Chandra Prabha S, Carey Michael P, Carey Kate B, Shalinianant A, Thomas Tinku
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Compr Psychiatry. 2003 May-Jun;44(3):205-12. doi: 10.1016/S0010-440X(03)00004-X.
Research from the west indicates that women living with a psychiatric disorder are particularly vulnerable to sexual coercion and abuse. However, there have been no published reports of sexual abuse among female psychiatric patients in India. This exploratory study sought (1) to determine the prevalence of sexual coercion in a representative sample of female psychiatric patients in India; (2) to identify clinical and sociodemographic correlates of sexual coercion; (3) to clarify the association between sexual coercion and human immunodeficiency virus (HIV)-related risk behavior; and (4) to determine whether self-report of sexual coercion from these patients was recorded in their medical charts. Consecutive female inpatient admissions (N = 146) to a large psychiatric hospital in southern India were assessed using a structured interview and standardized measures. During these structured clinical interviews, sexual coercion was reported by 30% of the 146 women. The most commonly reported experience was sexual intercourse involving threatened or actual physical force (reported by 14% of women), and the most commonly identified perpetrator was the woman's husband or intimate partner (15%), or a person in a position of authority in their community (10%). Women with a history of abuse were more likely to report HIV-related sexual behavior (P <.001). In contrast to the 30% of women who reported sexual coercion during interviews, only 3.5% of the medical records contained this information. Thus, sexual coercion is a serious and prevalent concern among female Indian psychiatric patients, but is rarely reported in medical charts. Increased screening and reporting are indicated, as are sexual abuse prevention and treatment programs.
西方的研究表明，患有精神疾病的女性特别容易遭受性胁迫和虐待。然而，印度尚无关于女性精神病患者遭受性虐待的公开报道。这项探索性研究旨在：（1）确定印度女性精神病患者代表性样本中性胁迫的发生率；（2）确定性胁迫的临床和社会人口学相关因素；（3）阐明性胁迫与人类免疫缺陷病毒（HIV）相关风险行为之间的关联；（4）确定这些患者的性胁迫自我报告是否记录在其病历中。对印度南部一家大型精神病院连续收治的女性住院患者（N = 146）进行了结构化访谈和标准化测量评估。在这些结构化临床访谈中，146名女性中有30%报告遭受了性胁迫。最常报告的经历是涉及威胁或实际身体暴力的性交（14%的女性报告），最常确认的施暴者是女性的丈夫或亲密伴侣（15%），或其社区中有权威地位的人（10%）。有虐待史的女性更有可能报告与HIV相关的性行为（P <.001）。与访谈中30%报告遭受性胁迫的女性相比，只有3.5%的病历包含此信息。因此，性胁迫是印度女性精神病患者中一个严重且普遍存在的问题，但在病历中很少被报告。需要加强筛查和报告，同时也需要性虐待预防和治疗项目。
