Barriers to Accessing Mental Health Care After a Sexual Assault Medical Forensic Examination.
Barriers to Accessing Mental Health Care After a Sexual Assault Medical Forensic Examination.
复制标题
DOI：
10.1097/jfn.0000000000000321
复制
发表时间：
2021-04-01
影响因子：
1
通讯作者：
Davidson TM
中科院分区：
文献类型：
--
作者：
Gilmore AK;Leone RM;Hahn CK;Oesterle DW;Davidson TM
研究表明，性侵犯后获得精神卫生保健的低利率，然而，与获得护理的障碍没有得到很好的理解参与者（N = 37）从当地医院招募后的性侵犯医学法医检查（SAMFE）。分层线性回归模型研究了年龄，种族身份，学生身份，保险状况，与肇事者的关系，自袭击以来的时间，酗酒问题和创伤后应激症状对（1）获得护理的障碍和（2）寻求心理健康治疗的可能性的影响。缺乏保险与获得精神卫生保健的更多障碍以及免费寻求SAMFE后护理的可能性更高有关。创伤后应激症状与获得护理的更多障碍相关（p = 0.038）。作为一名学生（p = 0.026）和参与有问题的饮酒（p = 0.047）与寻求SAMFE后护理的可能性较低相关，而创伤后应激症状的增加与寻求SAMFE后护理的可能性较大相关（p = 0.007）。提供SAMFE后护理，无论保险如何，可能是解决最近遭受性侵犯的个人心理健康需求的必要的第一步。针对酒精滥用的二级预防计划也是必要的。
Research indicates low rates of accessing mental health care following sexual assault; however, barriers associated with accessing care are not well understood Participants (N = 37) were recruited from a local hospital following a sexual assault medical forensic examination (SAMFE). Hierarchical linear regressions models examined the effects of age, racial identity, student status, insurance status, relationship to perpetrator, time since assault, problematic drinking, and posttraumatic stress symptoms on (1) barriers to accessing care and (2) likelihood to seeking mental health treatment. Lack of insurance was associated with more barriers to accessing mental health care and higher likelihood of seeking post-SAMFE care at no charge. Posttraumatic stress symptoms were associated with more barriers to accessing care (p = .038). Identifying as a student (p = .026) and engaging in problematic drinking (p = .047) were associated with a lower likelihood of seeking post-SAMFE care, whereas increased symptoms of posttraumatic stress were associated with a greater likelihood of seeking post-SAMFE care (p = .007). Providing post-SAMFE care, irrespective of insurance, may be a needed first step in addressing the mental health needs of individuals with recent sexual assault. Secondary prevention programs targeted towards alcohol misuse may also be warranted.