Taylor S Caroline, Pugh Judith, Goodwach Raie, Coles Jan
Social Justice, Edith Cowan University, Perth, Western Australia.
Aust Fam Physician. 2012 Jul;41(7):538-41.
One in three women in Australia will experience sexual violence at some time in their life. Although these women use health services more than nonvictimised women, they may not receive the holistic care they need if their sexual trauma history is not known.
This article discusses the importance of opportunistically identifying a history of sexual violence in women presenting to general practice in order to provide optimal healthcare and avoid iatrogenic retraumatisation.
A history of sexual violence is associated with an increased incidence of long term physical and psychological health problems, psychosocial difficulties, risk taking behaviours and premature death. Most survivors do not disclose a history of sexual violence to their doctors. Without this context, their ongoing health issues may not be fully understood, leading to suboptimal care. A safe environment is vital to support disclosure. General practitioners are well placed to identify, support and treat and/or appropriately refer women with a history of sexual violence. Priorities in management include addressing the pervasive long term consequences of sexual violence, encouraging preventive care and avoiding inadvertent retraumatisation.
在澳大利亚，三分之一的女性在其一生中的某个时候会遭受性暴力。尽管这些女性比未受侵害的女性更多地使用医疗服务，但如果她们的性创伤史不为人所知，她们可能无法获得所需的全面护理。
本文讨论了在就诊于全科医疗的女性中机会性地识别性暴力史的重要性，以便提供最佳医疗保健并避免医源性再次创伤。
性暴力史与长期身心健康问题、心理社会困难、冒险行为和过早死亡的发生率增加有关。大多数幸存者不会向医生透露性暴力史。在没有这种背景信息的情况下，她们持续存在的健康问题可能无法得到充分理解，从而导致护理不充分。一个安全的环境对于支持披露至关重要。全科医生处于识别、支持和治疗及/或适当转诊有性暴力史女性的有利位置。管理的重点包括解决性暴力普遍存在的长期后果、鼓励预防性护理以及避免无意的再次创伤。
