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基于社会规范的心理健康综合干预方法:制定和测试解决罗兴亚和叙利亚难民亲密伴侣暴力问题的社区干预措施。

Development and Testing of a Community-Based Intervention to Address Intimate Partner Violence among Rohingya and Syrian Refugees: A Social Norms-Based Mental Health-Integrated Approach.

机构信息

Institute of Behavioral Science, University of Colorado, Boulder, CO 80309, USA.

Colorado School of Public Health, Environmental and Occupational Health, Anschutz Medical Campus, Aurora, CO 80045, USA.

出版信息

Int J Environ Res Public Health. 2021 Nov 7;18(21):11674. doi: 10.3390/ijerph182111674.

Abstract

Intimate partner violence (IPV) is the leading form of gender-based violence globally and increases during times of conflict and displacement. To reduce IPV and encourage help-seeking, a two-phase community-based intervention was co-designed with Rohingya in Malaysia and Syrians in Lebanon. Three day workshops, utilizing a social norms-based mental health-integrated approach, were implemented for women and men in each country ( = 148). Pre- to post-measures indicated reductions in beliefs about acceptability of violence and rigid gender norms, and improvements in mental health, functioning, coping, and self-efficacy for women and men following workshop participation. Workshop participation was also associated with increased help-seeking intent, for both mental health and IPV (victims and perpetrators). Workshops included community design of poster campaigns to address IPV, which were then tested in each setting using a randomized controlled trial in Malaysia ( = 240) and a matched cluster comparison in Lebanon ( = 260). Women in both settings found IPV less acceptable in the poster condition. Help-seeking preferences were also influenced by the poster for women and men in both countries. This participatory intervention research can provide a roadmap for use in other settings, emphasizing the value of community-generated solutions to IPV among displaced populations.

摘要

亲密伴侣暴力(IPV)是全球范围内主要的性别暴力形式,并且在冲突和流离失所期间会增加。为了减少 IPV 并鼓励寻求帮助,与马来西亚的罗兴亚人和黎巴嫩的叙利亚人共同设计了一个两阶段的基于社区的干预措施。在每个国家(= 148)为女性和男性举办了为期三天的研讨会,利用基于社会规范的心理健康综合方法。在参加研讨会之前和之后的测量表明,暴力和僵化的性别规范的可接受性信念有所减少,女性和男性的心理健康、功能、应对能力和自我效能感有所提高。参加研讨会也与增加寻求帮助的意愿有关,包括心理健康和 IPV(受害者和施害者)。研讨会包括社区设计针对 IPV 的海报宣传活动,然后在马来西亚(= 240)和黎巴嫩(= 260)的随机对照试验和匹配的群组比较中对每个环境进行了测试。两个环境中的女性都认为海报条件下的 IPV 更不可接受。海报也影响了两国女性和男性的寻求帮助的偏好。这种参与式干预研究可以为其他环境提供参考,强调了社区生成的解决方案在流离失所人群中针对 IPV 的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8582911/010c3e178092/ijerph-18-11674-g001.jpg

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