Attitudes and behaviours of family physicians towards clinical practice around intimate partner violence: a view from the Çankaya district of Ankara, Turkey

Background Although family physicians (FPs) often encounter patients who have been subjected to intimate partner violence (IPV), the data on FPs’ response to IPV is limited. This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An onlin...

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Published in:Australian journal of primary health 2023-12, Vol.29 (6), p.625-636
Main Authors: Sarıca Çevik, Hüsna, Tekiner, Selda, Ceyhun Peker, Ayşe Gülsen, Ungan, Mehmet
Format: Article
Language:English
Subjects:
Attitudes
Clinical medicine
COVID-19
Decision making
Domestic violence
Emotional abuse
Families & family life
Family physicians
Gender roles
Gender-based violence
Intimate partner violence
Low income groups
Medical referrals
Medicine
Notification
Patients
Physicians
Power
Practitioner patient relationship
Primary care
Public health
Questionnaires
Sociodemographics
Specialists
Stereotypes
Survivor
Talking
Training
Women
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creator Sarıca Çevik, Hüsna
Tekiner, Selda
Ceyhun Peker, Ayşe Gülsen
Ungan, Mehmet
description Background Although family physicians (FPs) often encounter patients who have been subjected to intimate partner violence (IPV), the data on FPs’ response to IPV is limited. This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An online questionnaire designed to elicit sociodemographic information and FPs’ attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P 
doi_str_mv 10.1071/PY22133
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This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An online questionnaire designed to elicit sociodemographic information and FPs’ attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P &lt; 0.05). Despite diagnosing IPV, some physicians did not intervene/guide their patients, and some only consoled their patients because they thought the situation was inevitable. The reasons for not taking official action included insufficient time, feeling uncomfortable talking about violence, lack of information about the detection and reporting, and the thought that the woman would not leave her abusive partner. Conclusions The results showed that among the physicians who encountered IPV, female sex, family medicine speciality training, and IPV training resulted in acting more consciously in diagnosing violence, implementing referral and notification systems, and approaching IPV survivors. The prevention of IPV could be made possible by supporting FPs with ongoing training, breaking down stereotypes and prejudices about gender roles, and changing the structures that maintain unequal power relationships.</description><identifier>ISSN: 1448-7527</identifier><identifier>EISSN: 1836-7399</identifier><identifier>DOI: 10.1071/PY22133</identifier><language>eng</language><publisher>Collingwood: CSIRO</publisher><subject>Attitudes ; Clinical medicine ; COVID-19 ; Decision making ; Domestic violence ; Emotional abuse ; Families &amp; family life ; Family physicians ; Gender roles ; Gender-based violence ; Intimate partner violence ; Low income groups ; Medical referrals ; Medicine ; Notification ; Patients ; Physicians ; Power ; Practitioner patient relationship ; Primary care ; Public health ; Questionnaires ; Sociodemographics ; Specialists ; Stereotypes ; Survivor ; Talking ; Training ; Women</subject><ispartof>Australian journal of primary health, 2023-12, Vol.29 (6), p.625-636</ispartof><rights>Copyright CSIRO 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c271t-bca3ebd01f996d648165ff27611a938c1f59a7678f9eb7fbbe9a3ed27fea530c3</cites><orcidid>0000-0002-4292-4696</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3122182164/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3122182164?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12845,21393,21394,27343,27923,27924,30998,33610,33773,34529,43732,44114,74092,74510</link.rule.ids></links><search><creatorcontrib>Sarıca Çevik, Hüsna</creatorcontrib><creatorcontrib>Tekiner, Selda</creatorcontrib><creatorcontrib>Ceyhun Peker, Ayşe Gülsen</creatorcontrib><creatorcontrib>Ungan, Mehmet</creatorcontrib><title>Attitudes and behaviours of family physicians towards clinical practice around intimate partner violence: a view from the Çankaya district of Ankara, Turkey</title><title>Australian journal of primary health</title><description>Background Although family physicians (FPs) often encounter patients who have been subjected to intimate partner violence (IPV), the data on FPs’ response to IPV is limited. This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An online questionnaire designed to elicit sociodemographic information and FPs’ attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P &lt; 0.05). Despite diagnosing IPV, some physicians did not intervene/guide their patients, and some only consoled their patients because they thought the situation was inevitable. The reasons for not taking official action included insufficient time, feeling uncomfortable talking about violence, lack of information about the detection and reporting, and the thought that the woman would not leave her abusive partner. Conclusions The results showed that among the physicians who encountered IPV, female sex, family medicine speciality training, and IPV training resulted in acting more consciously in diagnosing violence, implementing referral and notification systems, and approaching IPV survivors. 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This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An online questionnaire designed to elicit sociodemographic information and FPs’ attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P &lt; 0.05). Despite diagnosing IPV, some physicians did not intervene/guide their patients, and some only consoled their patients because they thought the situation was inevitable. The reasons for not taking official action included insufficient time, feeling uncomfortable talking about violence, lack of information about the detection and reporting, and the thought that the woman would not leave her abusive partner. Conclusions The results showed that among the physicians who encountered IPV, female sex, family medicine speciality training, and IPV training resulted in acting more consciously in diagnosing violence, implementing referral and notification systems, and approaching IPV survivors. The prevention of IPV could be made possible by supporting FPs with ongoing training, breaking down stereotypes and prejudices about gender roles, and changing the structures that maintain unequal power relationships.</abstract><cop>Collingwood</cop><pub>CSIRO</pub><doi>10.1071/PY22133</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4292-4696</orcidid></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Sociological Abstracts
subjects Attitudes
Clinical medicine
COVID-19
Decision making
Domestic violence
Emotional abuse
Families & family life
Family physicians
Gender roles
Gender-based violence
Intimate partner violence
Low income groups
Medical referrals
Medicine
Notification
Patients
Physicians
Power
Practitioner patient relationship
Primary care
Public health
Questionnaires
Sociodemographics
Specialists
Stereotypes
Survivor
Talking
Training
Women
title Attitudes and behaviours of family physicians towards clinical practice around intimate partner violence: a view from the Çankaya district of Ankara, Turkey
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