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- Alexandre, Ali Bitenga, et al.
(author)
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A man never cries : barriers to holistic care for male survivors of sexual violence in eastern DRC
- 2022
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In: Medicine, conflict and survival. - : Taylor & Francis Group. - 1362-3699 .- 1743-9396. ; 38:2, s. 116-139
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Journal article (peer-reviewed)abstract
- While we know that most male survivors of conflict-related sexual violence in the Democratic Republic of the Congo (DRC) do not have access to care, little attention has been devoted to a systematic analysis of why this is so. Drawing from semi-structured interviews with staff of service providers and male survivors of sexual violence, as well as from focus group discussions with community members in eastern DRC, this article sets out to explore challenges and barriers related to meeting the needs of male survivors of sexual violence with respect to their medical, psychological, socioeconomic and legal needs. Our findings suggest that local framings of masculinity can both negatively and positively influence support-seeking behaviour depending on how survivors themselves engage with masculinity ideals. Based on these findings, a conceptual framework including seven levels of barriers to care for male survivors has been developed. Although service providers strive to provide high-quality care to male survivors, we show that existing responses to sexual violence have mainly been designed to address sexual violence against women and need to be re-adapted to male survivors. © 2022 Informa UK Limited, trading as Taylor & Francis Group.
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| 3. |
- Hermansson, Ann-Charlotte, 1945-, et al.
(author)
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Survival with pain : an eight-year follow-up of war-wounded refugees.
- 2001
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In: Medicine, conflict and survival. - 1362-3699 .- 1743-9396. ; 17:2, s. 102-111
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Journal article (peer-reviewed)abstract
- The aim of this study was to investigate the nature of chronic pain in male war-wounded refugees and to examine the relationship between chronic pain and psychiatric symptoms. A culturally heterogeneous group of 44 war-wounded refugees were investigated during hospitalization, shortly after arrival, and followed up after two years. This study is an additional follow-up after eight years. The data collection methods used were structured interviews and physical examination. The measures of outcome were: Visual Analogue Scale (VAS) grading of pain, clinical categorization of pain into nociceptive or neurogenic, Hopkins Symptom Check List (HSCL-25), Post Traumatic Symptom Scale (PTSS-10). Chronic pain was found in 32 (73%) out of 44 subjects. The pain was purely nociceptive and neurogenic in 53% and 25%, respectively. The frequency of psychiatric symptoms was significantly related to the mean intensity of pain. War-wounded refugees display psychiatric symptoms and chronic pain in a complex pattern. Further research is needed as a basis for pain rehabilitation programmes suitable for this group.
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| 5. |
- Jamil, Hikmet, et al.
(author)
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Pre- and post-displacement stressors and time of migration as related to self-rated health among Iraqi immigrants and refugees in Southeast Michigan
- 2010
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In: Medicine, conflict and survival. - : Informa UK Limited. - 1362-3699 .- 1743-9396. ; 26:3, s. 207-222
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Journal article (peer-reviewed)abstract
- The objective of this study was to determine whether perceived health status of Iraqi immigrants and refugees residing in the United States was related to pre-migration environmental stress, current unemployment, and if they had emigrated before or after the 1991 Gulf War. A random sample of Iraqis residing in Southeast Michigan, US, was interviewed using an Arab language structured survey. The main outcome measure was self-rated health (SRH). Major predictors included socioeconomics, employment status, pre-migration environmental stress, and health disorders. Path analysis was used to look at mediating effects between predictors and SRH. We found that SRH was significantly worse among participants that had left Iraq after the 1991 Gulf War. Unemployment and environmental stress exposure were inversely related to SRH. There was a direct path between Gulf War exposure and poor health. In addition, there were indirect paths mediated through psychosomatic and psychiatric disorders to SRH. Another path went from Gulf War exposure, via environmental stress and somatic health to poor health. Unemployment had a direct path, as well as indirect paths mediated through psychiatric and psychosomatic disorders, to poor self-rated health. In conclusion, these results suggest that pre- as well as post-migration factors, and period of migration, affect health.
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| 8. |
- Revill, James, et al.
(author)
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Lessons learned from implementing education on dual-use in Austria, Italy, Pakistan and Sweden
- 2012
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In: Medicine, Conflict and Survival. - : Informa UK Limited. - 1362-3699 .- 1743-9396. ; 28:1, s. 31-44
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Journal article (peer-reviewed)abstract
- This paper provides insights into the achievements and challenges of implementing education on dual-use in four countries: Austria, Italy, Pakistan and Sweden. It draws attention to the different institutional mechanisms through which dual-use education may be introduced into academic curricula and some of the difficulties encountered in this process. It concludes that there is no ‘one size fits all’ approach to the implementation of dual-use education. Rather, initiatives must be tailored to suit the teaching traditions, geographical and historical context in which they are being delivered. However, a number of common principles and themes can be derived from all four cases. All these courses bring together a number of different topics that place ‘dual-use’ in the broader context of biosafety, biosecurity, ethics, law and the environment. The case studies suggest that success in this area depends largely on the leadership and commitment of individuals directly involved in teaching, who are active within the scientific community.
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