Skip Navigation LinksHome > April/June 2014 - Volume 10 - Issue 2 > Sexual Assault Services Coverage on Native American Land
Journal of Forensic Nursing:
doi: 10.1097/JFN.0000000000000025
Original Articles

Sexual Assault Services Coverage on Native American Land

Juraska, Ashley MPH1; Wood, Lindsey2; Giroux, Jennifer MD, MPH3; Wood, Eric PhD4

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Abstract

Native American women experience higher rates of sexual assault than other women in the United States, yet there is limited information on the accessibility of forensic services for Native American victims of sexual violence. This study used geographic information systems technology to map known sexual assault examiner (SAE) and sexual assault response team (SART) programs in the United States (n = 873) in proximity to 650 census-designated Native American lands. Analysis was repeated for 29 Indian Health Service and tribal-operated facilities that self-identified that they provide sexual assault examinations. Network analysis showed that 30.7% of Native American land is within a 60-minute driving distance of a facility offering SAE or SART services. Indian Health Service and tribal-operated facilities increased accessibility to SAE services on 35 Native American lands. This study shows gaps in coverage for more than two thirds of Native American lands, including 381 lands with no coverage, highlighting the need for expanded SAE and SART services near or on Native American land.

Copyright © 2014 International Association of Forensic Nurses

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