000			03321nab a2200289Ia 4500
651	2	4	_aNEW ZEALAND _92588
999			_c2085 _d2085
001			110435
005			20250625151151.0
008			110331s2004 eng
022			_a1175-8716
040			_aWSS _dAFV
100			_aGoodyear-Smith, Felicity _91244
245			_aRecognising and responding to partner abuse : _bchallenging the key facts _cGoodyear-Smith, Felicity
260			_c2004 _bNew Zealand Medical Association,
300			_a6 p. ; computer file : PDF format (27Kb) ; computer file : World Wide Web
365			_a00 _b0
500			_aNew Zealand Medical Journal 117(1202) 24 Sept 2004
520			_aThe paper presents research to show that the claim of a higher prevalence in women can be made for physical assault and for sexual abuse, but not for physical, verbal, emotional, or psychological abuse, as the relative frequencies of men and women verbally or emotionally/psychologically abusing their partners, or exposing a child to such abuse are unknown. In relation to the Ministry's claim that the majority of women do not object to routine questions about abuse from health practitioners, the author finds that research suggests, on the contrary, between 25-50% of women are not comfortable with screening, and GPs will be reluctant to screen women patients if 3 or 4 out of every 10 object to being asked. The author notes it is hard to see how figures stating that over a lifetime, 15-35% of women experience abuse are derived from the reference given by the Ministry, as the report cited highlights the extremely uneven distribution of violent victimisation, with only a very small percentage of the population being victims of significant recurrent violence. The article also questions figures cited by the Ministry for the co-occurrence of partner abuse with child abuse, and the annual cost to health of family violence. The author states that the 'power and control wheel' cited in the Ministry's publication is not evidence-based, but based on the assumption that men abuse because they hold the power in our society; however this is not a universally accepted model, and alternatively it can be argued that use of violence is not the act of a powerful man, but rather of one who finds himself relatively powerless. The author concludes that the desire to reduce and prevent inter-partner violence does not justify exaggeration or distortion of the evidence to further the cause. It is suggested that the Ministry of Health should disseminate accurate information based on critical appraisal of the research literature. The author notes that a particular intervention might seem to be a good idea but if it is based on faulty assumptions, it may be neither effective nor safe. The management of domestic violence requires similar rigorous scientific evaluation as do other areas of clinical intervention.
650	2	7	_2FVC _aDOMESTIC VIOLENCE _9203
650	2	7	_2FVC _aHEALTH _9283
650	2	7	_2FVC _aSTATISTICS _9575
650	2	7	_9431 _aINTIMATE PARTNER VIOLENCE _2FVC
773	0		_tNew Zealand Medical Journal 117(1202) 24 Sept 2004
830			_aNew Zealand Medical Journal _94639
856	4		_uhttps://global-uploads.webflow.com/5e332a62c703f653182faf47/5e332a62c703f689e72fc6e1_Vol-117-No-1202-24-September-2004.pdf
942			_2ddc _cARTICLE