Sabri Bushra, Granger Douglas A
Institute for Interdisciplinary Salivary Bioscience Research, University of California Irvine, Irvine,CA, USA.
Department of Community and Public Health Nursing, Johns Hopkins University, School of Nursing, Baltimore, MD, USA.
Health Care Women Int. 2018;39(9):1038-1055. doi: 10.1080/07399332.2018.1491046. Epub 2018 Dec 11.
Gender-based violence (GBV) and trauma can dysregulate and recalibrate environmentally sensitive physiological (i.e. central nervous, endocrine, and immune) systems placing survivors at risk for multiple health problems. The researchers build the case that the effects of GBV are likely to be particularly high impact and contribute to health disparities for marginalized survivors of GBV. Further, the researchers underscore a need for a multi-level bio-socio-ecological model that deciphers, characterizes, and explains individual differences in these effects and the need to establish an evidence base from which to derive interventions that address biological effects of toxic stress among marginalized survivors of GBV.
基于性别的暴力（GBV）和创伤会使对环境敏感的生理系统（即中枢神经、内分泌和免疫系统）失调并重新校准，从而使幸存者面临多种健康问题的风险。研究人员提出，GBV的影响可能具有特别高的冲击力，并导致GBV边缘化幸存者的健康差距。此外，研究人员强调需要一个多层次的生物社会生态模型，该模型能够解读、描述并解释这些影响中的个体差异，还需要建立一个证据基础，从中得出应对GBV边缘化幸存者中毒性应激的生物学影响的干预措施。
