The Dandarah App: An mHealth Platform to Tackle Violence and Discrimination of Sexual and Gender Minority Persons Living in Brazil.

The Dandarah App: An mHealth Platform to Tackle Violence and Discrimination of Sexual and Gender Minority Persons Living in Brazil.
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DOI:
10.3390/ijerph20010280
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发表时间:
2022-12-24
影响因子:
--
通讯作者:
Whetten, Kathryn
Whetten, Kathryn
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Silva, Angelica Baptista;Malta, Monica;da Silva, Cosme Marcelo Furtado Passos;Kalume, Clarice Cavalcante;Filha, Iane Germano Andrade;LeGrand, Sara;Whetten, Kathryn

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世界各地的性和性别少数群体普遍遭受歧视和暴力。在巴西,每天都有一名以上的SGM成员因其性行为或性别认同而被谋杀,这是世界上报告的杀人率最高的国家。在巴西,对性剥削者的歧视和暴力行为被视为仇恨犯罪,由于害怕警察对性剥削者的恐惧症和受害者的指责,报告仍不理想。迫切需要采取易于宣传和推广的干预措施。在此,我们描述了移动健康解决方案的开发,以帮助解决针对SGM人员的暴力行为,即彩虹抵抗:Dandarah应用程序,并综合了使用该应用程序24个月后SGM社区的关键结果和反馈。与生活在巴西六个州的SGM人员进行了22次焦点小组讨论(FGD):巴伊亚、联邦区、圣保罗、里约热内卢、米纳斯吉拉斯、塞尔吉佩和帕拉。共有300名SGM人员参加了FGD。进行了专题分析,以解释定性数据。内容主题相关的美学,使用能力,资源的障碍,和喜欢/不喜欢的干预措施从FGD。参与者发现干预是用户友好的,赞同更多的喜欢比不喜欢,并建议对应用程序进行一些修改。研究结果表明,干预是可用的,适合未来的有效性测试,它可以填补一个重要的差距,在幸福的SGM人生活在一个国家的高度歧视和暴力对这个社区,即,巴西
Discrimination and violence are widely experienced by sexual and gender minority (SGM) persons worldwide. More than one SGM person is murdered every day in Brazil because of their sexuality or gender identity, which is the highest reported homicide rate in the world. Alt-hough discrimination and violence against SGM persons in Brazil are considered to be hate crimes, reporting is still suboptimal due to fear of police SGM phobia and victim blaming. Accessible and easily disseminated interventions are urgently needed. Herein, we describe the develop-ment of an mHealth solution to help address violence against SGM persons, namely the Rainbow Resistance: Dandarah App, with a synthesis of key results and feedback from the SGM community after 24 months of using the app. Twenty-two focus group discussions (FGDs) were conducted with SGM persons living in six Brazilian states: Bahia, Federal District, São Paulo, Rio de Janeiro, Minas Gerais, Sergipe, and Pará. A total of 300 SGM persons participated in the FGDs. A thematic analysis was performed to interpret the qualitative data. Content themes related to aesthetics, us-ability, barriers to resources, and likes/dislikes about the intervention arose from the FGDs. Participants found the intervention to be user-friendly, endorsed more likes than dislikes, and suggested a few changes to the app. The findings suggest that the intervention is usable and fit for future ef-fectiveness testing, and that it could fill an important gap in the well-being of SGM persons living in a country with high levels of discrimination and violence towards this community, i.e., Brazil.
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