探索地理上接触物质使用治疗方案和对妇女的暴力
Noelle M St Vil1, Danielle F Haley2, Brooke Montgomery3
1School of Social Work, University at Buffalo, NY, USA.
Journal of interpersonal violence
|April 12, 2024
概括
对药物使用治疗计划的地理接入显著影响了对妇女的暴力行为 (VAW). 改善获得这些服务的机会可以减少高艾滋病毒流行地区的妇女的VAW,特别是情绪和身体虐待.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对妇女的暴力 (VAW) 是一个全球性的公共卫生危机,影响着数百万人.
- 药物使用与VAW有关,治疗计划可以减少与之相关的暴力.
- 药物使用治疗计划的地理可访问性仍未得到充分研究,这可能会阻碍弱势群体的访问.
研究的目的:
- 调查地理上获得物质使用治疗计划和VAW之间的关系.
- 检查社区社会决定因素,特别是获得认证治疗设施的机会,如何影响VAW.
主要方法:
- 利用了来自HIV预防试验网络 (HPTN) 064研究的数据.
- 采用纵向多层模型来分析地理接入和VAW之间的关联.
- 包括高艾滋病毒和贫困率地区的18至44岁的1910名女性.
主要成果:
- 发现,在艾滋病毒流行率高的地区,物质使用增加了女性的VAW.
- 增加地理上访问SAMHSA认证的药物和酒精治疗设施与VAW的减少相关.
- 更好地获得物质使用治疗与减少情绪和身体虐待有关.
结论:
- 加强对物质使用治疗的地理准入对于减少VAW至关重要.
- 政策和计划应优先考虑增加这些服务的获取,尤其是边缘化群体.
- 需要综合的方法来解决物质使用和VAW的交叉性.
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