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Service providers' self-perceived competence in supporting women with disabilities subjected to intimate partner violence: insights from a Swedish survey
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). (DISTIME)ORCID iD: 0000-0002-4278-7089
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). (DISTIME)ORCID iD: 0000-0002-1561-4094
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). (DISTIME)ORCID iD: 0000-0001-5471-9043
2025 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 18, no 1, article id 2476822Article in journal (Refereed) Published
Abstract [en]

Background: Intimate partner violence (IPV) is a global issue, with women, especially those with disabilities, facing a higher lifetime risk than those without disabilities. Given the elevated risk factors and challenges related to having a disability, it is crucial to provide effective IPV support. The competence and expertise of service providers regarding IPV significantly influence their ability to provide adequate IPV support. Understanding service providers' self-perceived competence is essential for improving the quality of IPV support for women with disabilities.

Objective: This study assesses the self-perceived competence of service providers in supporting women with disabilities subjected to IPV in Sweden.

Methods: A cross-sectional survey was distributed to professionals in healthcare, social services, and the police, and 1,151 people participated. Descriptive statistics and linear regression analyses were performed to assess the factors influencing service providers' self-perceived competence.

Results: The findings indicate that healthcare, police, and social services professionals often encounter women with disabilities, but they rarely ask them directly about IPV. Many don't routinely inquire about IPV exposure. While institutional routines for addressing IPV exist, service providers don't consistently implement or use them. Key factors influencing self-perceived competence include receiving IPV and disability-specific training and sufficient employer support for addressing IPV among women with disabilities.

Conclusions: The findings underscore the need for a more consistent application of routines and enhanced training to strengthen the capacity of service providers to support women with disabilities subjected to IPV.

Place, publisher, year, edition, pages
Taylor & Francis, 2025. Vol. 18, no 1, article id 2476822
Keywords [en]
Intimate partner violence, women with disabilities, formal support, selfperceived competence, service providers
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:umu:diva-237304DOI: 10.1080/16549716.2025.2476822ISI: 001460725900001PubMedID: 40190214Scopus ID: 2-s2.0-105002241249OAI: oai:DiVA.org:umu-237304DiVA, id: diva2:1950424
Projects
DISTIME
Funder
Marcus and Amalia Wallenberg Foundation, MAW 2019.0003Available from: 2025-04-07 Created: 2025-04-07 Last updated: 2025-08-26Bibliographically approved
In thesis
1. A bridge to safety – for whom?: intimate partner violence and formal support for women with disabilities in Sweden
Open this publication in new window or tab >>A bridge to safety – for whom?: intimate partner violence and formal support for women with disabilities in Sweden
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
En väg till trygghet — för vem? : våld i nära relationer och  samhällets stöd till kvinnor med funktionsnedsättning i Sverige
Abstract [en]

Aim: This thesis explores the lived experiences of women with disabilities subjected to intimate partner violence (IPV) and assesses support providers’ readiness and self-perceived competence to support them. It applies an intersectional and epistemic injustice lens to understand how gender, disability, and structural aspects shape both experiences of IPV and institutional responses.

Methods: This study employed both qualitative and quantitative methods and comprises two sub-studies. The first sub-study involved in-depth interviews with 11 women with disabilities who had experienced IPV and sought support from various formal support institutions, including the police, social services, shelters, healthcare, and the Centre against Violence. Their narratives were analyzed using reflexive thematic analysis. The second sub-study assessed the perspectives of support providers through a nationwide survey (N=1,151) and 18 qualitative interviews, focusing on their self-perceived competence and readiness to support women with disabilities subjected to IPV.

Findings: The women with disabilities interviewed reported experiencing multiple forms of IPV — physical, psychological, sexual, economic, digital — and disability-specific abuse, often extending beyond intimate partners to others in their intimate personal spaces. They described psychological abuse as being particularly harmful yet often overlooked in institutional responses. The women’s experiences were marked by testimonial injustice, where their credibility was undermined and hermeneutical injustice, where support systems lacked the conceptual and structural frameworks needed to understand and respond to their needs. Support providers indicated that IPV and disability-specific training enhanced their self-perceived competence. However, where disability-specific guidelines existed, they were inconsistently followed. Readiness to support women with disabilities was shaped not only by individual training but also by systemic and organizational factors, including employer support, the presence of clear routines and guidelines, collaboration within and between institutions, and adaptations to ensure accessibility.

Conclusions: This thesis underscores the need for structural reforms to ensure disability inclusion in IPV support services. Tailored guidelines, meaningful accessibility, institutional collaboration, and recognition of disabled women as credible knowers are essential.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2025. p. 96
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2377
Keywords
Intimate partner violence, women with disabilities, formal support, intersectionality, epistemic injustice, Sweden
National Category
Public Health, Global Health and Social Medicine Social Work
Research subject
Public health; Epidemiology
Identifiers
urn:nbn:se:umu:diva-243572 (URN)978-91-8070-768-8 (ISBN)978-91-8070-769-5 (ISBN)
Public defence
2025-09-19, 5B P6, Stora Hörsalen, Norrlands universitetssjukhus, Umeå, 09:00 (English)
Opponent
Supervisors
Funder
Wallenberg FoundationsForte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2025-08-29 Created: 2025-08-26 Last updated: 2025-09-30Bibliographically approved

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Anyango, CartrineHäggström Gunfridsson, ErlingNamatovu, Fredinah

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