Survivor Health Connection Project: Understanding Experiences of Accessing Health Care Among Those Affected by Intimate Partner Violence During the COVID-19 Pandemic.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI:10.1177/00333549241291496

Ellen Hendrix, Jane Segebrecht, Kris Thomas, Tracy Branch, Shawndell Dawson

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引用次数: 0

Abstract

Objectives: Intimate partner violence (IPV) has short- and long-term health effects, including physical injuries and traumatic brain injury, as well as sexual, reproductive, and mental health issues. However, accessing necessary health care is often challenging for IPV survivors and became even more difficult during the COVID-19 pandemic. We examined access to health care among those affected by IPV during the COVID-19 pandemic to better connect survivors to health and social support services.

Methods: The Health Resources and Services Administration's Office of Women's Health partnered with its Bureau of Primary Health Care, the Administration for Children and Families' Office of Family Violence Prevention and Services, and the National Domestic Violence Hotline (Hotline) on the 2-year Survivor Health Connection Project. The Hotline administered 2 surveys to its contacts: a 2-question postinteraction survey from March 29, 2021, through September 30, 2022, and a longer focused survey in 2021 and 2022 that measured barriers and restrictions to accessing health care, telehealth safety, and interactions with health care providers.

Results: Of 9918 respondents to the postinteraction survey, 6173 (62.2%) reported current health needs related to their abusive experience. Nearly half of 242 respondents to the 2021 survey (n = 106, 43.8%) indicated that the frequency or intensity of abuse increased during the COVID-19 pandemic, and 157 of 338 respondents to the 2022 survey (46.4%) reported that their partner had controlled and/or restricted their access to health care. Participants described barriers to accessing health care, including finances, health insurance coverage, and transportation.

Conclusions: Findings illuminate opportunities to further support the health and social needs of those experiencing IPV, including continued coordination of efforts across health care and social service delivery partners.

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幸存者健康连接项目：了解 COVID-19 大流行期间受亲密伴侣暴力影响者获得医疗保健的经历。

目标：亲密伴侣暴力 (IPV) 会对健康造成短期和长期影响，包括身体伤害和创伤性脑损伤，以及性健康、生殖健康和心理健康问题。然而，对于 IPV 幸存者来说，获得必要的医疗保健往往是一项挑战，而在 COVID-19 大流行期间则变得更加困难。我们研究了 COVID-19 大流行期间受 IPV 影响者获得医疗保健的情况，以便更好地为幸存者提供健康和社会支持服务：方法：卫生资源和服务管理局的妇女健康办公室与其初级卫生保健局、儿童和家庭管理局的家庭暴力预防和服务办公室以及全国家庭暴力热线（Hotline）合作开展了为期两年的幸存者健康连接项目。热线对其联系人进行了 2 次调查：2021 年 3 月 29 日至 2022 年 9 月 30 日进行的 2 个问题的互动后调查，以及 2021 年和 2022 年进行的更长时间的重点调查，调查内容包括获得医疗保健的障碍和限制、远程医疗安全以及与医疗保健提供者的互动：在互动后调查的 9918 名受访者中，有 6173 人（62.2%）报告了与虐待经历相关的当前健康需求。在 2021 年调查的 242 位受访者中，有近一半（n = 106，43.8%）表示在 COVID-19 大流行期间虐待的频率或强度有所增加，在 2022 年调查的 338 位受访者中，有 157 位（46.4%）表示其伴侣控制和/或限制他们获得医疗保健服务。参与者描述了获得医疗服务的障碍，包括经济、医疗保险覆盖面和交通：调查结果揭示了进一步支持遭受 IPV 者的健康和社会需求的机会，包括继续协调医疗保健和社会服务合作伙伴之间的努力。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.