Evidence map›Paper›PMID 33440034›Full record

SynthesisHealth & social care in the community2021

Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research.

Rebecca L Heron, Maarten C Eisma

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Health & social care in the community, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 12 pooled it
17.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 12 syntheses or guidelines pooled it, 233 citations in OpenAlex.

  1. Interventions addressing violence against women in health services: An overview of systematic reviews regarding barriers and facilitators to implementation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  14. Navigating parenthood: a qualitative study of parental guidance and support in Norwegian child health clinics.International journal of qualitative studies on health and well-being · 2026
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  17. Responding to Older Adult Maltreatment: Interdisciplinary Geriatric Care Provider Experiences and Training Needs.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 2 countries.

Rebecca L HeronDepartment of Arts and Sciences, University of Houston-Victoria, Victoria, TX, USA.ORCID 0000-0001-7438-5669
Maarten C EismaDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-6109-2274
University of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Domestic violence victims are in frequent contact with the healthcare service yet rarely disclose. Therefore, it is critical to understand victims' experiences and perceptions regarding disclosure in healthcare settings. The goal of this review is to provide an updated synthesis of qualitative research identifying barriers and facilitators, advice, and positive and negative outcomes of adult victims' disclosure of domestic violence to healthcare professionals (HCPs). A systematic search of PsychINFO, CINAHL and Web of Science was conducted in January 2018. Thirty-four eligible studies were identified, including 783 domestic violence victims (781 females). Formal quality assessment indicated variable study quality. Barriers of disclosure included negative HCPs attitudes, victims' perceptions of safety and concerns about the consequences of disclosing. Facilitators of disclosing included a positive relationship with the HCP, HCPs directly asking victims about abuse, and HCPs ensuring that the environment is safe and disclosure is confidential. Victims advised increased awareness of HCPs reactions to disclosure and avoiding mirroring their perpetrators minimization. HCPs were encouraged to engage in direct questioning and maintain a supportive and secure environment. Positive and negative outcomes of abuse were identified, such as being able to leave the abuser or, on the other hand, the victims' situation not changing. Our results indicate that barriers for disclosure of domestic violence in healthcare settings persist despite the widespread implementation of policies and guidelines to counter them. Based on these findings, we provide recommendations for clinical practice and future research to help improve disclosure in healthcare settings.

Indexed as

Domestic ViolenceAdultAttitude of Health PersonnelDisclosureFemaleHumansMotivationQualitative Researchdisclosuredomestic violencehealthcare personnelhealthcare servicequalitative researchsystematic reviewvictims' experiences

Identifiers

PMID33440034
PMCPMC8248429
OpenAlexW3120727311

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.