La violencia sexual y su abordaje en el sistema de salud

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2024-11-01 DOI:10.1016/j.aprim.2023.102837

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Abstract

Sexual violence is a very underdetected public health problem, with important short and long-term consequences on physical, mental, social, sexual and reproductive health, which must be taken into account by health services.

Health systems are part of the set of resources necessary for a comprehensive approach from the ecological model: prevention and promotion of healthy sexuality with equality, adequate and coordinated care in the event of sexual assault and subsequent support to prevent sequelae.

All sexual violence has health consequences, even those that may seem less serious such as sexual harassment or sexual cyberviolence.

We must know the needs of the victim and their possible emotional reactions. A risk assessment will be carried out, the victim will be referred to a hospital if necessary and comprehensive and integrated care will be provided.

Care and follow-up must focus on the survivor and with professionals trained in trauma to understand the consequences of sexual violence, offer a safe and trusting environment and know how to reinforce their qualities and support.

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[解决医疗服务中的性暴力问题]。

性暴力是一个极少被发现的公共卫生问题，对身体、精神、社会、性和生殖健康都有重要的短期和长期影响，卫生服务部门必须考虑到这一点。卫生系统是生态模式综合方法所需的一系列资源的一部分：预防和促进平等的健康性行为，在发生性侵犯时提供充分和协调的护理，以及为防止后遗症提供后续支持。所有性暴力都会对健康造成影响，即使是那些看起来不太严重的性暴力，如性骚扰或网络性暴力。我们必须了解受害者的需求及其可能的情绪反应。我们将进行风险评估，必要时将受害者转到医院，并提供全面综合的护理。护理和后续工作必须以幸存者为重点，并由受过创伤培训的专业人员进行，以了解性暴力的后果，提供一个安全和信任的环境，并知道如何加强他们的素质和支持。

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

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.