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更安全的酒吧:通过酒吧工作人员旁观者培训预防与酒精相关的性暴力的整群随机效果评估。

Safer Bars: A cluster-randomized effectiveness evaluation of alcohol-related sexual violence prevention through bar staff bystander training.

作者信息

Davis Kelly Cue, Koss Mary P, Lopez Elise C, Roberts Karyn

机构信息

Edson College of Nursing and Health Innovation, Arizona State University, 500 N. 3(rd) St, Phoenix, AZ 85004, United States of America.

Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Mountain Ave, Tucson, AZ 85724, United States of America.

出版信息

Contemp Clin Trials. 2024 May;140:107488. doi: 10.1016/j.cct.2024.107488. Epub 2024 Mar 6.

Abstract

BACKGROUND

Sexual assault is consistently associated with social contexts that support high levels of alcohol consumption such as alcohol-serving establishments (i.e., bars). The significant rates of alcohol-involved sexual assault among college students demonstrate the critical need for evidence-based efforts to reduce alcohol-involved sexual assault in this population. Although bystander approaches have demonstrated some promise for reducing alcohol-involved sexual assault, to date no published studies have examined the effectiveness of implementing bystander prevention approaches with bar staff. Given the robust evidence indicating that bars serve as hot spots for sexual aggression, interventions that improve bar staff's ability to identify and intervene in sexually aggressive situations may offer a useful approach for reducing rates of alcohol-involved sexual assault.

METHODS

The Safer Bars study utilizes a cluster-randomized trial design that randomizes participants at the bar level into intervention and waitlist control arms. The sample includes bars (Nbars = 56) within a three-mile proximity to the three major public Arizona universities, with an average of 10 staff members per bar (Nstaff = 564). Assessments of individual-level and bar-level outcomes occur at baseline, training completion, and 3-months post-training, with an additional individual-level assessment at 6 months. Community-level effects are assessed using GIS data regarding police dispatches.

CONCLUSION

Safer Bars represents a novel, theory-driven approach to promote effective bystander behavior among bar staff working in close proximity to university campuses to reduce rates of alcohol-involved sexual assault.

摘要

背景

性侵犯一直与支持高酒精消费量的社会环境相关联,比如提供酒类饮品的场所(即酒吧)。大学生中涉及酒精的性侵犯发生率很高,这表明迫切需要开展基于证据的工作,以减少该人群中涉及酒精的性侵犯。尽管旁观者干预方法已显示出在减少涉及酒精的性侵犯方面具有一定前景,但迄今为止,尚无已发表的研究探讨对酒吧工作人员实施旁观者预防方法的有效性。鉴于有力证据表明酒吧是性侵犯的高发地点,提高酒吧工作人员识别和干预性侵犯情况的能力的干预措施,可能为降低涉及酒精的性侵犯发生率提供一种有用的方法。

方法

“更安全酒吧”研究采用整群随机试验设计,将酒吧层面的参与者随机分为干预组和等待名单对照组。样本包括亚利桑那州三所主要公立大学三英里范围内的酒吧(N酒吧 = 56),平均每个酒吧有10名工作人员(N工作人员 = 564)。在基线、培训结束时以及培训后3个月进行个体层面和酒吧层面结果的评估,在6个月时进行额外的个体层面评估。使用关于警方调度的地理信息系统数据评估社区层面的影响。

结论

“更安全酒吧”代表了一种新颖的、基于理论的方法,旨在促进在大学校园附近工作的酒吧工作人员的有效旁观者行为,以降低涉及酒精的性侵犯发生率。

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本文引用的文献

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Exploring Alcohol Policy Approaches to Prevent Sexual Violence Perpetration.探索预防性暴力犯罪的酒精政策方法。
Trauma Violence Abuse. 2016 Jan;17(1):26-42. doi: 10.1177/1524838014557291. Epub 2014 Nov 16.
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"Blurred lines?" Sexual aggression and barroom culture.“界限模糊?”性侵犯与酒吧文化。
Alcohol Clin Exp Res. 2014 May;38(5):1416-24. doi: 10.1111/acer.12356. Epub 2014 Mar 3.

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