BACKGROUND: Sexual assault occurring within healthcare settings represents a significant breach of public trust. This scoping review aimed to highlight the profile of people raped, those who committed the rape within the health facilities, and the legal actions taken to resolved cases.
METHODS: Media-reported data on incidents of rape in healthcare settings were collected. The search was conducted in May and June 2023, focusing on English-language publications with accessible full texts. Reports that lacked information on the survivors or incidents that occurred outside of healthcare settings were excluded. Descriptive statistics were used to summarize the categories of the collected publications, and graphical representations were employed for visualization purposes.
RESULTS: A total of 62 cases were retrieved, originating from Africa (n = 17; 27.4%), Europe (n = 14; 22.6%), Southeast Asia (n = 14; 22.6%), the Americas (n = 11; 17.7%), the Western Pacific Region (n = 5; 8.1%) and Eastern Mediterranean region (n = 1; 1.6%). In addition, 69 individuals were implicated in 59 cases. They were 31 doctors (44.9%), 17 (24.6%) nurses, four (5.8%) nurse/healthcare assistants, three (4.3%) cleaners/ward boy, two (2.9%) traditional medical doctors, and two (2.9%) security guards. Others included six (8.7%) staff members without designations and one (1.4%) ambulance driver. All perpetrators were male, ranging in age from 22 to 67 years. There were 66 victims identified in the 62 cases with age ranging from 2 to 92 years. Except for one case, all victims were female, and all but one case were patients. Most assaults occurred in consulting rooms/clinics (n = 21; 31.8%), 16 (24.2%) happened under sedation, and six (9.1%) were repeatedly raped, Survivors typically reported the cases the police (n = 12; 19.4%), family/friends (n = 11; 17.7%) or to hospital authorities (n = 10; 16.1%). Out of the 69 perpetrators, 19 (30.6%) were imprisoned with sentences ranging from 12 months to an indefinite period and one (1.6%) received a death sentence.
CONCLUSIONS: The raping of patients by healthcare providers within healthcare settings calls for urgent and extensive measures. Stakeholders in healthcare management need to prioritize raising awareness about the problem, implement robust prevention and reporting strategies, and create healthcare environments that are safe, respectful, and supportive for all individuals seeking care.

This study examines the role of bystander behavior in cases of sexual harassment within the cultural economy\'s fashion industry. Using grounded theory to explore 34 sexual harassment narratives posted on Instagram, this analysis revealed that while some bystander victim-alliance behavior occurred in the forms of verbal objections and a strong physical presence to thwart perpetrators, bystander facilitation of perpetrator abuse was much more common. Types of facilitation included active bystander complicity, bystander inaction, and what is termed automatic industry bystander deference, whereby seemingly widespread acceptance of certain norms in the business prevented intervention. Implications for victim counseling, bystander intervention training, and public policy reforms are discussed.

It was noted that globally, sexual harassment (SH), abuse, and exploitation in higher education institutions (HEIs) remain a problem. In Uganda, it regularly made headlines in the media. Yet, it was only after high-profile cases were reported in the media that a spotlight was put on the problem. Moreover, despite there being policies on sexual harassment, changes in reporting processes, and a roster for the swift investigation of sexual harassment cases, sexual harassment persisted in the respective units of Makerere University. The study reported here was based on a project code-named \"Whole University Approach: Kicking Sexual Harassment out of Higher Education Institutions in Uganda\" (hereafter referred to as the KISH Project). It was action research intended to move beyond feminizing SH interventions and draw in all the key stakeholders with respectively tailored interventions that were need-based. The project applied multiple interventions targeting different stakeholders (including students, academic and support staff, and administrators) to address gaps, prevention, and support for the survivors of SH in HEIs. One of the project components is a \"men\'s hub,\" which is aimed at providing space for both male staff and male students to hold dialogs on positive masculinity and call them to act as agents of change in a bid to address sexual harassment within higher education institutions (HEIs). As a platform that brings men together to discuss the issues of sexual harassment, the sessions at the men\'s hub enhanced their confidence and ability to prevent and respond to sexual harassment as well as their knowledge about the issues of masculinity and how they relate to sexual harassment. It was found to be an empowering platform with opportunities for awareness creation and the potential for amplifying the role of men in influencing change by speaking up and acting on their masculinity to address sexual harassment.

UNASSIGNED: Sexual harassment of female nurses at work is an issue that is receiving more attention globally and is progressively being acknowledged as a form of gender discrimination in the workplace. Africa\'s situation is getting worse every day, especially in Sub-Saharan Africa. Determining the prevalence of workplace sexual harassment and associated factors among female nurses working in Addis Ababa public hospitals was the aim of this study.
UNASSIGNED: A cross-sectional research design was conducted in August 2021 GC and 339 randomly selected female nurses working in an Addis Ababa public hospital were selected. The data were collected using a pre-tested, semi-structured questionnaire. EPI-Info 7 was used to enter the data, which was then exported to SPSS version 26 for further analysis.
UNASSIGNED: Forty six (46.6) percent of workplaces reported having experienced sexual harassment. One hundred sixty seven (49.3%) of all cases involved physical sexual harassment, while 79 (51.2%) involved verbal sexual harassment. Sexual harassment was 4.64 times more likely to happen to single female nurses than to married people (AOR= 4.64, 95% CI [2.6, 8.4]). Female nurses in the 20-25 age group were roughly 4.7 times more likely to suffer sexual harassment than those in the >40 age group (AOR=4.69, 95% CI [2.44, 9.03]). Alcohol consumers had a 4.5-fold higher chance of experiencing sexual harassment than non-consumers (AOR=4.50, 95% CI [2.40, 8.50]).
UNASSIGNED: Violence among female nurses was demonstrated in this study. It demands a particular focus from the involved bodies. Age, marital status, and alcohol consumption were found to statistically significantly correlate with sexual harassment. Female nurses must get training that emphasizes behavior modification, and healthcare facilities must foster a pleasant atmosphere for nurses, patients, and other staff members.

Our research objectives were to (1) assess the correlation between PD perceptions and their residents\' reported experiences and (2) identify PD and program characteristics associated with alignment between PD perceptions and their residents\' reports.
A survey was administered to US general surgery residents following the 2019 American Board of Surgery In-Training Examination (ABSITE) to study wellness (burnout, thoughts of attrition, and suicidality) and mistreatment (gender discrimination, sexual harassment, racial/ethnic/religious discrimination, bullying). General surgery program directors (PDs) were surveyed about the degree to which they perceived mistreatment and wellness within their programs. Concordance between PDs\' perceptions and their residents\' reports was assessed using Spearman correlations. Multivariable logistic regression models examined factors associated with alignment between PDs and residents.
Of 6,126 residents training at SECOND Trial-enrolled programs, 5,240 (85.5%) responded to the ABSITE survey. All 212 PDs of programs enrolled in the SECOND Trial (100%) responded to the PD survey. Nationally, the proportion of PDs perceiving wellness issues was similar to the proportion of residents reporting them (e.g., 54.9% of PDs perceive that burnout is a problem vs. 40.1% of residents experience at least one burnout symptom weekly); however, the proportion of PDs perceiving mistreatment vastly underestimated the proportion of residents reporting it (e.g., 9.3% of all PDs perceive vs. 65.9% of all residents report bullying). Correlations between PDs\' perceptions of problems within their program and their residents\' reports were weak for racial/ethnic/religious discrimination (r = 0.176, p = 0.019), sexual harassment (r = 0.180, p = 0.019), burnout (r = 0.198, p = 0.007), and thoughts of attrition (r = 0.193, p = 0.007), and non-existent for gender discrimination, bullying, or suicidality. Multivariable regression models did not identify any program or PD characteristics that were consistently associated with improved resident-program director alignment.
Resident and PD perceptions were generally disparate regarding mistreatment, burnout, thoughts of attrition, and suicidality. Reconciling this discrepancy is critical to enacting meaningful change to improve the learning environment and resident well-being.

Abuse is followed by multiple short- and long-term psychological consequences. Researchers suggest a significant need to design a culturally relevant and competent treatment plan specifically for the Asian context. This research presents an account of therapeutic strategies that were employed to manage the complaints of sexual harassment and associated psychological challenges. This case report dealt with a 16-year-old girl who was self-referred to the psychologist with complaints of getting sexually harassed by her brother-in-law, difficulty in managing academic challenges, communication gap with parents, and difficulty in handling her anger for the past 7 years. The assessment modalities used with the client were Behavioral Observation, Clinical Interview, Baseline Charts, School Children Problem Scale to rule out emotional-behavioral problems, the Adult-Child Interaction Test, and Downward Arrow Technique for cognitive assessment. The management plan was based on trauma-focused cognitive behavioral therapy (TF-CBT) and constituted of goals, such as having self-protection awareness from harassment, reducing the fear and unexplained emotions of grief, increasing self-esteem, designing a proper schedule for studies, and developing good communication ability. Post-assessment showed that anger reduced to 40%, communication gap with parents reduced to 50%, fear of harassment reduced to 40%, and self-image improved up to 40%. Sessions were based on 9 in-person meetings.

Drawing on insights from moral psychology, we examine the influence of moral intuitions on Americans\' divergent reactions to reports of sexual assault and harassment. We hypothesize that Americans whose moral intuitions emphasize care and protection of the vulnerable will show a greater willingness to believe reports of sexual assault and harassment, while those whose moral intuitions emphasize social order and cohesion will show greater skepticism toward such reports. Using data from a nationally representative sample of USA adults (N =1050), we find strong support for both hypotheses. We also find that the influence of moral intuitions on reactions to reports of sexual assault and harassment is partially mediated by respondents\' willingness to attribute responsibility to victims of sex crimes. Our results hold when females and males are examined separately. The study provides compelling evidence that a moral intuitionist approach is useful for understanding Americans\' divergent reactions to reports of sexual assault and harassment.

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To identify factors independently associated with program participation and knowledge of campus processes to address sexual assault and harassment complaints.
1,182 undergraduates who completed the University of Michigan\'s 2015 campus climate survey on topics of sexual assault and harassment (67% response rate).
We analyze survey responses to estimate multivariable models that identify subgroups of the student population least likely to have participated in programs or to know campus processes.
Students living off campus, not involved in major organizations, and males are less likely to report attending programming. Students not involved in major organizations and females are less likely to report knowing campus processes.
Specific student subpopulations are more difficult to engage in programs designed to reduce sexual assault and harassment. Targeting additional effort to these groups may improve campus sexual climate. Careful analyses of campus climate survey data can help construct campus-specific priorities for these interventions.

Subway sex offenses are a serious issue in the nations around world, but existing research has failed to explore the offense types or patterns systematically. In order to fill this gap, the authors employed Crime Script Analysis (CSA) to examine the two most common subway sex offenses in Seoul, South Korea. Specifically, the authors assessed the reasoning behind the steps taken to prepare for, carry out, and complete harassment and surreptitious recording. The offenses committed in the subway stations around the city of Seoul were analyzed based on the interviews with the subway police, official crime reports, and crime case files. Drawing from the findings, theoretical and practical implications are discussed.