Sexual violence in the United States is a pervasive and critical issue, causing longterm physical and mental health impacts for victims. Stigma surrounding sexual violence victims and victimization is widespread, and the experience of stigmatization can exacerbate poor health outcomes for victims. Secondary victimization from healthcare provider stigma and poor experiences with the healthcare system are critical concerns in post-assault care for sexual violence victims, but past research has not synthesized provider stigmas, attitudes, and gaps in knowledge and comprehensive care for sexual violence victims in a review of the current literature. A rapid systematic review protocol was therefore conducted from January 8th, 2020 - April 1st, 2020 in order to search the available literature and summarize these concerns in provider-patient experiences during post-assault care. Searches were conducted in PubMed and Scopus, and relevant articles were selected from those published in the last 10 years in the United States. Thirteen studies were selected, including qualitative, cross-sectional, and experimental study designs, that offered insights into provider-patient experiences, quality of care, training interventions, and provider approaches during post-assault care. All studies but one identified at least two areas of weakness in post-assault care and provider delivery of care. Weaknesses included: blatant stigmas, problematic attitudinal approaches, provider gaps in knowledge and/or comfort in providing treatment, and gaps in comprehensive post-assault care delivery. Findings of this review indicate further public health interventions should be employed to increase provider training around decreasing stigmas, improvising provider knowledge and comfort in post-assault care, and increasing standardized comprehensive care delivery for sexual violence victims.
Doran, Cierrah; Leader, DrPH, MPH, Amy; and Frasso, PhD, CPH, Rosemary, "Exploring Healthcare Providers' Biases, Stigmas, and Gaps in Care When Treating Sexual Violence Victims" (2020). Master of Public Health Capstone Presentations. Presentation 337.