与冲突有关的性暴力对幸存者的负面影响:对定性证据的系统审查
Elena Rubini1, Martina Valente2,3, Monica Trentin2,4
1CRIMEDIM - Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy. elena.rubini@uniupo.it.
International journal for equity in health
|October 27, 2023
概括
与冲突相关的性暴力 (CRSV) 对幸存者产生严重的身体,心理和社会影响,对照顾造成重大障碍. 解决CRSV需要全面的性教育和性别包容性的卫生服务.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 性别研究是性别研究.
背景情况:
- 冲突使暴力正常化,加剧权力动态和不平等,并促进与冲突相关的性暴力 (CRSV).
- 现有的关于CRSV对幸存者的负面结果的文献有限.
- 本系统性审查侧重于CRSV的身体,心理和社会健康后果.
研究的目的:
- 系统地分析关于CRSV的负面健康结果的定性证据.
- 提供CRSV影响的综合性和分类分析.
- 为了识别护理CRSV幸存者的障碍.
主要方法:
- 在PubMed,Scopus和PsychArticles (2023年1月13日) 进行了系统的文献搜索.
- 搜索术语结合性暴力和冲突;时间过器仅限于过去10年.
- 根据健康的生物心理社会模型提取的数据,遵循乔安娜·布里格斯研究所和PRISMA指南.
主要成果:
- 23篇文章符合纳入标准,18篇文章报告了身体健康影响,所有文章报告了心理结果,21篇文章报告了社会后果.
- 常见的负面结果包括性和生殖健康问题 (例如,怀孕),PTSD症状和耻辱.
- 作为一个关键的发现,出现了获得幸存者护理的重大障碍.
结论:
- 定性证据对于理解CRSV结果和解决护理障碍至关重要.
- CRSV是一个关键的性和生殖健康问题,需要全面的性教育和基于性别的暴力意识.
- 实施性别包容性协议和服务,以及政府对SRHR的倡导,对于支持CRSV幸存者至关重要.
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