Suppr超能文献

退伍军人事务部初级保健诊所中男性和女性退伍军人的性侵犯、心理健康及服务利用情况:一项多地点研究。

Sexual assault, mental health, and service use among male and female veterans seen in Veterans Affairs primary care clinics: a multi-site study.

作者信息

Zinzow Heidi M, Grubaugh Anouk L, Frueh Bartley Christopher, Magruder Kathryn M

机构信息

Department of Psychology, University of Georgia, GA, United States.

出版信息

Psychiatry Res. 2008 May 30;159(1-2):226-36. doi: 10.1016/j.psychres.2007.04.008. Epub 2008 Apr 18.

Abstract

This study examined the nature and prevalence of sexual assault (SA), as well as its relationship to psychiatric sequelae and service use, among the veteran population. We performed a secondary data analysis of a cross-sectional dataset consisting of 643 male and 173 female veterans seen in four Veterans Affairs (VA) primary care clinics. Original data were obtained through semi-structured clinic assessments, structured telephone interviews, and medical chart reviews. Analyses included descriptive statistics, chi-square, analysis of variance (ANOVA), and logistic regression. The lifetime prevalence of SA was 38% among women and 6% among men. Of veterans reporting a history of SA, most experienced child sexual abuse and sexual revictimization. SA victims also had a more extensive trauma history and demonstrated greater psychological impairment in comparison to veterans reporting other types of trauma. However, only 25% of male SA survivors and 38% of female SA survivors used mental health services in the past year. These findings suggest that VA primary care clinics may benefit from expanding the current mandated screen for military sexual trauma to include lifetime experiences and trauma-related symptoms, thereby connecting more veterans with needed mental health services.

摘要

本研究调查了退伍军人中性侵犯(SA)的性质、发生率,及其与精神后遗症和服务利用情况的关系。我们对一个横断面数据集进行了二次数据分析,该数据集包含在四家退伍军人事务部(VA)初级保健诊所就诊的643名男性退伍军人和173名女性退伍军人。原始数据通过半结构化诊所评估、结构化电话访谈和病历审查获得。分析包括描述性统计、卡方检验、方差分析(ANOVA)和逻辑回归。女性SA的终生患病率为38%,男性为6%。在报告有SA病史的退伍军人中,大多数经历过儿童性虐待和性再受害。与报告其他类型创伤的退伍军人相比,SA受害者也有更广泛的创伤史,并且表现出更大的心理损伤。然而,在过去一年中,只有25%的男性SA幸存者和38%的女性SA幸存者使用了心理健康服务。这些发现表明,VA初级保健诊所可能会受益于扩大当前对军事性创伤的强制筛查,以包括终生经历和与创伤相关的症状,从而使更多退伍军人获得所需的心理健康服务。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验