Skip to main content

Advertisement

Log in

Physicians’ Attitudes and Preparedness to Deal with Intimate Partner Violence Against Women in Serbia

  • Original Article
  • Published:
Journal of Family Violence Aims and scope Submit manuscript

Abstract

This study aimed to measure attitudes and perceived preparedness of physicians in Serbia to deal with intimate partner violence against women and to test and culturally validate scales that were used for these measurements. A self-administered questionnaire was completed by 435 physicians from 23 primary healthcare centers in Serbia. Physicians’ attitudes toward IPV were better than perceived preparedness (mean score 52.03 out of 100, SD 10.78 vs. 46.92 out of 100, SD 21.71). Three components of attitudes were identified, explaining 50.34 % of variance. Both attitudes and preparedness scales proved to have good reliability (α = 0.66 and α = 0.94). Previous education moderately predicted preparedness, however it was inconsistently associated with attitudes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Alhabib, S., Nur, U., & Jones, R. (2010). Domestic violence against women: systematic review of prevalence studies. Journal of Family Violence, 25, 369–382. doi:10.1007/s10896-009-9298-4.

    Article  Google Scholar 

  • Coker, A. L., Bethea, L., Smith, P. H., Fadden, M. K., & Brandt, H. M. (2002). Missed opportunities: intimate partner violence in family practice settings. Preventive Medicine, 34, 445–454. doi:10.1006/pmed.2001.1005.

    Article  PubMed  Google Scholar 

  • Connor, P. D., Nouer, S. S., Mackey, S. T. N., Tipton, N. G., & Lloyd, A. K. (2011). Psychometric properties of an intimate partner violence tool for health care students. Journal of Interpersonal Violence, 26, 1012–1026. doi:10.1177/0886260510365872.

    Article  PubMed  Google Scholar 

  • DeVellis, R. F. (2003). Scale development. Theory and applications (2nd ed.). Thousand Oaks: Sage Publications. ISBN: 978-0-7619-2604-7.

    Google Scholar 

  • Djikanovic, B., Celik, H., Simic, S., Matejic, B., & Cucic, V. (2010). Health professionals’ perceptions of intimate partner violence against women in Serbia: opportunities and barriers for response improvement. Patient Education and Counseling, 80, 88–93. doi:10.1016/j.pec.2009.09.028.

    Article  PubMed  Google Scholar 

  • Elliott, L., Nerney, M., Jones, T., & Friedmann, P. (2002). Barriers to screening for domestic violence. Journal of General Internal Medicine, 17, 112–116. doi:10.1046/j.1525-1497.2002.10233.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Feder, G., Hutson, M., Ramsay, J., & Taket, A. (2006). Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Achieves of Internal Medicine, 166, 22–37. doi:10.1001/archinte.166.1.22.

    Article  Google Scholar 

  • Feder, G., Ramsay, J., Dunne, D., Rose, M., Arsene, C., & Norman, R. (2009). How far does screening women for domestic (partner) violence in different health-care settings meeting the UK National Screening Committee criteria for a screening programme in terms of condition, screening method and intervention? Systematic reviews of nine UK National Screening Committee criteria. Health Technology Assessment, 13(16), 1–113. doi:10.3310/hta13160.

    Article  Google Scholar 

  • Field, A. (2005). Discovering statistics using SPSS. Thousand Oaks: Sage Publications Ltd.. ISBN 1847879071.

    Google Scholar 

  • Gadomski, A. M., Wolff, D., Tripp, M., Lewis, C., & Short, L. (2001). Changes in health care providers’ knowledge, attitudes, beliefs and behaviors regarding domestic violence, following a multifaceted intervention. Academic Medicine, 76, 1045–1052.

    Article  CAS  PubMed  Google Scholar 

  • Gerbert, B., Caspers, N., Bronstone, A., Moe, J., & Abercrombie, P. (1999). A qualitative analysis of how physicians with expertise in domestic violence approach the identification of victims. Annals of Internal Medicine, 131, 578–584.

    Article  CAS  PubMed  Google Scholar 

  • Gracia, E. (2004). Unreported cases of domestic violence against women: towards an epidemiology of social silence, tolerance, and inhibition. Journal of Epidemiology and Community Health, 58, 536–537. doi:10.1136/jech.2003.019604.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gracia, E., & Herrero, J. (2006). Acceptability of domestic violence against women in the European Union: a multilevel analysis. Journal of Epidemiology and Community Health, 60, 123–129. doi:10.1136/jech.2005.036533.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gutmanis, I., Beynon, C., Tutty, L., Wathen, N., & MacMillan, H. (2007). Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses. BMC Public Health, 7(12). doi:10.1186/1471-2458-7-12.

  • Hagemann-White, C. (2001). European research on the prevalence of violence against women. Violence Against Women, 7, 732–759. doi:10.1177/10778010122182712.

    Article  Google Scholar 

  • Hegarty, K., Gunn, J. M., O’Doherty, L. J., Taft, A., Chondros, P., Feder, G., … Brown, S. (2010). Women’s evaluation of abuse and violence care in general practice: a cluster randomized controlled trial (weave). BMC Public Health, 10, 2. doi:10.1186/1471-2458-10-2.

  • Kass-Bertelmes, B., & Rutherford, M. (2004). Women and domestic violence: programs and tools that improve care for victims. Rockville (MD): Agency for Healthcare Research and Quality, AHRQ Pub. No. 04–0055.

  • Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002). World report on violence and health: violence against women. Geneva: World Health Organization. ISBN-92-4 154561.

    Google Scholar 

  • Lo Fo Wong, S. (2006). The doctor and the woman “who fell down the stairs”. Family doctor’s role in recognizing and responding to intimate partner abuse. Doctoral Thesis. Nijmegen: Radboud University Medical Centre Nijmegen. ISBN-10 90-5073-014-0.

  • Lo Fo Wong, S., Wester, F., Mol, S., & Lagro-Janssen, T. (2006). Increased awareness of intimate partner abuse after training: a randomized controlled trial. British Journal of General Practice, 56, 249–257.

    PubMed Central  PubMed  Google Scholar 

  • Lo Fo Wong, S., Wester, F., Mol, S., & Lagro-Janssen, T. (2007). “I am not frustrated anymore”: family doctors’ evaluation of a comprehensive training on partner abuse. Patient Education and Counseling, 66, 129–137. doi:10.1016/j.pec.2006.12.013.

    Article  PubMed  Google Scholar 

  • Otasevic, S. (2011). Posebni protokol Ministarstva zdravlja Republike Srbije za zaštitu i postupanje sa ženama koje su izložene nasilju. Beograd: Ministarstvo zdravlja Republike Srbije [Protocol for healthcare professionals for protecting and dealing with abused women in healthcare settings. Belgrade: Ministry of Health Republic of Serbia]. ISBN 978-86-7704-065-9.

  • Ramsay, J., Feder, G., & Rivas, C. (2006). Interventions to reduce violence and promote the physical and psychosocial well-being of women who experience partner abuse: a systematic review. London: Bartts and The London, Queen Mary’s of Medicine and Dentistry. Available at: http://ndvf.org.uk/files/document/897/original.pdf. Accessed April 9, 2013.

  • Ramsay, J., Carter, Y., Davidson, L., Dunne, D., Eldridge, S., Feder, G. … Warburton, A. (2009). Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database of Systematic Reviews, 3: Art. No.: CD005043. doi: 10.1002/14651858.CD005043.pub2.

  • Short, L. M., Alpert, E., Harris, J. J. M., & Surprenant, Z. J. (2006). A tool for measuring physician readiness to manage intimate partner violence. American Journal of Preventive Medicine, 30, 173–180. doi:10.1016/j.ampre.2005.10.009.

    Article  PubMed Central  PubMed  Google Scholar 

  • Torres, A., Garcia-Esteve, L., Navarro, P., Tarragona M. J., Imaz, M. L. Ascaso, C., … Martin-Santos, R. (2013). Relationship between Intimate Partner Violence, Depressive Symptomatology, and Personality Traits. Journal of Family Violence, published online 24 March 2013. doi: 10.1007/s10896-013-9502-4.

  • Ulrich, C., Cain, K. C., Sugg, N. K., Rivara, F. P., Rubanowice, D. M., & Thompson, R. S. (2003). Medical care utilization patterns in women with diagnosed domestic violence. American Journal of Preventive Medicine, 24, 9–15. doi:10.1016/S0749-3797(02)00577-9.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Authors are grateful to Dr. Stanislava Otasevic and Women’s Health Promotion Centre from Belgrade who implemented the programme; healthcare professionals for taking a part in the study; and to Dr Elizabeth J. King from Yale University, School of Public Health, United States, who kindly completed English language editing. This work was supported by the Ministry of Science and Technological Development of Serbia (Project No 175025).

Author Disclosure Statement

No competing financial interests exist.

Author Note

Bosiljka Djikanovic, Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Serbia; Sylvie Lo Fo Wong, Radboud University Nijmegen Medical Centre, Department of Primary and Community Care / Women’s Studies Medical Sciences, Nijmegen, The Netherlands; Snezana Simic, Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Serbia; Jelena Marinkovic, Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Serbia; Chris Van Weel, Radboud University Nijmegen Medical Centre, Department of Primary and Community Care / Women’s Studies Medical Sciences, Nijmegen, The Netherlands; Antoine Lagro-Janssen, Radboud University Nijmegen Medical Centre, Department of Primary and Community Care / Women’s Studies Medical Sciences, Nijmegen, The Netherlands.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bosiljka Djikanovic.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Djikanovic, B., Lo Fo Wong, S., Simic, S. et al. Physicians’ Attitudes and Preparedness to Deal with Intimate Partner Violence Against Women in Serbia. J Fam Viol 30, 445–452 (2015). https://doi.org/10.1007/s10896-015-9708-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10896-015-9708-8

Keywords

Navigation