在性侵犯后寻求医疗服务的障碍:全面审查
Marguerite B Lucea1, Andrea Ramirez2, Natalie Martino3
1Author Affiliations: Department of Nursing, College of Health Professions, Towson University.
Journal of forensic nursing
|June 24, 2024
概括
尽管性暴力的发生率很高,但袭击后的医疗保健仍未得到充分利用. 多层次的障碍使得幸存者,尤其是弱势群体中的幸存者,无法寻求必要的性侵犯服务.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 性暴力仍然是美国普遍存在的公共卫生问题.
- 性侵犯后的医疗保健服务被幸存者所利用不足.
- 弱势群体,包括移民,LGBTQIA+个人和黑人妇女,面临着独特的障碍,无法获得护理.
研究的目的:
- 审查现有的关于性侵犯后医疗保健障碍的研究.
- 确定在这个研究领域使用的方法.
- 了解寻求性侵犯服务的弱势群体的障碍是否不同.
主要方法:
- 在2023年9月之前发表的同行评审文献的系统范围审查.
- 在PubMed,Scopus,CINAHL,PsycINFO和PTSDpubs数据库中进行的搜索.
- 包括专注于美国性暴力幸存者的研究,并探索性侵犯护士检查员等袭击后护理障碍.
主要成果:
- 大多数研究使用了定性或混合方法设计.
- 研究经常集中在服务不足的少数群体上,包括移民妇女,黑人妇女和无家可归的青年.
- 确定的障碍在人内,人际,组织,社区和社会层面上起作用.
结论:
- 多层次的障碍极大地导致幸存者不寻求必要的帮助.
- 虽然需要对性侵犯服务的具体障碍进行更多的研究,但目前的研究结果支持加强,多层次的服务提供方法.
- 加强可访问和具有文化能力的服务对于改善幸存者使用医疗保健至关重要.
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