Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska Native women.
Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska Native women.
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DOI：
10.1037/a0013458
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发表时间：
2009-07
影响因子：
3.3
通讯作者：
Simoni, Jane M.
中科院分区：
文献类型：
--
作者：
Lehavot, Keren;Walters, Karina L.;Simoni, Jane M.
美洲印第安人和阿拉斯加原住民 (AIAN) 妇女在美国经历了殖民压迫的历史。当前殖民化的表现包括针对 AIAN 妇女的暴力行为盛行，她们常常从小就受到性虐待和身体虐待。此类暴力可能会削弱 AIAN 妇女的主体意识或掌控感，并导致她们的身心健康状况不佳。被认定为女同性恋、双性恋或“双性恋”的 AIAN 女性似乎遭受了不成比例的暴力，并且可能特别容易受到健康结果差异的影响。在这项研究中，作为解决双魂者健康问题的调查的一部分，采访了 152 名性少数 AIAN 女性。参与者报告称，性侵犯（85%）和身体侵犯（78%）的发生率高得令人不安，这两者都与整体心理和身体健康状况恶化有关。这些关系通常是通过控制感或掌控感减弱来调节的。讨论了使掌握概念本土化的必要性，以及采取干预措施以降低性少数群体 AIAN 妇女的虐待程度和提高掌握程度的紧迫性。
American Indian and Alaska Native (AIAN) women have endured a history of colonial oppression in the United States. Current manifestations of colonization include an epidemic of violence toward AIAN women, who often are sexually and physically abused from early on in life. Such violence may erode AIAN women's sense of agency or mastery and contribute to their poor physical and mental health outcomes. AIAN women who identify as lesbian, bisexual, or “two-spirit” appear to experience disproportionate levels of violence and may be particularly vulnerable to disparities in health outcomes. In this study, 152 sexual minority AIAN women were interviewed as part of an investigation addressing the health concerns of two-spirit persons. Participants reported disturbingly high prevalence of both sexual (85%) and physical (78%) assault, both of which were associated with worse overall mental and physical health. These relationships generally were mediated by a diminished sense of control or mastery. The need to indigenize the concept of mastery is discussed, as is the urgency of interventions to work toward decreasing levels of abuse and increasing mastery among sexual minority AIAN women.
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