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Published in: International Journal for Equity in Health 1/2014

Open Access 01-12-2014 | Research

Economic crisis, immigrant women and changing availability of intimate partner violence services: a qualitative study of professionals´ perceptions in Spain

Authors: Erica Briones-Vozmediano, Andres A Agudelo-Suarez, Isabel Goicolea, Carmen Vives-Cases

Published in: International Journal for Equity in Health | Issue 1/2014

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Abstract

Introduction

Since 2008, Spain has been in the throes of an economic crisis. This recession particularly affects the living conditions of vulnerable populations, and has also led to a reversal in social policies and a reduction in resources. In this context, the aim of this study was to explore intimate partner violence (IPV) service providers´ perceptions of the impact of the current economic crisis on these resources in Spain and on their capacity to respond to immigrant women´s needs experiencing IPV.

Methods

A qualitative study was performed based on 43 semi-structured in-depth interviews to social workers, psychologists, intercultural mediators, judges, lawyers, police officers and health professionals from different services dealing with IPV (both, public and NGO´s) and cities in Spain (Barcelona, Madrid, Valencia and Alicante) in 2011. Transcripts were imported into qualitative analysis software (Atlas.ti), and analysed using qualitative content analysis.

Results

We identified four categories related to the perceived impact of the current economic crisis: a) "Immigrant women have it harder now", b) "IPV and immigration resources are the first in line for cuts", c) " Fewer staff means a less effective service" and d) "Equality and IPV policies are no longer a government priority". A cross-cutting theme emerged from these categories: immigrant women are triply affected; by IPV, by the crisis, and by structural violence.

Conclusion

The professionals interviewed felt that present resources in Spain are insufficient to meet the needs of immigrant women, and that the situation might worsen in the future.
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Literature
1.
go back to reference Declarations on the Elimination of Violence Against Women. 1993, United Nations General Assembly, New York Declarations on the Elimination of Violence Against Women. 1993, United Nations General Assembly, New York
2.
go back to reference World Report on Violence and Health. 2002, World Health Organization, Geneva World Report on Violence and Health. 2002, World Health Organization, Geneva
3.
go back to reference Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women´s health and domestic violence. Lancet. 2006, 368: 1260-1269. 10.1016/S0140-6736(06)69523-8.PubMedCrossRef Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women´s health and domestic violence. Lancet. 2006, 368: 1260-1269. 10.1016/S0140-6736(06)69523-8.PubMedCrossRef
4.
go back to reference Review of the Implementation of the Beijing Platform for Action in the EU Member States: Violence against Women - Victim Support. 2012, Publications Office of the European Union, Luxembourg Review of the Implementation of the Beijing Platform for Action in the EU Member States: Violence against Women - Victim Support. 2012, Publications Office of the European Union, Luxembourg
5.
go back to reference Vives-Cases C, Alvarez-Dardet C, Torrubiano-Dominguez J, Gil-Gonzalez D: Mortality due to intimate partner violence in foreign women living in Spain (1999-2006). Gac Sanit. 2008, 22: 232-235. 10.1157/13123969.PubMedCrossRef Vives-Cases C, Alvarez-Dardet C, Torrubiano-Dominguez J, Gil-Gonzalez D: Mortality due to intimate partner violence in foreign women living in Spain (1999-2006). Gac Sanit. 2008, 22: 232-235. 10.1157/13123969.PubMedCrossRef
6.
go back to reference Vives-Cases C, Gil-Gonzalez D, Ruiz-Perez I, Escriba-Aguir V, Plazaola-Castano J, Montero-Pinar MI, Torrubiano-Dominguez J: Identifying sociodemographic differences in Intimate Partner Violence among immigrant and native women in Spain: a cross-sectional study. Prev Med. 2010, 51: 85-87. 10.1016/j.ypmed.2010.03.017.PubMedCrossRef Vives-Cases C, Gil-Gonzalez D, Ruiz-Perez I, Escriba-Aguir V, Plazaola-Castano J, Montero-Pinar MI, Torrubiano-Dominguez J: Identifying sociodemographic differences in Intimate Partner Violence among immigrant and native women in Spain: a cross-sectional study. Prev Med. 2010, 51: 85-87. 10.1016/j.ypmed.2010.03.017.PubMedCrossRef
7.
go back to reference Larchanche S: Intangible obstacles: health implications of stigmatization, structural violence, and fear among undocumented immigrants in France. Soc Sci Med. 2012, 74: 858-863. 10.1016/j.socscimed.2011.08.016.PubMedCrossRef Larchanche S: Intangible obstacles: health implications of stigmatization, structural violence, and fear among undocumented immigrants in France. Soc Sci Med. 2012, 74: 858-863. 10.1016/j.socscimed.2011.08.016.PubMedCrossRef
8.
go back to reference Rodríguez M, Valentine JM, Son JB, Muhammad M: Intimate partner violence and barriers to mental health care for ethnically diverse populations of women. Trauma Violence Abuse. 2009, 10: 358-374. 10.1177/1524838009339756.PubMedCentralPubMedCrossRef Rodríguez M, Valentine JM, Son JB, Muhammad M: Intimate partner violence and barriers to mental health care for ethnically diverse populations of women. Trauma Violence Abuse. 2009, 10: 358-374. 10.1177/1524838009339756.PubMedCentralPubMedCrossRef
9.
go back to reference Guruge S, Humphreys J: Barriers affecting access to and use of formal social supports among abused immigrant women. CJNR. 2009, 41: 64-84.PubMed Guruge S, Humphreys J: Barriers affecting access to and use of formal social supports among abused immigrant women. CJNR. 2009, 41: 64-84.PubMed
10.
go back to reference Erez E, Adelman M, Gregory C: Intersections of immigration and domestic violence. Fem Criminol. 2009, 4: 32-56. 10.1177/1557085108325413.CrossRef Erez E, Adelman M, Gregory C: Intersections of immigration and domestic violence. Fem Criminol. 2009, 4: 32-56. 10.1177/1557085108325413.CrossRef
11.
go back to reference Erez E, Globokar J: Compounding vulnerabilities: the impact of immigration status and circumstances on battered immigrant women. Sociol Crime Law Deviance. 2009, 13: 129-145. 10.1108/S1521-6136(2009)0000013011.CrossRef Erez E, Globokar J: Compounding vulnerabilities: the impact of immigration status and circumstances on battered immigrant women. Sociol Crime Law Deviance. 2009, 13: 129-145. 10.1108/S1521-6136(2009)0000013011.CrossRef
13.
go back to reference Vives-Cases C, Gil-Gonzalez D, Plazaola-Castano J, Montero-Pinar MI, Ruiz-Perez I, Escriba-Aguir V, Ortiz-Barreda G, Torrubiano-Dominguez J: Gender-based violence against immigrant and Spanish women: scale of the problem, responses and current policies. Gac Sanit. 2009, 23: 100-106. 10.1016/j.gaceta.2009.07.008.PubMedCrossRef Vives-Cases C, Gil-Gonzalez D, Plazaola-Castano J, Montero-Pinar MI, Ruiz-Perez I, Escriba-Aguir V, Ortiz-Barreda G, Torrubiano-Dominguez J: Gender-based violence against immigrant and Spanish women: scale of the problem, responses and current policies. Gac Sanit. 2009, 23: 100-106. 10.1016/j.gaceta.2009.07.008.PubMedCrossRef
14.
go back to reference [Report on victims of gender violence and domestic violence by partner or former partner]. 2012, Consejo General del Poder Judicial, Madrid [Report on victims of gender violence and domestic violence by partner or former partner]. 2012, Consejo General del Poder Judicial, Madrid
16.
go back to reference Ley Orgánica 10/2011, de 27 de julio, de modificación de los artículos 31 bis y 59 bis de la Ley Orgánica 4/2000, de 11 de enero, sobre derechos y libertades de los extranjeros en Espańa y su integración social. 2011 Ley Orgánica 10/2011, de 27 de julio, de modificación de los artículos 31 bis y 59 bis de la Ley Orgánica 4/2000, de 11 de enero, sobre derechos y libertades de los extranjeros en Espańa y su integración social. 2011
17.
go back to reference Goicolea I, Vives-Cases C, Minvielle F, Briones-Vozmediano E, Ohman A: Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach. Gac Sanit. 2014, 28 (3): 238-241. 10.1016/j.gaceta.2013.08.002.PubMedCrossRef Goicolea I, Vives-Cases C, Minvielle F, Briones-Vozmediano E, Ohman A: Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach. Gac Sanit. 2014, 28 (3): 238-241. 10.1016/j.gaceta.2013.08.002.PubMedCrossRef
18.
go back to reference Vandoros S, Hessel P, Leone T, Avendano M: Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach. Eur J Pub Health. 2013, 23: 727-731. 10.1093/eurpub/ckt020.CrossRef Vandoros S, Hessel P, Leone T, Avendano M: Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach. Eur J Pub Health. 2013, 23: 727-731. 10.1093/eurpub/ckt020.CrossRef
19.
go back to reference De Vogli R: Financial crisis, austerity, and health in Europe.Lancet 2013, 382:391. De Vogli R: Financial crisis, austerity, and health in Europe.Lancet 2013, 382:391.
20.
go back to reference Reeves A, Basu S, McKee M, Meissner C, Stuckler D: Does investment in the health sector promote or inhibit economic growth?Global Health 2013, 9:43., Reeves A, Basu S, McKee M, Meissner C, Stuckler D: Does investment in the health sector promote or inhibit economic growth?Global Health 2013, 9:43.,
21.
go back to reference Guillèn AM, Pavolini E, Luque D, Anaut S: El papel de las políticas sociales para paliar las necesidades generadas por la crisis. Crisis y fractura social en Europa Causas y efectos en Espańa. Volume 35. Edited by: Laparra M, Perez Eransus B. 2012, Obra Social La Caixa, Barcelona Guillèn AM, Pavolini E, Luque D, Anaut S: El papel de las políticas sociales para paliar las necesidades generadas por la crisis. Crisis y fractura social en Europa Causas y efectos en Espańa. Volume 35. Edited by: Laparra M, Perez Eransus B. 2012, Obra Social La Caixa, Barcelona
22.
go back to reference Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M: Effects of the 2008 recession on health: a first look at European data. Lancet. 2011, 378: 124-125. 10.1016/S0140-6736(11)61079-9.PubMedCrossRef Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M: Effects of the 2008 recession on health: a first look at European data. Lancet. 2011, 378: 124-125. 10.1016/S0140-6736(11)61079-9.PubMedCrossRef
23.
go back to reference Walker K: Historical Perspectives on economic crises and health. Hist J. 2010, 53 (2): 477-494. 10.1017/S0018246X10000130.CrossRef Walker K: Historical Perspectives on economic crises and health. Hist J. 2010, 53 (2): 477-494. 10.1017/S0018246X10000130.CrossRef
24.
go back to reference Laparra M, Eransus BP, Lasheras R, Gamundi MAC, Guinea-Martin D, Zugast N, Cańón LA, Martínez Virto L, Sarasa S, García A, Guillèn AM, Pavolini E, Luque D, Sagrario A: Crisis y fractura social en Europa.Causas y efectos en Espańa. vol. 35. 2012, Obra Social "La Caixa", Barcelona Laparra M, Eransus BP, Lasheras R, Gamundi MAC, Guinea-Martin D, Zugast N, Cańón LA, Martínez Virto L, Sarasa S, García A, Guillèn AM, Pavolini E, Luque D, Sagrario A: Crisis y fractura social en Europa.Causas y efectos en Espańa. vol. 35. 2012, Obra Social "La Caixa", Barcelona
25.
go back to reference Living Conditions Survey (LCS) Year 2011. 2012, INE, Madrid Living Conditions Survey (LCS) Year 2011. 2012, INE, Madrid
26.
go back to reference Karanikolos M, Rechel B, Stuckler D, McKee M: Financial crisis, austerity, and health in Europe - Authors´ reply.Lancet 2013, 382:392. Karanikolos M, Rechel B, Stuckler D, McKee M: Financial crisis, austerity, and health in Europe - Authors´ reply.Lancet 2013, 382:392.
27.
go back to reference Legido-Quigley H, Otero L, Parra D, Alvarez-Dardet C, Martin-Moreno JM, McKee M: Will austerity cuts dismantle the Spanish healthcare system?BMJ 2013, Jun(346):f2363. Legido-Quigley H, Otero L, Parra D, Alvarez-Dardet C, Martin-Moreno JM, McKee M: Will austerity cuts dismantle the Spanish healthcare system?BMJ 2013, Jun(346):f2363.
28.
go back to reference Impact of Economic Crises on Mental Health. 2011, WHO Regional Office for Europe, Copenhagen Impact of Economic Crises on Mental Health. 2011, WHO Regional Office for Europe, Copenhagen
29.
go back to reference Kwon S, Jung Y, Islam A, Pande B, Yao L: The Impact of the Global Recession on the Health of the People in Asia. Poverty and Sustainable Development in Asia Impacts and Responses to the Global Economic Crisis. Edited by: Bauer MT A. 2010, Asian Development Bank, Manila Kwon S, Jung Y, Islam A, Pande B, Yao L: The Impact of the Global Recession on the Health of the People in Asia. Poverty and Sustainable Development in Asia Impacts and Responses to the Global Economic Crisis. Edited by: Bauer MT A. 2010, Asian Development Bank, Manila
32.
go back to reference Informe Anual sobre Migraciones e Integración. Nuevos retos para las políticas de inmigración e integración. 2012, Tirant Lo Blanch, Valencia Informe Anual sobre Migraciones e Integración. Nuevos retos para las políticas de inmigración e integración. 2012, Tirant Lo Blanch, Valencia
33.
go back to reference Ramsay J, Carter Y, Davidson L, Dunne D, Eldridge S, Feder G, Hegarty K, Rivas C, Taft A, Warburton A: Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse.Cochrane Database Syst Rev 2009, 8(3):CD005043. Ramsay J, Carter Y, Davidson L, Dunne D, Eldridge S, Feder G, Hegarty K, Rivas C, Taft A, Warburton A: Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse.Cochrane Database Syst Rev 2009, 8(3):CD005043.
34.
go back to reference Jones J, Hunter H:Consensus methods for medical and health services research. Br Med J. 1995, 311 (7001): 376-380. 10.1136/bmj.311.7001.376.CrossRef Jones J, Hunter H:Consensus methods for medical and health services research. Br Med J. 1995, 311 (7001): 376-380. 10.1136/bmj.311.7001.376.CrossRef
36.
go back to reference Allebeck P: Health effects of the crisis: challenges for science and policy.Eur J Pub Health 2013, 23:721. Allebeck P: Health effects of the crisis: challenges for science and policy.Eur J Pub Health 2013, 23:721.
37.
go back to reference Browne J, Sorensen TI: European public health research in Horizon 2020.Eur J Pub Health 2013, 23:722. Browne J, Sorensen TI: European public health research in Horizon 2020.Eur J Pub Health 2013, 23:722.
38.
go back to reference Rechel B, Suhrcke M, Tsolova S, Suk JE, Desai M, McKee M, Stuckler D, Abubakar I, Hunter P, Senek M, Semenza JC: Economic crisis and communicable disease control in Europe: a scoping study among national experts. Health Policy. 2011, 103: 168-175. 10.1016/j.healthpol.2011.06.013.PubMedCrossRef Rechel B, Suhrcke M, Tsolova S, Suk JE, Desai M, McKee M, Stuckler D, Abubakar I, Hunter P, Senek M, Semenza JC: Economic crisis and communicable disease control in Europe: a scoping study among national experts. Health Policy. 2011, 103: 168-175. 10.1016/j.healthpol.2011.06.013.PubMedCrossRef
39.
go back to reference Iacobucci G: Future gaps in workforce pose an impending crisis for the NHS, report warns.Br Med J 2013, 347:f4696. Iacobucci G: Future gaps in workforce pose an impending crisis for the NHS, report warns.Br Med J 2013, 347:f4696.
40.
go back to reference Briones-Vozmediano E, Goicolea I, Ortiz-Barreda GM, Gil-Gonz´lez D, Vives-Cases C: Professionals´percepctions of support resources for immigrant battered women: chronicle of an anticipated failure. J Interpers Violence. 2014, 29 (6): 1006-1027. 10.1177/0886260513506059.PubMedCrossRef Briones-Vozmediano E, Goicolea I, Ortiz-Barreda GM, Gil-Gonz´lez D, Vives-Cases C: Professionals´percepctions of support resources for immigrant battered women: chronicle of an anticipated failure. J Interpers Violence. 2014, 29 (6): 1006-1027. 10.1177/0886260513506059.PubMedCrossRef
41.
go back to reference Denzin N, Lincoln Y: The Sage Handbook of Qualitative Research. 2005, Sage Publications, London Denzin N, Lincoln Y: The Sage Handbook of Qualitative Research. 2005, Sage Publications, London
42.
go back to reference Patton M: Qualitative Evaluation and Research Methods. 1990, Sage Publications, Newbury Park Patton M: Qualitative Evaluation and Research Methods. 1990, Sage Publications, Newbury Park
43.
go back to reference Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004, 24: 105-112. 10.1016/j.nedt.2003.10.001.PubMedCrossRef Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004, 24: 105-112. 10.1016/j.nedt.2003.10.001.PubMedCrossRef
44.
go back to reference Perez Orozco A: Global Perspectives on the Social Organization of Care in Times of Crisis: Assessing the Policy Challenges. Gender, Migration and Development Series Working Paper. 2009, United Nations International Research and Training- Institute for the Advancement of Women (INSTRAW), Santo Domingo (Dominican Republican) Perez Orozco A: Global Perspectives on the Social Organization of Care in Times of Crisis: Assessing the Policy Challenges. Gender, Migration and Development Series Working Paper. 2009, United Nations International Research and Training- Institute for the Advancement of Women (INSTRAW), Santo Domingo (Dominican Republican)
45.
go back to reference Menjívar C, Salcido O: Immigrant women and domestic violence. Gend Soc. 2002, 16: 898-920. 10.1177/089124302237894.CrossRef Menjívar C, Salcido O: Immigrant women and domestic violence. Gend Soc. 2002, 16: 898-920. 10.1177/089124302237894.CrossRef
46.
go back to reference Burman E, Chantler K: Domestic violence and minoritisation: legal and policy barriers facing minoritized women leaving violent relationships. Int J Law Psychiatry. 2005, 28: 59-74. 10.1016/j.ijlp.2004.12.004.PubMedCrossRef Burman E, Chantler K: Domestic violence and minoritisation: legal and policy barriers facing minoritized women leaving violent relationships. Int J Law Psychiatry. 2005, 28: 59-74. 10.1016/j.ijlp.2004.12.004.PubMedCrossRef
47.
go back to reference Sbarouni V, Tsimtsiou Z, Symvoulakis E, Kamekis A, Petelos E, Saridaki A, Papadakis N, Lionis C: Perceptions of primary care professionals on quality of services in rural Greece: a qualitative study.Rural Remote Health 2012, 12:2156., Sbarouni V, Tsimtsiou Z, Symvoulakis E, Kamekis A, Petelos E, Saridaki A, Papadakis N, Lionis C: Perceptions of primary care professionals on quality of services in rural Greece: a qualitative study.Rural Remote Health 2012, 12:2156.,
48.
go back to reference Frederiksen HW, Kamper-Jorgensen Z, Agyemang C, Krasnik A, Norredam M: Health-reception of newly arrived documented migrants in Europe-why, whom, what and how?. Eur J Pub Health. 2013, 23: 725-726. 10.1093/eurpub/ckt110.CrossRef Frederiksen HW, Kamper-Jorgensen Z, Agyemang C, Krasnik A, Norredam M: Health-reception of newly arrived documented migrants in Europe-why, whom, what and how?. Eur J Pub Health. 2013, 23: 725-726. 10.1093/eurpub/ckt110.CrossRef
49.
go back to reference Rescigno P, Imbevaro S, Jirillo A: The economic crisis and cancer chemotherapy: the role of the oncologist. Tumori. 2012, 98: 532-533.PubMed Rescigno P, Imbevaro S, Jirillo A: The economic crisis and cancer chemotherapy: the role of the oncologist. Tumori. 2012, 98: 532-533.PubMed
50.
go back to reference Gómez Gil C: ONG´s en crisis y crisis en las ONG´sun fin de ciclo en el "oenegeísmo" en Espańa. Temas para el debate, abr. 2013, 221: 23-25. Gómez Gil C: ONG´s en crisis y crisis en las ONG´sun fin de ciclo en el "oenegeísmo" en Espańa. Temas para el debate, abr. 2013, 221: 23-25.
51.
go back to reference Baker BK: The impact of the International Monetary Fund´s macroeconomic policies on the AIDS pandemic. Int J Health Serv. 2010, 40: 347-363. 10.2190/HS.40.2.p.PubMedCrossRef Baker BK: The impact of the International Monetary Fund´s macroeconomic policies on the AIDS pandemic. Int J Health Serv. 2010, 40: 347-363. 10.2190/HS.40.2.p.PubMedCrossRef
52.
go back to reference Lincoln YS, Guba EG: Naturalistic Inquiry. 1985, Sage Publications, London Lincoln YS, Guba EG: Naturalistic Inquiry. 1985, Sage Publications, London
Metadata
Title
Economic crisis, immigrant women and changing availability of intimate partner violence services: a qualitative study of professionals´ perceptions in Spain
Authors
Erica Briones-Vozmediano
Andres A Agudelo-Suarez
Isabel Goicolea
Carmen Vives-Cases
Publication date
01-12-2014
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2014
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-014-0079-1

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