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Language of sexual violence in Haiti: perceptions of victims, community-level workers, and health care providers.
J Health Care Poor Underserved. 2014 Nov; 25(4):1623-40.JH

Abstract

Non-partner sexual violence (NPSV), an important risk factor for HIV, is of global public health significance and understudied. The 2010 earthquake interacted syndemically with structural factors to increase sexual violence and HIV risk for women in Cité Soleil, Haiti. We used an exploratory sequential qualitative design and Grounded Theory to investigate language/terminology for NPSV, victims and perpetrators, and health effects of NPSV on victims, in four focus groups: Health care providers (HCPs) (n=3; n=8), community advocates (n=8), and victims (n=8). Crucial differences exist among stakeholders: HCPs prefer French and possess different explanatory models of illness from victims, who provided more extensive and explicit descriptions (e.g., “strangled like a chicken,” “tuyo”/“faucet”/“flooding” for gang rapes). Victims also reported purposeful injury to their external and internal genitalia, signaling STI/HIV risk. Reconciling within-culture differences between victims and HCPs can inform screening, diagnosis, treatment, follow-up and delivery of relevant interventions.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25418231

Citation

Joshi, Manisha, et al. "Language of Sexual Violence in Haiti: Perceptions of Victims, Community-level Workers, and Health Care Providers." Journal of Health Care for the Poor and Underserved, vol. 25, no. 4, 2014, pp. 1623-40.
Joshi M, Rahill GJ, Lescano C, et al. Language of sexual violence in Haiti: perceptions of victims, community-level workers, and health care providers. J Health Care Poor Underserved. 2014;25(4):1623-40.
Joshi, M., Rahill, G. J., Lescano, C., & Jean, F. (2014). Language of sexual violence in Haiti: perceptions of victims, community-level workers, and health care providers. Journal of Health Care for the Poor and Underserved, 25(4), 1623-40. https://doi.org/10.1353/hpu.2014.0172
Joshi M, et al. Language of Sexual Violence in Haiti: Perceptions of Victims, Community-level Workers, and Health Care Providers. J Health Care Poor Underserved. 2014;25(4):1623-40. PubMed PMID: 25418231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Language of sexual violence in Haiti: perceptions of victims, community-level workers, and health care providers. AU - Joshi,Manisha, AU - Rahill,Guitele J, AU - Lescano,Celia, AU - Jean,Florence, PY - 2014/11/25/entrez PY - 2014/11/25/pubmed PY - 2016/9/28/medline SP - 1623 EP - 40 JF - Journal of health care for the poor and underserved JO - J Health Care Poor Underserved VL - 25 IS - 4 N2 - Non-partner sexual violence (NPSV), an important risk factor for HIV, is of global public health significance and understudied. The 2010 earthquake interacted syndemically with structural factors to increase sexual violence and HIV risk for women in Cité Soleil, Haiti. We used an exploratory sequential qualitative design and Grounded Theory to investigate language/terminology for NPSV, victims and perpetrators, and health effects of NPSV on victims, in four focus groups: Health care providers (HCPs) (n=3; n=8), community advocates (n=8), and victims (n=8). Crucial differences exist among stakeholders: HCPs prefer French and possess different explanatory models of illness from victims, who provided more extensive and explicit descriptions (e.g., “strangled like a chicken,” “tuyo”/“faucet”/“flooding” for gang rapes). Victims also reported purposeful injury to their external and internal genitalia, signaling STI/HIV risk. Reconciling within-culture differences between victims and HCPs can inform screening, diagnosis, treatment, follow-up and delivery of relevant interventions. SN - 1548-6869 UR - https://www.unboundmedicine.com/medline/citation/25418231/Language_of_sexual_violence_in_Haiti:_perceptions_of_victims_community_level_workers_and_health_care_providers_ L2 - http://muse.jhu.edu/cgi-bin/resolve_openurl.cgi?issn=1049-2089&volume=25&issue=4&spage=1623&aulast=Joshi DB - PRIME DP - Unbound Medicine ER -