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影响男性儿童性虐待幸存者自我表露的障碍和促进因素:服务提供者的观点。

Barriers and facilitators affecting self-disclosure among male survivors of child sexual abuse: The service providers' perspective.

机构信息

Department of Health and Rehabilitation Sciences, Western University, London, Ontario, N6G 1H1, Canada.

School of Health Studies, University of Western Ontario, London, Ontario, N6A 4L6, Canada.

出版信息

Child Abuse Negl. 2019 Feb;88:455-465. doi: 10.1016/j.chiabu.2018.08.015. Epub 2018 Sep 13.

Abstract

Research regarding child sexual abuse (CSA) indicates significant gender differences in disclosure rates, with males less likely to disclose their abuse compared to females. CSA can have lasting impact on a children's emotional, physical, and psychological wellbeing. While service providers play an instrumental role in providing care and support for male CSA survivors, little is known about their perceptions and experiences related to disclosure among these men. The aim of this qualitative study was to explore service providers' perceptions and awareness of disclosure-related barriers and facilitators amongst male CSA survivors. Individual interviews were conducted with eleven service providers. Study findings reveal four key themes related to the disclosure process among male CSA survivors: (a) personal characteristics, (b) interpersonal relations, (c) institutional elements, and (d) societal norms. Findings indicate that service providers understand and respond to complex challenges associated with disclosure of CSA among this marginalized population. Study findings demonstrate the need for additional research on the specific issues of gender bias and stigma associated with male sexual abuse. Along with their empirical significance, these findings can be used to develop more tailored public health and social service-related programming for male CSA survivors, their families, and the broader community to promote a safer and more supportive environment in which to discuss these sensitive and important issues. Recommendations to service providers are discussed.

摘要

关于儿童性虐待(CSA)的研究表明,在披露率方面存在显著的性别差异,与女性相比,男性不太可能披露自己受到的虐待。CSA 会对儿童的情感、身体和心理健康产生持久的影响。虽然服务提供者在为男性 CSA 幸存者提供护理和支持方面发挥着重要作用,但对于这些男性在披露方面的看法和经验却知之甚少。本定性研究的目的是探讨服务提供者对男性 CSA 幸存者披露相关障碍和促进因素的看法和认识。对 11 名服务提供者进行了个人访谈。研究结果揭示了与男性 CSA 幸存者披露过程相关的四个关键主题:(a)个人特征,(b)人际关系,(c)机构因素,和(d)社会规范。研究结果表明,服务提供者理解并应对与这一边缘化群体 CSA 披露相关的复杂挑战。研究结果表明,需要对与男性性虐待相关的性别偏见和耻辱问题进行更多研究。这些研究结果除了具有实证意义外,还可以用来为男性 CSA 幸存者、他们的家人和更广泛的社区制定更具针对性的公共卫生和社会服务相关计划,以促进一个更安全、更支持性的环境,讨论这些敏感和重要的问题。讨论了对服务提供者的建议。

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