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亲密伴侣暴力幸存者在精神卫生治疗环境中所经历的歧视报告。

Intimate partner violence survivors' reported experiences of discrimination in mental health treatment settings.

机构信息

Derner School of Psychology, Adelphi University, Garden City, New York, USA.

Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian, New York, New York, USA.

出版信息

J Community Psychol. 2024 Sep;52(7):835-856. doi: 10.1002/jcop.23132. Epub 2024 Jul 8.

DOI:10.1002/jcop.23132
PMID:38976375
Abstract

Research indicates that survivors of intimate partner violence (IPV) face substantial stigma and discrimination, with varying impacts based on demographic factors such as race and income. This study explored perceived discrimination among 88 IPV survivors across different racial backgrounds and income levels in mental health settings. Participants completed a mixed-method electronic survey assessing discrimination experiences related to survivor status, income, and race within mental health treatment. Results revealed high levels of perceived discrimination based on survivor status among both racially minoritized and majoritized survivors. However, racially minoritized survivors reported greater racial discrimination and associated stress within mental healthcare settings. Regardless of income level, all survivors reported significant discrimination experiences. Qualitative analysis highlighted factors perceived as helpful or unhelpful within mental health settings. This study underscores the need for further research on socioeconomic influences on stigma experiences among IPV survivors and suggests implications for provider training to better support survivors, especially those from diverse racial backgrounds.

摘要

研究表明,亲密伴侣暴力(IPV)的幸存者面临着大量的耻辱和歧视,这些影响因种族和收入等人口因素而异。本研究探讨了心理健康环境中不同种族背景和收入水平的 88 名 IPV 幸存者所感受到的歧视。参与者完成了一项混合方法的电子调查,评估了与幸存者身份、收入和种族有关的歧视经历在心理健康治疗中的情况。结果显示,在种族上处于少数和多数的幸存者中,基于幸存者身份的歧视程度都很高。然而,少数族裔幸存者在心理健康保健机构中报告了更多的种族歧视和相关压力。无论收入水平如何,所有幸存者都报告了严重的歧视经历。定性分析强调了在心理健康环境中被认为有帮助或无帮助的因素。本研究强调了需要进一步研究社会经济因素对 IPV 幸存者耻辱感的影响,并为提供者培训提出了建议,以更好地支持幸存者,特别是那些来自不同种族背景的幸存者。

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