许多研究人员发现,家庭暴力是导致患者身心健康问题的主要因素。(REF)有研究报道关于家庭暴力有关的凶杀率上升。(REF)已经观察到,受虐待的妇女经常有机会在医疗保健系统接触有时常规检查和在其他时间寻找伤的急救护理。因此,卫生保健提供者处于适当的位置,以识别虐待和提供或制定可能的干预措施。这些迹象让研究人员和人权活动家将家庭暴力问题视为一个公共卫生问题。强烈建议在医疗机构家庭虐待的精确测量这一信息可以识别的滥用是非常有用的以及对受害者的干预活动设计。
家庭暴力研究中常见的一个重要的方法论问题是虐待的测量。虽然暴力是一种可测量的现象,但它的精确测量也受到人们对该行为的感知的影响。研究人员发现人们对某些虐待行为的感知是“暴力的”或“不”的。例如,强迫性行为或强奸行为在全世界许多社会仍然没有被视为一种虐待。
A number of researchers found domestic violence to be a major contributor of physical and mental health problems in sufferers. (REF) Some studies have reported about rising rates of domestic violence related homicides. (REF) It has been observed that abused women very frequently get chance to be in contact with healthcare system sometimes for routine checkups and at other times to seek emergency care for injuries. Healthcare providers thus are in appropriate position to identify abuse and provide or devise possible interventions. These indications let researchers and human rights activists to approach the problem of domestic violence as a public health problem. Bachman (2000) and Saltzman (2004) strongly recommended for accurate measurement of domestic abuse in healthcare setups as this information could be very useful for identification of abuse as well as for devising intervention activities for victims.
One important methodological concern common to domestic violence research has been measurement of abuse. Although violence is a measurable phenomenon but its accurate measurement is also influenced by perception of people about the act. Researchers have found variability in perception of people about certain abusive acts as 'violent' or not. For instance, forced sex or martial rape is still not considered an abuse in many societies around the world.
A number of international organizations have provided the definitions of Intimate Partner Violence (IPV) with clear description of acts in various categories. For instance, The Australian
Medical Association (AMA) (1998) defined domestic violence as, 'the domination, coercion, intimidation and victimization of one person by another by physical, sexual or emotional means within intimate relationships.'
An outline of types of abuse in Intimate Partner Violence (IPV) was provided by Australian Public Health (1990). According to this description:
Physical abuse is causing pain and injury; denial of sleep, warmth or nutrition; denial of needed medical care; sexual assault; violence to property or animals; disablement; and murder
Verbal abuse includes humiliation, degradation, intimidation, subjugation, including the threat of physical violence;
Economic abuse includes deprivation of basic necessities, seizure of income or assets, unreasonable denial of the means necessary for participation in social life; and
Social abuse is isolation, control of all social activities, deprivation of liberty, or the deliberate creation of unreasonable dependence.
The common acts for physical violence measured in researches on domestic violence include slapping, throwing something that could hurt, pushing, hitting with a fist or anything that could hurt, kicking, dragging, choking, threatening or actually using a gun, knife or other weapon. (Mazza, Dennerstein & Ryan, 1996) Sexual violence has been measured by these acts; physically forcing to have sexual intercourse against her will, having sex because she was afraid of what her partner might do,
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