ArticlePloS one2024
In their own words: Perspectives of IPV survivors on obtaining support within the healthcare system.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Health Conditions and Service Use Among Intimate Partner Violence Shelter Residents.Journal of interpersonal violence · 2026Article
- Article
- Improving Access to Necessary Oral Healthcare Among Racialized Women Impacted by Intimate Partner Violence: A Qualitative Exploration of Care Seeking Experiences.Dental traumatology : official publication of International Association for Dental Traumatology · 2026Article
- Clinicians' Decisions to Screen for Intimate Partner Violence Use and Experience and Observed Impacts: Qualitative Study.JMIR formative research · 2026Article
- Trauma- and Violence-Informed Care Practices in the Emergency Department for Survivors of Intimate Partner Violence.JAMA network open · 2026Article
- Caring as a potential existential refuge from intimate partner violence during the breastfeeding period: a reflective lifeworld study.International journal of qualitative studies on health and well-being · 2025Article
- Experiences of unplanned healthcare encounters from victims of intimate partner violence in Sweden.BMJ public health · 2025Article
- "Support us, so we can rise": A qualitative exploration of Latinas' expectations of healthcare providers after intimate partner violence.Women's health (London, England)Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundAlmost half of all women in the US experience intimate partner violence (IPV) in their lifetime. The US Preventive Services Task Force recommends IPV screening paired with intervention for women of reproductive age. We aim to understand clinical practices and policies that are beneficial, detrimental, or insufficient to support survivors of IPV in a safety-net healthcare system.
methodsWe sampled 45 women who were 18-64 years old, had experienced IPV within the prior year and were patients in the San Francisco Health Network. We conducted in-depth, semi-structured interviews to elicit their perspectives on disclosing IPV and obtaining support within the healthcare system. We analyzed our data using thematic analysis and grounded theory practices informed by ecological systems theory.
findingsWe identified four themes regarding factors that impeded or facilitated discussing and addressing IPV across interpersonal and systemic levels relating to relationship-building, respect, autonomy and resources. (1) Interpersonal barriers included insufficient attention to relationship-building, lack of respect or concern for survivor circumstances, and feeling pressured to disclose IPV or to comply with clinicians' recommended interventions. (2) Interpersonal facilitators consisted of patient-centered IPV inquiry, attentive listening, strength-based counseling and transparency regarding confidentiality. (3) Systemic barriers such as visit time limitations, clinician turn-over and feared loss of autonomy from involvement of governmental systems leading to separation from children or harm to partners, negatively affected interpersonal dynamics. (4) Systemic facilitators involved provision of resources through IPV universal education, on-site access to IPV services, and community partnerships.
conclusionsWomen experiencing IPV in our study reported that relationship-building, respect, autonomy, and IPV-related resources were essential components to providing support, promoting safety, and enabling healing in the healthcare setting. Successful trauma-informed transformation of healthcare systems must optimize interpersonal and systemic factors that improve survivor wellbeing while eliminating barriers.
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