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[PMID]:28747094
[Au] Autor:Hamdullahpur K; Jacobs KWJ; Gill KJ
[Ad] Endereço:a McGill University Health Centre , Montréal , Quebec , Canada.
[Ti] Título:A comparison of socioeconomic status and mental health among inner-city Aboriginal and non-Aboriginal women.
[So] Source:Int J Circumpolar Health;76(1):1340693, 2017.
[Is] ISSN:2242-3982
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Aboriginal women in urban areas have been reported to experience high rates of poverty, homelessness, interpersonal violence, and health problems. However, there are few prior ethnocultural comparisons of urban women from similar socioeconomic backgrounds. The current study explored the mental and physical health of Aboriginal and non-Aboriginal women accessing social services agencies and shelters. Half of the sample (n=172) was Aboriginal (48.3%). The lifetime rate of physical abuse was significantly higher in Aboriginal women, and they were more likely to have been victims of violence or crime in the past year (A=50.6%, NA=35.6%, p<0.05). Rates of teenage pregnancy (<18 years of age) were significantly higher among Aboriginals (A=51.3%, NA=30.6%, p<0.05) and they reported more parental drug/alcohol problems (A=79.2%, NA=56.5%, p<0.05). Aboriginal women were also more likely to have previously received treatment for a drug or alcohol problem. There were no differences in self-reported physical health, medication use, hospitalisations, and current substance misuse. Irrespective of ethnicity, lifetime rates of anxiety, depression and suicide attempts were extremely high. Future research should explore the effects of individual resources (e.g. social support, family relations) and cultural beliefs on women's ability to cope with the stress of living with adverse events, particularly among low SES women with children.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano/estatística & dados numéricos
Mulheres Agredidas/estatística & dados numéricos
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Saúde Mental/estatística & dados numéricos
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Saúde da Mulher/estatística & dados numéricos
[Mh] Termos MeSH secundário: Comparação Transcultural
Feminino
Seres Humanos
Transtornos Mentais/epidemiologia
Pobreza/estatística & dados numéricos
Quebeque
Fatores Socioeconômicos
População Urbana/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1080/22423982.2017.1340693


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[PMID]:28873087
[Au] Autor:Jewkes R; Fulu E; Tabassam Naved R; Chirwa E; Dunkle K; Haardörfer R; Garcia-Moreno C; UN Multi-country Study on Men and Violence Study Team
[Ad] Endereço:Gender & Health Research Unit, Medical Research Council and School of Public Health, University of the Witwatersrand, Pretoria, South Africa.
[Ti] Título:Women's and men's reports of past-year prevalence of intimate partner violence and rape and women's risk factors for intimate partner violence: A multicountry cross-sectional study in Asia and the Pacific.
[So] Source:PLoS Med;14(9):e1002381, 2017 Sep.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Understanding the past-year prevalence of male-perpetrated intimate partner violence (IPV) and risk factors is essential for building evidence-based prevention and monitoring progress to Sustainable Development Goal (SDG) 5.2, but so far, population-based research on this remains very limited. The objective of this study is to compare the population prevalence rates of past-year male-perpetrated IPV and nonpartner rape from women's and men's reports across 4 countries in Asia and the Pacific. A further objective is to describe the risk factors associated with women's experience of past-year physical or sexual IPV from women's reports and factors driving women's past-year experience of partner violence. METHODS AND FINDINGS: This paper presents findings from the United Nations Multi-country Study on Men and Violence in Asia and the Pacific. In the course of this study, in population-based cross-sectional surveys, 5,206 men and 3,106 women aged 18-49 years were interviewed from 4 countries: Cambodia, China, Papua New Guinea (PNG), and Sri Lanka. To measure risk factors, we use logistic regression and structural equation modelling to show pathways and mediators. The analysis was not based on a written plan, and following a reviewer's comments, some material was moved to supplementary files and the regression was performed without variable elimination. Men reported more lifetime perpetration of IPV (physical or sexual IPV range 32.5%-80%) than women did experience (physical or sexual IPV range 27.5%-67.4%), but women's reports of past-year experience (physical or sexual IPV range 8.2%-32.1%) were not very clearly different from men's (physical or sexual IPV range 10.1%-34.0%). Women reported much more emotional/economic abuse (past-year ranges 1.4%-5.7% for men and 4.1%-27.7% for women). Reports of nonpartner rape were similar for men (range 0.8%-1.9% in the past year) and women (range 0.4%-2.3% in past year), except in Bougainville, where they were higher for men (11.7% versus 5.7%). The risk factor modelling shows 4 groups of variables to be important in experience of past-year sexual and/or physical IPV: (1) poverty, (2) all childhood trauma, (3) quarrelling and women's limited control in relationships, and (4) partner factors (substance abuse, unemployment, and infidelity). The population attributable fraction (PAF) was largest for quarrelling often, but the second greatest PAF was for the group related to exposure to violence in childhood. The relationship control variable group had the third highest PAF, followed by other partner factors. Currently married women were also more at risk. In the structural model, a resilience pathway showed less poverty, higher education, and more gender-equitable ideas were connected and conveyed protection from IPV. These are all amenable risk factors. This research was cross-sectional, so we cannot be sure of the temporal sequence of exposure, but the outcome being a past-year measure to some extent mitigates this problem. CONCLUSIONS: Past-year IPV indicators based on women's reported experience that were developed to track SDG 5 are probably reasonably reliable but will not always give the same prevalence as may be reported by men. Report validity requires further research. Interviews with men to track past-year nonpartner rape perpetration are feasible and important. The findings suggest a range of factors are associated with past-year physical and/or sexual IPV exposure; of particular interest is the resilience pathway suggested by the structural model, which is highly amenable to intervention and explains why combining economic empowerment of women and gender empowerment/relationship skills training has been successful. This study provides additional rationale for scaling up violence prevention interventions that combine economic and gender empowerment/relationship skills building of women, as well as the value of investing in girls' education with a view to long-term violence reduction.
[Mh] Termos MeSH primário: Violência por Parceiro Íntimo/estatística & dados numéricos
Estupro/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Mulheres Agredidas/estatística & dados numéricos
Camboja/epidemiologia
China/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Homens
Meia-Idade
Papua Nova Guiné/epidemiologia
Prevalência
Fatores de Risco
Autorrelato
Sri Lanka/epidemiologia
Mulheres
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170917
[Lr] Data última revisão:
170917
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002381


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[PMID]:28700587
[Au] Autor:Kujawski SA; Freedman LP; Ramsey K; Mbaruku G; Mbuyita S; Moyo W; Kruk ME
[Ad] Endereço:Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
[Ti] Título:Community and health system intervention to reduce disrespect and abuse during childbirth in Tanga Region, Tanzania: A comparative before-and-after study.
[So] Source:PLoS Med;14(7):e1002341, 2017 Jul.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Abusive treatment of women during childbirth has been documented in low-resource countries and is a deterrent to facility utilization for delivery. Evidence for interventions to address women's poor experience is scant. We assessed a participatory community and health system intervention to reduce the prevalence of disrespect and abuse during childbirth in Tanzania. METHODS AND FINDINGS: We used a comparative before-and-after evaluation design to test the combined intervention to reduce disrespect and abuse. Two hospitals in Tanga Region, Tanzania were included in the study, 1 randomly assigned to receive the intervention. Women who delivered at the study facilities were eligible to participate and were recruited upon discharge. Surveys were conducted at baseline (December 2011 through May 2012) and after the intervention (March through September 2015). The intervention consisted of a client service charter and a facility-based, quality-improvement process aimed to redefine norms and practices for respectful maternity care. The primary outcome was any self-reported experiences of disrespect and abuse during childbirth. We used multivariable logistic regression to estimate a difference-in-difference model. At baseline, 2,085 women at the 2 study hospitals who had been discharged from the maternity ward after delivery were invited to participate in the survey. Of these, 1,388 (66.57%) agreed to participate. At endline, 1,680 women participated in the survey (72.29% of those approached). The intervention was associated with a 66% reduced odds of a woman experiencing disrespect and abuse during childbirth (odds ratio [OR]: 0.34, 95% CI: 0.21-0.58, p < 0.0001). The biggest reductions were for physical abuse (OR: 0.22, 95% CI: 0.05-0.97, p = 0.045) and neglect (OR: 0.36, 95% CI: 0.19-0.71, p = 0.003). The study involved only 2 hospitals in Tanzania and is thus a proof-of-concept study. Future, larger-scale research should be undertaken to evaluate the applicability of this approach to other settings. CONCLUSIONS: After implementation of the combined intervention, the likelihood of women's reports of disrespectful treatment during childbirth was substantially reduced. These results were observed nearly 1 year after the end of the project's facilitation of implementation, indicating the potential for sustainability. The results indicate that a participatory community and health system intervention designed to tackle disrespect and abuse by changing the norms and standards of care is a potential strategy to improve the treatment of women during childbirth at health facilities. The trial is registered on the ISRCTN Registry, ISRCTN 48258486. TRIAL REGISTRATION: ISRCTN Registry, ISRCTN 48258486.
[Mh] Termos MeSH primário: Mulheres Agredidas/estatística & dados numéricos
Serviços de Saúde Comunitária
Violência Doméstica/prevenção & controle
Parto/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Parto Obstétrico/psicologia
Parto Obstétrico/estatística & dados numéricos
Feminino
Seres Humanos
Prevalência
Melhoria de Qualidade
Tanzânia
Direitos da Mulher
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002341


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[PMID]:28627946
[Au] Autor:Szele AS; Nagy BE
[Ad] Endereço:Népegészségügyi Kar, Magatartástudományi Intézet, Debreceni Egyetem Debrecen.
[Ti] Título:[The connection between maltreatment and preterm birth - in the light of psychomotor development at 2 years old].
[Ti] Título:A bántalmazás és a koraszülés összefüggései a kétéves kori pszichomotoros fejlodés tükrében..
[So] Source:Orv Hetil;158(25):976-983, 2017 Jun.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Preterm children' development and harmful affecting factors to development are important aspects of public health, because in our country the number of preterm birth is very high. AIM: Description of psychomotor development of preterm children (Brunet-Lézine; Bayley-III) and connection between psychomotor development and maternal abuse history (own questionnaire). METHOD: Extremely (<1000 g) and very low (1000-1500 g) birth weight preterm children at 23-30 months (n = 35) and their mothers' abuse history were measured. RESULTS: Lower birth weight was associated with lower psychomotor development quotients and higher development risk. Strong associations were found between maternal history of childhood abuse and the development quotients. CONCLUSIONS: We would like to draw attention to the importance of assessing preterm children, as well as to the importance of maltreatment and the severity of its consequences. With the early recognition of necessity for developmental interventions we can prevent problems in the future. Orv Hetil. 2017; 158(25): 976-983.
[Mh] Termos MeSH primário: Deficiências do Desenvolvimento/epidemiologia
Lactente Extremamente Prematuro
Transtornos das Habilidades Motoras/epidemiologia
Nascimento Prematuro/epidemiologia
Maus-Tratos Conjugais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Mulheres Agredidas/estatística & dados numéricos
Comorbidade
Feminino
Seres Humanos
Recém-Nascido
Masculino
Gravidez
Complicações na Gravidez/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30772


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[PMID]:28395079
[Au] Autor:Kim JY; Lee JH; Song HJ; Kim DG; Yim YS
[Ad] Endereço:Professor, School of Social Welfare, Yonsei University, Seoul, South Korea.
[Ti] Título:Relationships between Psychosocial Difficulties and Oxidative Stress Biomarkers in Women Subject to Intimate Partner Violence.
[So] Source:Health Soc Work;42(1):41-47, 2017 02 01.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Women subject to violence by their intimate partners often experience a range of psychosocial problems such as depression, excessive alcohol use, and stressful life events that, in turn, lead to health issues. This study examined psychosocial difficulties and oxidative stress levels in abused and non-abused Korean women and analyzed the relationship between psychosocial outcomes and oxidative stress levels. Markers were determined in 16 women (seven abused, nine non-abused). The two groups of women (abused and non-abused) were compared with respect to scores in depression, alcohol use, life stress events, and oxidative stress biomarkers using the Mann-Whitney U test. Correlations between depression, alcohol use, life stress events, and oxidative stress biomarkers were tested by the Spearman rank correlation coefficient. The abused women had significantly higher levels of oxidative stress markers and significantly lower levels of antioxidants than the non-abused women. Life stress events and oxidative biomarker levels were significantly correlated. These findings have implications for both social services providers and medical personnel when assessing abused women to ensure that they receive the most appropriate service.
[Mh] Termos MeSH primário: Biomarcadores/análise
Estresse Oxidativo
Maus-Tratos Conjugais/psicologia
[Mh] Termos MeSH secundário: Mulheres Agredidas
Feminino
Seres Humanos
Masculino
Parceiros Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw053


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[PMID]:28323860
[Au] Autor:Ishola F; Owolabi O; Filippi V
[Ad] Endereço:Atlas Service Corps, Washington, District of Columbia, United States of America.
[Ti] Título:Disrespect and abuse of women during childbirth in Nigeria: A systematic review.
[So] Source:PLoS One;12(3):e0174084, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Promoting respectful care at childbirth is important to improve quality of care and encourage women to utilize skilled delivery services. However, there has been a relative lack of public health research on this topic in Nigeria. A systematic review was conducted to synthesize current evidence on disrespect and abuse of women during childbirth in Nigeria in order to understand its nature and extent, contributing factors and consequences, and propose solutions. METHODS: Five electronic databases were searched for relevant published studies, and five data sources for additional grey literature. A qualitative synthesis was conducted using the Bowser and Hill landscape analytical framework on disrespect and abuse of women during childbirth. RESULTS: Fourteen studies were included in this review. Of these studies, eleven were cross sectional studies, one was a qualitative study and two used a mixed method approach. The type of abuse most frequently reported was non-dignified care in form of negative, poor and unfriendly provider attitude and the least frequent were physical abuse and detention in facilities. These behaviors were influenced by low socioeconomic status, lack of education and empowerment of women, poor provider training and supervision, weak health systems, lack of accountability and legal redress mechanisms. Overall, disrespectful and abusive behavior undermined the utilization of health facilities for delivery and created psychological distance between women and health providers. CONCLUSION: This systematic review documented a broad range of disrespectful and abusive behavior experienced by women during childbirth in Nigeria, their contributing factors and consequences. The nature of the factors influencing disrespectful and abusive behavior suggests that educating women on their rights, strengthening health systems to respond to specific needs of women at childbirth, improving providers training to encompass interpersonal aspects of care, and implementing and enforcing policies on respectful maternity care are important. This review has also shown that more robust research is needed to explore disrespect and abuse of women during childbirth in Nigeria and propose compelling interventions.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Mulheres Agredidas/estatística & dados numéricos
Parto/psicologia
Relações Profissional-Paciente
Qualidade da Assistência à Saúde/estatística & dados numéricos
Violência/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Parto Obstétrico
Feminino
Instalações de Saúde
Seres Humanos
Meia-Idade
Nigéria
Gravidez
Classe Social
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174084


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[PMID]:28234202
[Au] Autor:Logan TK
[Ti] Título:"If I Can't Have You Nobody Will": Explicit Threats in the Context of Coercive Control.
[So] Source:Violence Vict;32(1):126-140, 2017 Feb 01.
[Is] ISSN:0886-6708
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Physical assault is only one tool in partner abuse characterized by coercive control. Coercive control creates an ongoing state of fear and chronic stress. Explicit threats are an important component of coercive control yet have received limited research attention. This study examined 210 women with protective orders (POs) against abusive (ex)partners and their experiences of explicit threats including threats of harm and death, threats about harming friends and family, and actual threats to friends and family. There are 4 main findings from this study: (a) explicit threats of harm and death, threats about harming others, and actual threats to others are common both in the history of the abusive relationship as well as within 6 months prior to obtaining a PO but are only moderately correlated with each other; (b) the high-frequency threats of harm group had the highest rates of concurrent abuse, violence, distress, and fear; (c) the prevalence and frequency of threats changed over time for all 3 types of threats examined in this study; and (d) understanding the variety of threats partner abuse victims experience, especially threats of third-party harm, may be important in understanding the larger context and consequences of partner abuse. This study is an interim step toward a better understanding of the role of explicit threats in abusive relationships. Future research is needed to examine the prevalence, frequency, trajectory, features, context, and types of explicit threats that victims of partner abuse experience. This information may be especially key to understanding more about future risk of harm, risk of harm to others, victim distress and fear, and safety planning.
[Mh] Termos MeSH primário: Mulheres Agredidas/psicologia
Coerção
Vítimas de Crime/psicologia
Segurança/estatística & dados numéricos
Parceiros Sexuais/psicologia
Maus-Tratos Conjugais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Mulheres Agredidas/estatística & dados numéricos
Vítimas de Crime/estatística & dados numéricos
Feminino
Seres Humanos
Função Jurisdicional
Meia-Idade
Polícia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170225
[St] Status:MEDLINE
[do] DOI:10.1891/0886-6708.VV-D-14-00187


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[PMID]:28178385
[Au] Autor:Almeida FSJ; Coutinho EC; Duarte JC; Chaves CMB; Nelas PAB; Amaral OP; Parreira VC
[Ad] Endereço:Centro Hospitalar Tondela Viseu, Viseu, Portugal.
[Ti] Título:Domestic violence in pregnancy: prevalence and characteristics of the pregnant woman.
[So] Source:J Clin Nurs;26(15-16):2417-2425, 2017 Aug.
[Is] ISSN:1365-2702
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS AND OBJECTIVES: To determine the prevalence of domestic violence (physical, psychological or sexual) during pregnancy and to characterise these women. BACKGROUND: Pregnant women are not immune to domestic violence and therefore may be subject to any form of physical, psychological or sexual violence by partners. Health professionals' knowledge and awareness are important in the identification and intervention of pregnant women who experience domestic violence. METHODS: Quantitative, descriptive, correlational study, using a nonprobabilistic convenience sample consisting of a total of 852 postpartum women, of whom 370 were experiencing domestic violence according to the criteria adopted through the modified scale of prevalence, applied between February-June 2012 in two Portuguese public health institutions. Authorisation was given by the Ethics Committees/Administration Councils of both institutions involved and the National Committee of Data Protection. RESULTS: The prevalence of DV during pregnancy was 43·4% (physical violence - 21·9%; psychological violence - 43·2%; and sexual violence - 19·6%). These women had the following profile: immigrant (OR = 5·70; IC95% 3·32-9·78), non-Caucasian (OR = 6·27; IC95% 3·76-10·46), single/divorced/widowed (OR = 2·28; IC95% 1·70-3·05), academic qualifications up to year 9 (OR = 4·94; IC95% 3·31-7·37); between 10-12 years of schooling (OR = 2·36; IC95% 1·70-3·29); unemployed (OR = 2·01; IC95% 1·50-2·69); and with a monthly income <1000 euros (OR = 1·90; IC95% 1·44-2·50). Through logistic regression, the following protective factors have been identified: nationality (Portuguese), race (Caucasian) and place of residence (city). CONCLUSIONS: Almost half of the sample had experienced some form of domestic violence. This is associated with certain sociodemographic factors identified in the study. Psychological violence was the most prevalent during pregnancy. RELEVANCE TO CLINICAL PRACTICE: Knowledge of the prevalence and characteristics of pregnant women who experience domestic violence is of paramount importance in planning appropriate strategies for their needs during pregnancy. Results indicate the need for nurses to intervene when warning signs of domestic violence against pregnant women are detected.
[Mh] Termos MeSH primário: Mulheres Agredidas/psicologia
Violência Doméstica/psicologia
Assistência Perinatal
Complicações na Gravidez/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Violência Doméstica/etnologia
Grupos Étnicos
Feminino
Seres Humanos
Modelos Logísticos
Serviços de Saúde Materna
Portugal/epidemiologia
Gravidez
Complicações na Gravidez/etnologia
Complicações na Gravidez/enfermagem
Complicações na Gravidez/psicologia
Prevalência
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1111/jocn.13756


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[PMID]:28130895
[Au] Autor:Fleming CJ; Resick PA
[Ti] Título:Help-Seeking Behavior in Survivors of Intimate Partner Violence: Toward an Integrated Behavioral Model of Individual Factors.
[So] Source:Violence Vict;32(2):195-209, 2017 04 01.
[Is] ISSN:0886-6708
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined individual behavioral predictors of help-seeking using the frameworks of the Andersen model and the theory of planned behavior in a sample of help-seeking female survivors of intimate partner violence (IPV). In-person interviews were conducted with 372 women (Mage = 34.41 years, 66% African American). Results indicated that variables suggested by the Andersen model, including age, depression, psychological aggression, and posttraumatic stress-related arousal symptoms, were significant predictors of help-seeking. Variables suggested by the theory of planned behavior, including perceived helpfulness of resource and perceived controllability of the violence, were also significantly related to help-seeking. However, a combined model including variables from both theoretical approaches accounted for the most variance in help-seeking behavior. Overall, results suggest that these models are useful conceptualizations of help-seeking in an IPV population and that it is important to consider personal characteristics, need-based variables, and cognitive factors in outreach efforts.
[Mh] Termos MeSH primário: Afroamericanos/psicologia
Mulheres Agredidas/psicologia
Maus-Tratos Conjugais/etnologia
Maus-Tratos Conjugais/psicologia
Sobreviventes/psicologia
[Mh] Termos MeSH secundário: Adulto
Mulheres Agredidas/estatística & dados numéricos
Feminino
Seres Humanos
Meia-Idade
Modelos Psicológicos
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
Fatores de Risco
Sobreviventes/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170629
[Lr] Data última revisão:
170629
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170129
[St] Status:MEDLINE
[do] DOI:10.1891/0886-6708.VV-D-15-00065


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Texto completo
[PMID]:28071836
[Au] Autor:East L; Peters K; Jackson D
[Ad] Endereço:University of New England, School of Health, Armidale, NSW, Australia.
[Ti] Título:Violated and vulnerable: women's experiences of contracting a sexually transmitted infection from a male partner.
[So] Source:J Clin Nurs;26(15-16):2342-2352, 2017 Aug.
[Is] ISSN:1365-2702
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS AND OBJECTIVES: To explore women's stories of contracting a sexually transmitted infection from a male partner and elucidate the gendered constructs and violence experienced that made the women vulnerable to these infections. BACKGROUND: Violence against women can result in both physical and psychological consequences and expose women to multiple health risks including sexual health adversity. DESIGN: Feminist storytelling approach. METHODS: Qualitative interviews were conducted with 10 women. All data underwent thematic analysis. FINDINGS: Findings from this study revealed the women were vulnerable to contracting sexually transmitted infection/s from their male sexual partners as a result of unequal gender and abusive relationship dynamics. Subsequently, contracting a sexual infection within this context potentially increased their vulnerability in both current and future relationships, through their loss of self-confidence and perceived ability to have a trusting loving heterosexual relationship as women with sexually transmitted infection/s. CONCLUSION: Women in relationships in which they are subordinate to their male partner are at heightened risk of sexual health adversity, including contracting a sexually transmitted infection. Contracting a sexually transmitted infection within the context of an abusive relationship can further increase women's vulnerability to dominant male partners, thus further exposure to sexual risk and adversity. RELEVANCE TO CLINICAL PRACTICE: Nurses working in clinical settings are well placed to conduct opportunistic screening of women's sexual health, including assessment of sexually transmitted infections and the nature of the encounter in which they were contracted. Thorough assessment can potentially identify relationship and personal factors that can increase a woman's risk to both sexual adversity and forms of abuse. Also, if women do divulge that they have suffered abuse, nurses are positioned to provide support and guidance in implementing strategies to minimise risk as well as referring them to specialised services.
[Mh] Termos MeSH primário: Mulheres Agredidas/psicologia
Comportamento Sexual
Parceiros Sexuais/psicologia
Doenças Sexualmente Transmissíveis/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Identidade de Gênero
Seres Humanos
Entrevistas como Assunto
Masculino
Doenças Sexualmente Transmissíveis/enfermagem
Doenças Sexualmente Transmissíveis/prevenção & controle
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1111/jocn.13723



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