精神健康状况或心理社会残疾者与其他残疾者创伤经历和侵犯人权情况的比较。
A comparison of traumatic experiences and human rights violations of persons with mental health conditions or psychosocial disabilities and persons with other disabilities.
机构信息
Graduate School of Human and Socio-Environmental Studies, Kanazawa University, Kanazawa, Japan.
Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan.
出版信息
PLoS One. 2023 Nov 27;18(11):e0292750. doi: 10.1371/journal.pone.0292750. eCollection 2023.
This study compares the traumatic and human rights violation experiences of persons with mental health conditions or psychosocial disabilities and those of persons with other disabilities in the Philippines. Additionally, the role of gender in exposure to traumatic experience and human rights protection levels is explored. Of those registered as persons with disabilities in the city of Muntinlupa, 3000 subjects were randomly selected and 1,024 among them (Male = 510, Female = 512, Others = 2) agreed to participate in this study. This comparative study adopts a cross-sectional design. The survey was conducted using a structured questionnaire. The researchers mobilized health workers, officially recruited by the city, to visit the target participants' houses and to distribute the questionnaires to collect data. The questionnaire comprises items related to the participants' socio-demographic characteristics, exposure to traumatic experiences, and human rights-based well-being. Regarding the frequency of exposure to traumatic experiences, a little difference was found in physical domestic violence (abuse) between the two groups (Frequency = 20 (9.66), 44 (5.39%), χ2 = 5.154, p < 0.05). Regarding human rights-based well-being, no significant difference was found between persons with mental health conditions or psychosocial disabilities and persons with other disabilities. However, the human rights-based well-being of women with mental health conditions or psychosocial disabilities was significantly worse than that of women with other types of disabilities. Concrete and day-to-day human rights challenges in several areas in addition to inaccessibility to various services may have contributed to the human rights challenges encountered by women with mental health conditions or psychosocial disabilities. De-stigmatization of women with mental health conditions or psychosocial disabilities, the implementation of awareness-raising campaigns on various levels, and developing capacity of women with mental health conditions or psychosocial disabilities on how to protect their own rights may help improve the status quo.
本研究比较了菲律宾有心理健康状况或心理社会残疾人士和其他残疾人士的创伤和侵犯人权经历。此外，还探讨了性别在创伤经历暴露和人权保护水平方面的作用。在蒙廷卢帕市登记的残疾人士中，随机选择了 3000 名受试者，其中有 1024 名（男性=510，女性=512，其他=2）同意参与这项研究。这项比较研究采用了横断面设计。调查采用了结构化问卷进行。研究人员动员了由该市正式招募的卫生工作者，前往目标参与者的家中访问，并分发问卷收集数据。问卷包括与参与者社会人口特征、创伤经历暴露和基于人权的幸福感相关的项目。在创伤经历暴露的频率方面，两组之间在身体家庭暴力（虐待）方面存在微小差异（频率=20（9.66），44（5.39%），χ2=5.154，p<0.05）。关于基于人权的幸福感，心理健康状况或心理社会残疾人士与其他残疾人士之间没有发现显著差异。然而，心理健康状况或心理社会残疾妇女的基于人权的幸福感明显差于其他类型残疾妇女。除了无法获得各种服务之外，在几个领域还存在具体的和日常的人权挑战，这可能导致心理健康状况或心理社会残疾妇女面临人权挑战。消除对心理健康状况或心理社会残疾妇女的污名化、在各个层面开展提高认识运动以及培养心理健康状况或心理社会残疾妇女保护自身权利的能力，可能有助于改善现状。
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