Psychosocial Health Factors Among Men Reporting Recent Sexual Assault.

IF 1 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Journal of Forensic Nursing Pub Date : 2023-04-01 Epub Date: 2023-03-07 DOI:10.1097/JFN.0000000000000428
Jessica Draughon Moret, Lina Choe, Jocelyn C Anderson
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Abstract

Aim: The aim of this study was to describe psychosocial health factors in a community sample of men who sought care for sexual assault in the previous 3 months and who were recruited using Internet-based methods.

Methods: The cross-sectional survey assessed factors related to HIV postexposure prophylaxis (PEP) uptake and adherence postsexual assault: HIV risk perception, HIV PEP self-efficacy, mental health symptoms, social responses to sexual assault disclosure, PEP costs, negative health habits, and social support.

Results: There were 69 men in the sample. Participants reported high levels of perceived social support. A high proportion reported symptoms of depression ( n = 44, 64%) and posttraumatic stress disorder ( n = 48, 70%) consistent with cutoffs for clinical diagnoses. Just over a quarter of participants reported past 30-day illicit substance use ( n = 20, 29%), and 45 people (65%) reported weekly binge drinking (six or more drinks on one occasion).

Potential impact of this work on health equity and forensic nursing: Men are underrepresented in sexual assault research and clinical care. We highlight similarities and differences between our sample and prior clinical samples and also outline needs for future research and interventions.

Conclusions: Men in our sample were highly fearful of acquiring HIV, initiated HIV PEP, and completed or were actively taking HIV PEP at the time of data collection despite high rates of mental health symptoms and physical side effects. These findings suggest that forensic nurses need not only to be prepared to provide comprehensive counseling and care to patients about HIV risk and prevention options but also to address the unique follow-up needs of this population.

报告近期遭受性侵犯的男性的社会心理健康因素。
目的:本研究的目的是描述社区样本中的社会心理健康因素,这些样本是在过去 3 个月中因性侵犯而就医的男性,他们是通过互联网方法招募的:横断面调查评估了与性侵犯后接受和坚持艾滋病暴露后预防(PEP)相关的因素:艾滋病风险认知、艾滋病暴露后预防自我效能、心理健康症状、对性侵犯披露的社会反应、PEP 费用、不良健康习惯和社会支持:结果:样本中有 69 名男性。结果:样本中有 69 名男性。报告抑郁症状(44 人,占 64%)和创伤后应激障碍症状(48 人,占 70%)的比例较高,与临床诊断的临界值一致。略高于四分之一的参与者报告了过去 30 天的非法药物使用情况(n = 20,29%),45 人(65%)报告了每周暴饮(一次饮酒六杯或六杯以上):男性在性侵犯研究和临床护理中的代表性不足。我们强调了我们的样本与之前临床样本的异同,并概述了未来研究和干预的需求:结论:在我们的样本中,尽管存在较高比例的心理健康症状和身体副作用,但在数据收集时,男性对感染 HIV 存在高度恐惧,并开始进行 HIV 预防性治疗,而且已经完成或正在积极进行 HIV 预防性治疗。这些研究结果表明,法医护士不仅需要做好准备,为患者提供有关 HIV 风险和预防方案的全面咨询和护理,还需要满足这一人群独特的后续需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.50
自引率
10.00%
发文量
120
期刊介绍: The Journal of Forensic Nursing (JFN) the official journal of the International Association of Forensic Nurses, is a groundbreaking publication that addresses health care issues that transcend health and legal systems by articulating nursing’s response to violence. The journal features empirical studies, review and theoretical articles, methodological and concept papers, and case reports that address the provision of care to victims and perpetrators of violence, trauma, and abuse. Topics include interpersonal violence (sexual assault, abuse, intimate partner violence); death investigation; legal and ethical issues; forensic mental health nursing; correctional nursing; and emergency and trauma nursing.
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