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英国退伍军人心理健康保健障碍中的性别差异:初步调查。

Gender differences in barriers to mental healthcare for UK military veterans: a preliminary investigation.

机构信息

Veterans and Families Institute for Military Social Research, Anglia Ruskin University, Chelmsford, Essex, UK

Forces in Mind Trust Research Centre, Anglia Ruskin University, Chelmsford, Essex, UK.

出版信息

BMJ Mil Health. 2022 Feb;168(1):70-75. doi: 10.1136/bmjmilitary-2020-001754. Epub 2021 Apr 26.

Abstract

INTRODUCTION

Limited UK research focuses on female military veterans' gender-related experiences and issues when accessing civilian mental healthcare support. This study sought to illuminate a preliminary understanding of any gender differences in barriers that may discourage them accessing mental healthcare support.

METHODS

A total of 100 participants completed an open online survey of UK triservice veterans who identified as having experienced postmilitary mental health problems. They completed a 30-item Barriers to Access to Care Evaluation scale and were asked to elaborate using free-text questions. Resulting quantitative data were analysed for gender-related differences, while the qualitative text was thematically explored.

RESULTS

While stigma, previous poor experience of mental healthcare and a lack of trust in civilian providers were found to act as barriers to postmilitary support for both men and women, significantly more women reported that their gender had also impacted on their intention to seek help. Women also commented on the impact of gender-related discrimination during service on their help-seeking experiences.

CONCLUSIONS

While efforts are being made by the UK Ministry of Defence to reduce barriers to mental healthcare for those still serving in the Armed Forces, it has been more difficult to provide a similar level of support to the veteran population. With little veteran research focusing on the specific experiences of women, this study suggests that female veterans encounter specific access barriers and issues related to their gender. Further research is therefore needed to ensure these findings are addressed.

摘要

简介

英国的相关研究主要集中在女性退伍军人在获取平民精神健康支持时所经历的与性别相关的问题和体验上。本研究旨在初步了解可能阻碍女性退伍军人获取精神健康支持的障碍方面是否存在性别差异。

方法

共有 100 名来自英国三军的退伍军人参加了一项在线开放式调查,他们表示曾在军队服役后出现心理健康问题。他们完成了 30 项《获取医疗护理障碍评估量表》,并被要求使用自由文本问题详细阐述。对与性别相关的差异进行了定量数据分析,同时对定性文本进行了主题探索。

结果

虽然发现耻辱感、以前对精神健康护理的不佳体验以及对平民提供者的缺乏信任对男女寻求军队后的支持都构成了障碍,但更多的女性报告称,她们的性别也影响了她们寻求帮助的意愿。女性还评论了在服役期间与性别相关的歧视对她们寻求帮助的经历的影响。

结论

虽然英国国防部正在努力减少对现役军人的精神健康护理障碍,但为退伍军人提供类似水平的支持却更加困难。由于很少有退伍军人研究关注女性的具体经历,因此本研究表明,女性退伍军人遇到了与性别相关的特定获取障碍和问题。因此,需要进一步研究以确保解决这些发现。

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