Sexual assault services coverage on Native American land.
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.
Author Affiliations: 1Great Plains Tribal Chairmen's Health Board, and currently Data Quality Manager, Women's Health and Family Planning Association of Texas; 2Earth Resources Technology, Contractor to U.S. Geological Survey Earth Resources Observation and Science Center; 3formerly with Indian Health Service Division of Epidemiology and Disease Prevention, and currently with the Great Plains Area Indian Health Service and placed with Great Plains Tribal Chairmen's Health Board/Northern Plains Tribal Epidemiology Center; and 4U.S. Geological Survey.
Ashley
A
Juraska
Lindsey
L
Wood
Jennifer
J
Giroux
Eric
E
Wood
D016208:Databases, Factual; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American; D008297:Male; D020380:Needs Assessment; D012742:Sex Offenses; D014481:United States; D016549:United States Indian Health Service / Q000706:statistics & numerical data*