Abstracts
Résumé
La violence conjugale lors de la période périnatale (VCPP) est une préoccupation sociale et de santé importante. Afin de documenter les pratiques de repérage et d’intervention en VCPP au Québec, 29 intervenant·es de différents milieux ont participé à des groupes de discussion focalisés réalisés entre les mois de décembre 2019 et mars 2020. Trois thèmes centraux ont été dégagés : 1) la présence de pratiques de repérage très variables; 2) la mécompréhension et la banalisation de la VCPP ainsi que des écarts d’analyse et de pratiques entre les professionnel·les; et finalement 3) les barrières structurelles comme frein important dans le repérage et l’intervention en VCPP. Ces résultats pourront guider l’amélioration des services en VCPP.
Mots-clés :
- Violence conjugale,
- période périnatale,
- pratiques professionnelles,
- intervention
Abstract
Perinatal domestic violence (PDV) is a significant health and social concern. In order to document PDV screening and intervention practices in Quebec, 29 healthcare and community workers from different backgrounds participated in focus groups from December 2019 to March 2020. Three central themes were identified: 1) the presence of highly variable screening practices; 2) the misunderstanding and trivialization of PDV and the gaps in analysis and practices between professionals; and finally, 3) structural obstacles as an important barrier in PDV screening and intervention. These results can guide the improvement of PDV services.
Keywords:
- Domestic violence,
- perinatal period,
- professional practices,
- interventions
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Appendices
Bibliographie
- Acocella, I. (2012). The focus groups in social research: advantages and disadvantages. Quality & Quantity, 46, 1125-1136. https://doi.org/10.1007/s11135-011-9600-410.1007/s11135-011-9600-4 Google Scholar Search this bibliographic reference on Google Scholar
- Alvarez, C., Fedock, G., Grace, K. T. et Campbell, J. (2017). Provider Screening and Counseling for Intimate Partner Violence: A Systematic Review of Practices and Influencing Factors. Trauma, Violence & Abuse, 18(5), 479-495. https://doi.org/10.1177/152483801663708010.1177/1524838016637080 Google Scholar Search this bibliographic reference on Google Scholar
- Baird, K. M., Saito, A. S., Eustace, J. et Creedy, D. K. (2018). Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study. Women Birth, 31(4), 285-291. https://doi.org/10.1016/j.wombi.2017.10.01410.1016/j.wombi.2017.10.014 Google Scholar Search this bibliographic reference on Google Scholar
- Bernier, D., Bérubé, J., Hautecoeur, M. et Pagé, G. (2005). Intervenir en violence conjugale : la démarche d’une équipe interdisciplinaire en périnatalité (coll. « Études et Analyses »). Centre de recherche interdisciplinaire sur la violence familiale et la violence faite aux femmes.Google Scholar Search this bibliographic reference on Google Scholar
- Buchanan, F., Power, C. et Verity, F. (2014). The Effects of Domestic Violence on the Formation of Relationships Between Women and Their Babies: “I Was Too Busy Protecting My Baby to Attach”. Journal of Family Violence, 29, 713-724. https://doi.org/10.1007/s10896-014-9630-510.1007/s10896-014-9630-5 Google Scholar Search this bibliographic reference on Google Scholar
- Chisholm, C. A., Bullock, L. et Ferguson, J. E. J. (2017). Intimate partner violence and pregnancy: screening and intervention [Review]. American Journal of Obstetrics and Gynecoly, 217(2), 145-149. https://doi.org/10.1016/j.ajog.2017.05.043 10.1016/j.ajog.2017.05.043 Google Scholar Search this bibliographic reference on Google Scholar
- Creswell, J. W. (2003). Research design. Qualitative, quantitative and mixed approaches (second edition). Sage Publications. Google Scholar Search this bibliographic reference on Google Scholar
- Deshpande, N. A. et Lewis-O’Connor, A. (2013). Screening for Intimate Partner Violence During Pregnancy. Reviews in Obstetrics & Gynecology, 6(3/4), 141-148. https://doi.org/10.1093/eurpub/ckac009Google Scholar Search this bibliographic reference on Google Scholar
- Donovan, B. M., Spracklen, C. N., Schweizer, M. L., Ryckman, K. K. et Saftlas, A. F. (2016). Intimate partner violence during pregnancy and the risk for adverse infant outcomes: A systematic review and meta-analysis. BJOG, 123(8), 1289-1299. https://doi.org/10.1186/s12978-019-0670-410.1111/1471-0528.13928 Google Scholar Search this bibliographic reference on Google Scholar
- Eustace, J., Baird, K., Saito, A. S. et Creedy, D. K. (2016). Midwives’ experiences of routine enquiry for intimate partner violence in pregnancy. Women Birth, 29(6), 503-510. https://doi.org/10.1016/j.wombi.2016.04.01010.1016/j.wombi.2016.04.010 Google Scholar Search this bibliographic reference on Google Scholar
- Flores, J., Lampron, C. et Maurice, P. (2010). Stratégies et conditions de réussite en matière d’identification précoce de la violence conjugale dans le réseau de la santé et des services sociaux du Québec. Institut national de santé publique du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Flynn, C., Maheu, J., Godin, J. et Fortin-Otis, É. (2022). Les définitions théorique, politique et empirique de la violence conjugale. Lorsque la neutralité contribue à réaffirmer la domination masculine. Dans C. Boulebsol, M.-M. Cousineau, C. Deraiche, M. Fernet, C. Flynn, S. Genest,E. Jimenez et J. Maheu (dir.), Pratiques et recherches féministes en matière de violence conjugale. Coconstruction des connaissances et expertises (p. 35-49). Presses de l’Université du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Gauthier, S. et Montminy, L. (2012). Expériences d’intervention psychosociale en contexte de violence conjugale. Presses de l’Université du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Gouvernement du Québec (1985). Politique d’aide aux femmes violentées. Gouvernement du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Gouvernement du Québec (2018). Plan d’action gouvernemental en matière de violence conjugale 2018-2023. Gouvernement du Québec. Google Scholar Search this bibliographic reference on Google Scholar
- Han, A. et Stewart, D. E. (2014). Maternal and fetal outcomes of intimate partner violence associated with Pregnancy in the Latin Amercian and the Caribbean region. Journal of Gynaecology, 124(1), 6-11. https://doi.org/10.1016/j.ijgo.2013.06.03710.1016/j.ijgo.2013.06.037 Google Scholar Search this bibliographic reference on Google Scholar
- Hegarty, K., McKibbin, G., Hameed, M., Koziol-McLain, J., Feder, G., Tarzia, L. et al. (2020). Health practitioners’ readiness to address domestic violence and abuse: A qualitative meta-synthesis. PLoS ONE, 15(6), e0234067. https://doi.org/10.1371/journal.pone.023406710.1371/journal.pone.0234067 Google Scholar Search this bibliographic reference on Google Scholar
- Heise, L. L. (1998). Violence against women: an integrated, ecological framework. Violence Against Women, 4(3), 262-290. https://doi.org/10.1177/107780129800400300210.1177/1077801298004003002 Google Scholar Search this bibliographic reference on Google Scholar
- Henriksen, L., Garnweidner-Holme, L. M., Thorsteinsen, K. K. et M. Lukasse, (2017). “It is a difficult topic” - a qualitative study of midwives experiences with routine antenatal enquiry for intimate partner violence. BMC Pregnancy Childbirth, 17(1), 165. https://doi.org/10.1186/s12884-017-1352-210.1186/s12884-017-1352-2 Google Scholar Search this bibliographic reference on Google Scholar
- Hester, M. (2011). The three-planet model: Towards an understanding of contradictions in approaches to women and children’s safety in contexts of domestic violence. British Journal of Social Work, 41(5), 837-853. https://doi.org/10.1093/bjsw/bcr09510.1093/bjsw/bcr095 Google Scholar Search this bibliographic reference on Google Scholar
- Jack, S. M., Boyle, M., McKee, C., Ford-Gilboe, M., Wathen, C. N., Scribano, P., Davidov, D., McNaughton, D., O’Brien, R., Johnston, C., Gasbarro, M., Tanaka, M., Kimber, M., Coben, J., Olds, D. L. et MacMillan, H. L. (2019). Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. JAMA, 321(16), 1576-1585. https://doi.org/10.1001/jama.2019.321110.1001/jama.2019.3211 Google Scholar Search this bibliographic reference on Google Scholar
- Kataoka, Y. et Imazeki, M. (2018). Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan [Research Support, Non-U.S. Gov’t]. BMC Womens Health, 18(75). https://doi.org/10.1186/s12905-018-0566-410.1186/s12905-018-0566-4 Google Scholar Search this bibliographic reference on Google Scholar
- Laforest, J., Gamache, L. et Poissant, J. (2018). L’intégration des activités de prévention de la violence conjugale dans les services périnataux au Québec. Institut national de santé publique du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Laforest, J., Maurice, P. et Bouchard, L.-M. (dir.) (2018). Rapport québécois sur la violence et la santé. Institut national de santé publique du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Lamb, K., Humphreys, C. et Hegarty, K. (2018). “Your behaviour has consequences” : Children and young people’s perspectives on reparation with their fathers after domestic violence. Children and Youth Services Review, 88, 164-169. https://psycnet.apa.org/doi/10.1016/j.childyouth.2018.03.01310.1016/j.childyouth.2018.03.013 Google Scholar Search this bibliographic reference on Google Scholar
- Lapierre, J., Lessard, G., Hamelin-Brabant, L., Lévesque, S., Vissandjée, B. et Moubarak, N. (2020). Violence conjugale et pratique infirmière. Reconnaître les expériences des femmes, soutenir les décisions, conseiller, aiguiller et faciliter l’accès vers les ressources. Perspective infirmière, 17(3), 24-40. Google Scholar Search this bibliographic reference on Google Scholar
- Lavergne, C., Turcotte, G. et Morissette, P. (2015). Retombées de l’initiative Main dans la main auprès des futures et nouvelles mères consommatrices de substances psychoactives en période périnatale. Revue canadienne de santé publique, 106(7), supplément 2, eS38-eS44. http://www.jstor.org/stable/90006061Google Scholar Search this bibliographic reference on Google Scholar
- Lemieux Breton, M.-È., Paradis, F., Pilote, R. et Maurice, P. (2007). Consolidation des pratiques préventives en violence conjugale dans les CLSC du Québec. Étude exploratoire. Institut national de santé publique du Québec.Google Scholar Search this bibliographic reference on Google Scholar
- Lessard, G., Alvarez-Lizotte, P., Germain, A.-S., Drouin, M.-È. et Turcotte, P. (2018). Défis et conditions de réussite d’une pratique concertée en violence conjugale et maltraitance envers les enfants. Nouvelles pratiques sociales, 29(1-2), 224-237. https://doi.org/10.7202/1043403ar
10.7202/1043403ar Google Scholar Search this bibliographic reference on Google Scholar
- Lessard, G., Lavergne, C., Lévesque, S., Clément, M.-È., Cousineau, M.-M., Hélie, S. et collaboratrices (2018). Maternité et paternité en contexte de violence conjugale : problématiques associées et enjeux de concertation. Rapport de recherche. Programme actions concertées. Google Scholar Search this bibliographic reference on Google Scholar
- Lévesque, S., Laforest, J. et Toupin, A. (2022). La violence entre partenaires intimes en période périnatale et les très jeunes enfants. Dans J. Poissant, G. Tarabulsy et T. Saias (dir.), Prévention en période périnatale, principaux facteurs de risque et interventions reconnues. Presses de l’Université du Québec.10.2307/j.ctv3405p4r.12 Google Scholar Search this bibliographic reference on Google Scholar
- McCauley, M., Head, J., Lambert, J., Zafar, S. et van den Broek, N. (2017). “Keeping family matters behind closed doors”: healthcare providers’ perceptions and experiences of identifying and managing domestic violence during and after pregnancy. BMC Pregnancy Childbirth, 17(1), 318. https://doi.org/10.1186/s12884-017-1520-410.1186/s12884-017-1520-4 Google Scholar Search this bibliographic reference on Google Scholar
- Mejdoubi, J., van den Heijkant, S.— C., van Leerdam, F. J., Heymans, M. W., Hirasing, R. A. et Crijnen, A. A. (2013). Effect of nurse home visits vs. usual care on reducing intimate partner violence in young high-risk pregnant women: a randomized controlled trial. PloS ONE, 8(10), e78185. https://psycnet.apa.org/doi/10.1371/journal.pone.007818510.1371/journal.pone.0078185 Google Scholar Search this bibliographic reference on Google Scholar
- Miles, M. B. et Huberman, A. M. (2003). Analyse des données qualitatives. De Boeck Supérieur. Google Scholar Search this bibliographic reference on Google Scholar
- Notko, M., Husso, M., Piippo, S., Fagerlund, M. et Houtsonen, J. (2021). Intervening in domestic violence: interprofessional collaboration among social and health care professionals and the police. Journal of interprofessional care, 1-9. https://doi.org/10.1080/13561820.2021.187664510.1080/13561820.2021.1876645 Google Scholar Search this bibliographic reference on Google Scholar
- O’Campo, P., Kirst, M., Tsamis, C., Chambers, C. et Ahmad, F. (2011). Implementing successful intimate partner violence screening programs in health care settings: evidence generated from a realist-informed systematic review. Social science & medicine, 72(6), 855-866. https://doi.org/10.1016/j.socscimed.2010.12.01910.1016/j.socscimed.2010.12.019 Google Scholar Search this bibliographic reference on Google Scholar
- O’Doherty, L., Hegarty, K., Ramsay, J., Davidson, L. L., Feder, G. et Taft, A. (2015). Screening women for intimate partner violence in healthcare settings. Cochrane Database of Systematic Reviews, (7). https://doi.org/10.1002/14651858.cd007007.pub310.1002/14651858.CD007007.pub3 Google Scholar Search this bibliographic reference on Google Scholar
- O’Reilly, R., Beale, B. et Gillies, D. (2010). Screening and Intervention for Domestic Violence During Pregnancy Care: A Systematic Review. Trauma Violence Abuse, 11(4), 190-201. https://doi.org/10.1177/152483801037829810.1177/1524838010378298 Google Scholar Search this bibliographic reference on Google Scholar
- Pastor-Moreno, G., Ruiz-Perez, I., Henares-Montiel, J., Escriba-Aguir, V., Higueras-Callejon, C. et Ricci-Cabello, I. (2020). Intimate partner violence and perinatal health: a systematic review. BJOG, 127(5), 537-547. https://doi.org/10.1111/1471-0528.1608410.1111/1471-0528.16084 Google Scholar Search this bibliographic reference on Google Scholar
- Paulson, J. L. (2022). Intimate Partner Violence and Perinatal Post-Traumatic Stress and Depression Symptoms: A Systematic Review of Findings in Longitudinal Studies. Trauma, Violence, & Abuse, 23(3), 733-747. https://doi.org/10.1177/152483802097609810.1177/1524838020976098 Google Scholar Search this bibliographic reference on Google Scholar
- Prosman, G.— J., Lo Fo Wong, S. H., van der Wouden, J. C. et Lagro-Janssen, A. L. M. (2015). Effectiveness of home visiting in reducing partner violence for families experiencing abuse: a systematic review. Family Practice, 32(3), 247-256. https://doi.org/10.1093/fampra/cmu09110.1093/fampra/cmu091 Google Scholar Search this bibliographic reference on Google Scholar
- Rinfret-Raynor, M. et Turgeon, J. (1995). Dépistage systématique de la violence conjugale. Réflexion théorique et développement d’un protocole. Service social, 44(2), 57-90. https://doi.org/10.7202/706693ar
10.7202/706693ar Google Scholar Search this bibliographic reference on Google Scholar
- Rinfret-Raynor, M., Turgeon, J. et Dubé, M. (2001). Évaluation des effets d’un protocole de dépistage systématique de la violence conjugale au CLSC St-Hubert. Intervention, 113, 38-47. Google Scholar Search this bibliographic reference on Google Scholar
- Rinfret-Raynor, M., Dubé, M. et Drouin, C. (2007). Le dépistage de la violence conjugale dans les centres hospitaliers. Nouvelles pratiques sociales, 19(1), 72-90. https://doi.org/10.7202/014786ar
10.7202/014786ar Google Scholar Search this bibliographic reference on Google Scholar
- Sasseville, N., Laforest, J. et Pilote, R. (2017). Prévention en matière de violence conjugale et d’agression sexuelle : besoins des répondantes du réseau de la santé et des services sociaux. Institut de la santé publique du Québec. Google Scholar Search this bibliographic reference on Google Scholar
- Sprague, S., Madden, K., Simunovic, N., Godin, K., Pham, N. K., Bhandari, M. et Goslings, J. C. (2012). Barriers to screening for intimate partner violence. Women Health, 52(6), 587-605. https://doi.org/10.1080/03630242.2012.69084010.1080/03630242.2012.690840 Google Scholar Search this bibliographic reference on Google Scholar
- Taillieu, T. L. et Brownridge, D. A. (2010). Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior, 15(1), 14-35. https://doi.org/10.1016/j.avb.2009.07.01310.1016/j.avb.2009.07.013 Google Scholar Search this bibliographic reference on Google Scholar
- U. S. Preventive Services Task Force, Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Grossman, D. C., Kemper, A. R., Kubik, M., Kurth, A., Landefeld, C. S., Mangione, C. M., Silverstein, M., Simon, M. A., Tseng, C.-W. et Wong, J. B. (2018). Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: US Preventive Services Task Force Final Recommendation Statement. JAMA, 320(16), 1678. https://doi.org/10.1001/jama.2018.1474110.1001/jama.2018.14741 Google Scholar Search this bibliographic reference on Google Scholar
- Van Parys, A.-S., Verhamme, A., Tammerman, M. et Verstraelen, H. (2014). Intimate Partner Violence and Pregnancy: A Systematic Review of Interventions. PloS ONE, 9(1), 1-10. https://doi.org/10.1371%2Fjournal.pone.008508410.1371/journal.pone.0085084 Google Scholar Search this bibliographic reference on Google Scholar
- WHO (2013). Responding to intimate partner violence and sexual violence against women. WHO clinical and policy guidelines. World Health Organization. Google Scholar Search this bibliographic reference on Google Scholar
- Wong, S. C., Do, P. H., Eisner, M., Hughes, C., Valdebenito, S. et Murray, A. L. (2022). An umbrella review of the literature on perinatal domestic violence: prevalence, risk factors, possible outcomes and interventions. Trauma, Violence, & Abuse. https://doi.org/10.1177/1524838022108045510.31234/osf.io/ang9w Google Scholar Search this bibliographic reference on Google Scholar

