“They Didn’t Ask.” Rural Women With Disabilities and Experiences of Violence Describe Interactions With the Healthcare System

Abstract

Women with disabilities are at risk of experiencing multiple forms of severe and prolonged violence, yet guidelines for screening this population are unclear, screening rates are historically low, and screening tools may be inadequate to capture disability-related aspects of abuse. We conducted qualitative in-depth interviews with 33 rural women in the United States with diverse disabilities and experiences of violence. They described overarching healthcare provider and system factors that influenced their trust and confidence in healthcare delivery as an avenue to support their safety. Women described interactions with the healthcare system during their experience of violence as a missed opportunity for identifying and responding to their abuse and connecting them with resources. We conclude with policy and practice recommendations based on women with disabilities’ perspectives and insights.

Keywords

abuse survivorship adaptation coping enduring quality of care caregivers caretaking doctor-patient nurse-patient communication disability disabled persons minorities culture cultural competence remote rural health care

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