Rural and urban women's perceptions of barriers to health, mental health, and criminal justice services: implications for victim services.
Rural and urban women's perceptions of barriers to health, mental health, and criminal justice services: implications for victim services.
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DOI：
10.1891/vivi.19.1.37.33234
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发表时间：
2004-02-01
影响因子：
1.1
通讯作者：
Leukefeld, Carl
中科院分区：
文献类型：
--
作者：
Logan, T K;Stevenson, Erin;Leukefeld, Carl
这项研究的目的是调查农村和城市妇女对健康和心理健康服务障碍以及刑事司法系统服务障碍的看法。进行了八个重点小组，其中两个在选定的城市县(n=30名妇女)，两个在选定的三个农村县(n=98名妇女)。结果被归入卫生服务利用文献中开发的障碍框架，该框架表明障碍有四个主要维度：可负担性、可获得性、可获得性和可接受性。结果表明：(1)妇女在使用服务方面面临许多障碍，包括可负担性、可获得性、可获得性和可接受性障碍；(2)获得各种服务需要付出极大的努力；然而，有受害历史的妇女可能面临比没有受害历史的妇女更多的障碍；(3)健康和精神健康服务利用的障碍与利用刑事司法系统的障碍重叠；(4)农村和城市妇女在服务利用障碍方面有许多相似之处，但存在一些重要的差异，表明障碍是有背景的。今后需要进行研究，以进一步澄清一般有受害历史的妇女，特别是农村和城市妇女在使用服务方面的障碍。此外，还需要进行未来的研究，以便更好地了解妇女如何在她们所在社区面临的具体障碍背景下应对受害问题。
The purpose of this study was to examine rural and urban women's perceptions of barriers to health and mental health services as well as barriers to criminal justice system services. Eight focus groups were conducted, two in a selected urban county (n = 30 women) and two in each of three selected rural counties (n = 98 women). Results were classified into a barrier framework developed in the health service utilization literature which suggests there are four main dimensions of barriers: affordability, availability, accessibility, and acceptability. Results indicate that: (1) women face many barriers to service use including affordability, availability, accessibility, and acceptability barriers; (2) it takes an inordinate level of effort to obtain all kinds of services; however, women with victimization histories may face additional barriers over and above women without victimization histories; (3) barriers to health and mental health service utilization overlap with barriers to utilizing the criminal justice system; and (4) there are many similarities in barriers to service use among rural and urban women; however, there are some important differences suggesting barriers are contextual. Future research is needed to further clarify barriers to service use for women with victimization histories in general, and specifically for rural and urban women. In addition, future research is needed to better understand how women cope with victimization in the context of the specific barriers they face in their communities.