Volume : 09, Issue : 03, March – 2021

39.KNOWLEDGE AND PRACTICE OF PRIMARY CARE PHYSICIANS TO SCREENING AND INTERVENTION OF INTIMATE PARTNER VIOLENCE IN TAIF CITY, KSA

Rami A. Almalki , Mohammed D. Alzaiedy

Abstract :

Introduction: The Centers for Disease Control and Prevention defines intimate relationship abuse as physical violence, sexual violence, and psychological damage perpetrated by a current or former intimate partner. Methodology: This was a cross-sectional study conducted in Taif city, Saudi Arabia. The study aimed to assess knowledge and practice of IPV among Saudi primary healthcare physicians and investigate the factors affecting IPV screening and management. The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) is a questionnaire distributed among the physicians. Results: A total of 126 physicians were included; over half of them (55.6%) were males. The participants had a mean score of perceived preparation (2.8 ± 1.3), perceived knowledge of (2.6 ± 1.2), and actual knowledge of (17.8 ± 4.8). We demonstrated a significant association between age (P=0.006), years since graduation (P=0.005), the academic degree (P=0.000), and the average number of patients taken care of by the physicians (P=0.024) and the actual knowledge score. The average number of patients taken care of by the physicians and practitioners at the worksite who have participated in an IPV training course in the past 6 months are significantly associated with the practice score with (P=0.030) and (P=0.008), respectively. Conclusion: We found a lack of training on IPV among primary health care physicians in Saudi Arabia. In addition to poor perceived preparation, poor perceived knowledge, and poor actual knowledge about IPV among the participants. Older physicians were found to be more experienced and knowledgeable about IPV than the younger residents. Practicing skills were more positive with the increasing years of experience and the applied training programs.

Cite This Article:

Please Cite This Article In Press Rami Ayidh Almalki et al., Knowledge And Practice Of Primary Care Physicians To Screening And Intervention Of Intimate Partner Violence In Taif City, KSA., Indo Am. J. P. Sci, 2021; 08(03).

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References:

(1) Breiding, M., Basile, K. C., Smith, S. G., Black, M. C., & Mahendra, R. R. (2015). Intimate partner violence surveillance: uniform definitions and recommended data elements. Version 2.0.‏Hoffman JS. World Report on Violence and Health.Injury Prevention 2003;9:93.
(2) Hoffman, J. S. (2003). World Report on Violence and Health.: Edited by EG Krug, LL Dahlberg, JA Mercy, A Zwi, R Lozano.(Pp 340; $ US 27; Swiss francs 30, developing countries Swiss francs 15.) Geneva: World Health Organization, 2002. ISBN 92-4-154561-5.‏
(3) Thompson, R. S., Bonomi, A. E., Anderson, M., Reid, R. J., Dimer, J. A., Carrell, D., & Rivara, F. P. (2006). Intimate partner violence: Prevalence, types, and chronicity in adult women. American journal of preventive medicine, 30(6), 447-457.‏
(4) Devries, K. M., Mak, J. Y. T., García-Moreno, C., Petzold, M., Child, J. C., Falder, G., . . . Watts, C. H. (2013). The Global Prevalence of Intimate Partner Violence Against Women. Science, 340, 1527-1528.
(5) Barnawi, F. H. (2017). Prevalence and Risk Factors of Domestic Violence Against Women Attending a Primary Care Center in Riyadh, Saudi Arabia. Journal of Interpersonal Violence, 32(8), 1171–1186. https://doi.org/10.1177/0886260515587669
(6) Turki A. Alzahrani, Bahaa A. Abaalkhail, Iman K. Ramadan (2016) Prevalence of intimate partner violence and its associated risk factors among Saudi female patients attending the primary healthcare centers in Western Saudi Arabia. Saudi Med J 2016; Vol. 37 (1): 96-99 doi: 10.15537/smj.2016.1.13135
(7) Rabin, R. F., Jennings, J. M., Campbell, J. C., & Bair-Merritt, M. H. (2009). Intimate Partner Violence Screening Tools: A Systematic Review. American Journal of Preventive Medicine, 36(5), 439-445.e434. doi:10.1016/j.amepre.2009.01.024
(8) World Health Organization. (2013). Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization.‏
(9) Nelson, H. D., Bougatsos, C., & Blazina, I. (2012). Screening Women for Intimate Partner Violence: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Annals of Internal Medicine, 156(11), 796-808. doi:10.7326/0003-4819-156-11-201206050-00447
(10) Dicola, D., & Spaar, E. (2016). Intimate Partner Violence. Am Fam Physician, 94(8), 646-651.
(11) Committee opinion no. 518: Intimate partner violence. (2012). Obstetrics & Gynecology, 119(2, Part 1), 412-417. doi:10.1097/AOG.0b013e318249ff74(12) Emergency medicine and domestic violence. american college of emergency physicians. (1995). Annals of .Emergency Medicine, 25(3), 442
(13) Force*, U. S. P. S. T. (2004). Screening for Family and Intimate Partner Violence: Recommendation Statement. Annals of Internal Medicine, 140(5), 382-386. doi:10.7326/0003-4819-140-5-200403020-00014
(14) Moyer, V. A., & Force*, o. b. o. t. U. S. P. S. T. (2013). Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine, 158(6), 478-486. doi:10.7326/0003-4819-158-6-201303190-00588
(15) Campbell, J. C., Webster, D., Koziol-McLain, J., Block, C., Campbell, D., Curry, M. A., Gary, F., Glass, N., McFarlane, J., Sachs, C., Sharps, P., Ulrich, Y., Wilt, S. A., Manganello, J., Xu, X., Schollenberger, J., Frye, V., … Laughon, K. (2003). Risk factors for femicide in abusive relationships: results from a multisite case control study. American journal of public health, 93(7), 1089-97.
(16) Sherin, K. M., Sinacore, J. M., Li, X. Q., Zitter, R. E., & Shakil, A. (1998). HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med, 30(7), 508-512.
(17) Shakil, A., Bardwell, J., Sherin, K., Sinacore, J. M., Zitter, R., & Kindratt, T. B. (2014). Development of Verbal HITS for intimate partner violence screening in family medicine. Fam Med, 46(3), 180-185.
(18) Shakil, A., Donald, S., Sinacore, J. M., & Krepcho, M. (2005). Validation of the HITS domestic violence screening tool with males. Fam Med, 37(3), 193-198.
(19) Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., & Smith, P. H. (2002). Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med, 23(4), 260-268.
(20) Basile, K. C., Hertz, M. F., & Back, S. (2007). Intimate partner violence and sexual violence victimization assessment instruments for use in healthcare settings. Version 1.0.
(21) Parker, B., McFarlane, J., Soeken, K., Torres, S., & Campbell, D. (1993). Physical and emotional abuse in pregnancy: a comparison of adult and teenage women. Nursing Research.(22) Snider, C., Webster, D., O’sullivan, C. S., & Campbell, J. (2009). Intimate partner violence: Development of a brief risk assessment for the emergency department. Academic Emergency Medicine, 16(11), 1208-1216.
(23) Olson, E. C., Rickert, V. I., & Davidson, L. L. (2004). Identifying and supporting young women experiencing dating violence: What health practitioners should be doing NOW. Journal of pediatric and adolescent gynecology, 17(2), 131-136.
(24) Isaac, N. E., & Enos, V. P. (2001). Documenting domestic violence: How health care providers can help victims-Research in brief. Washington DC: National Institute of Justice. US Department of Justice.
(25) Rodriguez, M. A., Bauer, H. M., McLoughlin, E., & Grumbach, K. (1999). Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians. Jama, 282(5), 468-474.‏
(26) Waalen, J., Goodwin, M. M., Spitz, A. M., Petersen, R., & Saltzman, L. E. (2000). Screening for intimate partner violence by health care providers: barriers and interventions. American journal of preventive medicine, 19(4), 230-237.‏

(27) Elliott, L., Nerney, M., Jones, T., & Friedmann, P. D. (2002). Barriers to screening for domestic violence. Journal of general internal medicine, 17(2), 112-116.‏
(28) Roelens, K., Verstraelen, H., Van Egmond, K., & Temmerman, M. (2006). A knowledge, attitudes, and practice survey among obstetrician-gynaecologists on intimate partner violence in Flanders, Belgium. BMC public health, 6(1), 238.‏
(29) AZ Mohammed MBBS, F. (2010). Health care providers’ readiness to screen for intimate partner violence in northern Nigeria. Violence and victims, 25(5), 689.‏
(30) Todahl, J., & Walters, E. (2011). Universal Screening for Intimate Partner Violence: A Systematic Review. Journal of Marital and Family Therapy, 37(3), 355-369. doi:doi:10.1111/j.1752-0606.2009.00179.x
(31) Ramsay, J., Rutterford, C., Gregory, A., Dunne, D., Eldridge, S., Sharp, D., & Feder, G. (2012). Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians. Br J Gen Pract, 62(602), e647-655. doi:10.3399/bjgp12X654623
(32) Qasem, H. D., Hamadah, F. A., Qasem, K. D., Kamel, M. I., & El-Shazly, M. K. (2013). Knowledge and attitude of primary health care staff screening and not screening for domestic violence against women. Alexandria Journal of Medicine, 49(2), 181-187.‏
(33) Roush, K., & Kurth, A. (2016). CE: Original Research: Intimate Partner Violence: The Knowledge, Attitudes, Beliefs, and Behaviors of Rural Health Care Providers. Am J Nurs, 116(6), 24-34. doi:10.1097/01.NAJ.0000484221.99681.85

(34) Short, L. M., Alpert, E., Harris Jr, J. M., & Surprenant, Z. J. (2006). A tool for measuring physician readiness to manage intimate partner violence. American journal of preventive medicine, 30(2), 173-180.‏
(35) Short, L. M., Surprenant, Z. J., & Harris Jr, J. M. (2006). A community-based trial of an online intimate partner violence CME program. American journal of preventive medicine, 30(2), 181-185.‏
(36) Rosenfeld JA, editor. Handbook of women’s health. Cambridge University Press; 2009 Oct 22.
(37) World Health Organization. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization; 2013.
(38) Zaher E, Mason R. Saudi Family-Medicine Residents’ Readiness to Manage Intimate Partner Violence: A Needs Assessment Study. World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine. 2014 Jan;99(1145):1-6.
(39) Sawyer S, Coles J, Williams A, Lucas P, Williams B. Paramedic students’ knowledge, attitudes, and preparedness to manage intimate partner violence patients. Prehospital emergency care. 2017 Nov 2;21(6):750-60.
(40) Alhalal E. Nurses’ knowledge, attitudes and preparedness to manage women with intimate partner violence. International nursing review. 2020 Jun;67(2):265-74.
(41) Papadakaki M, Prokopiadou D, Petridou E, Kogevinas M, Lionis C. Defining physicians’ readiness to screen and manage intimate partner violence in Greek primary care settings. Evaluation & the health professions. 2012 Jun;35(2):199-220.
(42) Sprague S, Madden K, Simunovic N, Godin K, Pham NK, Bhandari M, Goslings JC. Barriers to screening for intimate partner violence. Women & Health. 2012 Aug 1;52(6):587-605.
(43) Nelson HD, Bougatsos C, Blazina I. Screening women for intimate partner violence: a systematic review to update the US Preventive Services Task Force recommendation. Annals of internal medicine. 2012 Jun 5;156(11):796-808.
(44) Moyer VA. Screening for intimate partner violence and abuse of elderly and vulnerable adults: US preventive services task force recommendation statement. Annals of internal medicine. 2013 Mar 19;158(6):478-86.
(45) Alazmy SF, Alotaibi DM, Atwan AA, Kamel MI, El-Shazly MK. Gender difference of knowledge and attitude of primary health care staff towards domestic violence. Alexandria Journal of Medicine. 2011;47(4).
(46) Sharma KK, Vatsa M, Kalaivani M, Bhardwaj DN. Knowledge, attitude, practice and learning needs of nursing personnel related to domestic violence against women: a facility based cross sectional survey. Int J Community Med Public Health. 2018 Mar;5:996-1003.