Assailant Identity and Self-Reported Nondisclosure of Military Sexual Trauma in Partnered Women Veterans
Assailant Identity and Self-Reported Nondisclosure of Military Sexual Trauma in Partnered Women Veterans
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DOI：
10.1037/tra0000320
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发表时间：
2018-07-01
影响因子：
6.3
通讯作者：
Gundlapalli, Adi V.
中科院分区：
文献类型：
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作者：
Blais, Rebecca K.;Brignone, Emily;Gundlapalli, Adi V.
目的：退伍军人事务部估计军事性创伤（MST）表明，27%的女性退伍军人经历过MST。然而，国防部的数据（国防部，2014年）显示，一个现役妇女小组没有向军事当局报告性侵犯，这表明军事样本中存在披露障碍。没有一项针对女性退伍军人的研究调查了那些以前接受过MST筛查的人的不披露率;这些数据可以为筛查工作和建立坦诚披露的避风港提供信息。方法：使用一个解释性的顺序混合方法调查，MST的历史，和postservice MST披露在筛选和他们的关联与人口，攻击，和筛选设置的特点进行了评估，在359名女性退伍军人。使用编辑分析风格分析了关于披露障碍的开放式答复。结果：81%（n = 289）报告了MST。其中，50%（n = 143）报告了既往筛选，25%（n = 35）报告了未披露其真实MST状态。经历过单位成员袭击者MST的退伍军人披露的可能性明显较小（调整后的比值比= 4.75，95%置信区间= 1.20 - 18.30）。披露障碍包括耻辱，经验回避，和不适的筛选设置。结论：迫切需要创造性的干预措施，以减少女性退伍军人中的不披露，特别是那些受到单位成员攻击的人。
Objective: Department of Veterans Affairs estimates of military sexual trauma (MST) suggest 27% of female veterans have experienced MST. However, Department of Defense data (Department of Defense, 2014) show that a subgroup of active-duty women do not report sexual assaults to a military authority, suggesting barriers to disclosure exist among military samples. No study of female veterans has examined rates of nondisclosure among those with previous screens for MST; these data could inform screening efforts and establishment of safe havens for candid disclosures. Method: Using an explanatory sequential mixed-methods survey, a history of MST, and postservice MST disclosures during screening and their associations with demographic, assault, and screening-setting characteristics were evaluated in 359 female veterans. Open-ended responses regarding barriers to disclosure were analyzed using editing analysis style. Results: Eighty-one percent (n = 289) reported MST. Of these, 50% (n = 143) reported a prior screening and 25% (n = 35) reported they did not disclose their true MST status. Veterans who experienced MST by a unit-member assailant were significantly less likely to disclose (adjusted odds ratio = 4.75, 95% confidence interval = 1.20 - 18.30). Disclosure barriers included stigma, experiential avoidance, and discomfort with the screening setting. Conclusion: Creative interventions to reduce nondisclosure among female veterans, with specific attention to those assaulted by a unit member, are urgently needed.