National Center for PTSD, VA Palo Alto Health Care System, Palo Alto, California and Stanford University Medical School, USA.
Psychol Serv. 2013 May;10(2):213-22. doi: 10.1037/a0029959. Epub 2012 Sep 17.
Research suggests that there may be unique barriers to accessing care among men who have experienced sexual trauma. The primary goal of the current research was to elucidate potential barriers to accessing military sexual trauma (MST)-related care for male veterans. A secondary goal was to explore whether veterans have preferences regarding the gender of clinicians providing MST-related care. Qualitative analyses were used to examine data collected from semistructured interviews conducted with 20 male veterans enrolled in Veterans Health Administration care who reported MST but who had not received any MST-related mental health care. Veterans identified a number of potential barriers, with the majority of reported barriers relating to issues of stigma and gender. Regarding provider gender preferences, veterans were mixed, with 50% preferring a female provider, 25% a male provider, and 25% reporting no gender preference. These preliminary data suggest that stigma, gender, and knowledge-related barriers may exist for men regarding seeking MST-related care. Interventions to address potential barriers, such as outreach interventions and providing gender-specific psychoeducation, may increase access to care for male veterans who report MST.
研究表明，经历过性创伤的男性在获得医疗方面可能存在独特的障碍。当前研究的主要目标是阐明男性退伍军人获得与军事性创伤（MST）相关的护理的潜在障碍。次要目标是探讨退伍军人是否对提供 MST 相关护理的临床医生的性别有偏好。定性分析用于检查从参加退伍军人健康管理局护理的 20 名报告 MST 但未接受任何 MST 相关心理健康护理的男性退伍军人进行的半结构化访谈中收集的数据。退伍军人确定了一些潜在的障碍，其中大多数报告的障碍与耻辱感和性别有关。关于提供者性别偏好，退伍军人的意见不一，50%的人更喜欢女性提供者，25%的人更喜欢男性提供者，25%的人表示没有性别偏好。这些初步数据表明，男性在寻求与 MST 相关的护理方面可能存在与耻辱感、性别和知识相关的障碍。解决潜在障碍的干预措施，例如外展干预和提供性别特定的心理教育，可能会增加报告 MST 的男性退伍军人获得护理的机会。
