Anderson Jocelyn C, Richter Rachael K, Hawk Mary, Egan James, Miller Elizabeth, Lampe Kelli, Van Dusen Courtney R, Chugani Carla D
College of Nursing, Pennsylvania State University.
Department of Pediatrics, University of Pittsburgh School of Medicine.
J Fam Violence. 2022 Nov;37(8):1353-1366. doi: 10.1007/s10896-021-00322-0. Epub 2021 Oct 1.
College students with disabilities (SWDs) experience elevated rates of sexual violence and intimate partner violence compared with their non-disabled peers. While tailored interventions for these pressing health issues are needed, current research lacks investigation into how SWDs conceptualize relevant key concepts, such as consent and healthy relationships.
This descriptive qualitative study explored these concepts through semi-structured interviews with college SWDs (n=49), 18-24 years old, in Pennsylvania and West Virginia.
The results culminated in six rich, descriptive themes addressing: 1) interpersonal and intrapersonal skills necessary for relationship health; 2) normalization of unhealthy treatment by a partner due to manipulation, denial, and love for the partner; 3) how dichotomous definitions of consent interfere with practical application in lived experiences; 4) how active consent can be both facilitated and hindered within the context of a romantic relationship; 5) perceptions that healthcare providers aim to elicit disclosures of abuse rather than initiate a discussion about relationship health; and 6) students' reticence to disclose abuse to healthcare providers due to mistrust and fear over loss of agency.
These results contradict historic narratives that SWDs do not have the same sexual and relationship beliefs and experiences as other students and highlight the perspectives of this marginalized population. Implications for campus prevention programming and healthcare practices include incorporating intersections of disability and violence, discussing the nuances of consent and substance use, and creating conversations about relationship health that are transparent, non-judgmental, and include a broad range of types of abuse.
与非残疾同龄人相比，残疾大学生遭受性暴力和亲密伴侣暴力的比率更高。虽然需要针对这些紧迫的健康问题制定有针对性的干预措施，但目前的研究缺乏对残疾大学生如何理解相关关键概念（如同意和健康关系）的调查。
这项描述性定性研究通过对宾夕法尼亚州和西弗吉尼亚州18至24岁的49名残疾大学生进行半结构化访谈，探讨了这些概念。
研究结果最终形成了六个丰富的描述性主题，涉及：1）关系健康所需的人际和个人技能；2）由于操纵、否认以及对伴侣的爱，伴侣的不健康对待被正常化；3）同意的二分法定义如何干扰其在实际生活中的应用；4）在浪漫关系背景下，积极同意如何既得到促进又受到阻碍；5）认为医疗保健提供者旨在促使披露虐待行为而非发起关于关系健康的讨论；6）由于不信任和担心失去自主权，学生不愿向医疗保健提供者披露虐待行为。
这些结果与残疾大学生与其他学生没有相同的性和关系信念及经历的历史叙述相矛盾，并突出了这一边缘化群体的观点。对校园预防计划和医疗实践的启示包括纳入残疾与暴力的交叉内容，讨论同意和物质使用的细微差别，以及开展关于关系健康的透明、无偏见且涵盖广泛虐待类型的对话。
