Longitudinal associations between teen dating violence victimization and adverse health outcomes

Validation of the Moral Disengagement for Adolescent Dating Violence Prevention Scale With Teacher Trainees

Once in the workforce, teachers are often asked to participate in school-based adolescent dating violence prevention efforts. However, our understanding of how willing and able future teachers are to engage in dating violence prevention is limited. This may be due, in part, to the lack of available measurement tools. Understanding willingness before teachers are in the classroom is key to exploring how to help future teachers be more ready and able to engage in prevention efforts once they are in the classroom. Thus, the purpose of the current study was to develop and test a measure that assesses one aspect of teacher trainees’ willingness to engage in dating violence prevention efforts: moral disengagement. Using two independent samples of teacher trainees ( N = 400; 64.5% White, 75.0% female, 84.5% heterosexual), we explored the factor structure of the Moral Disengagement for Adolescent Dating Violence Prevention (MD-ADVP) scale. We conducted exploratory factor analysis (Sample 1, n = 222) and confirmatory factor analysis (Sample 2, n = 178), and also examined the factor structure across sub-groups and assessed internal consistency reliability and construct validity evidence. Analyses suggest the MD-ADVP is unidimensional, and that this factor structure holds across sub-groups. We found strong evidence of both reliability and construct (convergent and divergent) validity. As hypothesized, scores on the MD-ADVP demonstrated significant negative bivariate associations with scores on three measures of adolescent dating violence prevention-related beliefs, and no association with scores on a measure of weight bias. The MD-ADVP will advance research investigating teacher preparation for adolescent dating violence prevention efforts. For example, use of the MD-ADVP can illuminate whether teacher trainees’ moral disengagement is an indicator of future implementation success. Further testing of this measure in racially and gender diverse samples is needed.

Digital Dating Abuse Among a National Sample of U.S. Youth

Digital dating abuse is a term used to describe physical, sexual, or psychological/emotional violence that occurs between romantic partners through the use of texting, social media, and related online mediums. Survey data were obtained from a nationally representative sample of 2,218 American middle and high school students (12-17 years old) who have been in a romantic relationship. About 28% of students in a relationship in the previous year had been the victim of digital dating abuse. Males were more likely to report having experienced it (32% compared to 24%), though no other demographic differences emerged. Several covariates did emerge as significantly related to experience with digital dating abuse, including depressive symptoms, sexual intercourse, sexting, and being the victim of cyberbullying. Experiencing offline dating abuse was by far the strongest correlate. Implications for prevention and policy within schools and the community are discussed, along with considerations for future research in this important area.

Children's behavior problems, caregivers' trauma history, and membership in latent physical abuse trajectory classes: An approach of latent class growth analysis to dating violence victimization

BACKGROUND

Child abuse is a serious social problem in the USA as many children suffer from child abuse and its negative consequences are severe. To prevent future victimization, it is essential to understand unique patterns of child abuse trajectories over time and the factors associated with their victimization.

OBJECTIVE

The primary goal of this study was to identify individual differences in developmental trajectories of alleged physical abuse between the ages of 2 and 12.

PARTICIPANTS AND SETTING

The sample included all children drawn from Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), which is a consortium of five study sites (South, East, Midwest, Northwest, and Southwest).

METHODS

Using the high-risk sample with Child Protective Service record reviews prior to age 4, significant variability in trajectory class membership was observed in the unconditional Latent Class Growth Analysis.

RESULTS

Three trajectory classes were obtained from the data: Early Onset, Late Peak and Non-Victims. The findings showed that children who had an attention problem at age 4 were more likely to become members of both the Early Onset and Late Peak groups, relative to Non-victims. Also, membership in the Late Peak group was predicted by caregivers' childhood physical abuse, supporting for the cycle of physical abuse across generations. Finally, children in the Late Peak group were at the highest risk of being physically, psychologically, and sexually abused in a dating relationship at age 14.

CONCLUSIONS

These results suggest that children's internal and external behavior problems and caregivers' childhood physical abuse are predictive of child abuse trajectory class membership. Parental education programs that increase their knowledge about children with special needs and intervention programs targeting caregivers with a history of physical abuse would be beneficial to prevent child abuse (re)victimization.

In-Person and Cyber Dating Abuse: A Longitudinal Investigation

While studies have identified associations between cyber and in-person dating abuse, most research has relied on cross-sectional data, limiting the ability to determine temporality. This study tested the longitudinal associations between cyber and physical and psychological forms of in-person dating abuse. Data were from an ongoing longitudinal study following a group of high school students originally recruited in Southeast Texas, U.S., into their young adulthood. Three waves of data (Waves 4-6) were used, with each wave collected one year apart. At Wave 4, participants' age ranged from 16 years to 20 years (Mean = 18.1 years, Median = 18.0 years, SD = .78). The analytical sample consisted of 879 adolescents/young adults (59% female, 41% male; 32% Hispanics, 28% Black, 29% White, and 11% other) who completed the dating abuse questions. Cross-lagged panel analysis showed that dating abuse victimization and perpetration were predictive of subsequent dating abuse of the same type. Cyber dating abuse perpetration was found to predict subsequent physical dating abuse perpetration as well as physical dating abuse victimization, but not vice versa. Further, cyber dating abuse perpetration predicted psychological dating abuse victimization, but not vice versa. Cyber dating abuse victimization was not significantly associated with either physical or psychological dating abuse temporally. Overall, findings suggest that cyber dating abuse perpetration may be a risk marker for both physical and psychological forms of in-person dating abuse. Interventions may benefit from targeting cyber dating abuse perpetration as means to prevent in-person dating abuse.

The Association of Stalking Victimization With Adolescents' Depressed Mood and School Mattering

Stalking victimization may have a significant impact on adolescents' well-being, above and beyond the effects of other types of interpersonal violence victimization. This article explored the association of stalking victimization (unwanted harassing or threats) with adolescents' depressed mood and perception of mattering to other people. Adolescents (age M = 15.8 at baseline, 50.3% girls, 88.9% non-Hispanic White, 85.9% heterosexual) took surveys at two time points and reported on stalking victimization, depressed mood, and perception of mattering. Results indicate that, even when controlling for previous depressed mood and mattering, the odds of depressed mood and mattering among stalking victims was, respectively, 3.31 times higher and 0.49 times lower than the odds of depressed mood and mattering in non-victims. When controlling for other victimization experiences (i.e., dating violence, sexual assault, sexual harassment), the odds of depressed mood among stalking victims was 2.31 times higher than the odds of depressed mood among non-victims, but stalking victims were not less likely to report mattering. Although more research is needed, these results suggest that assessment and intervention efforts should target depressed mood in stalking victims in addition to underscoring the need for primary prevention of stalking in adolescence.

A Meta-Analysis Linking Parent-to-Child Aggression and Dating Abuse During Adolescence and Young Adulthood

Relationship continuity and social learning theories provide support for parent-to-child aggression as one potential explanatory factor for dating abuse (DA); however, empirical results are mixed across studies as to the strength of this association. This meta-analysis sought to estimate the overall size of this effect among adolescent and young adult samples and investigate potential moderating factors including sample and measurement variables. Records were identified using a computerized search of databases with several keywords. Peer-reviewed journal articles and dissertations were included if they measured both parent-to-child aggression and DA perpetration and/or victimization among adolescents (aged 12-18) or young adults (aged 18-29). Sixty-six records met inclusion criteria, yielding 370 unique effect sizes for the relation between parent-to-child aggression and DA across 94 unique samples. As hypothesized, there was a small-to-medium effect size between parent-to-child aggression and subsequent DA during both adolescence and young adulthood. The strength of these findings was consistent across DA outcome (perpetration and victimization) and both physical and psychological forms, youth and parent gender, and youth age. Stronger associations were found when the gender of the parental aggressor was undefined compared to either a defined paternal or maternal aggressor. Records using the Conflict Tactics Scale to measure both parent-to-child aggression and DA yielded stronger associations compared to sources that used different measures, but single informant versus multiple informants did not yield any differences.

Experiences and Correlates of Violence Among American Indian and Alaska Native Youth: A Brief Report

The purpose of this paper is to document the scope and correlates of past 6-month victimization among American Indian (AI) and Alaska Native (AN) youth. Types of victimization under investigation included sexual assault, dating violence, bullying, sharing of nude photos, sexual harassment, homophobic teasing, and racism. Participants were 400 AI and AN youth in grades 7-10 who completed a survey in school. Results documented concerning rates of all forms of victimization among AI and AN youth during the past 6 months. Although most forms of victimization were related, bullying (at school and electronically), racism, and sexual harassment occurred more often than sexual assault and dating violence. Older youth, girls, and sexual minorities were more likely to report some forms of violence than younger youth, boys, and heterosexual youth respectively. Compared to nonvictims, victim status was consistently related to depressive symptoms, suicidal ideation, and alcohol use and was less consistently correlated with feelings of school mattering. Evidence-based, culturally grounded prevention and response efforts are needed for AI and AN youth, as well as broader initiatives that seek to reduce health disparities among AI and AN youth.

The Positive Choices trial: study protocol for a Phase-III RCT trial of a whole-school social marketing intervention to promote sexual health and reduce health inequalities

Background

Positive Choices is a whole-school social marketing intervention to promote sexual health among secondary school students. Intervention comprises school health promotion council involving staff and students coordinating delivery; student survey to inform local tailoring; teacher-delivered classroom curriculum; student-run campaigns; parent information; and review of sexual/reproductive health services to inform improvements. This trial builds on an optimisation/pilot RCT study which met progression criteria, plus findings from another pilot RCT of the Project Respect school-based intervention to prevent dating and relationship violence which concluded such work should be integrated within Positive Choices. Young people carry a disproportionate burden of adverse sexual health; most do not report competence at first sex. Relationships and sex education in schools can contribute to promoting sexual health but effects are small, inconsistent and not sustained. Such work needs to be supplemented by ‘whole-school’ (e.g. student campaigns, sexual health services) and ‘social marketing’ (harnessing commercial marketing to social ends) approaches for which there is good review-level evidence but not from the UK.

Methods

We will conduct a cluster RCT across 50 schools (minimum 6440, maximum 8500 students) allocated 1:1 to intervention/control assessing outcomes at 33 months. Our primary outcome is non-competent first sex. Secondary outcomes are non-competent last sex, age at sexual debut, non-use of contraception at first and last sex among those reporting heterosexual intercourse, number of sexual partners, dating and relationship violence, sexually transmitted infections, and pregnancy and unintended pregnancy for girls and initiation of pregnancy for boys. We will recruit 50 school and undertake baseline surveys by March 2022; implement the intervention over the 2022–2024 school years and conduct the economic and process evaluations by July 2024; undertake follow-up surveys by December 2024; complete analyses, all patient and policy involvement and draft the study report by March 2025; and engage in knowledge exchange from December 2024.

Discussion

This trial is one of a growing number focused on whole-school approaches to public health in schools. The key scientific output will be evidence about the effectiveness, costs and potential scalability and transferability of Positive Choices.

Trial registration

ISRCTN No: ISRCTN16723909. Trial registration summary: Date:. Funded by: National Institute for Health Research Public Health Research Programme (NIHR131487). Sponsor: LSHTM. Public/scientific contact: Chris Bonell. Public title: Positive Choices trial. Scientific title: Phase-III RCT of Positive Choices: a whole-school social marketing intervention to promote sexual health and reduce health inequalities. Countries of recruitment: UK. Intervention: Positive Choices. Inclusion criteria: Students in year 8 (age 12–13 years) at baseline deemed competent by schools to participate in secondary schools excluding pupil referral units, schools for those with special educational needs and disabilities, and schools with ‘inadequate’ Ofsted inspections. Study type: interventional study with superiority phase III cluster RCT design. Enrollment: 1/9/21-31/3/22. Sample size: 50 schools and 6440–8500 students. Recruitment status: pending. Primary outcome: binary measure of non-competent first sex. Secondary outcomes: non-competent last sex; age at sexual debut; non-use of contraception at first and last sex; number of sexual partners; dating and relationship violence (DRV) victimisation; sexually transmitted infections; pregnancy and unintended pregnancy for girls and initiation of pregnancy for boys using adapted versions of the RIPPLE measures. Ethics review: LSHTM research ethics committee (reference 26411). Completion data: 1/3/25. Sharing statement: Data will be made available after the main trial analyses have been completed on reasonable request from researchers with ethics approval and a clear protocol. Amendments to the protocol will be communicated to the investigators, sponsor, funder, research ethics committee, trial registration and the journal publishing the protocol. Amendments affecting participants’ experience of the intervention or important amendments affecting the overall design and conduct of the trial will be communicated to participants.

Jealousy, Violence, and Sexual Ambivalence in Adolescent Students According to Emotional Dependency in the Couple Relationship

BACKGROUND

Emotional dependency in couples involves excessive and dysfunctional emotional bonding.

AIMS

This work aimed to determine the relationship between violence, jealousy, and ambivalent sexism according to emotional dependence in adolescent student couples.

METHODS

A cross-sectional study. A total of 234 Spanish adolescents (69.7% female, M_age = 16.77, SD = 1.11) participated in the study. Participants completed an ad hoc interview and several validated tests (Partner's Emotional Dependency Scale, the Ambivalent Sexism Inventory, the Jealousy subscale of the Love Addiction Scale, the Conflict in Adolescent Dating Relationship Inventory).

RESULTS

Of the sample, 40.6% indicated high emotional dependence and 14.5% extreme emotional dependence. Differences were observed according to gender (t = 3.92, p < 0.001), with adolescent boys scoring higher than adolescent girls. Extremely emotionally dependent participants showed differences in both violence (sexual, relational, verbal, and physical) and ambivalent sexism (hostile, benevolent) and jealousy scores. Generating a predictive model of emotional dependence, with the variable jealousy and ambivalent sexism as predictor variables, it was found that jealousy has the greatest predictive and major explanatory capacity (R² = 0.297); with an R² = 0.334. However, the contribution of the ASI-Hostile subscale was not significant when the ASI-Benevolent subscale was introduced into the model. Further, in a second model where the scores on jealousy and the couple conflict inventory's subscales were considered as predictors, are again jealousy makes the greatest predictive contribution and shows the greatest explanatory capacity (R² = 0.296). It was found that the contribution is significant only for the predictive capacity of Sexual Violence and Relational Violence. In this sense, the educational context is one of the propitious places to detect and correct behaviors that may be indicative of potentially unbalanced and unbalancing relationships for adolescents.

A Dating Violence Prevention Program for Middle School Youth: A Cluster Randomized Trial

OBJECTIVES

We conducted a cluster randomized controlled trial to test the a priori hypothesis that students attending an intervention middle school would be less likely to report physical adolescent relationship abuse (ARA) 1 year later compared with students attending a control school. Secondary objectives were to determine if the intervention reduced substance misuse, bullying, and fighting.

METHODS

Twenty-four Texas public middle schools were matched by the size of student enrollment, number of economically disadvantaged students, and race and ethnicity of the student body and randomly assigned to the intervention (n = 12; 1237 participants) or the control (n = 12; 1531participants) group. The intervention, Fourth R, is a classroom-based curriculum delivered by existing teachers and consists of 21 lessons on injury prevention, substance use, and growth and development.

RESULTS

Participants (50% female) self-reported ethnicity as Hispanic or Latinx (35%), Black or African American (24%), Asian American (17%), White (8%), and multiethnicity or other (16%). Among those who have dated, students in the intervention schools were less likely to report perpetrating physical ARA (intervention = 14.9% versus control = 18.3%) relative to students in the control schools (adjusted odds ratio, 0.66; 95% confidence interval, 0.43-1.00; P = .05). In the overall sample, no significant differences emerged between control and intervention groups with respect to substance misuse, fighting, and bullying.

CONCLUSIONS

The middle school version of Fourth R is effective in reducing physical ARA perpetration over at least 1 year. The intervention did not have an effect on bullying perpetration, physical fighting with peers, and substance misuse. Long-term assessment, especially follow-up that covers the transition to high school, is needed to examine the program benefit on key outcomes.

Symptom Sequelae Following Violence Against Youth With Disabilities

The objective of this study was to examine the physical and mental health impact of violence against youth with and without disabilities. We analyzed data from the National Crime Victimization Survey (2008-2016), a nationally representative survey on crime in the United States. Respondents included 729 adolescents (12-17 years) and 953 young adults (18-24 years) who experienced violence in the previous 6 months. Disability status was determined using a six-item screener. Outcome measures included several physical and mental health symptoms experienced for at least one month following violence. Data were analyzed using multivariable logistic, Poisson, and negative binomial regression models. The results indicated that, for at least one month following a violent incident, adolescents and young adults with disabilities were more likely to experience headaches, sleep difficulty, changes in eating or drinking habits, fatigue, muscle pain, and severe distress compared to peers without disabilities. Young adults with disabilities were also more likely to experience stomach problems, depression, and anxiety. Adolescents and young adults with disabilities experienced a greater number of concurrent physical and mental health symptoms compared to peers without disabilities. The results suggest that the health effects of violence are worse for youth with disabilities compared to their nondisabled peers. These findings emphasize the importance of screening young people with disabilities for violence exposure and ensuring that trauma and health services are universally accessible.

Associations Between Classroom Normative Climate and the Perpetration of Teen Dating Violence Among Secondary School Students

The aim of this study was to investigate how classroom normative climate regarding the perpetration of teen dating violence (TDV) was related to adolescents' self-reported perpetration of (verbal/emotional, threatening, relational, physical, and sexual) violence within romantic relationships in the previous 12 months. Based on Theory of Normative Conduct, we hypothesized that higher classroom levels of TDV perpetration were associated with a higher likelihood of individual TDV perpetration. Data were drawn from a large survey of ninth-grade students conducted in the state of Lower Saxony, Germany (n = 10,638). From this sample, an analysis sample of n = 4,351 students at risk was drawn (mean age: 15.0, SD: 0.76; 46.6% male). More than half (54.8%) of the at-risk sample reported engagement in any form of TDV within the previous 12 months, whereby rates varied considerably by the dimension of TDV. Controlling for a range of risk factors on the classroom level (proportion of students dependent on social welfare, proportion of students with migration background) and individual level (exposure to family violence, sociodemographic characteristics, TDV victimization, and peer- and school-related factors), regression analyses showed that higher rates of classroom-level TDV perpetration were positively related to individual verbal/emotional TDV perpetration. This pattern of results was observable across all dimensions of TDV. Furthermore, gender-specific patterns of TDV perpetration were observable: Girls were more affected by classroom levels of verbal/emotional and physical TDV than boys, while boys were more affected by classroom levels of relational and sexual TDV. Results highlight the role of the wider peer context in shaping adolescent dating experiences and specifically point to the relevance of the classroom ecology for the socialization of dating violence in adolescents.

The prevalence and severity of teen dating violence victimization in community and at-risk adolescents in Spain

The aim of the present study was to determine the prevalence and severity of teen dating violence victimization in Spanish adolescents from both community and at-risk samples. The sample comprised 1,105 community adolescents from secondary schools, 149 adolescents from child, and adolescent mental health centers, 129 from residential care centers associated with the child welfare system, and 101 from centers in the juvenile justice system. The participants, aged between 14 and 17 years, were interviewed using the Juvenile Victimization Questionnaire. The lifetime prevalence of victimization in dating relationships ranged from 2.5% to 33.7%. The prevalence of physical victimization was slightly higher in boys, while sexual and electronic victimization and injuries were more prevalent in girls. In conclusion, teen dating violence is a prevalent problem in Spain that needs to be addressed to prevent adolescents from developing risk behaviors and to avoid adverse consequences on mental health, especially in at-risk adolescents.

Victimization and Food Addiction Symptoms: Direct and Indirect Effects through Emotion Dysregulation, Impulsivity, and Loss-of-Control Eating

Previous research suggests that dating, intimate partner, and sexual violence victimization throughout the lifespan are predictive of numerous adverse health outcomes including addictive behaviors, psychopathology, and physical health symptoms. Self-medication hypotheses posit that victims may drink heavily, use substances, or rely on food to cope with negative affect and psychological symptoms. We examined a self-medication hypothesis-driven model linking dating and sexual violence victimization with food addiction symptoms through their relationships with emotion regulation, impulsivity, and loss-of-control eating in a sample of 313 single, non-treatment-engaged, college student women aged 18-25 years old enrolled in a minority serving, urban university. Participants completed an online survey with measures of dating and sexual violence victimization since age 14 years, emotion regulation, impulsivity, loss-of-control eating, and food addiction symptoms. Seventy-nine percent of participants reported experiencing some form of intimate partner violence victimization. Using path analyses, we found some support for our model, as well as significant, positive, direct pathways from victimization to loss-of-control eating and food addiction symptoms. Clinicians and policy makers should incorporate these findings into practice by honoring the experiences of past victimizations in current health behaviors and by utilizing trauma-informed care practices. To extend this study's findings, researchers should examine the role of trauma-informed interventions targeting emotional regulation and impulsivity to decrease loss-of-control eating and food addiction symptoms.

Gender Differences in the Victim-Offender Relationship for On- and Offline Youth Violence

Youth violence affects millions of young people in the United States every day, and violent victimization has significant consequences for mental and physical health, academic performance, and long-term well-being. Forms of youth violence such bullying and teen dating violence (TDV) are often studied separately from one another with disjointed attention paid to on- and offline aggression. Furthermore, gender differences in the victim/offender overlap for these diverse forms of aggression have been understudied. This is notable given research demonstrating that boys and girls engage in diverse forms of aggression as a result of different gendered socialization processes. This study uses a sample of 5,647 middle and high school students in three states to assess gender differences in the victim-offender relationship across on- and offline modalities of bullying and TDV. Descriptive results show significant gender differences for bullying and dating violence victimization and perpetration experiences. Multivariate regression models indicate that the victim-offender relationship varies by the type of aggression and modality in question. Furthermore, gender significantly interacts with certain forms of dating violence and bullying victimization to influence the risk of perpetration. The results underscore the importance of youth violence prevention strategies that account for gender differences across the spectrum of on- and offline peer relationships.

Dating and Dating Violence: Social Representations of School Adolescents

Abstract This study aimed to analyze the Social Representations of adolescents on dating and dating violence from their social anchors. This is a quantitative-qualitative, descriptive-exploratory study, involving 215 adolescents from public schools located in the city of João Pessoa - Paraíba, aged between 14 and 18 (M=16.16; SD=1.26), predominantly female (60.5%). Participants answered the Free Word Association Technique (FWAT); the Conflict in Adolescent Dating Relationship Inventory (CADRI); and, a sociodemographic questionnaire. Data from the CADRI and sociodemographic characterization were submitted to descriptive analysis, while those from the FWAT to the Correspondence Factor Analysis. Results anchored social objects in the affective, behavioral, psycho-affective, psycho-organic and valorative spheres. Dating was objectified as complicity, fidelity, respect, love, commitment, deception, betrayal, kiss, and fight. While dating violence was objectified as jealousy, disrespect, sadness, quarrel, cowardice, rape, wrong, hate, death and verbal.

An Examination of Sexual Victimization, Self-Injurious Behaviors, and Suicidality Among Female College Students

Many studies have established a relationship between suicidal ideation and sexual victimization, particularly among women; yet, few have looked specifically at samples of college students or at the potentially mediating effects that several risk factors and coping mechanisms related to sexual victimization may have on suicidality. The current study sought to examine the relationship between reported sexual victimization and suicidality, and more specifically the mediating role that depression and nonsuicidal self-injury had on this relationship. Data were collected from a random sample of 732 female college students attending a Midwestern public university. Path analysis results indicate that while sexual victimization did not have a direct effect on suicidality, it did have an observable and significant mediating indirect effect on suicidality. The current study informs both our theoretical understanding of how victimization affects college women's lives and our capacity to develop and implement effective prevention and intervention programs for college students.

'You Learn How to Hate': Adapting a Healthy Relationship Curriculum Using a Trauma-Informed Race Equity Lens

Teen dating violence is a public health concern that can lead to short- and long-term mental and physical health consequences, including depression, anxiety, risky behaviors, and unhealthy future relationships. Research shows that social and structural determinants of health, such as racism, low socio-economic status, and neighborhood conditions, may predispose certain communities to violence. To better understand methods to reduce TDV among ethnically and economically diverse populations, we used a trauma-informed race equity lens to adapt an efficacious prevention program known as Fourth R. This universal program has been shown to reduce some dating violence, substance use, and risky sexual behaviors, but there remains room for improvement. Specifically, more attention to trauma and the importance of societal risk and protective factors may improve the program’s effectiveness. Thus, focus group discussions were conducted with students and we then adapted Fourth R lessons specific to trauma, racism, and discrimination. Major themes discussed are that Fourth R and other prevention programs should focus attention on social and structural issues, such as racism and discrimination.

The role of moral neutralization of aggression and justification of violence against women in predicting physical teen dating violence perpetration and monitoring among adolescents in Switzerland

Although dating violence poses a serious threat to adolescents' health and well-being around the globe, little evidence is available for Europe in general and Switzerland in particular. Also, evidence on the role of cognitive predictors related to a more general justification of aggressive behavior and gender-based violence is lacking. Therefore, this two-wave longitudinal study conducted with Swiss adolescents (N = 646) examined moral neutralization of aggression and justification of violence against women as predictors of physical dating violence perpetration and monitoring. As expected, higher moral neutralization of aggression predicted a higher likelihood of perpetrating physical dating violence and monitoring among both female and male adolescents. Justification of violence against women was positively associated with physical dating violence perpetration among males, but negatively among females. Also, a negative relationship was found with monitoring among females. The role of gender and implications of these findings for research, practice, and policy are discussed.

Perceived barriers, relationship quality, and informal mentors: Adolescents' preference for disclosing about dating violence

This study examined associations among adolescents' likelihood of disclosure about dating violence, perceptions of barriers to disclosure, and quality of the relationship with various sources of support. Data were gathered from 152 students in a southern high school. Results indicated youth perceived fewer barriers to disclosing to mentors compared with friends and parents, and youth reported highest relationships quality with informal mentors. However, youth indicated highest likelihood of disclosure to friends, followed by informal mentors and parents. Both relationship quality and perceived barriers to disclosure about dating violence were associated with likelihood of disclosure to friends and parents, but only relationship quality was related to likelihood of disclosure to informal mentors. Current findings (a) suggest adolescents' preferences for disclosing about dating violence are influenced by perceived barriers and relationship quality with sources of support and (b) highlight the promise of informal mentors as an additional resource for adolescents.

Gender-equitable caregiver attitudes and education and safety of adolescent girls in South Kivu, DRC: A secondary analysis from a randomized controlled trial

BACKGROUND

Adolescent girls face myriad threats to their well-being and safety as a result of gender-inequitable attitudes and norms, and these risks are often exacerbated during humanitarian emergencies. While humanitarian actors have begun to address caregivers' behaviors and gender attitudes as an approach to support and meet the needs of adolescent girls, best practices for working with caregivers to improve adolescent girls' well-being in these settings have yet to be identified.

METHODS AND FINDINGS

This study uses panel data from a program evaluation to analyze associations between changes in gender-equitable attitudes among caregivers and changes in schooling and violence victimization for girls ages 10 to 14 years old in the Democratic Republic of the Congo (DRC). Participants were recruited in May 2015 for baseline (May to July 2015) and endline (August to October 2016) data collection. Baseline and endline data for both caregivers and girls were available for 732 girls. The average ages of adolescents and caregivers were 12 and 40.7, respectively, and 92% of caregivers were female. The predictor of interest was the change in caregivers' gender-equitable attitudes between the 2 points in time, where attitudes were measured using 10 underlying survey questions. The primary outcomes of interest were dichotomous and included improvement in schooling participation and declines in physical, sexual, and emotional violence and feeling uncared for. Logistic regression was used to estimate the association between changes in caregivers' attitudes and 5 outcomes of interest and revealed that an increase in a caregiver's gender-equitable attitude score was associated with significantly greater odds of a girl experiencing an improvement in schooling participation (aOR = 1.08, CI [1.005, 1.154], p = 0.036) and of a girl experiencing a marginal decline in physical violence victimization (aOR = 1.07, CI [0.989, 1.158], p = 0.092). Analyses also revealed that older girls had lower odds of experiencing an improvement in schooling participation (aOR = 0.77, CI [0.686, 0.861], p < 0.001), physical violence (aOR = 0.86, CI [0.757, 0.984], p = 0.028), sexual violence (aOR = 0.86, CI [0.743, 1.003], p = 0.055), or emotional violence (aOR = 0.98, CI [0.849, 1.105], p = 0.005). Important limitations in this study include the self-reported nature of outcomes, use of single questionnaire items to construct the outcome variables, and potential self-selection bias.

CONCLUSIONS

Results suggest that supporting caregivers to increase gender equitable attitudes may be associated with benefits in dual outcomes of education and safety for adolescent girls in eastern DRC. Further research is needed to better understand how to induce a shift in these attitudes in multisectoral programming.

TRIAL REGISTRATION

NCT02384642.

Physical and Sexual Victimization Class Membership and Alcohol Misuse and Consequences among Sexual Minority and Heterosexual Female Youth

OBJECTIVE

Evidence demonstrates sexual orientation disparities in physical and sexual victimization and alcohol misuse and consequences among female youth; however, most extant research has used variable-centered approaches. The current study used latent class analysis (LCA), a person-centered approach, to: (1) model female youths' physical and sexual victimization; (2) examine sexual orientation disparities in physical and sexual victimization latent class membership; (3) and use physical and sexual victimization latent class membership to predict female youths' engagement in alcohol misuse and related consequences.

METHOD

Participants were 7,185 youth assigned female sex at birth (77.0% heterosexual, 12.8% bisexual, 2.3% gay or lesbian; 46.8% racial minority) in grades 9 - 12 who completed the 2017 Youth Risk Behavior Survey - a school-based, cross-sectional survey.

RESULTS

LCA uncovered four classes: (1) "Poly-Victimization Class," (2) "No Victimization Class," (3) "Past-Year Sexual Victimization Class," and (4) "Lifetime Rape Class." Sexual orientation emerged as a significant predictor of class membership. Latent classes 3 and 4 were uniquely associated with alcohol misuse and consequences (i.e., binge drinking, riding with a drinking driver, and drinking and driving) among female youth.

CONCLUSIONS

Our findings help to elucidate the patterns of physical and sexual victimization regarding timeline, tactic used, and context among female youth; sexual orientation disparities in latent class membership; and alcohol misuse correlates of class membership. Prevention efforts aimed at reducing physical and sexual victimization may ultimately reduce female youths' risk of binge drinking, riding with drinking drivers, and drinking and driving.

The National Prevalence of Adolescent Dating Violence in Canada

PURPOSE

The national prevalence of adolescent dating violence (ADV) in Canada is currently unknown. This study presents the first nationally representative Canadian data on prevalence and correlates of ADV victimization and perpetration.

METHODS

This study analyzed data from the 2017/2018 Health-Behavior in School-Aged Children (HBSC) dataset. Youth from all 10 provinces and two territories participated. The analysis sample includes 3,711 participants (mean age = 15.35) in grades 9 and 10 who reported dating experience in the past 12 months. Youth were asked to report on physical, psychological and cyber ADV victimization and perpetration. To explore correlates of ADV, we included grade in school; gender (male, female or non-binary); race/ethnicity; family structure; immigration status; family affluence; food insecurity; and body mass index.

RESULTS

We found that over one in three Canadian youth who had dated experienced and/or used ADV in the past 12 months. Specifically, past 12-month ADV victimization prevalence was 11.8% (95% CI: 10.4, 13.0) for physical aggression; 27.8% (25.8, 30.0) for psychological aggression; and 17.5% (15.8, 19.0) for cyber aggression, while perpetration prevalence was 7.3% (6.2, 9.0) for physical aggression; 9.3% (8.0, 11.0) for psychological aggression; and 7.8% (6.7, 9.0) for cyber aggression. Both victimization and perpetration were highest among non-binary youth (as compared to cisgender males and females). Overall, use and experience of ADV was greatest among youth experiencing social marginalization (e.g., poverty).

CONCLUSIONS

ADV impacts a substantial minority of Canadian youth, and is a serious health problem. ADV prevention programs that focus on root causes of violence (e.g., poverty) are needed.

History of Physical Teen Dating Violence and Its Association With Suicidal Behaviors Among Adolescent High School Students: Results From the 2015 Youth Risk Behavior Survey

Although studies have investigated and found physical teen dating violence (TDV) has a significant negative impact on mental health outcomes, few studies are yet to investigate the effect of physical TDV on suicidal behaviors among adolescents. The objectives of this study are to examine the prevalence of physical TDV, suicidal ideation, suicide plan, and suicide attempt among adolescents aged 14 to 18 years and the association between physical TDV and these suicidal behaviors. Data for this study were obtained from the 2015 Youth Risk Behavior Survey. A sample of 9,693 adolescents aged 14 to 18 years (50.4% males) was analyzed using logistic regression with suicidal ideation, suicide plan, and suicide attempt as outcome variables and physical TDV as the main explanatory variable. About 17% of the adolescent students experienced suicidal ideation, 13.7% made a suicide plan, and 7.6% attempted suicide during the past 12 months. Among those who were dating, 9.9% experienced physical TDV. In the multivariate logistic regression, adolescent students who experienced physical TDV were 1.92 times more likely to have experienced suicidal ideation, 1.67 times more likely to have made a suicide plan, and 2.42 times more likely to have attempted suicide during the past 12 months when compared with their counterparts who were dating but experienced no physical TDV. Other significant predictors of suicidal behaviors include being a sexual minority, experiencing forced sex, bullying, feeling sad or hopeless, and binge drinking. Having sufficient sleep lowered the odds of suicidal ideation and suicide plan. The topic of physical TDV and its association with suicidal behaviors among adolescents is such an important issue for researchers, policymakers, and practitioners in the United States and around the world. Prevention and intervention efforts should be culturally tailored to reflect the unique experiences with physical TDV and suicide among minority populations such as sexual minority adolescents.

Psychometric Properties and Confirmatory Factor Analysis of the Spanish Version of the Maudsley Violence Questionnaire among Adolescent Students

The Maudsley Violence Questionnaire (MVQ) is an instrument specifically developed to evaluate violent thinking through two subscales examining macho attitudes and the acceptance of violence. This study analyzed the psychometric properties and factor structure of the Spanish version of the MVQ questionnaire in a large sample of 1933 Spanish adolescents. An online questionnaire was used to collect variables, such as sociodemographic and sexism data. The factor structure showed good fit indices in Spanish adolescents, which were similar to the original scale. The exploratory analysis yielded a first factor that explained 11.3% of the total variance and a second factor that explained 10.8% of the total variance. The Goodness of Fit Index (GFI) (0.902), Adjusted Goodness of Fit Index (AGFI) (0.90), Normed Fit Index (NNFI) (0.85), and the Comparative Fit Index (CFI) (0.86) suggested that the model fit the data adequately (with values ≥ 0.90) and the Root Mean Square Error of Approximation (RMSEA) (≤0.10) values indicative of an adequate fit. This study contributes a Spanish-language validated tool to measure machismo and the acceptance of violence among adolescents.

Adolescent and Parent Perspectives on Confidentiality After Adolescent Relationship Abuse Disclosure

PURPOSE

This study aimed to assess adolescent and parent perspectives on parent notification after disclosure of adolescent relationship abuse (ARA) to a health care provider.

METHODS

A computerized survey was administered to a convenience sample of adolescents aged 14-18 years and their parents presenting to three Midwestern pediatric emergency departments. The survey assessed the acceptability of parent notification after hypothetical adolescent disclosure of different forms of ARA (i.e., physical, cyber, psychological and sexual ARA, reproductive coercion, controlling behavior, and feeling unsafe) to a health care provider. Chi-square and Fisher's exact tests were used to examine possible relationships between acceptability of parent notification and prior ARA victimization, adolescent dating relationship status, and demographic factors.

RESULTS

One-hundred fifty adolescent-parent dyads and 53 individual adolescents participated in this study. Most adolescents and parents found it acceptable to inform parents after disclosure of any type of ARA, although acceptability was higher among parents for all types of abuse assessed. Adolescent-parent dyads were more likely to both agree that parent notification was acceptable after disclosure of physical ARA, compared with other forms of ARA. Acceptability of parent notification after some types of ARA disclosure was less common among adolescents reporting previous sexual activity, prior ARA victimization, and adolescents currently in a dating relationship.

CONCLUSIONS

Most adolescents and parents found parent notification after ARA disclosure acceptable. However, adolescents most at risk, including those who reported previous sexual activity, prior ARA victimization, and those in a dating relationship, were less likely to find parent notification acceptable. Further study to assess barriers or concerns with parent involvement is crucial to optimizing provider response after ARA disclosure.

The Influence of Peer Support for Violence and Peer Acceptance of Rape Myths on Multiple Forms of Interpersonal Violence Among Youth

Significant work has highlighted the associations among physical dating violence, bullying perpetrated in person, and cyberbullying. Yet these experiences are most often examined in isolation. The present study adds to the literature by testing the hypothesis that peer factors (e.g., perceived peer support for sexual violence and perceived peer endorsement of rape myths) display associations with three forms of aggression (physical dating violence perpetration, perpetration of bullying in-person, and cyberbullying perpetration). A sample of 2,830 10th-grade youth, recruited across 27 high schools in the northeast region of the United States, completed self-report surveys assessing peer context and the perpetration of violence. To examine the potential shared risk of peer approval for sexual violence and peer endorsement of rape myths and multiple forms of violence, a multivariate extension to multilevel models (MLMs) was used. Findings suggested that as hypothesized both peer support for sexual violence and perceptions of peer endorsement of rape myths each made a significant contribution in association with dating aggression perpetration, in person bullying, as well as cyberbullying. Findings offer insight into the development of aggression in adolescence and highlight the necessity of unified research examining multiple domains together. Discussion also underscores the potential benefits of targeting peer context and perceptions of peer norms through cross-cutting prevention programming for adolescents.

Effects of a School-Based Drug Prevention Program on Sexual Risk Behavior Among Adolescents in Brazilian Schools

Sexual risk behaviors are closely related to the use of alcohol, tobacco, and other illicit drugs as well as teen dating violence. School-based drug prevention programs that teach social and personal skills could potentially also reduce sexual risk behaviors. We examined the effects of the #Tamojunto program on youth sexual risk behaviors. A randomized controlled trial was conducted with 6391 7th and 8th grade students in 72 public schools in six Brazilian cities. Baseline data were collected prior to program implementation. Two waves of follow-up assessments occurred after 9 and 21 months. Analyses were performed taking into account the multilevel structure of the data. We used intention-to-treat to evaluate changes in the prevalence of sexual risk behaviors over time and between groups. Adolescent age ranged from 11 to 15 years, with a mean of 12.6 ± 0.8 years, and 51.0% were female. Among all participants, receipt of #Tamojunto was associated with higher risk of lifetime sex at 21 months follow-up (OR 1.27, 95% CI [1.03, 1.56]). Among girls, at 9 months follow-up, the program was associated with higher likelihood of having engaged in sex in the last month (OR 1.76, 95% CI [1.13, 2.74]). At 21 months follow-up, girls receiving the program were more likely to report engaging in condomless sex in the last month (OR 1.64, 95% CI [1.07, 2.50]). #Tamojunto may be ineffective and possibly harmful for preventing sexual risk behaviors, especially among girls. We suggest further investigation of the possible mediating role of life skills intervention components on girl's sexual behaviors.

Weighing Risk Factors for Adolescent Victimization in the Context of Romantic Relationship Initiation

Research has paid little attention to the link between the characteristics of the relational context where adolescents are likely to initiate their romantic relationships and teen dating violence (TDV). Hence, the findings are still scattered. This study examined different risks in the female teenagers' relational context (peer group characteristics, participants' risky activities, and pressure to start dating) and their TDV victimization, which had not been previously studied in the Spanish population. The moderating role of parental monitoring strategies was also analyzed. Participants were 1,248 Spanish female teenagers who completed measures of the aforementioned factors. Highly victimized girls reported having more deviant and older male peers, receiving more pressure to start dating, and using more alcohol and drugs than participants with low victimization did. High parental monitoring was only effective to prevent TDV victimization in low-risk relational contexts. The findings extend prior research by providing evidence of the risk of pressure to start dating and low effectiveness of parental monitoring against high-risk peers. They also highlight the need to reduce specific risks of TDV in the adolescent relational context.

Risk Markers for Physical Teen Dating Violence Perpetration: A Meta-Analysis

Teen dating violence (TDV) is a common problem among adolescents and has been linked to various negative outcomes. This study used Dutton's nested ecological theory to examine risk markers for physical TDV perpetration and examine whether there are significant differences in the strength of risk markers between male and female adolescents. This meta-analysis included 37 studies yielding 126 unique effect sizes for risk markers for physical TDV perpetration in samples from the United States. In the microsystem level, a total of 14 risk markers were examined and in the ontogenetic level, 12 risk markers were examined. Our results revealed that, in the microsystem, physical TDV victimization was the strongest risk marker for physical TDV perpetration. On the ontogenetic level, externalizing behaviors, approval of violence, risky sexual behaviors, alcohol use, depression, and delinquency were the strongest risk markers for TDV perpetration. Conflict resolution skills and responsibility were protective markers against TDV perpetration. When comparing the strength of risk markers between males and females, we found that undifferentiated TDV perpetration and depression were significantly stronger risk markers for female perpetration than male perpetration. We also found that exhibiting controlling behaviors was a significantly stronger risk marker for male TDV perpetration than female TDV perpetration. These findings highlight the importance of the microsystem, specifically the dating relationship itself, when identifying adolescents at risk for TDV perpetration.

Dating and relationship violence victimization and perpetration among 11-16 year olds in Wales: a cross-sectional analysis of the School Health Research Network (SHRN) survey

Background

This study examines the prevalence of dating and relationship violence (DRV) victimization, perpetration and joint victimization and perpetration, and associations between DRV and socio-demographic characteristics.

Methods

Cross-sectional self-report data from 74 908 students aged 11–16 from 193 schools across Wales were collected and analysed using generalized estimating equations to examine prevalence and predictors of emotional and physical DRV victimization, perpetration and joint victimization and perpetration.

Results

More girls reported emotional victimization (28%) and perpetration (18%) than boys (20% and 16%, respectively). More girls (8%) than boys (7%) reported physical perpetration. However, boys (17%) reported more physical victimization than girls (12%). Age-related trajectories of DRV victimization and perpetration were stronger in girls than in boys. Students from single or step parent homes, those in care, and certain ethnic minority groups had increased odds of DRV. No association was found between socioeconomic status and DRV.

Conclusions

Age-related trajectories and the lack of social patterning by socioeconomic status point to the value of early, universal interventions, while some evidence of ethnic patterning and family structure-related risk factors suggest areas for further research and targeted interventions. DRV continues to be a major public health problem for which little UK-specific intervention evidence exists.

Assessing Adolescent Dating Violence in the YourLife Project: Proposal of an Instrument for Spanish-Speaking Countries

Background: Several instruments have been developed to assess adolescent dating violence but only few have been validated in Spanish-speaking settings. Some instruments are too long and may not be feasible to include them in a multipurpose questionnaire. We developed an instrument to be used in the YourLife project, an international project about young people lifestyles. Objective: We aimed to analyze the psychometric properties of this instrument in three Spanish-speaking countries (Chile, Ecuador, and Spain). Method: We included 1049 participants, aged 13–18 years. Exploratory and confirmatory factor analyses were conducted. Associations between dating violence and variables expected to covariate with it (substance use, school peer aggression, justification of dating violence, and relationship power imbalance), were tested. Results: Two different constructs (psychological and physical/sexual) for suffered and perpetrated violence were identified and confirmed in the three countries. The dating violence subscales had Cronbach’s alpha scores higher than 0.85. The strongest associations between dating violence and variables related to it were found within the relationship power imbalance items, suggesting that these items may be useful to detect adolescent dating violence when a specific questionnaire cannot be implemented. Conclusion: This instrument seems to be adequate to assess suffered and perpetrated adolescent dating violence within a multipurpose questionnaire among schooled adolescents.

Intimate partner violence: A loop of abuse, depression and victimization

Intimate partner violence has been recognized as a serious public health issue. Exposure to violence contributes to the genesis of, and exacerbates, mental health conditions, and existing mental health problems increase vulnerability to partner violence, a loop that imprisons victims and perpetuates the abuse. A recently described phenomenon is when male violence against females occurs within intimate relationships during youth, and it is termed adolescent or teen dating violence. In this narrative review, factors associated with intimate partner violence and consequences of exposure of children to parental domestic violence are discussed, along with possible intensification of violence against women with the spread of coronavirus disease 2019 pandemic and subsequent lockdown. Intervention programs with a multicomponent approach involving many health care settings and research have a pivotal role in developing additional strategies for addressing violence and to provide tailored interventions to victims. Prevention policy with a particular attention on healthy child and adolescent development is mandatory in the struggle against all forms of violence.

"Three Steps Above Heaven? Really? That's All Tactic!" New Alternative Masculinities Dismantling Dominant Traditional Masculinity's Strategies

Research on preventive socialization of gender violence has contributed abundant empirical evidence that attraction to violence is common among adolescents. This has meant that “bad guys,” or those who reflect the Dominant Traditional Masculinity (DTM) model, are chiefly perceived as appealing, while “good guys” are perceived as good friends but not desirable. The mainstream media tends to reproduce this traditional model of affective-sexual relationships, which has harmful effects on young girls concerning gender and sexuality. However, New Alternative Masculinity men are challenging this traditional and unsatisfactory model of affective-sexual relationships. The 2010 Spanish version of the movie Three Steps above Heaven, a good example of this kind of media product, has proven to greatly impact communicative acts among adolescents. This article explores how this influence on adolescents is because the communicative acts about Hache – the main character in the movie – are full of the language of desire, and his own communicative acts are full of violence. On the one hand, we analyze how Three Steps above Heaven employs communicative acts to enhance the attractiveness of DTM. On the other hand, based on the evidence gathered in a communicative focus group (CFG) addressed to 15- and 16-year-old female adolescents, we analyze how New Alternative Masculinity men are demystifying Hache and the idea of having a “Three Steps Above Heaven” by demonstrating with the powerful language of desire that men like him employ farce strategies. The article includes evidence from interventions with adolescents where discussion of movies like this, with the involvement of New Alternative Masculinity men and grounded in the language of desire, can transform the perception about the sexual-affective relationship in the movie, thus counteracting their negative influence in terms of attraction to violence.

Exploring the Roles of Familial and Dating Relationship Violence and Sexual Assault on Adolescent Girls and Young Women's Risk of Partner Violence in Tanzania

This study explored the role of non-partner violence on adolescent girls and young women's (AGYW) risk of partner violence in Tanzania. Among currently partnered AGYW, 36.7% reported lifetime physical and/or sexual partner violence. Prevalence of parental punishment, dating relationship violence, and sexual assault measured 3.0%, 2.5%, and 2.9%, respectively. There is evidence that exposure to all forms of non-partner abuse is associated with partner violence. Population attributable fractions suggest that 20% of partner violence incidence was because of non-partner violence. Adolescence and young adulthood is a critical intervention age group to prevent multiple forms of violence including in intimate relationships.

Seeking Help From Formal Sources Among Teen Dating Violence Victims: Exploring the Role of Incident and Victim Characteristics

Most teen dating violence (TDV) victims do not seek help after their victimization experience. While research has identified that victims are more likely to turn to informal versus formal sources, there is a lack of knowledge about what factors are predictive of help-seeking from formal sources. The current study explored the impact of incident and victim characteristics on help-seeking from formal sources among middle and high school TDV victims (N = 2,174). Findings indicate that the severity and location of the victimization significantly increase the likelihood of help-seeking from formal sources.

Profiles and Predictors of Dating Violence Among Sexual and Gender Minority Adolescents

PURPOSE

Sexual and gender minority adolescents report higher levels of dating violence compared with their heterosexual and cisgender peers. The objectives of the present study were to (1) identify latent profiles of dating violence; (2) examine if sexual and gender minority adolescents were particularly vulnerable to certain profiles of dating violence; and (3) explore how experiences of peer victimization, discrimination, and parental maltreatment explained this greater vulnerability.

METHODS

High school students in Grades 9 and 11 from the 2016 Minnesota Student Survey (N = 87,532; mean age = 15.29 years, SD = 1.23) were asked about their sexual and gender identities, their gender nonconformity, their experiences of verbal, physical, and sexual dating violence victimization and perpetration, as well their experiences of childhood maltreatment, peer victimization, and gender-based and sexual minority status-based discrimination.

RESULTS

Multinomial logistic regression analysis in a three-step latent class analysis procedure suggested five profiles of dating violence victimization and perpetration across the entire sample. Sexual and gender minority adolescents were generally more likely to be in classes high in dating violence victimization, perpetration, or both, compared with their heterosexual and cisgender peers. Gender nonconformity was also associated with greater risk for being in high dating violence classes. These differences, however, were generally nonsignificant when the social stressors of childhood maltreatment, peer victimization, and experiences of discrimination were accounted for.

CONCLUSIONS

Although findings suggested greater vulnerability for dating violence among sexual and gender minority adolescents, they underscore the importance of how minority stressors generally accounted for this greater vulnerability for dating violence.

Ten-Year Trends in Physical Dating Violence Victimization Among Adolescent Boys and Girls in British Columbia, Canada

Physical dating violence (PDV) victimization among adolescents is a serious global problem. Although knowledge of trends in PDV victimization can help guide programming and health policies, little research has examined whether the prevalence of PDV victimization has increased, decreased, or remained stable over time among non-U.S.-based samples of youth. In addition, few studies have directly tested whether disparities in PDV victimization between boys and girls have narrowed, widened, or remained unchanged in recent years. To address these gaps, we used school-based data from the British Columbia Adolescent Health Survey (BC AHS) of 2003, 2008, and 2013 (n boys = 18,441 and n girls = 17,459) to examine 10-year trends in PDV victimization. We also tested whether trends differed across self-reported sex. Data from the 2003 to 2013 BC AHS revealed that recent PDV victimization rates had significantly decreased among youth overall (5.9%-5.0%) and boys (8.0%-5.8%), but not girls (5.3%-4.2%). Although boys had steeper declines than girls in PDV victimization rates, year-by-sex interactions indicate that the sex gap in PDV victimization had not significantly narrowed. Moreover, rates of PDV victimization over the 10-year period indicated significantly higher rates of PDV victimization among boys compared with girls. Despite positive declines in recent rates of PDV victimization among youth, important differences in rates of PDV victimization between boys and girls remain. These findings underscore the need for greater attention to sex differences in research and programming and health policies to reduce PDV victimization and the sex disparities therein.

A Review of Parent- and Family-based Prevention Efforts for Adolescent Dating Violence

Prevention efforts for adolescent dating violence (ADV) have largely focused on adolescent-based interventions with little emphasis on parent- and family-based interventions, despite the integral role parents serve in adolescent relationship development. This literature review provides an overview of the existing parent- and family-based intervention efforts for ADV. This review highlights that some programs are geared toward a universal audience, whereas others are more targeted towards populations believed to be at greater risk for ADV. Some programs primarily target parents, whereas others integrate parent-based components into primarily adolescent-focused or comprehensive programs. Aspects to consider when selecting a program are discussed, as well as future directions. Suggested future directions involve broadening existing parent- and family-based programming for ADV to include a focus on secondary and tertiary prevention, gender differences, and gender and sexual minorities. This review also highlights the need for existing programs to expand their evaluation of behavioral outcomes and comparison of programs to one another.

Moderators of the Association Between Exposure to Violence in Community, Family, and Dating Contexts and Substance Use Disorder Risk Among North American Indigenous Adolescents

Exposure to violence and substance abuse are salient public health concerns among Indigenous people (i.e., American Indian and Canadian First Nations). Despite this, little research has examined the association between the two among community-based reservation/reserve samples, or factors within the broader social environment that may moderate this association. As such, the purpose of the study is to examine ecological moderators of the association between direct (i.e., dating violence victimization) and indirect (i.e., current perceptions of community violence and prospective caretaker-reported victimization exposure) exposure to violence and meeting diagnostic criteria for a substance use disorder among a large longitudinal sample of Indigenous youth and their caretakers in the upper-Midwest of the United States and Canada (N = 521). Data come from the last two waves of the study, when the adolescents were between the ages of 16 and 19 years. The results show relatively high rates of direct and indirect violence exposure by late adolescence. Logistic regression models with added interaction terms were examined to test moderating effects. Per capita family income and remote location both amplified the positive association between current community violence exposure and substance use disorder risk. Family warmth and support buffered the association between caretaker victimization exposure and substance use disorder risk, whereas dating violence victimization exposure amplified this association. The findings are contextualized for Indigenous communities, and substance abuse prevention and intervention implications are discussed.

The Association Between PTSD Symptoms and IPV Perpetration Across 6 Years

A large literature documents that posttraumatic stress disorder (PTSD) symptoms are associated with intimate partner violence (IPV) perpetration among adults. However, research on this relationship among adolescents and young adults has been plagued by methodological flaws (e.g., cross-sectional designs). Thus, the purpose of the present study was to examine the longitudinal and bidirectional associations between PTSD symptoms and psychological and physical IPV perpetration from adolesence to young adulthood. A sample of racially and ethnically diverse high school students (N = 1,042; 56% female) were assessed annually for 6 years (from 2010 to 2015 in Southeastern Texas). At each assessment, participants completed measures of PTSD symptoms and psychological and physical IPV perpetration. The mean age of the sample at the first assessment was 15.09 (SD = .79). Structural equation modeling demonstrated that PTSD symptoms at Years 2, 3, and 4 predicted increases in psychological IPV perpetration in the subsequent year. In turn, psychological IPV perpetration at Years 1 and 4 predicted increases in PTSD symptoms in the subsequent years. In addition, psychological IPV perpetration mediated the association between PTSD symptoms and physical IPV perpetration over time. Results were consistent across gender and race/ethnicity. Findings provide initial evidence that PTSD symptoms are associated with IPV perpetration across time from adolescence to young adulthood. Prevention and intervention programs for adolescent and young adult IPV perpetration may benefit from screening for, and potentially treating, PTSD symptoms.

Substance Use and Disparities in Teen Dating Violence Victimization by Sexual Identity Among High School Students

Sexual minority youth (SMY) report more substance use and experience more physical and sexual dating violence victimization than heterosexual youth; however, few studies have explored the relationship between substance use and disparities in teen dating violence and victimization (TDVV) using national-level estimates, and examined if these relationships vary by sexual minority subgroups. Data from the nationally representative 2015 and 2017 national Youth Risk Behavior Surveys were used to examine differences in TDVV and substance use by sexual identity, and to determine if substance use was associated with TDVV disparities between SMY and heterosexual high school students who dated 12 months prior to the survey (n = 18,704). Sex-stratified logistic regression models generated prevalence ratios adjusted for demographic characteristics and substance use behaviors to determine if substance use mediated the relationship between sexual identity and TDVV. Compared with their heterosexual peers, SMY experienced higher rates of TDVV and were more likely to report using most types of substances, although differences were more pronounced among female students compared with male students. Disparities in TDVV were reduced for male gay and bisexual students as well as for female bisexual students once substance use was entered into the model, suggesting that there is a relationship between substance use and some of gay and bisexual students' risk for experiences of TDVV. Comprehensive efforts for violence prevention among sexual minority students may benefit from incorporating substance use prevention, given its relationship to disparities in TDVV.

Use of Social Network Analysis to Identify Popular Opinion Leaders for a Youth-Led Sexual Violence Prevention Initiative

In the current article, we describe an innovative sexual violence (SV) prevention initiative that used social network analysis to identify youth and adult popular opinion leaders who were subsequently trained in best practices in SV prevention (e.g., bystander intervention) at a kickoff event (i.e., camp) of the initiative. We provide information on recruitment strategies, participation rates and how those rates varied by some demographic factors, reasons for nonattendance, the initial impact of the camp, and lessons learned. Despite challenges with youth and adult engagement, this innovative approach has the potential to transform the way we approach SV prevention among youth.

The Influence of Culture on Healthy Relationship Formation and Teen Dating Violence: A Qualitative Analysis of South Asian Female Youth Residing in the United States

Teen dating violence (TDV) has well-documented detrimental health effects. Scant research has examined the perspectives of ethnically diverse youth about the impact of culture on TDV. We sought to explore the intersection between culture and TDV specifically for South Asian youth residing in the United States. We conducted semi-structured interviews with South Asian youth aged 16 to 21 years. Interviews included three aims: (a) exploring participants' perspectives on TDV and healthy relationships within the South Asian community, (b) examining how different components of their cultural identity affect their romantic relationships, and (c) understanding ideas for TDV prevention programs for South Asian youth. Interview transcripts were coded using thematic analysis. Twenty-five adolescent females participated; the majority (76%) trace their heritage to India, were born abroad (62%), and are in college (80%). The majority believed that dating was stigmatized within the South Asian community, forcing youth to hide relationships from their parents. Participants described aspects of culture that may negatively impact relationships (e.g., patriarchal attitudes and fear of stigma), as well as those that may protect teens (e.g., close-knit community). Conflicts about dating due to generational differences were also discussed. Participants suggested programs for South Asian youth focused on engaging parents in conversations about TDV and promoting gender equity. About half thought TDV prevention programs should be culturally tailored for South Asian youth, while others believed multicultural programs would be more effective. Although South Asian culture may confer some protection for youth experiencing TDV, stigma against dating and generational differences may create unique challenges. Future work should examine how to mediate parent-adolescent cultural conflicts around dating.

Exploring the association between anticipated and actual responses to disclosures of intimate partner violence and sexual assault

Victims of intimate partner violence (IPV) and sexual assault (SA) commonly disclose their experiences to friends or family members, or within other personal relationships. Disclosure recipients' responses to these disclosures are associated with victims' mental health. Previous research has separately measured both actual responses to IPV/SA and anticipated responses to IPV/SA (e.g., response to a hypothetical scenario) from the perspective of disclosure recipients. Yet, little research has described the association between disclosure recipients' anticipated and actual responses. The aim of the current paper was to use a prospective design to examine the association between disclosure recipients' anticipated and actual responses to IPV/SA, including positive and negative social reactions, perceptions of victim responsibility, empathy, and confusion and ineffectiveness about how to respond. Participants (N = 126 college students aged 18-23; 70.6% women) answered questions about their anticipated responses to a hypothetical IPV/SA disclosure scenario, and then six months later answered the same questions about their actual responses to an actual disclosure of IPV/SA. Although most anticipated and actual responses were significantly associated, associations were moderate in size. Some associations were stronger for participants with a closer relationship to the victim, for participants who had their own victimization history, for women, and for men. Individuals can predict their responses to some degree, but are not totally accurate in doing so.

The Effects of Adverse Childhood Experiences on Internalizing and Externalizing Behaviors among Black Children and Youth

There is limited research on the short-term effects of ACEs on Black children and youth. Black children and youth are disproportionately exposed to abuse, neglect, and other victimizations (Drake et al. 2009; Wade et al. Journal of Family Issues, 17(3), 283-316, 2014). Investigating ACEs will provide a broader understanding of childhood trauma on developmental processes. The current study investigates how ACES impacts psychological distress, substance use, and delinquency among Black children and youth. Hypotheses were tested using a subsample of longitudinal data from 265 participants who were recruited from six school districts in Southeast Michigan. ACEs at T1 significantly predicted depressive symptoms at T2 (β = .19, p < .05), which in turn predicted substance use (β = .20, p < .05), and delinquency (β = .19, p < .05). Psychological distress also mediated the associations between ACEs and substance use, and delinquency. To engage youth in prevention/interventions and practice, it is important to understand the contexts in which they develop i.e. having knowledge on the specific type of victimization instances that Black youth may experience more than their peers as well as the social factors. Therefore, taking a trauma-informed approach that will acknowledge the adverse childhood experiences that youth went through and to understand how these experiences shape their development through adolescence may be efficacious.

Poor Parenting, Attachment Style, and Dating Violence Perpetration Among College Students

Although dating violence is prevalent among college students, little is known about how both attachment style and participation in risky behaviors contribute to this pattern of violence. To address this literature gap, we examine the role of poor parenting, child abuse, attachment style, and risky sexual and drug use behaviors on dating violence perpetration among 1,432 college students (51% female). Path analysis results revealed that females were more likely to report greater attachment anxiety but lower attachment avoidance compared with males. Correlates of attachment anxiety included child physical abuse, witnessing parental violence, and poorer maternal relationship quality whereas attachment avoidant behavior was linked to more physical abuse and poorer maternal relationship quality. Females were more likely to perpetrate dating violence as were those with greater attachment anxiety and lower attachment avoidance. Other correlates of dating violence perpetration included sexual and drug risk behaviors. Finally, distal factors (i.e., more child physical abuse and poorer maternal relationship quality) also were associated with dating violence perpetration. Study implications are also discussed.

Depressive Symptoms Moderate Dating Violence Prevention Outcomes Among Adolescent Girls

Purpose: Few dating violence prevention programs assess how variations in initial violence risk affects responsiveness. This study examines the efficacy of Date SMART, a dating violence and sexual risk prevention program designed to target high-risk adolescent girls, in preventing dating violence in the context of varying initial levels of depressive symptoms. Method: A diverse sample of N = 109 female adolescents with a history of physical dating violence participated in a randomized controlled trial of the Date SMART program and a knowledge only (KO) comparison. Results: Using baseline depression level as a primary risk factor, a series of multilevel models revealed significant main effects of baseline depression such that higher baseline depression was associated with greater physical dating violence perpetration and victimization. Results also showed a three-way interaction for assessment point, depressive symptoms, and condition for physical dating violence perpetration. Specifically, those with higher baseline depression in Date SMART showed significantly less physical dating violence perpetration at follow-ups compared with those with higher baseline depression in the KO group. This difference in violence reduction between conditions was not observed for those with lower baseline depression. Discussion: Date SMART appears to effectively reduce physical dating violence perpetration in those with higher levels of initial risk. Current findings support that adolescents with different risk profiles respond differently to violence prevention programs.