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评估后性暴力服务障碍和促进者的措施:批判性审查
Padideh Hassanpour1, Sanika Panwalkar1, L B Klein1
1University of Wisconsin-Madison, USA.
Trauma, violence & abuse
|April 17, 2025
概括
许多性暴力 (SV) 幸存者由于障碍而无法获得支持服务. 目前评估这些障碍的措施往往忽视了社区层面的因素和促进者,特别是对于边缘化群体.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 性暴力 (SV) 是一个重大的公共卫生问题,具有严重的健康,社会和经济后果.
- 尽管有可用的服务,但许多性暴力幸存者无法获得这些服务,这表明有很大的护理障碍.
- 了解这些障碍对于改善对幸存者的支持至关重要,特别是来自边缘化社区的幸存者.
研究的目的:
- 批判性地审查现有的措施,评估性暴力后服务的障碍和促进者.
- 评估这些措施是否涵盖了各种各样的SV幸存者群体的全部关注点.
- 识别当前测量工具中的差距,特别是关于边缘化身份和社区层面的因素.
主要方法:
- 系统审查原始的,同行评审的研究,测量后SV服务寻求障碍或促进者的障碍.
- 分析了10项评估心理健康,医疗,宣传和法律服务的措施.
- 使用社会生态模型框架评估措施,检查个人,人际关系,社区和结构层面.
主要成果:
- 审查确定了在各种 SV 环境 (IPV,贩运,MST等) 中使用的 10 项措施. 和人口 (学生,军人,LGBTQ+年轻人等). ) 的情况.
- 社区层面的障碍在很大程度上没有得到解决,只有三项措施包括促进者.
- 很少有措施包含幸存者的反 (3/10),提供了强大的心理测量数据 (5/10),或解决了文化/身份特异因素 (4/10).
结论:
- 现有的评估对VS服务障碍的措施范围有限,特别是关于社区层面的因素和促进者.
- 有必要制定创伤和暴力相关的措施,包括幸存者的意见,并解决多样化的文化和身份背景.
- 改进的测量工具对于改善所有性暴力幸存者的服务获取和利用至关重要.
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