Nurses who serve students, especially those at on-campus student health centres, are opportunely placed to address sexual violence. Findings highlight the need for nurses to use consistent definitions of sexual violence when identifying survivors. Nurses should take measures to increase disclosure and promote sexual violence resources/services provided by their facility. Additional suggestions for nurses are provided.
Hispanic females in their late adolescence appear to be disproportionately affected by dating violence, yet the majority of victims never seek out formal services. The purpose of this study was to explore the dating violence and the help-seeking experiences of Hispanic females in their late adolescence. Participants were recruited from a social service agency providing wrap-around services to individuals-and families affected by abuse in South Florida. Eleven in-depth qualitative interviews were conducted with Hispanic female victims of dating violence in their late adolescence (18 to 24 years of age) in English or Spanish. A thematic analysis of transcripts identified four major themes: (a) conflict, culture, and context influences Hispanic couples; (b) missed opportunities to accessing help; (c) pivotal moments are needed to access formal services; and (d) family matters. Participants of this study believed that dating violence was more normative in Hispanic relationships than “American” relationships. Although participants had opportunities to seek formal services early in their relationships, formal services were only sought after pivotal moments. Families played an important role in supporting or further victimizing the participants. Findings from this study can be used to inform interventions addressing both informal and formal sources of support for Hispanic female victims of dating violence in their late adolescence.
The purpose of this study was to better understand victims' perspectives regarding decisions to disclose gender-based violence, namely, intimate partner violence (IPV) and human trafficking, to health care providers and what outcomes matter to them when discussing these issues with their provider. Twenty-five participants from racially/ethnically diverse backgrounds were recruited from a family justice center located in the southeastern United States. Two fifths had experienced human trafficking, and the remaining had experienced IPV. Upon obtaining informed consent, semistructured, in-depth interviews were conducted. Interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to examine interview data. Five primary themes emerged. Three themes focused on factors that may facilitate or impede disclosure: patient-provider connectedness, children, and social support. The fourth theme was related to ambiguity in the role of the health care system in addressing gender-based violence. The final theme focused on outcomes participants hope to achieve when discussing their experiences with health care providers. Similar themes emerged from both IPV and human trafficking victims; however, victims of human trafficking were more fearful of judgment and had a stronger desire to keep experiences private. Cultural factors also played an important role in decisions around disclosure and may interact with the general disparities racial/ethnic minority groups face within the health care system. Recognizing factors that influence patient engagement with the health care system as it relates to gender-based violence is critical. The health care system can respond to gender-based violence and its associated comorbidities in numerous ways and interventions must be driven by the patient's goals and desired outcomes of disclosure. These interventions may be better served by taking patient-centered factors into account and viewing the effectiveness of intervention programs through a behavioral, patient-centered lens.
Advocates, service providers, attorneys, and people working in membershipbased organizations shared stories, concerns and recommendations regarding policing and domestic violence and sexual assault, in response to a nationwide survey conducted over a one-month period in April and May 2015. More than 900 people responded. Responses reflected the themes described below. Concerns Regarding Policing, Domestic Violence, and Sexual Assault Respondents named the following central concerns regarding how police respond to domestic violence and sexual assault and additional reasons that some survivors do not contact the police or cooperate with criminal interventions: Police inaction, hostility, and dismissiveness-An overwhelming majority of the survey respondents (88%) reported that police "sometimes" or "often" do not believe survivors or blamed survivors for the violence. A similarly large majority (83%) reported that police "sometimes" or "often" do not take allegations of sexual assault and domestic violence seriously. Respondents described examples where law enforcement increased the risk of a batterer's retaliation by, for example, taking no action or by dismissing the claims. Police bias-A majority (55%) of respondents said that police bias against particular groups of people or with regard to domestic violence and sexual assault was a problem in their community. Over 80% believed that police-community relations with marginalized communities influenced survivors' willingness to call the police. A significant number of respondents raised concerns about police bias against women as a group, as well as gender/race/ethnicity/religion bias against African-American women, Latinas, Native American women, Muslim women, and women of other ethnic backgrounds. Fifty-four percent (54%) reported that police are biased against immigrants "sometimes" or "often"; sixty-nine percent (69%) reported bias "sometimes" or "often" against women; fifty-eight (58%) reported bias "sometimes" or "often" against LGBTQ-identified individuals; and sixty-six (66%) reported bias sometimes or often against poor people. Significant numbers of respondents also reported police bias against African-Americans, Native Americans, youth survivors, and survivors with mental health or drug abuse problems. Collateral consequences-Eighty-nine percent (89%) reported that contact with the police resulted in involvement with child protective services "sometimes" (47%) or "often" (42%). Respondents gave examples of other negative collateral consequences that may ensue from involvement with the criminal justice system. Sixty-one percent (61%) of respondents reported that contact with the police "sometimes" (43%) or "often" (18%) leads to criminal charges that could then
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