Safer Families Centre, University of Melbourne, Melbourne, VIC.
Centre for Family Violence Prevention, Royal Women's Hospital, Melbourne, VIC.
Med J Aust. 2022 Aug 1;217(3):159-166. doi: 10.5694/mja2.51638. Epub 2022 Jul 7.
Gender-based violence includes intimate partner violence, sexual violence and other harmful acts directed at people based on their gender. It is common in Australia and causes great ill health, especially for women victims/survivors, with Indigenous women particularly affected. Health services are an opportune place for early intervention for victims/survivors of gender-based violence as they attend frequently. Interventions that are evidence-based and respond to consensus from victim/survivor voices include universal education, screening in antenatal care, first line supportive care, and referral for advocacy and psychological interventions, including mother-child work. Health care staff require training, protocols, scripts, referral pathways, understanding of cultural safety and antiracist practice in service delivery, and leadership support to undertake this sensitive work, including support, if needed, for their own experiences of gender-based violence. Using a trauma-, violence- and gender-informed approach across health systems, taking into account structural inequities, is essential to sustain the gender-based violence work in health services. Gender-based violence experienced by Indigenous women is distinct and of urgent concern as rates rapidly increase. Inequities across the health system are pronounced for Indigenous women.
基于性别的暴力包括亲密伴侣暴力、性暴力和其他针对特定性别人群的有害行为。这种暴力在澳大利亚很常见，会对健康造成严重影响，特别是对女性受害者/幸存者，土著妇女尤其受到影响。由于受害者/幸存者经常光顾卫生服务机构，因此这些机构是对其进行早期干预的合适场所。基于证据的干预措施和对受害者/幸存者声音的共识响应包括普及教育、产前保健筛查、一线支持性护理，以及倡导和心理干预的转介，包括母婴工作。卫生保健工作人员需要接受培训、制定协议、脚本、转介途径、了解文化安全和反种族主义实践在服务提供中的应用，以及领导层的支持，以开展这项敏感工作，包括在必要时为他们自己的性别暴力经历提供支持。在整个卫生系统中采用创伤、暴力和性别知情的方法，并考虑到结构性不平等，对于维持卫生服务中的性别暴力工作至关重要。土著妇女经历的性别暴力是独特的，而且令人担忧的是，这种暴力的发生率正在迅速上升。土著妇女在整个卫生系统中都面临着明显的不平等。
