1 Georgetown University School of Medicine, Washington, DC, USA.
2 Physicians for Human Rights, Boston, MA, USA.
J Interpers Violence. 2018 Dec;33(24):3732-3748. doi: 10.1177/0886260516639257. Epub 2016 Mar 27.
Sexual violence survivors who decide to report their assault interact with health care, law enforcement, and legal and judicial professionals. Professionals' attitudes about sexual violence and survivors play an important role in caring for survivors and in the pursuit of justice. Despite evidence showing the relationship between service provider beliefs and survivor outcomes, relatively little is known about professionals' beliefs about sexual violence or their attitudes toward sexual violence survivors. Between June 2012 and December 2014, our study examined the beliefs and attitudes of 181 professionals from the health care, legal, and law enforcement sectors in the Eastern Democratic Republic of the Congo (DRC) and the Rift Valley region of Kenya, areas with a high prevalence of sexual violence. To determine correlates of beliefs and attitudes about sexual violence and sexual violence survivors, multiple logistic regression models were adjusted for demographic and occupational characteristics. Respondents who agreed that survivors got what they deserved (7%) or that survivors should feel ashamed (9%) were the minority, while those who would be willing to care for a family member with a history of sexual violence (94%) were the majority. Profession was significantly associated with beliefs and attitudes about sexual violence and survivors. Law enforcement professionals were more likely than health professionals and lawyers to indicate that survivors should feel ashamed. Our findings suggest a need for interventions that adequately address potentially harmful beliefs and attitudes of some professionals serving sexual violence survivors.
性暴力幸存者决定报案时,会与医疗、执法以及法律和司法专业人员接触。专业人员对性暴力和幸存者的态度,对关怀幸存者和追求正义起着重要作用。尽管有证据表明服务提供者的信念与幸存者的结果之间存在关联,但人们对专业人员对性暴力的信念或他们对性暴力幸存者的态度知之甚少。2012 年 6 月至 2014 年 12 月期间,我们的研究调查了来自刚果民主共和国东部(DRC)和肯尼亚裂谷地区的医疗、法律和执法部门的 181 名专业人员的信念和态度,这些地区性暴力发生率很高。为了确定对性暴力和性暴力幸存者的信念和态度的相关因素,我们对人口统计学和职业特征进行了多项逻辑回归模型调整。认为幸存者罪有应得(7%)或幸存者应该感到羞耻(9%)的受访者为数较少,而愿意照顾有性暴力史的家庭成员的受访者(94%)则占多数。职业与对性暴力和幸存者的信念和态度显著相关。执法专业人员比医疗专业人员和律师更有可能表示幸存者应该感到羞耻。我们的研究结果表明,需要采取干预措施,以充分解决为性暴力幸存者服务的一些专业人员潜在的有害信念和态度。