Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies

Feder, Gene S.

doi:10.1001/archinte.166.1.22

Cited by 641Intimate Partner and Family ViolenceElder Abuse and NeglectPatient-Provider Communication in Healthcare

Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies

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Feder, Gene S.·2006·Archives of Internal Medicine

DOI 10.1001/archinte.166.1.22

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Abstract

BACKGROUND: The appropriate response of health care professionals to intimate partner violence is still a matter of debate. This article reports a meta-analysis of qualitative studies that answers 2 questions: (1) How do women with histories of intimate partner violence perceive the responses of health care professionals? and (2) How do women with histories of intimate partner violence want their health care providers to respond to disclosures of abuse? METHODS: Multiple databases were searched from their start to July 1, 2004. Searches were complemented with citation tracking and contact with researchers. Inclusion criteria included a qualitative design, women 15 years or older with experience of intimate partner violence, and English language. Two reviewers independently applied criteria and extracted data. Findings from the primary studies were combined using a qualitative meta-analysis. RESULTS: Twenty-nine articles reporting 25 studies (847 participants) were included. The emerging constructs were largely consistent across studies and did not vary by study quality. We ordered constructs by the temporal structure of consultations with health care professionals: before the abuse is discussed, at disclosure, and the immediate and further responses of the health care professional. Key constructs included a wish from women for responses from health care professionals that were nonjudgmental, nondirective, and individually tailored, with an appreciation of the complexity of partner violence. Repeated inquiry about partner violence was seen as appropriate by women who were at later stages of an abusive relationship. CONCLUSION: Women's perceptions of appropriate and inappropriate responses partly depended on the context of the consultation, their own readiness to address the issue, and the nature of the relationship between the woman and the health care professional.

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Women often lack confidence that their primary care doctor or general practitioner can offer help, but those who do disclose abuse value the empathetic communication, validation of their situation and referral for additional help that may follow.
“Women often lack confidence that their primary care doctor or general practitioner (GP) can offer help, but those who do disclose abuse value the empathetic communication, validation of their situation and referral for additional help that may follow.[17][18][19]”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [19]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Women in our study wanted greater continuity with a known GP and individually tailored support to encourage disclosure.
“To encourage disclosure, women in our study wanted greater continuity with a known GP and individually tailored support”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [19]
The Abstract reports that women wanted individually tailored responses, and the table of constructs says patient, supportive repeated inquiry could build trust and allow later disclosure. The paper does not establish that women wanted greater continuity with a known GP specifically; its findings concern health care professionals more broadly. The phrase “women in our study” describes the citing authors’ study, not Feder’s. (LLM, conf=0.84)
Experimental — accuracy not yet measured
This was not a consistent finding in a systematic review of women's expectations of healthcare professionals.
“This was not a consistent finding in a systematic review of women’s expectations of healthcare professionals.31”
From Help-seeking by male victims of domestic violence and abuse (DVA): a systematic review and qualitative evidence synthesis (2019) · cites this paper as [31]
This is consistent with qualitative research with female victims.
“This is consistent with qualitative research with female victims.31”
From Help-seeking by male victims of domestic violence and abuse (DVA): a systematic review and qualitative evidence synthesis (2019) · cites this paper as [31]
In that review, some victims said gender of professional not important as long as listened and supportive, whereas others preferred female professional.
“In that review of qualitative studies, some victims of DVA said that the gender of the professional was not important, as long as they listened and were supportive, whereas other participants in the reviewed studies preferred a female professional.”
From Help-seeking by male victims of domestic violence and abuse (DVA): a systematic review and qualitative evidence synthesis (2019) · cites this paper as [31]

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Authors: Feder, G. S.
Affiliations: Queen Mary University of London (GB)
Corresponding author: Feder, Gene S.
ORCID: Feder, Gene S.
Venue: Archives of Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2006-01-09
Volume: 166
Issue: 1
Pages: 22
ISSN: 0003-9926 (ISSN-L)
DOI: 10.1001/archinte.166.1.22
OpenAlex: W1982927444
Cited by: 641
References: 61
Citations by year: 2026: 14 · 2025: 32 · 2024: 28 · 2023: 29 · 2022: 30 · 2021: 50 · 2020: 54 · 2019: 42 · 2018: 33 · 2017: 32 · 2016: 51 · 2015: 32 · 2014: 24 · 2013: 34 · 2012: 39
FWCI: 5.22
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Archives of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Own your potential (DEAKIN) (submittedVersion)
Figshare (submittedVersion, cc-by)
Topics: Social Sciences › Health › Intimate Partner and Family Violence
Social Sciences › Demography › Elder Abuse and Neglect
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: intimate partner violence, women, disclosure of abuse, patient perspectives, non-judgmental care, tailored care
MeSH terms: Adult, Aged, Attitude of Health Personnel, Female, Humans, Middle Aged, Physician-Patient Relations, Surveys and Questionnaires, Spouse Abuse, Epidemiologic Studies, Patient Satisfaction, Battered Women, Patient Rights, Qualitative Research

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Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies

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