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Help-Seeking and Barriers to Care in Intimate Partner Sexual Violence: A Systematic Review
Trauma, Violence, & Abuse ( IF 6.595 ) Pub Date : 2021-03-09 , DOI: 10.1177/1524838021998305
Elizabeth N Wright 1 , Jocelyn Anderson 1 , Kathleen Phillips 1 , Sheridan Miyamoto 1
Affiliation  

Intimate partner sexual violence (IPSV) is a prevalent phenomenon, yet an under-researched topic. Due to the complex nature of balancing love and fear, individuals who experience IPSV have unique needs and face unique barriers to seeking care. The purpose of this systematic review was to examine the literature on help-seeking and barriers to care in IPSV. Articles were identified through PubMed, CINAHL, PsycINFO, and Web of Science. Search terms included terms related to IPSV, intimate partner violence (IPV), domestic violence, sexual assault, and rape. The review was limited to the United States, and articles that were included needed to specifically measure or identify sexual violence in an intimate relationship and analyze or discuss IPSV in relation to help-seeking behaviors or barriers to care. Of the 17 articles included in this review, 13 were quantitative studies and four were qualitative studies. Various definitions and measurements of IPSV across studies included in this review make drawing broad conclusions challenging. Findings suggest that experiencing IPSV compared to experiencing nonsexual IPV (i.e., physical or psychological IPV) may increase help-seeking for medical, legal, and social services while decreasing help-seeking for informal support. Help-seeking can also reduce risk of future IPSV and decrease poor mental health outcomes. Barriers to seeking care in IPSV included social stigma, fear, and difficulty for individuals in identifying IPSV behaviors in their relationships as abuse. More inclusive research is needed among different populations including men, non-White individuals, nonheterosexual, and transgender individuals. Suggestions for research, practice, and policies are discussed.



中文翻译:

亲密伴侣性暴力中的寻求帮助和护理障碍:系统回顾

亲密伴侣性暴力 (IPSV) 是一种普遍存在的现象,但却是一个研究不足的话题。由于平衡爱与恐惧的复杂性,经历过 IPSV 的个人有独特的需求,并且在寻求护理方面面临独特的障碍。本系统评价的目的是检查有关 IPSV 寻求帮助和护理障碍的文献。通过 PubMed、CINAHL、PsycINFO 和 Web of Science 识别文章。搜索词包括与 IPSV、亲密伴侣暴力 (IPV)、家庭暴力、性侵犯和强奸相关的词。审查仅限于美国,纳入的文章需要专门衡量或识别亲密关系中的性暴力,并分析或讨论 IPSV 与求助行为或护理障碍的关系。在本综述中包含的 17 篇文章中,13 项是定量研究,4 项是定性研究。本综述中包含的研究中 IPSV 的各种定义和测量使得得出广泛的结论具有挑战性。研究结果表明,与经历非性 IPV(即身体或心理 IPV)相比,经历 IPV 可能会增加寻求医疗、法律和社会服务的帮助,同时减少寻求非正式支持的帮助。寻求帮助还可以降低未来发生 IPSV 的风险并减少不良的心理健康结果。在 IPSV 中寻求护理的障碍包括社会耻辱、恐惧和个人难以将他们关系中的 IPSV 行为识别为虐待。需要在不同人群中进行更具包容性的研究,包括男性、非白人、非异性恋和变性人。研究、实践建议

更新日期:2021-03-09
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