Sexual abuse of adolescents and African American children

Sexual abuse of adolescents and African American children
Sexual abuse of adolescents and African American children

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Sexual abuse of adolescents and African American children

Sexual abuse among the minors is generally described as any sexual act between a minor and an adult or between two minors, where  one partner exerts power over the other person; coercing the other partner to engage in sexual act. It also includes non –contact sexual activity such as exposing the minors to pornography, voyeurism, sexual communication via social media and exhibitionism (Barnett, Heinze, and Arble, 2013).  

This is often a traumatic experience for any person; but it is a criminal offense. Sexual abuse incidences among the adolescents in the USA are high. It is estimated that every 10children, one is sexually abused before she or he attains their 18th birthday.  Girls are more prone to sexual boys as compared to boys; one in every seven girl is sexually assaulted as compared to one in every boy (Reid, 2014).

 Literature indicates that sexual abuse increases the chances of teen pregnancy, often unwanted pregnancy- which is associated with low birth outcomes. The coping strategies used by these adolescents include running away and substance abuse- putting the teenager in more risky activities (Marriott, Hamilton-Giachritsis, and Harrop, 2013).  The statistics continues to rise and more of our children will be sexually assaulted if no intervention is put in place.

The proposed research question is ‘what are the risk factors of sexual abuse among the African American adolescents? Understanding the risk factors will help understand the teenagers, understand the behavioural and psychological challenges they deal with, and strategies to help them cope with these traumatic events (Hunt, Martens, and Belcher, 2011).

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Sexual abuse of adolescents and African American children

Annotated bibliography

Barnett, D., Heinze, H. and Arble, E. (2013). Risk, Resilience, and the Rorschach: A Longitudinal Study of Children Who Experienced Sexual Abuse. Journal of Personality Assessment, 95(6), pp.600-609.

The study evaluates the experiences sexual abused children, indicating that these minors are likely to develop emotion and behavioral challenges. The paper is a longitudinal study of 44 children who had undergone sexual abuse. Using Rorschach Inkblot Test, approximately three quarters of the participants reported depressive symptoms.  The study evaluates the effective tools that can be used to evaluate the extent of trauma among the children and adolescents who have been sexually abused. 

For instance, using Rorschach protocol, there are other ways that can be used to by the healthcare providers and school counsellors to understand the child’s processing styles including the negative thoughts   associated with maltreatment and sexual assaults. 

Sexual abuse of adolescents and African American children

Elwood, L., Smith, D., Resnick, H., Gudmundsdottir, B., Amstadter, A., Hanson, R., Saunders, B. and Kilpatrick, D. (2011). Predictors of rape: Findings from the National Survey of Adolescents. Journal of Traumatic Stress, 24(2), pp.166-173.

 The article highlights that socioeconomic factors are the main factor that determine risk for adolescent’s sexual abuse. The internet sex crimes against minors are few but a significant percentage of the entire issue.  The study highlights that there is no child who is immune, but the social cultural background determines the risk level of sexual abuse.

Family structure is one of the risk factors, with research indicating foster families children with the highest risks, gender, age, ethnicity and socioeconomic status.  This very important when evaluating the ways to minimize risk factors associated with African American minor sexual abuse.

Sexual abuse of adolescents and African American children

Francisco, M., Hicks, K., Powell, J., Styles, K., Tabor, J. and Hulton, L. (2008). The Effect of Childhood Sexual Abuse on Adolescent Pregnancy: An Integrative Research Review. Journal for Specialists in Pediatric Nursing, 13(4), pp.237-248.

 This article adds immense knowledge to my proposed study as it describes the current literature on adolescent’s sexual abuse, teen pregnancies and the potential of risk factors that are cross cutting. The study identifies the cross cutting risk factors such as substance abuse, mother disengagement, family constellation, and parent-adolescent conflict. The study highlights the importance of identifying the victimized adults early is vital to ensure that there is early intervention.

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Sexual abuse of adolescents and African American children

George, A., Abatemarco, D., Terry, M., Yonas, M., Butler, J. and Akers, A. (2013). A qualitative exploration of the role of social networks in educating urban African American adolescents about sex. Ethnicity & Health, 18(2), pp.168-189.

 The article explores the role of social networks in sexual health issues among the African American adolescents. The article identifies the social media to have major roles including guide, challenger, confidant, shelter, role model, and supervisor –chaperone and the main source of sexual health information. This is one of the platforms that could be used to reach millions of youth’s sexual assaults among African American community.

Sexual abuse of adolescents and African American children

Hunt, K., Martens, P. and Belcher, H. (2011). Risky business: Trauma exposure and rate of posttraumatic stress disorder in African American children and adolescents. Journal of Traumatic Stress, 24(3), pp.365-369.

 This article highlights the consequences associated with sexual abuse among the African American adolescents.  The study indicates that domestic violence and sexual abuse is correlated to childhood posttraumatic stress disorder (PDTSD). The study indicates that exposure to such type of violence increases the likely hood of post traumatic disorders by two fold among the African American adolescents.  Other consequences highlighted by the study includes social isolation,  low self-esteem and low self-confidence.

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Sexual abuse of adolescents and African American children

Marriott, C., Hamilton-Giachritsis, C. and Harrop, C. (2013). Factors Promoting Resilience Following Childhood Sexual Abuse: A Structured, Narrative Review of the Literature. Child Abuse Rev., 23(1), pp.17-34.

The article is important as it adds great knowledge to my literature review on factors associated with resilience after adolescent sexual abuse. Examples of such factors include interpersonal features such as the adaptive coping strategies; but the most important factors highlighted by the article is familial stability, support from peers and schools- these creates a sense of community  that understands and is willing to support the victims. The article proposes more research on the effectiveness of using the systematic interventions such as social programs and policies to improve the outcomes of sexual adults’ victims. 

Payne, J., Galvan, F., Williams, J., Prusinski, M., Zhang, M., Wyatt, G. and Myers, H. (2014). Impact of childhood sexual abuse on the emotions and behaviors of adult men from three ethnic groups in the USA. Culture, Health & Sexuality, 16(3), pp.231-245.

 This article describes the impact of childhood sexual abuse on lives of the adults from three ethnic groups. The study evaluates the psychological and behavioral struggles of survivors of childhood sexual assaults.  This article is important for my study as it aids in understanding the behavioral challenges which includes shame issues, sexual identity crisis, hyper-vigilance, anger and low self-esteem.

The article highlights that there are cultural context influences, such that people from different community will respond differently; suggesting that effective coping strategies are those that are tailor made to match the victim’s sociocultural background.

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Sexual abuse of adolescents and African American children

Reid, J. (2014). Risk and resiliency factors influencing onset and adolescence-limited commercial sexual exploitation of disadvantaged girls. Crim Behav Ment Health, 24(5), pp.332-344.

 The previous studies have focused mainly on age related variables when analyzing the young women involved in sexual assaults, especially among those involved in sexual exploitation commercially. The study evaluated the variables associated with adolescents of sexual exploitation with the aim of identifying the resiliency factors and potential risks involved. This is important in my proposal as it facilitates understanding the concept of sexual victimization of adolescents, the effects of substance use and sexual violence.

Trickett, P., Negriff, S., Ji, J. and Peckins, M. (2011). Child Maltreatment and Adolescent Development. Journal of Research on Adolescence, 21(1), pp.3-20.

This article explores the collective impact of child maltreatment in the USA. The study highlights that childhood maltreatment which is associated with a myriad of mental health issues as well as developmental issues.  The study helps improve the literature review of the proposed study, as it helps understand the reasons the maltreated adolescents tend to be more vulnerable bad outcomes; a predictive of long lasting effects in intimate relationships. This helps when developing early specific intervention that targets establishing effective coping strategies.

Wang, Y., Storr, C., Browne, D. and Wagner, F. (2010). Early Sexual Experience and Later Onset of Illegal Drug Use Among African American Students on HBCU Campuses. Substance Use & Misuse, 46(4), pp.543-551.

 The study examines if early sexual exposure and sexual abuse is associated with subsequent drug use among the African American adolescents. The study evaluates a sample of 7372 African American students;   which indicated that sexual assault is modestly associated with subsequent initiation of   illicit drug abuse, especially among the females. This is also correlated with risky behaviors activities such as multiple sexual partners. The article concludes that  school based programs will help  empower the victims with coping strategies, effective enough, thus reducing the  incidences of illicit drug use and other associated risky behaviors.

Sexual abuse of adolescents and African American children

References

Barnett, D., Heinze, H. and Arble, E. (2013). Risk, Resilience, and the Rorschach: A Longitudinal Study of Children Who Experienced Sexual Abuse. Journal of Personality Assessment, 95(6), pp.600-609.

Elwood, L., Smith, D., Resnick, H., Gudmundsdottir, B., Amstadter, A., Hanson, R., Saunders, B. and Kilpatrick, D. (2011). Predictors of rape: Findings from the National Survey of Adolescents. Journal of Traumatic Stress, 24(2), pp.166-173.

Francisco, M., Hicks, K., Powell, J., Styles, K., Tabor, J. and Hulton, L. (2008). The Effect of Childhood Sexual Abuse on Adolescent Pregnancy: An Integrative Research Review. Journal for Specialists in Pediatric Nursing, 13(4), pp.237-248.

George, A., Abatemarco, D., Terry, M., Yonas, M., Butler, J. and Akers, A. (2013). A qualitative exploration of the role of social networks in educating urban African American adolescents about sex. Ethnicity & Health, 18(2), pp.168-189.

Hunt, K., Martens, P. and Belcher, H. (2011). Risky business: Trauma exposure and rate of posttraumatic stress disorder in African American children and adolescents. Journal of Traumatic Stress, 24(3), pp.365-369.

Marriott, C., Hamilton-Giachritsis, C. and Harrop, C. (2013). Factors Promoting Resilience Following Childhood Sexual Abuse: A Structured, Narrative Review of the Literature. Child Abuse Rev., 23(1), pp.17-34.

Payne, J., Galvan, F., Williams, J., Prusinski, M., Zhang, M., Wyatt, G. and Myers, H. (2014). Impact of childhood sexual abuse on the emotions and behaviours of adult men from three ethnic groups in the USA. Culture, Health & Sexuality, 16(3), pp.231-245.

Reid, J. (2014). Risk and resiliency factors influencing onset and adolescence-limited commercial sexual exploitation of disadvantaged girls. Crim Behav Ment Health, 24(5), pp.332-344.

Trickett, P., Negriff, S., Ji, J. and Peckins, M. (2011). Child Maltreatment and Adolescent Development. Journal of Research on Adolescence, 21(1), pp.3-20.

Wang, Y., Storr, C., Browne, D. and Wagner, F. (2010). Early Sexual Experience and Later Onset of Illegal Drug Use Among African American Students on HBCU Campuses. Substance Use & Misuse, 46(4), pp.543-551.

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Female Refugee Health Essay Paper

Female Refugee Health
Female Refugee Health

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Female Refugee Health

1. What are the most important factors for the registered nurse to assess when dealing with a female refugee who is exhibiting flashbacks from trauma, especially sexual trauma or physical abuse?

 According to the article, it is evident that effective management of the patient will require the registered nurse to understand the health needs for the patient.  Most of the female patient accessing health care is often facing sexual health complication such as sexually transmitted diseases, rape, anxiety associated with risks of sexual exploitation. This often results in trauma- associated with posttraumatic stress Disorders. 

The  most important factors that must be assessed by registered nurses includes;  cause of trauma ( war-related or physical/sexual abuse); signs and symptoms of PTSD;  the pre-trauma factors, the co-occurring disorders; the social as well as interpersonal factors (Heavey, 2014).

2. Describe the cultural considerations and language barriers the RN will need to address to foster therapeutic communication for the female refugee

The registered nurse is required to understand the external forces that influence their health including poor living conditions, inadequate health resources in the patient countries of origin, oppression experiences and loneliness. Cultural considerations such as traditional gender roles are barriers for accessing care. Most refugee women are reluctant to seek care because they fear to become victimized based to their cultural and religious beliefs. Communication issues such as language barriers hinder communication.

Despite the fact that the patient could be having qualified translator, healthcare providers non-verbal communication could make the patient withhold vital information. These issues must be addressed using compassionate communication; and where necessary, the patient must be helped to achieve at least the basic needs such as food, shelter and medication. This will help in winning the patient trust (Taylor, Pugh, Goodwach, and Coles, 2012).

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3. List common triggers for this population and describe how the RN can assist to decrease the effects.

Registered nurses must understand the common triggers such as medical equipment’s such as speculums retractors, security details which could be frightening of others. Some of the anniversary dates especially for the victims could also be triggers that could make the patient diagnosed with PTSD isolation and avoidance behaviours.

Consequently, patient may experience hyperarousal behaviour, high blood pressure, extreme anxiety and racing thoughts.  This could be managed   through disassociation coping strategy. The nurses must provide extra attention for the patients to establish trust and strong relationship (Heavey, 2014).

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  4. Provide two nursing diagnosis statements (each statement must include an actual nursing diagnosis, related factor and as evidenced by) that might apply to a refugee patient experiencing trauma flashbacks.

 Refugee patient that is suffering from trauma flashbacks could be diagnosed with (Heavey, 2014):

a) Post Traumatic Stress Disorder; the related risk factors include cardiovascular diseases, musco-skeletal disorders, respiratory disorders, immune dysfunction and suicidal thoughts.

b)   Chronic pelvic pain- associated risk factors includes genitourinary disorders, vaginal fistulae, and the damage anal sphincter.

References

Heavey, E. (2014). Female refugees: Sensitive care needed. Nursing, 44(5), 28-35.

Taylor, S.C., Pugh, J., Goodwach, R., and  Coles J. (2012). Sexual trauma in women—the importance of identifying a history of sexual violence. Aust Fam Physician. 41(7):538-541.

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Sexually Transmitted Infections (STIs)

Sexually Transmitted Infections (STIs)
Sexually Transmitted Infections (STIs)

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    Sexually Transmitted Infections (STIs)

         Sexually transmitted disease among the youths is a global concern to public health.  The rates of sexually transmitted infections (STIs) such as syphilis, simplex virus, chlamydia, and gonorrhoea have dramatically increased among the heterosexual youths, especially among women of childbearing age.  Research indicates that two-thirds of the estimated 12 million new incidences of STIs in the USA are women.  

Women are twice likely to acquire infections after a single exposure to pathogens causing Hepatitis B, Chlamydia infection, Chancroid, and gonorrhoea as compared to men.  These STIs are the leading causes of reproductive morbidity among the women of childbearing age (Mittal, Senn, & Carey, 2011).

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This highlights that STIs are of particular distress among women due to their potential acute complications which can be life threatening especially during pregnancy.  These include complications such as fetal death secondary, pneumonia, sepsis and premature delivery.   My main inspiration for this topic is derived from the many cultural and religion expectations of women on mutual monogamy during and after their marriage.

This expectation contradicts most STI teachings resulting into the dramatic increase in STIs prevalence rates among this group. I feel obliged to conduct this research as women need to understand their STI risks, and learn the most effective preventive measures, chiefly because we live in a generation that lacks any assurance of mutual monogamy (Mittal, Senn, & Carey, 2011).

Without any interventions, a dramatic increase of the incidences is anticipated. This is has earned my interest as there is limited research on knowledge and perceived risk among women in the childbearing age. Due to the rising incidences of the STIs among the youths, evidence-based research indicates that behavioural interventions should aim at empowering women to increase their knowledge and perceptions of risk factors (Mittal, Senn, & Carey, 2011). Well, it is said that when a woman is educated (empowered) the whole nation is educated.


References

Mittal, M., Senn, T., & Carey, M. (2011). Mediators of the Relation between Partner Violence and Sexual Risk Behavior among Women Attending a Sexually Transmitted Disease Clinic. Sexually Transmitted Diseases, 1. http://dx.doi.org/10.1097/olq.0b013e318207f59b

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