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成年性侵犯男性受害者:对幸存者使用性侵犯治疗服务的描述性研究。

Male victims of adult sexual assault: a descriptive study of survivors' use of sexual assault treatment services.

机构信息

Womens College Research Institute, Womens College Hospital, Toronto, Ontario, Canada.

出版信息

J Interpers Violence. 2013 Sep;28(13):2676-94. doi: 10.1177/0886260513487993. Epub 2013 May 15.

Abstract

This descriptive study aims to provide new information about the services used by sexually assaulted men and adolescent boys presenting to specialized hospital-based sexual assault programs and further insight into the factors that may be associated with their victimization. Information was collected from 38 male clients aged 12+ presenting to 29 sexual assault treatment centers in Ontario, Canada over 12 months. Variables were examined across 6 domains: time to presentation, client sociodemographics, assailant characteristics, assault characteristics, physical health consequences, and service delivery and utilization. A substantial minority of participants reported vulnerabilities such as young age; being Aboriginal; being transgendered, unemployed and/or on disability; working in the sex trade; and living on the streets, in a rehabilitative center, or in a correctional facility. Almost one-third identified or were documented as having a disability and, for most of these victims, it was either psychiatric in nature or developmental delay. All participants accepted at least one service offered; 86% used five or more services, most commonly those related to health care on-site such as crisis counseling, treatment of injuries, and referral for follow-up care for supportive counseling, injury redocumentation, and testing for sexually transmitted infections. These findings reveal that male clients' uptake of specialized sexual assault services is significant and it is, therefore, important to provide access to a comprehensive range of psychological, medical, and forensic treatment options and referrals to other community services for ongoing support. Implications for future research and practice are discussed.

摘要

本描述性研究旨在提供有关遭受性侵犯的男性和青少年男孩在专门的医院性侵犯项目中使用的服务的新信息,并进一步深入了解可能与他们受害有关的因素。信息是从在加拿大安大略省的 29 个性侵犯治疗中心在 12 个月内接待的 38 名 12 岁以上的男性客户中收集的。变量在 6 个领域进行了检查:就诊时间、客户社会人口统计学特征、攻击者特征、攻击特征、身体健康后果以及服务提供和利用。相当一部分参与者报告了脆弱性,例如年龄较小;是原住民;是跨性别者、失业和/或残疾;从事性交易;以及流落街头、康复中心或教养所。近三分之一的人自我认同或被记录为有残疾,而对于这些受害者中的大多数来说,残疾要么是精神上的,要么是发育迟缓。所有参与者都接受了至少一项提供的服务;86%的人使用了五项或更多服务,最常见的是现场提供的与医疗保健相关的服务,如危机咨询、伤害治疗以及后续支持性咨询、受伤重新记录和性传播感染检测的转介。这些发现表明,男性客户对专门的性侵犯服务的接受度很高,因此,提供广泛的心理、医疗和法医治疗选择以及向其他社区服务的转介以提供持续支持非常重要。讨论了对未来研究和实践的影响。

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