提高认识和关怀:解决女退伍军人的军事性创伤。

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Joyce A Akwe, Daniel P Hunt
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引用次数: 0

摘要

军中性创伤(MST)严重影响着美国女性退伍军人的健康和福祉,在美国,女性占现役军人的16.3%。尽管政策取得了进步,但MST仍然普遍存在,对身心健康产生了深远影响。MST包括性侵犯和性骚扰,影响到军队中38%的女性和4%的男性。它与创伤后应激障碍、抑郁症、物质使用障碍以及心血管疾病和慢性疼痛等身体健康问题的高发率有关。此外,MST幸存者还面临社会功能障碍,包括家庭关系、职业表现和教育成就方面的困难。军事环境以狭小的生活区和等级森严的权力动态为特征,加剧了MST的风险和后果。幸存者往往遭遇制度性背叛和对报复的恐惧,阻碍了报告和获得支持。有效的干预措施必须应对这些独特的挑战,强调创伤知情护理、社会支持和系统性变革,以促进性别平等和问责制。利用移动应用程序和在线干预等技术,可以增加MST幸存者获得护理和支持的机会。综合预防和干预战略,加上军队内部的政策改革和文化转变,对于减轻MST的影响和支持女退伍军人的康复和福祉至关重要。这篇叙述性综述的目的是研究MST对女性退伍军人的健康影响和系统性挑战,倡导创伤知情护理和政策改革。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Awareness and Care: Addressing Military Sexual Trauma among Women Veterans.

Military sexual trauma (MST) significantly impacts the health and well-being of women veterans in the US military, where women constitute 16.3% of active-duty service members. Despite policy advancements, MST remains prevalent, with profound implications for mental and physical health. MST encompasses sexual assault and harassment, affecting 38% of women and 4% of men in the military. It is linked to higher rates of posttraumatic stress disorder, depression, substance use disorders, and physical health issues such as cardiovascular disease and chronic pain. In addition, MST survivors face social functional impairments, including difficulties in family relationships, occupational performance, and educational achievements. The military environment, characterized by close living quarters and hierarchical power dynamics, exacerbates the risk and consequences of MST. Survivors often experience institutional betrayal and fear of retaliation, hindering reporting and access to support. Effective interventions must address these unique challenges, emphasizing trauma-informed care, social support, and systemic changes to promote gender equity and accountability. Leveraging technology, such as mobile applications and online interventions, can enhance access to care and support for MST survivors. Comprehensive prevention and intervention strategies, coupled with policy reforms and cultural shifts within the military, are crucial for mitigating the impacts of MST and supporting the recovery and well-being of women veterans. The objective of this narrative review is to examine the health impacts and systemic challenges of MST among women veterans, advocating for trauma-informed care and policy reform.

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来源期刊
Southern Medical Journal
Southern Medical Journal 医学-医学:内科
CiteScore
1.40
自引率
9.10%
发文量
222
审稿时长
4-8 weeks
期刊介绍: As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.
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