Rountree Michele A, Pomeroy Elizabeth C, Marsiglia Flavio F
School of Socail Work, University of Texas at Austin, Austin, TX 78712, USA.
Health Soc Work. 2008 Aug;33(3):221-8. doi: 10.1093/hsw/33.3.221.
The article reports findings from a pilot study of 21 domestic violence shelters in a southwestern state in the United States. The survey instrument included descriptive information on shelter service delivery. Specifically, questions were asked about the practice of assessing a client's risk of HIV/AIDS, the provision of HIV/AIDS educational and prevention programs within shelters, and information about organizational characteristics that facilitate or impede the existence of these services. The findings suggest that shelters lacked sufficient HIV/AIDS policies and programs to respond to their client's heightened risk of infection. Although 19 (90.5 percent) of the shelters reported that they routinely ask about their clients' sexual abuse histories, there was no link between a woman's disclosure of sexual abuse and a subsequent provision of appropriate HIV/AIDS services (referrals for testing, treatment) by the shelter. HIV/AIDS awareness was high among the shelter staffwho responded to the survey, but HIV/AIDS prevention and education were practically nonexistent. Implications for social work practice are discussed.
本文报道了对美国西南部一个州21个家庭暴力庇护所进行的一项试点研究的结果。该调查问卷包含了关于庇护所服务提供的描述性信息。具体而言，询问了有关评估客户感染艾滋病毒/艾滋病风险的做法、庇护所内提供艾滋病毒/艾滋病教育和预防项目的情况，以及关于促进或阻碍这些服务存在的组织特征的信息。研究结果表明，庇护所缺乏足够的艾滋病毒/艾滋病政策和项目来应对其客户感染风险增加的情况。虽然19个（90.5%）庇护所报告称，他们通常会询问客户的性虐待史，但女性披露性虐待情况与庇护所随后提供适当的艾滋病毒/艾滋病服务（转介检测、治疗）之间没有关联。参与调查的庇护所工作人员对艾滋病毒/艾滋病的认知度较高，但艾滋病毒/艾滋病预防和教育实际上不存在。文中还讨论了对社会工作实践的启示。
