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Legal Status as a Social Determinant of Health: Barriers to disclosure of intimate partner violence by undocumented women in clinical settings

Description

Abstract:
Immigrant women are particularly vulnerable to Intimate Partner Violence (IPV) because of lack of available resources, fear of law enforcement, and social, cultural and economic isolation. As a result, immigrant women suffer more severe medical and psychological consequences from IPV. This research project explores barriers to IPV disclosure in clinical settings for undocumented immigrant women in Rhode Island. Semi-structured interviews were conducted with 14 Spanish-speaking immigrant women who received legal status through the Violence Against Women Act (VAWA) with the help of Sojourner House, a domestic violence prevention agency in Providence, RI. Interviews were transcribed, translated and coded into emergent themes using NVivo software. Decreased healthcare access due to cost, misinformation of legal rights, and fear of deportation resulted in resistance to disclosing IPV in clinical settings, leading to longer time spent in unhealthy and unsafe relationships. Future directions include incorporating trainings and case studies on IPV screening with immigrant patients in undergraduate medical and residency education, supporting advocacy efforts related to VAWA and immigrant healthcare access, and spreading awareness on immigrant healthcare experiences, local resources, and barriers to care.
Notes:
Scholarly concentration: Non-Scholarly Concentrator

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Citation

Zero, Odette, Goldman, Roberta, and Tobin-Tyler, Liz, "Legal Status as a Social Determinant of Health: Barriers to disclosure of intimate partner violence by undocumented women in clinical settings" (2019). Warren Alpert Medical School Academic Symposium. Brown Digital Repository. Brown University Library. https://repository.library.brown.edu/studio/item/bdr:957250/

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Collection:

  • Warren Alpert Medical School Academic Symposium

    The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …
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