Suchergebnisse

AbstractSexual revictimisation has devastating consequences for victim/survivors, yet there is limited research exploring women's experience of revictimisation in regional/rural areas. Using a community‐based participatory research (CBPR) approach, this paper reports on a qualitative study that employed a material feminist lens and Nixon's theory of "slow violence" to explore women's lived experiences of sexual revictimisation. In‐depth interviews were conducted with victim/survivors (N = 11) living in regional and rural areas of Australia. Findings show that the failure of family, community and services to respond appropriately to participant's disclosures of violence and abuse was deeply entangled with rural infrastructure, isolated landscapes, fear of social isolation, victim‐blaming discourses, idealisation of men in the community and limited relationship and sexuality education (RSE) in schools. These components collectively formed a manifestation of "slow violence," which accumulated over the participants' life spans and gradually normalised relational violence. This paper draws attention to a complex interplay of cultural, material and interpersonal elements, including the culture and spaces of rural/regional communities, that establish conditions enhancing the likelihood of women experiencing sexual revictimisation.

Abstract
Introduction
Sexual revictimisation has detrimental health outcomes for women; yet, little is known about this experience in regional/rural areas. Guided by a Community Based Participatory Research (CBPR) approach, we explore sexual assault counsellor perspectives on the revictimisation experiences of their clients and consider what conditions enable sexual revictimisation to be perpetrated within regional/rural spaces.

Method
This paper reports findings from a workshop held in September 2021 with counsellors (N = 27) from a sexual violence response organisation servicing regional and rural communities in Victoria, Australia.

Results
Findings from this study reveal that geographically and socially isolated spaces, cultures of victim-blaming, structural disadvantage and systemic revictimisation facilitated men in perpetrating sexual violence in local and specific ways. These material-discursive forces were thereby involved in the co-constitution of sexual revictimisation as a phenomenon.

Conclusion
It is imperative that revictimisation research and policy examine the multiple and complex material-discursive forces that co-constitute sexual violence experiences.

Policy Implications
Investigating the complex network of forces prevalent in sexual revictimisation experiences prompts us to transcend potentially victim-blaming explanations and detrimental policy measures focused solely on the individual. Instead, this approach cultivates a deeper appreciation for the divergent dynamics, agents and processes at play. It underscores the demand for more sophisticated research and policy interventions that grasp the complexity of revictimisation experiences.

Abstract Background Mothers are at risk of domestic violence (DV) and its harmful consequences postpartum. There is no evidence to date for sustainability of DV screening in primary care settings. We aimed to test whether a theory-informed, maternal and child health (MCH) nurse-designed model increased and sustained DV screening, disclosure, safety planning and referrals compared with usual care. Methods Cluster randomised controlled trial of 12 month MCH DV screening and care intervention with 24 month follow-up. The study was set in community-based MCH nurse teams (91 centres, 163 nurses) in north-west Melbourne, Australia. Eight eligible teams were recruited. Team randomisation occurred at a public meeting using opaque envelopes. Teams were unable to be blinded. The intervention was informed by Normalisation Process Theory, the nurse-designed good practice model incorporated nurse mentors, strengthened relationships with DV services, nurse safety, a self-completion maternal health screening checklist at three or four month consultations and DV clinical guidelines. Usual care involved government mandated face-to-face DV screening at four weeks postpartum and follow-up as required. Primary outcomes were MCH team screening, disclosure, safety planning and referral rates from routine government data and a postal survey sent to 10,472 women with babies ≤ 12 months in study areas. Secondary outcomes included DV prevalence (Composite Abuse Scale, CAS) and harm measures (postal survey). Results No significant differences were found in routine screening at four months (IG 2,330/6,381 consultations (36.5 %) versus CG 1,792/7,638 consultations (23.5 %), RR = 1.56 CI 0.96–2.52) but data from maternal health checklists (n = 2,771) at three month IG consultations showed average screening rates of 63.1 %. Two years post-intervention, IG safety planning rates had increased from three (RR 2.95, CI 1.11–7.82) to four times those of CG (RR 4.22 CI 1.64–10.9). Referrals remained low in both intervention groups (IGs) and comparison groups (CGs) (<1 %). 2,621/10,472 mothers (25 %) returned surveys. No difference was found between arms in preference or comfort with being asked about DV or feelings about self. Conclusion A nurse-designed screening and care model did not increase routine screening or .