LGBTIQA+の親密なパートナーからの暴力を経験する個人の初等ケアサービスへのアクセスと提供の障壁:広範囲のレビュー
Jack Farrugia1, Danny Della Vedova1, Bronwyn Milkins1
1Curtin University, Perth, WA, Australia.
Trauma, violence & abuse
|August 30, 2025
まとめ
レズビアン,ゲイ,バイセクシュアル,トランスジェンダー,インターセックス,クィア,アセックス,その他の性的およびジェンダーマイノリティ (LGBTIQA+) の個人は,親密なパートナー暴力 (IPV) のケアにアクセスする障壁に直面しています. 医療従事者は包括的で有能な支援を提供するために よりよい訓練を必要としています
科学分野:
- 公衆衛生
- 医療の格差
- 社会学
背景:
- LGBTIQA+の人々は,異性愛者やシスジェンダーの集団と比較して,親密なパートナー暴力 (IPV) の割合が高いと報告しています.
- 増加した流行にもかかわらず,LGBTIQA+の個人はIPVの助けを低い割合で得ており,しばしばプライマリケアプロバイダーから不十分なケアを受けています.
研究 の 目的:
- IPVを患っているLGBTIQA+個人のプライマリケアサービスへのアクセスと提供の障壁を特定する.
- 医療の改善のための標的型介入と医療従事者の訓練を促す.
主な方法:
- ジョアンナ・ブリッグス研究所の方法論に従って実施されたスコーピングレビュー.
- 3つのデータベース (ProQuest,MEDLINE,CINAHL) と灰色の文献 (Google,Google Scholar) で,OECD諸国 (過去20年間) のピアレビューされた文献を検索しました.
- 追加記録を特定するために,関連するレビューの手動参照リストの検索.
主要な成果:
- 最初の5,439の記録から19の出版物が保持された.
- LGBTIQA+個人の障壁には,IPVを認識する困難,差別への恐れ,およびシステム上の不平等が含まれています.
- 提供者はヘテロノーマティブな前提,特別な訓練の欠如,制度的な抵抗といった課題に直面しています.
結論:
- システム上の不平等と医療提供者レベルの障壁は,LGBTIQA+の個人がIPVの適切なプライマリケアにアクセスすることを妨げています.
- 文化的に有能なケアには 提供者訓練,包括的なサービス,シスジェンダーとヘテロノーマティブの仮定への挑戦が必要です.
- LGBTIQA+の個人が助けを求めることを奨励し,提供者が公平なケアを提供できるようにするための介入が必要です.
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