Piwowarczyk Linda, Fernandez Pedro, Sharma Anita
Boston University School of Medicine, Boston, MA, USA.
Boston Center for Refugee Health and Human Rights, Boston Medical Center, Dowling 7, 771 Albany St., Boston, MA, 02118, USA.
J Immigr Minor Health. 2017 Jun;19(3):723-732. doi: 10.1007/s10903-016-0363-9.
A retrospective chart review was completed of patients self-identified as lesbian, gay, or bisexual seen through a program for survivors of torture between June 9, 2009 and December 31, 2014 (n = 50). Almost all (98 %) experienced persecution due to their sexual orientation and 84 % were survivors of torture. The circumstances under which the disclosure of sexual orientation took place in the country of origin were often traumatic. In several, efforts were made to change their sexual orientation often through forced marriage. Those in same sex relationships had relationships often marred by tragedy. Women were more likely to be forced to move from place to place, experience rape/sexual assault and threats whereas men were more likely to be persecuted by people on the street. All presented with symptoms of depression and anxiety. Providers need to be attuned to the potential traumatic histories of those fleeing persecution due to sexual orientation, and the medical, social, psychological, and legal implications.
对2009年6月9日至2014年12月31日期间通过一个酷刑幸存者项目就诊的自我认定为女同性恋、男同性恋或双性恋的患者进行了回顾性病历审查（n = 50）。几乎所有患者（98%）都因其性取向遭受过迫害，84%是酷刑幸存者。在原籍国披露性取向的情况往往具有创伤性。在一些案例中，往往通过强迫婚姻来试图改变他们的性取向。处于同性关系中的人，其关系常常充满悲剧。女性更有可能被迫辗转流离、遭受强奸/性侵犯和威胁，而男性更有可能遭到街头人群的迫害。所有人都表现出抑郁和焦虑症状。医疗服务提供者需要关注那些因性取向而逃离迫害者潜在的创伤经历，以及其医疗、社会、心理和法律方面的影响。
