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Health Care Seeking and Engagement After Sexual Assault
Affiliation:1. Department of Psychiatry & Behavioural Neurosciences, McMaster University, Canada;2. Department of Health Research Methods, Evidence and Impact, McMaster University, Canada;3. Department of Reproductive Health & Research, World Health Organization, Switzerland;4. McMaster Evidence Review and Synthesis Team, McMaster University, Canada;5. Department of Pediatrics, McMaster University, Canada;1. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island;2. Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, New York;3. Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island;1. Institute for Reproductive Health, Georgetown University, Washington, DC;2. Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland;1. Department of Infectious Disease Epidemiology, Imperial College, London, United Kingdom;2. Department HIV & Global Hepatitis Programme, World Health Organization, Geneva, Switzerland
Abstract:Sexual assault (SA), which affects up to 20% of women, is associated with chronic physical and emotional health disorders. Although SA victims/survivors are less likely to seek health care, less is known about the specific barriers and facilitators in health care seeking and engagement. The purpose of this study was to learn the barriers and facilitators from victims/survivors. Data were collected using semistructured interviews. Constructivist coding was used in data analysis. Barriers were reminders of sexual assault, male health care providers, and loss of control with disclosures. Facilitators were health care providers who were empathetic, knowledgeable, and female.
Keywords:engagement  healthcare seeking  sexual assault
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