel Spence Jo Spangaro Nicola Man Jacqui Cameron Kelsey Hegarty Jane Koziol-McLain Tadgh McMahon Astrid Perry-Indermaur Chye Toole-Anstey Jeannette Walsh Anthony Zwi The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. PLoS ONE |
| title | The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. |
| title_full | The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. |
| title_fullStr | The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. |
| title_full_unstemmed | The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. |
| title_short | The acceptability of intimate partner violence screening and response among refugee women accessing Australian resettlement services. |
| title_sort | acceptability of intimate partner violence screening and response among refugee women accessing australian resettlement services |
| url | https://doi.org/10.1371/journal.pone.0315061 |
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