Factors Influencing Professional Help-Seeking Intentions for Sexual and Gender-Based Violence Among Female University Students in Eswatini.

IF 1.7 4区 医学 Q2 NURSING
Mi Sook Jung, Nondumiso Satiso Dlamini
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Abstract

Objectives: To investigate the prevalence of sexual and gender-based violence (SGBV) among female college students, identify factors influencing intention to seek professional help among SGBV survivors, and compare help-seeking determinants among survivors based on their prior utilization of healthcare services.

Design: A cross-sectional online survey was employed among female students aged 18-24 years from two universities in Eswatini.

Measurements and sample: A total of 271 female college students were recruited to assess SGBV experience, attitudes, social norms, perceived control, help-seeking intention, and other factors not originally included in the theory of planned behavior. Data analyses utilized descriptive statistics, comparative analyses, and multiple regression methods.

Results: Among the participants, 73.1% reported experiencing one or more forms of SGBV, while only 43.4% sought professional help through health services. Help-seeking intentions of survivors were significantly associated with positive attitudes, subjective norms, and marital status, collectively explaining 66% of the variance. In subgroup analyses, the subjective norm and attitude emerged as the most robust predictors of help-seeking intentions.

Conclusion: The results revealed a high prevalence of SGBV and a concerning trend of low help-seeking behavior, with attitudes and subjective norms emerging as the most influential factors shaping intention. These results provide valuable insights for designing theory-driven and culturally sensitive public health nursing interventions and educational programs aimed at effectively supporting SGBV survivors.

影响埃斯瓦提尼女大学生就性暴力和性别暴力寻求专业帮助意愿的因素。
目的调查女大学生中性暴力和基于性别的暴力(SGBV)的发生率,确定影响性暴力和基于性别的暴力幸存者寻求专业帮助的意向的因素,并根据幸存者之前使用医疗服务的情况对其寻求帮助的决定因素进行比较:设计:对来自埃斯瓦提尼两所大学的 18-24 岁女大学生进行横断面在线调查:共招募了 271 名女大学生,对其 SGBV 经历、态度、社会规范、感知控制、求助意向以及计划行为理论中最初未包含的其他因素进行评估。数据分析采用了描述性统计、比较分析和多元回归方法:在参与者中,73.1% 的人表示曾遭受过一种或多种形式的性暴力和基于性别的暴力,而只有 43.4% 的人通过医疗服务寻求专业帮助。幸存者的求助意向与积极态度、主观规范和婚姻状况有显著关联,共同解释了66%的差异。在分组分析中,主观规范和态度是预测求助意向最有力的因素:研究结果表明,性暴力和性别暴力的发生率很高,而求助行为的发生率却很低,这一趋势令人担忧,而态度和主观规范则是影响求助意愿的最重要因素。这些结果为设计以理论为导向、具有文化敏感性的公共卫生护理干预措施和教育计划提供了宝贵的启示,旨在为 SGBV 幸存者提供有效支持。
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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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