Challenges in the Search for Help Services among LGBT+ People Survivors of Sexual Violence
DOI:
https://doi.org/10.37226/rcp.v9i1.13509Keywords:
help services, affirmative services, LGBT, sexual and gender minorities, sexual violenceAbstract
Sexual violence is a public health problem that affects people's well-being. LGBT+ people are more likely to experience sexual violence than others. The purpose of this study was to explore the challenges in finding support services among LGBT+ survivors of sexual violence in Puerto Rico. This qualitative triangular phenomenological study was based on the Culturally Inclusive Ecological Model for Recovery from Sexual Assault and Minority Stress Theory (#2109072035). Semi-structured interviews were conducted with LGBT+ survivors (n=1), aid professionals (n=2), and community leaders (n=2), between February 2022 and June 2023. A data triangulation was carried out between these interviews. The results reflected that sexual violence has been normalized. Deficiencies in the support systems were evident. Participants emphasized the importance of sex education and community awareness, access to services, representation of the LGBT+ population in media campaigns, and trainings on working with LGBT+ survivors. Participants are not satisfied with the support system. It is important to act and research to develop tools that improve the support system.
References
Benavides-Okuda, M., & Gómez-Restrepo, C. (2005). Métodos en investigación cualitativa: triangulación. Revista Colombiana de Psiquiatría, 34(1), 118-124
Berrill, K.T., & Herek, G. (1992). Hate Crimes: Confronting Violence Against Lesbians and Gay Men. Sage Publications.
Brown, L. S., & Pantalone, D. (2011). Lesbian, gay, bisexual, and transgender issues in trauma psychology: A topic comes out of the closet [Edito-rial]. Traumatology, 17(2), 1–3. https://doi.org/10.1177/1534765611417763 DOI: https://doi.org/10.1177/1534765611417763
Campbell, R. (2006). Rape survivors’ experiences with the legal and medical systems: Do rape victims advocates make a difference? Violence Against Women, 12(1), 1-16. DOI: https://doi.org/10.1177/1077801205277539
Campbell, R., Dworkin, E., & Cabral, G. (2009). An ecological model of the impact of sexual assault on women’s mental health. Trauma, Violence and Abuse, 10, 225-246. DOI: https://doi.org/10.1177/1524838009334456
Campbell, R., Goodman-Williams, R., & Javorka, M. (2019). A Trauma Informed Approach to Sexual Violence Research Ethics and Open Science. Journal of Interpersonal Violence, 34(23-24), 4763-4793. DOI: https://doi.org/10.1177/0886260519871530
Campbell, R. & Raja. S. (1999). Secondary Victimization of Rape Victims: Insights from Mental Health Professionals Who Treat Survivors of Vio-lence. Violence and Victims, 14(3), 261-275. DOI: https://doi.org/10.1891/0886-6708.14.3.261
Centro de Ayuda a Víctimas de Violación. (2019). Protocolo de Intervención con Víctimas de Agresión Sexual para Facilidades de Salud (5ta Ed.). Depar-tamento de Salud del Gobierno de Puerto Rico. https://cavvsaludpr.weebly.com/uploads/1/1/6/8/116808613/protocolo_de_as.pdf
Chen, J., Khatiwada, S., Chen, M. S., Smith, S. G., Leemis, R. W., Friar, N., Basile, K. C., and Kresnow, M. (2023). The National Intimate Partner and Sexual Violence Survey (NISVS) 2016/2017: Report on Victimization by Sexual Identity. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
Closson, K., Boyce, S., Johns, N., Inwards-Breland, D., Thomas, E., & Raj, A. (2024). Physical, Sexual and Intimate Partner Violence Among Transgender and Gender-Diverse Individuals. Jama Network Open. https://doi.org/10.1001/jamanetworkopen.2024.19137 DOI: https://doi.org/10.1001/jamanetworkopen.2024.19137
Creswell, J. (2013). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th Edition). SAGE.
Davis, E. (Febrero 5, 2020). Discrimination: A Social Determinant of Health Inequities", Health Affairs Blog. https://www.healthaffairs.org/content/forefront/discrimination-social-determinant-health-inequities
Esteban, C., & González-Rivera, J. (2022). Perception of individual and group discrimination among LGB individuals in Puerto Rico: A descrip-tive study. Interacciones, 8, e248. https://doi.org/10.24016/2022.v8.248 DOI: https://doi.org/10.24016/2022.v8.248
Esteban, C., Francia, M., Vázquez, M., Crespo, F., Bruno-Ortiz, T., Santiago-Ortiz, A. & Martínez, A. (2023). Sexual orientation knowledge and attitudes and its association with therapy satisfaction among lesbian, gay, and bisexual+ Hispanic Puerto Ricans. BMC Public Health. https://doi.org/10.1186/s12889-023-15811-8 DOI: https://doi.org/10.21203/rs.3.rs-2460479/v1
Fogel, S. (2016). Internalized Homophobia, Disclosure and Health. In K. Eckstand & J. Ehrenfeld (Eds.) Lesbian, Gay, Bisexual and Transgender Healthcare (pp. 39-50). Springer. DOI: https://doi.org/10.1007/978-3-319-19752-4_4
Francia, M., Esteban, C. & Lespier, Z. (2017). Actitudes, conocimiento y distancia social de psicoterapeutas con la comunidad transgénero y transexual. Revista Puertorriqueña de Psicología, 28(1), 98-113.
García-Acosta, J.M., Castro-Peraza, M.E., Arias-Rodríguez, M., Llabrés-Solé, R., Lorenzo-Rocha, N., & Perdomo-Hernández, A.M. (2019). Atención sanitaria trans competente, situación actual y retos futuros: Revisión de literatura. Enfermería Global, 56(1), 542-554. http://dx.doi.org/10.6018/eglobal.18.4.357621 DOI: https://doi.org/10.6018/eglobal.18.4.357621
Hoxmeier, J. C. (2016). Sexual assault and relationship abuse victimization of transgender undergraduate students in a national sample. Violence and Gender, 3(4), 202–207. https://doi.org/10.1089/vio.2016.0008 DOI: https://doi.org/10.1089/vio.2016.0008
Hoxmeier, J. C., & Madlem, M. (2018). Discrimination and Interpersonal Violence: Reported Experiences of Trans* Undergraduate Students. Violence and Gender, 5(1), 12–18. https://doi.org/10.1089/vio.2017.0003 DOI: https://doi.org/10.1089/vio.2017.0003
Jackson, M., Valentine, S., Woodward, E. & Pantalone, D. (2017). Secondary Victimization of Sexual Minority Men Following Disclosure of Sexual Assault: “Victimizing Me All Over Again…” Sexuality Research and Social Policy, 14(1), 275-288 DOI: https://doi.org/10.1007/s13178-016-0249-6
Ley de la Semana del Líder y Grupos Comunitarios y de la Autogestión Comunitaria en el Estado Libre Asociado de Puerto Rico, Ley 102. (2003). https://bvirtualogp.pr.gov/ogp/Bvirtual/leyesreferencia/PDF/102-2003.pdf
Long, S.M., Ullman, S.E., Long, L.M., Mason, G.E., & Starzynski, L.L. (2007). Women’s experiences of male-perpetrated assault by sexual orienta-tion. Violence and Victims, 22(6), 684-701. DOI: https://doi.org/10.1891/088667007782793138
Madera, S. L., Díaz, N. V., Padilla, M., Pibernus, X. R., Neilands, T. B., Segarra, E. R., Velázquez, C. M., & Bockting, W. (2019). "Just Like Any Other Patient": Transgender Stigma among Physicians in Puerto Rico. Journal of Health Care for the Poor and Underserved, 30(4), 1518–1542. https://doi.org/10.1353/hpu.2019.0089
McNeil, J., Bailey, L., Ellis, S., Morton, J & Regan, M. (2012). Trans Mental Health Survey 2012. www.gires..org.uk/assets/Medpro-Assets/trans_nh_study.pdf
Metro Puerto Rico. (2022, Agosto 2) Salud restaura requisito de cursos sobre la comunidad LGBT a profesionales de la salud. Metro Puerto Rico. https://www.metro.pr/noticias/2022/08/02/salud-restaura-requisito-de-cursos-sobre-la-comunidad-lgbt-a-profesionales-de-la-salud/
Meyer, I. (2003). Prejudice, Social Stress, and Mental Health in Lesbian, Gay and Bisexual Populations: Conceptual Issues and Research Evi-dence. Psychology Bulletin, 129(5), 674-697. DOI: https://doi.org/10.1037/0033-2909.129.5.674
Mirowski, J. & Ross,C. (1980) Minority Status, Ethnic Culture, and Distress: A comparison of Blacks, Whites, Mexicans and Mexian Americans. American Journal of Sociology, 86, 479-495. DOI: https://doi.org/10.1086/227277
Moll, J., Krieger, P., Heron, S., Joyce, C., & Moreno-Walton, L. (2019). Attitudes, behavior, and comfort of emergency medicine residents in caring for LGBT patients: What do we know? Academic Emergency Medicine Education and Training, 3(1), 129-135. DOI: https://doi.org/10.1002/aet2.10318
National Coallition of Antiviolence Programs. (2018). National Report on LGBTQ & HIV- Affected Violence in 2017. https://avp.org/wp-content/uploads/2019/01/NCAVP-HV-IPV-2017-report.pdf
Neville, H. A. & Heppner, M. J. (1999). Contextualizing Rape: Reviewing sequelae and proposing a culturally inclusive ecological model of sexu-al assault recovery. Applied & Preventative Psychology, 8(1), 41-62. DOI: https://doi.org/10.1016/S0962-1849(99)80010-9
Oficina de la Procuradora de las Mujeres (2025). Delitos Sexuales Año 2024. https://docs.pr.gov/files/Mujer/Estadisticas/Agresion%20Sexual/DELITOS%20SEXUALES%20ANO%202024.pdf
Organización Mundial de la Salud. (2002). Violencia sexual (pp. 147–174). En E. Krug, L. Dahlberg, J. Mercy, A. Zwi, & R. Lozano (Eds.), Informe mundial sobre la violencia y la salud. Ginebra, Suiza: Organización Mundial de la Salud.
Paz para la Mujer (2016). Estadísticas sobre violencia doméstica en Puerto Rico 1990-2016. Oficina de la Procuradora de las Mujeres; Estado Libre Asociado de Puerto Rico. https://pazparalamujer.org/estadisticas-sobre-violencia-domestica-en-puerto-rico-1990-2016/
Raliance (2021). Funding is crucial for rape crisis centers. https://www.raliance.org/wpcontent/uploads/2021/02/FundingforRCC2021_Final508.pdf
Rodríguez-Madera, S. L., Díaz, N. V., Padilla, M., Pibernus, X. R., Neilands, T. B., Segarra, E. R., Velázquez, C. M., & Bockting, W. (2019). "Just Like Any Other Patient": Transgender Stigma among Physicians in Puerto Rico. Journal of health care for the poor and underserved, 30(4), 1518–1542. https://doi.org/10.1353/hpu.2019.0089
Santiago, I. (2022, Noviembre 3). Crisis en el sistema de salud: una afrenta contra la dignidad humana. [Conversatorio]. Pontificia Universidad Cató-lica de Puerto Rico en Ponce, PR. https://huellas.pucpr.edu/crisis-en-el-sistema-de-salud-una-afrenta-contra-la-dignidad-humana/
Taya Mortimer, S. (2022). Queering survival: LGBTQA people’s experiences of living through sexual violence [Doctoral Thesis, RMIT University]
Rodríguez-Madera, S., Varas-Díaz, N., Ramon-Pibernus, A., Neilands, T., Rivera-Segarra, E., Pérez-Velázquez, C., & Bockting, W. (2019). “Just like any other patient”: Transgender Stigma among Physicians in Puerto Rico. Journal of Health Care for the Poor and Undeserved, 30(1), 1518-1542. DOI: https://doi.org/10.1353/hpu.2019.0089
Williams, M., & Tregidga, J. (2013). All Wales hate crime project. Race Equality First and Cardiff University. http://www.cardiff.ac.uk/socsi/research/publications/Time%20for%20Justice-All%20Wales%20Hate%20Crime%20Project.pdf
Zoom (2020) HIPPA Compliance Guide. https://zoom.us/docs/doc/Zoom-hipaa.pdf
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