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Girard M, Fernet M, Godbout N. "Like A Mouse Pursued By the Snake": A Qualitative Metasynthesis on the Experiences of Revictimization Among Women Survivors of Childhood Sexual Abuse and Partner Violence. TRAUMA, VIOLENCE & ABUSE 2024; 25:2407-2420. [PMID: 38049952 PMCID: PMC11155201 DOI: 10.1177/15248380231214783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/06/2023]
Abstract
A metasynthesis was performed on 15 qualitative studies to document the experience of revictimization by an intimate partner among women, based on survivors' perspectives on their sustained childhood sexual abuse and intimate partner violence victimization. Results identified two main conceptual categories: (a) Barriers to action: A belief system reflecting learned helplessness that hinders women's abilities to protect themselves and prevent further abuses, and (b) Broken internal compass: Cognitive elements blurring women's risk evaluation capacities and reference points limiting their ability to break the cycle of revictimization. These findings support the need to examine cognitive distortions and false beliefs in intervention practices and suggest valuable guidelines for practitioners. As the responsibility for violence always lies with the perpetrator, this study should not be interpreted as blaming women for their victimization, but instead, as a way to give women a voice about their experiences and give them a sense of power in the prevention of violence.
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Bonnesen K, Luo R, Rothenberg R, Smith M, Swartout K. Campus climate impacts on sexual violence: a Bayesian comparison of undergraduate and community colleges. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-12. [PMID: 38754092 DOI: 10.1080/07448481.2024.2351412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 04/28/2024] [Indexed: 05/18/2024]
Abstract
OBJECTIVE Sexual violence is endemic on college campuses. Four-year campuses present high-risk environments for sexual violence and heavy episodic drinking is a robust risk factor for victimization. However, limited literature exists on sexual violence at two-year institutions, with most research focused on four-year campuses. We examined whether campus climates affect sexual violence prevalence rates. PARTICIPANTS Sexual misconduct campus climate data from two-year and four-year campus students. METHODS We used Bayesian logistic regressions to compare sexual victimization odds between two- and four-year campuses. RESULTS Four-year students were twice as likely to have experienced sexual victimization and 2.5 times more likely to engage in heavy episodic drinking compared to two-year students. The risk of sexual victimization associated with heavy episodic drinking was reliably similar across campus types. CONCLUSIONS Campus climates reliably impact student's risk of sexual victimization. Based on these findings, two- and four-year campuses may need to implement distinct prevention services.
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Affiliation(s)
- Kamilla Bonnesen
- Department of Psychology, Georgia State University, Atlanta, Georgia, USA
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | - Ruiyan Luo
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | - Richard Rothenberg
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | | | - Kevin Swartout
- Department of Psychology, Georgia State University, Atlanta, Georgia, USA
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
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Fereidooni F, Daniels JK, Lommen MJJ. Self-regulatory Sex Motives Scale in Online Dating: Exploratory Factor Analysis and Internal Consistency. Violence Against Women 2024:10778012241243048. [PMID: 38592309 DOI: 10.1177/10778012241243048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
Abstract
Risky sex behavior is common among online dating users. Understanding the motives behind risky sex behavior might help identify suitable targets for prevention. We developed the Self-regulatory Sex Motives Scale in Online Dating (SSOD) to assess sex motives for casual sex in online dating users. This study evaluated the psychometric properties of the SSOD and examined the relationship between sex motives indexed by the SSOD and risky sex behavior. The new scale showed high internal consistency. Exploratory factor analysis suggested a one-factor solution. Sex motives were related to a higher frequency of having sex on the first date.
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Affiliation(s)
- Fatemeh Fereidooni
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
| | - Judith K Daniels
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
| | - Miriam J J Lommen
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
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Pahl K, Williams SZ, Capasso A, Lewis CF, Lekas HM. A longitudinal pathway from ethnic-racial discrimination to sexual risk behaviors among Black women and Latinas: Ethnic-racial identity exploration as a protective factor. Soc Sci Med 2023; 316:115061. [PMID: 35637046 DOI: 10.1016/j.socscimed.2022.115061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 05/11/2022] [Accepted: 05/18/2022] [Indexed: 01/11/2023]
Abstract
BACKGROUND Black women and Latinas in their thirties continue to be at risk for HIV transmission via heterosexual intercourse. METHODS Informed by the Theory of Gender and Power, this study investigated a longitudinal path model linking experiences of ethnic-racial discrimination in late adolescence to sexual risk behaviors in adulthood among 492 Black women and Latinas. We also tested whether ethnic-racial identity exploration served as a resilience asset protecting women against the psychological impact of ethnic-racial discrimination. Survey data from female participants in the Harlem Longitudinal Development Study, which has followed a cohort of New York City Black and Latinx youth since 1990, were analyzed. Data for this analysis were collected at four time points when participants were on average 19, 24, 29, and 32 years of age. Structural equation modeling was used to examine a hypothesized pathway from earlier ethnic-racial discrimination to later sexual risk behaviors and the protective role of ethnic-racial identity exploration. RESULTS Results confirmed that ethnic-racial discrimination in late adolescence was linked with sexual risk behaviors in the early thirties via increased levels of affective distress in emerging adulthood, experiences of victimization in young adulthood, and substance use in the early thirties among women low in ethnic-racial identity exploration. We also found that ethnic-racial identity served as a resilience asset, as the association between discrimination in late adolescence and affective distress in emerging adulthood was not significant among women with higher levels of ethnic-racial identity exploration. CONCLUSIONS The results provide important preliminary evidence that ethnic-racial identity exploration may serve as a resilience asset among Black women and Latinas confronting racial discrimination. Further, we suggest that ethnic-racial identity exploration may constitute an important facet of critical consciousness.
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Affiliation(s)
- Kerstin Pahl
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA.
| | - Sharifa Z Williams
- Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
| | - Ariadna Capasso
- NYU School of Global Public Health, New York University, 708 Broadway, New York, NY, 10003, USA
| | - Crystal Fuller Lewis
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
| | - Helen Maria Lekas
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
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Freitag SL, Lenzenweger MF, Crowson HM. Does Self-Silencing Behavior Mediate the Relation Between Rejection Sensitivity and Sexual Violence Victimization? Violence Against Women 2022:10778012221142918. [PMID: 36474445 DOI: 10.1177/10778012221142918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Previous research reveals that rejection sensitivity is associated with both sexual violence victimization and self-silencing behavior, yet the association among these variables has not been examined. As the foundation for this study, we propose a theoretical model that integrates these constructs. Using mediational analyses with bootstrapping, the results from a sample of 241 heterosexual college women revealed that consistent with the proposed model, self-silencing mediated the link between rejection sensitivity and reports of unwanted sexual contact and rape. The implications of the findings for the prevention of victimization/revictimization and interventions with victimized women are discussed.
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Affiliation(s)
| | - Mark F Lenzenweger
- State University of New York, Binghamton, NY, USA
- Weill Cornell Medical College, New York City, NY, USA
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6
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Oesterle DW, Jarnecke AM, Gilmore AK. Sexual Re-Assault among College Women Differs Based on Sexual Refusal Assertiveness and Assertive Resistance Strategy Intentions. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP17473-NP17491. [PMID: 34229531 DOI: 10.1177/08862605211028656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Sexual assault and sexual re-assault are common problems on college campuses for women, and experiencing an initial assault dramatically increases risk for experiencing sexual re-assault. Low use of sexual refusal assertiveness and assertive resistance strategy intentions has been found to predict initial victimization, yet few studies to date look collectively at the associations of sexual refusal assertiveness and assertive resistance strategy intentions to sexual re-assault. The current study examined both sexual refusal assertiveness and assertive resistance strategy intentions as potential moderators of sexual re-assault among college women. It was hypothesized that the association between sexual assault severity before college and sexual assault severity since college would be stronger among those with low sexual refusal assertiveness compared to those with high sexual refusal assertiveness (Hypothesis 1). it was also hypothesized that the association between sexual assault severity before college and sexual assault severity since college would be stronger among those who endorsed assertive resistance strategy intentions (Hypothesis 2). Participants (N = 623) included college women at a large, public university within the northwestern region of the United States, who completed a web-based survey. Results revealed that the association between sexual assault severity before college and sexual assault severity since college was significant among those with lower levels of sexual refusal assertiveness (t = 91.42, p < 0 .001). Results also revealed that the association between sexual assault severity before college and sexual assault severity since college was stronger among those who endorsed non-assertive resistance strategy intentions to a potential sexual assault scenario (t = 25.09, p < 0.001). These findings provide insight into risk for sexual re-assault, wherein risk reduction programmatic efforts may be targeted towards women entering college with a sexual assault history to increase their use of sexual refusal assertiveness and assertive resistance strategy intentions.
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Affiliation(s)
- Daniel W Oesterle
- Department of Psychological Sciences, Purdue University, Indiana, USA
| | - Amber M Jarnecke
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, South Carolina, USA
| | - Amanda K Gilmore
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, South Carolina, USA
- Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, Georgia, USA
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Yeater EA, Witkiewitz K, Votaw VR, Ross R, Vitek K, Blackwell M, Sheffield A. Occasions of Alcohol and Cannabis Use and Associated Risk for Sexual Assault Among College Women With Higher Sexual Risk Alcohol Expectancies. J Stud Alcohol Drugs 2022; 83:556-564. [PMID: 35838433 PMCID: PMC9318703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 12/21/2021] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVE College women report high rates of sexual assault. Research focused on women's risk factors for sexual assault remains necessary to assist women in reducing their risk. Previous work has shown alcohol use and cannabis use to be associated with sexual assault. The current study examined whether individual difference variables moderated women's risk for sexual assault during occasions of alcohol use and cannabis use using ecological momentary assessment (EMA). METHOD Participants were 18- to 24-year-old first-year undergraduate women (N = 101) who were unmarried and interested in dating men, consumed three or more alcoholic drinks on one occasion in the month before baseline, and engaged in sexual intercourse at least once. Baseline individual difference variables included sex-related alcohol expectancies, alcohol problems, decision skills, and sexual attitudes. EMA reports, collected three times per day over 42 days, included items regarding alcohol and cannabis use and sexual assault experiences. RESULTS Among women who experienced sexual assault during the EMA period (n = 40), those with higher sexual risk expectancies had a higher probability of sexual assault during occasions when they were using alcohol or cannabis. CONCLUSIONS Several modifiable risk factors for sexual assault and individual differences factors may exacerbate risk. Ecological momentary interventions may be useful to reduce sexual assault risk for women with high sexual risk expectancies who use alcohol or cannabis.
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Affiliation(s)
| | - Katie Witkiewitz
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
| | - Victoria R. Votaw
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
| | - Ryan Ross
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
| | - Kristen Vitek
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
| | - Meredith Blackwell
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
| | - Alexis Sheffield
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico
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Newlands RT, Denning DM, Massey KS, Benuto LT. Safe Dating in the Digital Era: Protective Behavioral Strategies in Dating Behaviors Facilitated by Dating Applications. VIOLENCE AND VICTIMS 2022; 37:185-200. [PMID: 35354656 DOI: 10.1891/vv-d-19-00173] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Focus groups were conducted to examine college women's perceptions of the risks of dating app dating, how risks are mitigated, and if risk identification and mitigation strategies differ by sexual victimization status. Over 60% of the sample reported a history of sexual victimization. The risk associated with dating app use fell into three themes: unsafe sexual situations, deception, and non-sexual interpersonal violence. Participants' self-reported risk mitigation strategies included logistical strategies, investigative strategies, social strategies, instinctual strategies, and safety planning strategies. Sexually victimized women reported greater or comparable risk identification and risk mitigation strategies as non-victimized women, suggesting difficulties in risk responding.
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Affiliation(s)
- Rory T Newlands
- Department of Psychology, University of Nevada, Reno, Nevada, Untied Sates
| | - Dominic M Denning
- Department of Psychology, University of Nevada, Reno, Nevada, Untied Sates
| | - Kaiya S Massey
- Department of Psychology, University of Nevada, Reno, Nevada, Untied Sates
| | - Lorraine T Benuto
- Department of Psychology, University of Nevada, Reno, Nevada, Untied Sates
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Kennedy AC, Bybee D, Adams AE, Moylan CA, Prock KA. The Effects of Social Location and Situational Factors on Young Women's Disclosure of Intimate Partner Violence Across Relationships. VIOLENCE AND VICTIMS 2022; 37:44-62. [PMID: 34561310 DOI: 10.1891/vv-d-21-00038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The goal of the study was to examine disclosure of physical and sexual intimate partner violence (IPV) victimization across abusive relationships within a sociodemographically diverse sample of young women. We recruited 283 participants, ages 18 to 24, from a university, a 2-year college, and community sites serving low-income young women, and assessed physical and sexual IPV victimization, and related disclosure, across each of their abusive relationships (415 total). We used multilevel modeling to examine the effects of social location and situational factors on the odds of any disclosure of abuse during first relationships and across relationships. The rate of physical IPV disclosure was 50%, vs. 29% for sexual IPV. Multilevel model results indicated setting, IPV type, high frequency sexual IPV, and fear were significantly related to any disclosure.
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Affiliation(s)
| | | | | | - Carrie A Moylan
- School of Social Work, Michigan State University, East Lansing, MI
| | - Kristen A Prock
- Department of Social Work, University of Wisconsin-Whitewater, Whitewater, WI
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Park SM, Monaghan H. Understanding the Effects of Perpetrators' Aggressiveness and Victim-Related Factors on Sexual Revictimization: Stepwise GLM Analysis of the 2010 NISVS. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP209-NP238. [PMID: 32345108 DOI: 10.1177/0886260520913649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Studies on sexual revictimization have employed two distinct approaches: perpetrator-oriented and victim-oriented approaches. Although the former posits that sexual revictimization is associated with perpetrators' aggressiveness and victim-offender proximity, the latter focuses on the effects of victims' situational and behavioral factors. In addition to these conflicting approaches, studies have grappled with the fact that a large number of respondents have not experienced victimization, thereby impacting the analytical strategies that should be used. This study uses the data from the National Intimate Partner and Sexual Violence Survey and employs stepwise zero-inflated and non-zero-inflated methods to examine the impact of perpetrator-oriented and victim-oriented approaches on sexual victimizations that occur by force and those that occur due to incapacitation while taking into consideration that the majority of respondents have not experienced the victimizations under study. Findings show that both perpetrator-oriented (particularly aggressiveness) and victim-oriented factors impact sexual revictimization. The implications of the findings and the limitations of this study are discussed.
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11
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Anderson RE, Holmes SC, Johnson NL, Johnson DM. Analysis of a Modification to the Sexual Experiences Survey to Assess Intimate Partner Sexual Violence. JOURNAL OF SEX RESEARCH 2021; 58:1140-1150. [PMID: 32484752 PMCID: PMC7708518 DOI: 10.1080/00224499.2020.1766404] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Greater accuracy is needed in the assessment of sexual victimization that occurs in intimate relationships. Existing assessment strategies in the literature often represent two distinct approaches - intimate partner violence specific strategies vs. sexual violence specific strategies. The current study compared multiple distinct strategies for assessing intimate partner sexual victimization (IPSV) and evaluated a modification that optimizes intimate partner and sexual violence specific strategies. Two samples of undergraduate women were recruited. Sample 1 (N = 236) completed the Severity of Violence Against Women Scales (SVAWS) and a modified version Sexual Experiences Survey-Short Form Victimization (SES-SFV) in which participants were cued to respond both for romantic partners and non-partners (referred to as the SES-RP/NP). Sample 2 (N = 206) completed the SVAWS and was randomized to either the traditional SES-SFV or the SES-RP/NP. Across samples, the prevalence of IPSV varied based on the measure used (SVAWS = 11.7%; SES-SFV = 17.0%; SES-RP/NP = 25.4%). The SES-RP/NP identified significantly more IPSV than the SES-SFV, SVAWS, and prior studies. Both the SES-SFV and the SES-RP/NP were positively and significantly associated with the SVAWS. The results suggested that optimal measurement of IPSV would consider both intimate partner and sexual violence strategies.
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Affiliation(s)
- RaeAnn E. Anderson
- University of North Dakota, Department of Psychology, 2000 Columbia Hall, Grand Forks, ND 58202
- corresponding author, , phone: 701-777-6824, fax: 701-777-3454
| | - Samantha C. Holmes
- University of Akron, Department of Psychology, 290 E. Buchtel Ave, Akron OH 44325
- Yale School of Medicine, Department of Psychology, 300 George Street, Suite 901, New Haven, CT 06511
| | - Nicole L. Johnson
- Lehigh University, Department of Education and Human Services, Iacocca Hall, 111 Research Drive, Bethelem, PA 18015
| | - Dawn M. Johnson
- University of Akron, Department of Psychology, 290 E. Buchtel Ave, Akron OH 44325
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Shaw R, Read JP. The differential effects of verbal sexual coercion and forcible sexual assault on alcohol use and consequence trajectories in the first year of college. PSYCHOLOGICAL TRAUMA : THEORY, RESEARCH, PRACTICE AND POLICY 2021; 13:835-846. [PMID: 34591534 PMCID: PMC9164101 DOI: 10.1037/tra0001130] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
OBJECTIVE Verbal sexual coercion (VSC) is the most prevalent and pervasive form of sexual victimization that women experience, yet the long-term harmful effects of this type of experience are unknown. The current study examined the effects of verbal sexual coercion versus forcible sexual assault (FSA) on alcohol use and alcohol consequences, two deleterious outcomes that have been linked to sexual victimization. METHOD In a sample of college women (N = 649), lifetime history of VSC and FSA were examined as predictors of trajectories of alcohol outcomes with latent growth models. Participants were assessed at six timepoints over their first year of college, a critical transition period of increased risk for both alcohol use and trauma exposure. We also examined the influence of victimization characteristics, such as relationship to the perpetrator and revictimization experiences in these associations. RESULTS VSC experiences were predictive of higher levels of alcohol use and alcohol-related consequences (i.e., intercept). This risk was sustained throughout the first year of college. VSC experiences did not predict changes (i.e., slope) in alcohol outcomes over this time. In contrast, FSA was not predictive of either initial level or change in alcohol use and consequences over time. CONCLUSION Findings highlight the importance of distinguishing among types of coercive experiences, as they show unique associations with later harmful outcomes. Verbal sexual coercion, common in the lives of young women but often overlooked in the extant literature, is associated with substantial negative impact during the first year of college. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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13
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Willis M, Murray KN, Jozkowski KN. Sexual Consent in Committed Relationships: A Dyadic Study. JOURNAL OF SEX & MARITAL THERAPY 2021; 47:669-686. [PMID: 34279182 PMCID: PMC9196330 DOI: 10.1080/0092623x.2021.1937417] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Sexual consent is a multidimensional construct that requires the participation of all involved in a sexual encounter; however, previous research has almost exclusively relied on one person's perspective. To address this, we collected open- and closed-ended data on sexual consent from 37 dyads in committed sexual relationships (N = 74). We found that relationship length was associated with sexual consent and couples who accurately perceived each other's consent communication cues reported elevated levels of internal consent feelings. Communicating willingness to engage in sexual activity remains important even within committed relationships. Preliminary findings suggest that further investigations of dyadic nuances of sexual consent are warranted.
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Affiliation(s)
- Malachi Willis
- Institute of Health and Wellbeing, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Kelli N. Murray
- Department of Health, Human Performance, and Recreation, University of Arkansas, Fayetteville, AR, USA
| | - Kristen N. Jozkowski
- Department of Applied Health Science and the Kinsey Institute for Research in Sex, Gender and Reproduction, Indiana University, Bloomington, IN, USA
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14
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Norris AL, Carey KB, Shepardson RL, Carey MP. Sexual Revictimization in College Women: Mediational Analyses Testing Hypothesized Mechanisms for Sexual Coercion and Sexual Assault. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:6440-6465. [PMID: 30565482 DOI: 10.1177/0886260518817778] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A precollege history of sexual victimization predicts revictimization during college, making it important to understand the mechanisms underlying the victimization-to-revictimization pathway. The study aimed to test whether heavy episodic drinking and personal and peer hookup norms mediate revictimization for two types of unwanted sexual contact: sexual coercion (attempted and/or completed sexual assault by the use of verbal coercion) and sexual assault (attempted and/or completed sexual assault by the use of force, threats, or incapacitation). At college entry, 483 first-year college women completed self-report measures of their precollege experiences, including history of sexual victimization and health behaviors (i.e., alcohol use, personal and peer hookup norms). At the end of the first and second semesters, they also completed measures assessing incident sexual victimization. Nearly one half of women (48%) reported an experience of attempted or completed sexual coercion or assault prior to entering college; 33% endorsed sexual coercion and 15% endorsed sexual assault in their first year of college. Structural equation models demonstrated that heavy episodic drinking and personal and peer hookup norms partially mediated revictimization for sexual assault, but not for sexual coercion. Sexual coercion was the most common tactic leading to unwanted sexual contact in this sample. Alcohol use and personal and peer hookup norms mediated revictimization by force, threats, or incapacitation. In contrast, the hypothesized mediators did not explain the revictimization pathway for verbally coerced assaults. Given the prevalence of sexual coercion, research needs to identify risk factors for verbal coercion to guide prevention efforts.
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Affiliation(s)
- Alyssa L Norris
- The Miriam Hospital, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA
| | - Kate B Carey
- Department of Behavioral and Social Sciences, School of Public Health, Brown University, Brown University, Providence, RI, USA
- Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA
| | | | - Michael P Carey
- The Miriam Hospital, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA
- Department of Behavioral and Social Sciences, School of Public Health, Brown University, Brown University, Providence, RI, USA
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15
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Dardis CM, Ullman SE, Rodriguez LM, Waterman EA, Dworkin ER, Edwards KM. Bidirectional associations between alcohol use and intimate partner violence and sexual assault victimization among college women. Addict Behav 2021; 116:106833. [PMID: 33516041 DOI: 10.1016/j.addbeh.2021.106833] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 01/08/2021] [Accepted: 01/09/2021] [Indexed: 11/30/2022]
Abstract
Whereas some prior studies have explored whether alcohol increases the risk for victimization and/or whether distress resulting from victimization increases the risk for alcohol use, few studies have simultaneously tested these bidirectional hypotheses among a high-risk sample (i.e., undergraduate women), while including both sexual assault (SA) and intimate partner violence (IPV) victimization, and exploring potential moderating effects of PTSD symptoms on these paths. Among 631 college women, the present study tested these bidirectional associations using cross-lagged panel models across two measurement periods (i.e., Time 1 [T1] and Time 2 [T2], six months later). Results suggested that T1 alcohol use increased risk for T2 SA (but not T2 IPV victimization), and PTSD symptoms moderated this association; at lower levels of PTSD symptoms, there were no significant associations between alcohol use and subsequent SA victimization, whereas at higher levels of PTSD symptoms, alcohol use predicted subsequent SA victimization. By contrast, the opposite directional hypothesis was not supported; neither T1 lifetime SA nor IPV were associated with T2 drinking, regardless of the level of their PTSD symptoms. Prevention and intervention efforts should simultaneously address risk factors for alcohol use and victimization using trauma-informed practices.
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Affiliation(s)
| | - Sarah E Ullman
- Department of Criminology, Law and Justice, University of Illinois at Chicago, 1007 West Harrison Street, Chicago, IL 60607-7140, USA.
| | - Lindsey M Rodriguez
- Psychology University of South Florida, 4202 E. Fowler Ave., Tampa, FL 33620, USA.
| | - Emily A Waterman
- Faculty Member Developmental Psychology, Bennington College, 1 College Drive, Bennington, VT 05201, USA.
| | - Emily R Dworkin
- Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1100 NE 45th St. Ste. 300, Seattle, WA 98105, USA.
| | - Katie M Edwards
- Nebraska Center for Research on Children, Youth, Families, and Schools University of Nebraska-Lincoln, USA.
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16
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DeCou CR, Skewes MC. Alcohol Consumption, History of Sexual Assault in Adolescence, and Revictimization in a Sample of University Students in the Western United States. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:314-329. [PMID: 29294899 DOI: 10.1177/0886260517727492] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study evaluated alcohol consumption as a moderator of the association between adolescent sexual assault and risk of sexual assault in college. It was hypothesized that sexual assault in adolescence would be associated with higher risk of college victimization and that this association would be moderated by alcohol consumption. Predominantly female and European-American university students (N = 201) completed self-report measures of alcohol consumption and sexual assault victimization in adolescence and since enrolling in college at a medium-sized university in the Western United States. Controlling for effects of age and gender, there was a significant interaction between alcohol consumption variables (i.e., typical weekly alcohol consumption and binge drinking) and adolescent sexual assault, such that the greatest risk for sexual assault in college was incurred by the heaviest drinkers with the greatest frequencies of adolescent sexual assault. This study highlights the importance of considering past victimization history in concert with alcohol consumption in efforts to prevent sexual victimization in college.
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Affiliation(s)
- Christopher R DeCou
- Idaho State University, Pocatello, USA
- University of Washington, Seattle, USA
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Jaffe AE, Steel AL, DiLillo D, Messman-Moore TL, Gratz KL. Characterizing Sexual Violence in Intimate Relationships: An Examination of Blame Attributions and Rape Acknowledgment. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:469-490. [PMID: 29294900 PMCID: PMC6214786 DOI: 10.1177/0886260517726972] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Rape by an intimate partner frequently involves a precedence of sexual consent between victim and perpetrator, often does not include the use of physical force, and may not fit societal definitions of rape. Given these unique characteristics, women who are assaulted by an intimate partner may be less likely to acknowledge the experience as a rape. In turn, they might make fewer blame attributions toward themselves and their perpetrators than victims of rape by a nonpartner. Consistent with these expectations, results from 208 community women reporting rape in adulthood revealed the presence of indirect effects of perpetrator type (nonpartner vs. intimate partner) on both behavioral self-blame and perpetrator blame through rape acknowledgment, even when controlling for both victim substance use at the time of the assault and coercion severity. Compared with women who experienced a rape by a nonpartner, women who experienced rape in the context of a marital or dating relationship were less likely to blame themselves or the perpetrator for the assault, in part because they were less likely to label their experience as a rape. Overall, these findings highlight the unique nature of intimate partner rape and provide further information about the relatively underresearched area of sexual violence in intimate relationships.
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Jaffe AE, Blayney JA, Lewis MA, Kaysen D. Prospective Risk for Incapacitated Rape Among Sexual Minority Women: Hookups and Drinking. JOURNAL OF SEX RESEARCH 2020; 57:922-932. [PMID: 31556751 PMCID: PMC7096255 DOI: 10.1080/00224499.2019.1661949] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Sexual minority women (SMW), including lesbian and bisexual women, are at greater risk for heavy drinking and sexual victimization than heterosexual women. Risk factors for alcohol-related sexual victimization, such as incapacitated rape (IR), include frequent heavy drinking and hookups among heterosexual women, but it is less clear whether these risk factors extend to SMW. This current study was designed to address this gap. In a national sample of SMW (N = 1,057), logistic regressions were used to test whether heavy drinking and hookups in the first year of the study were risk factors for IR during the second year. After controlling for history of prior sexual victimization, subsequent IR was predicted by an interaction between heavy drinking and the number of male hookup partners. Specifically, more frequent heavy drinking was associated with increased risk for subsequent IR, but only among SMW who reported more than one male hookup partner, indicating exposure to more potential perpetrators. When examined separately, this finding held for bisexual women, but was not significant for lesbian women, likely because they reported fewer male hookup partners. Overall, findings from this longitudinal study highlight that in combination, heavy drinking and hookups with multiple men elevate risk for IR.
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Affiliation(s)
- Anna E Jaffe
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | - Jessica A Blayney
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | - Melissa A Lewis
- Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center
| | - Debra Kaysen
- Department of Psychiatry and Behavioral Sciences, University of Washington
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19
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Girard M, Dugal C, Hébert M, Godbout N. Is My Sex Life Ok? The Mediating Role of Sexual Anxiety in the Association between Childhood Sexual Abuse and Sexual Coercion against Women. JOURNAL OF CHILD SEXUAL ABUSE 2020; 29:717-733. [PMID: 32529921 DOI: 10.1080/10538712.2020.1774697] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Revised: 03/16/2020] [Accepted: 03/25/2020] [Indexed: 06/11/2023]
Abstract
Empirical studies suggest that childhood sexual abuse is associated with sexual revictimization by a male romantic partner in female survivors. Yet, the potential mechanisms underlying this association remain understudied. Past studies indicated that women childhood sexual abuse survivors report more sexual anxiety, which in turn was linked to an increased risk of sustaining sexual coercion. The current study, conducted with a sample of 448 adult women from the community, aimed to examine sexual anxiety as a potential mechanism in the association between childhood sexual abuse and sexual coercion sustained by women in heterosexual romantic relationships. Results from path analyses confirmed the indirect effect of sexual anxiety in the relationship between childhood sexual abuse and sexual coercion victimization. Findings indicated that childhood sexual abuse is associated with higher levels of sexual anxiety, which in turn, was linked to a higher frequency of sexual coercion experiences perpetrated by the romantic partner. This study contributes to a better understanding of the determinants of sexual violence against women and provides an empirical basis to better inform prevention initiatives and guide future interventions.
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Affiliation(s)
| | - Caroline Dugal
- Université du Québec à Montréal , Montreal, Canada
- Université de Sherbrooke , Sherbrooke, Canada
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20
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Nason EE, Yeater EA. Type of Judge Influences Judgments of College Women's Responses to Increasingly Coercive Sexual and Nonsexual Social Situations. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:895-907. [PMID: 31602583 DOI: 10.1007/s10508-019-01557-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 08/05/2019] [Accepted: 09/25/2019] [Indexed: 06/10/2023]
Abstract
Research examining women's ability to respond to sexually risky situations has relied on trait-based measures or experts' judgments to determine the effectiveness of women's responses. To date, no work has examined whether there are differences among relevant judges with respect to these evaluations. As part of a larger study, 100 undergraduate women listened to descriptions of sexual and nonsexual social situations, viewed clips of a male actor making increasingly coercive verbal requests to each situation, provided a videotaped response to each request, and evaluated the effectiveness of their own responses in decreasing risk for sexual victimization. Women's responses were provided to experts in sexual violence research (n = 8) and undergraduate men (n = 107) who also rated their effectiveness. All raters were asked to attend to both verbal and nonverbal behaviors when providing their ratings. As verbal coercion increased across both types of situations, responses were rated by undergraduate women and undergraduate men as more effective, suggesting that responses become more effective as risk increases for a negative outcome. Experts rated women's responses to moderate coercion as being more effective than responses to low coercion but rated responses to high coercion as less effective than responses to moderate coercion. Additionally, experts and undergraduate women rated women's responses to the sexual victimization risk vignettes as more effective than responses to the nonsexual social situation vignettes. In most cases, experts and undergraduate women's ratings were not statistically different from one another; however, undergraduate men rated undergraduate women's responses to both the sexual victimization risk and the nonsexual social situation vignettes as less effective than experts or undergraduate women. This article discusses applications of these findings for future prevention efforts focused on maximizing the effectiveness of women's responses in sexually risky situations.
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Affiliation(s)
- Erica E Nason
- School of Social Work, Texas State University, San Marcos, TX, 78666, USA.
| | - Elizabeth A Yeater
- Department of Psychology, University of New Mexico, Albuquerque, NM, USA
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21
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Johnson NL, Holmes SC, Johnson DM, Zlotnick C. Comparing Prevalence and Correlates of Intimate Partner Sexual Victimization Relative to Other Victim-Offender Relationships in College Students. VIOLENCE AND VICTIMS 2020; 35:39-53. [PMID: 32015068 PMCID: PMC10408710 DOI: 10.1891/0886-6708.vv-d-18-00205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Research on sexual victimization (SV) in college women often focuses on perpetration by nonpartners thus, little is known about SV by intimate partners on college campuses. To address this gap in the literature, the current study compared prevalence and revictimization rates and negative correlates of SV based on victim-offender relationship. Findings suggest higher prevalence rates of SV perpetrated by a nonpartner compared to an intimate partner although similar and alarming rates of revictimization. Regarding negative correlates of SV, no differences were identified based on victim-offender relationship; however, victims of SV by both an intimate partner and a nonpartner demonstrated the highest negative correlates. These findings demonstrate the importance of addressing SV by nonpartners and intimate partners and the necessity for tertiary prevention efforts to decrease revictimization.
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Affiliation(s)
- Nicole L Johnson
- Department of Education and Human Services, Lehigh University, Bethlehem, PA
| | | | - Dawn M Johnson
- Psychology Department, The University of Akron, Akron, OH
| | - Caron Zlotnick
- Butler Hospital and Warren Alpert Medical School at Brown University, Providence, RI
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22
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Sáez G, Alonso-Ferres M, Garrido-Macías M, Valor-Segura I, Expósito F. The Detrimental Effect of Sexual Objectification on Targets' and Perpetrators' Sexual Satisfaction: The Mediating Role of Sexual Coercion. Front Psychol 2020; 10:2748. [PMID: 31920805 PMCID: PMC6917605 DOI: 10.3389/fpsyg.2019.02748] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Accepted: 11/21/2019] [Indexed: 11/17/2022] Open
Abstract
Sexual objectification is a variable to consider for understanding the sexual violence that takes place into intimate context. The set of studies presented here aims to connect sexual objectification phenomena with sexual coercion and explore the consequences that both have on sexual satisfaction. Two studies examined the association between sexual objectification and sexual satisfaction for both views: female target (Study 1) and male perpetrator (Study 2) perspectives. The results of the first study (n = 138 heterosexual women) demonstrated that perceiving partner objectification (but not reporting general sexual objectification victimization) is indirectly linked to a lower sexual satisfaction because of lower rejection and higher sexual coercion rates. The second study (n = 136 heterosexual men) showed the indirect effect of partner objectification and general sexual objectification perpetration on sexual satisfaction after sexual coercion perpetration. Results of both studies demonstrated the negative consequences that sexual objectification has on sexual satisfaction for both male perpetrators and female targets.
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Affiliation(s)
- Gemma Sáez
- Departamento de Psicología, Universidad Loyola Andalucía, Seville, Spain
| | - María Alonso-Ferres
- Department of Social Psychology, Faculty of Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Marta Garrido-Macías
- Department of Social Psychology, Faculty of Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Inmaculada Valor-Segura
- Department of Social Psychology, Faculty of Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Francisca Expósito
- Department of Social Psychology, Faculty of Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), University of Granada, Granada, Spain
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23
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Kim DH, Um MY, Cho H, Lee EB, Chun JS, Chang H. Factors Associated With Types of Sexual Assault Victimization and Bystander Behavior Among South Korean University Students. VIOLENCE AND VICTIMS 2019; 34:952-971. [PMID: 31836645 DOI: 10.1891/0886-6708.vv-d-18-00068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The aim of the current study was to gain understanding about incidences of sexual misconduct and bystander behaviors in South Korean universities. Specifically, risk factors were examined associated with three different types of sexual assault victimization (verbal or visual sexual harassment, physically forced sexual assault, and incapacitated sexual assault) and investigated the factors related to bystander behaviors. Data were collected via an online survey tool called SurveyMonkey in 2016. The total sample of participants comprised 1,944 enrolled undergraduate and graduate students from six universities in Seoul, South Korea. One logistic regression was conducted with a sample who reported sexual assault victimization (n = 1,079) to examine the risk factors associated with the three types of sexual misconduct. The other logistic regression was conducted with the subsample of bystanders (n = 540) to examine the relationships between bystander behavior and risk factors. In the main results, each type of sexual misconduct was associated differentially with age, alcohol blackouts, depression, child abuse and neglect, being an international student, and childhood sexual victimization. Also, persons who were older, self-identified LGBT, and victimized by verbal or visual sexual harassment at university were more likely to intervene when sexual misconduct occurred. These findings have implications for policies and interventions to reduce and prevent sexual misconduct in Korean universities.
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Affiliation(s)
- Dong Ha Kim
- Department of Social Welfare, Chungwoon University, Chungnam, Republic of Korea
| | - Myung-Yong Um
- Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Hyunkag Cho
- School of Social Work, Michigan State University, Michigan
| | - Eui Bhin Lee
- Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Jong Serl Chun
- Department of Social Welfare, Ewha Womans University, Seoul, Republic of Korea
| | - Heesuk Chang
- Department of Social Welfare, Sungkonghoe University, Seoul, Republic of Korea
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24
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McDougall EE, Langille DB, Steenbeek AA, Asbridge M, Andreou P. The Relationship Between Non-Consensual Sex and Risk of Depression in Female Undergraduates at Universities in Maritime Canada. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:4597-4619. [PMID: 27807204 DOI: 10.1177/0886260516675468] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Sexual victimization and depression are common on university campuses, especially among females. Both are associated with negative health outcomes and efforts are made to minimize these as much as possible on university campuses. The current study examines the prevalence of, and independent association between, non-consensual sex and current risk of depression after controlling for related factors. The primary study question is as follows: Are female undergraduate students who have been sexually victimized while attending university at an increased risk of depression compared with those who have not been victimized? Cross-sectional data collected online from female students below the age of 30 at eight universities in Maritime Canada were analyzed. Non-consensual sex while at university was measured using one dichotomous item and current risk of depression was measured using the validated Center for Epidemiologic Studies Depression (CES-D) Scale. All analyses were weighted and data were imputed using the sequential regression multiple imputation (SRMI) method. Analyses involved basic descriptive statistics, a series of unadjusted logistic regressions, and an adjusted multiple logistic regression. A total of 36.7% of female undergraduate students were found to be at risk of depression and 6.8% have been victim of non-consensual sex while attending university. After adjusting for covariates, females who were victimized were 2.11 times more likely to be at risk of depression than females who were not victimized (p < .0001). This study points to the possible unmet need for more mental health support for victims of sexual victimization and more efforts to prevent sexual violence on Canadian campuses. These findings can help to inform university mental health services such as mental health support for victims of sexual assault and can also be used to inform prevention and health promotion activities.
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Affiliation(s)
- Erin E McDougall
- Nova Scotia Health Authority, Halifax, Canada
- Dalhousie University, Halifax, Nova Scotia, Canada
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25
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Yeater EA, Leiting KA, Witkiewitz K. Assessing College Women’s Perception of Putative Risk for Being Sexually Victimized by a Man: Development of the Sexual Assault Script Scale (SASS). SEX ROLES 2019. [DOI: 10.1007/s11199-019-01081-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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26
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Testa M, Livingston JA, Wang W. Dangerous Liaisons: The Role of Hookups and Heavy Episodic Drinking in College Sexual Victimization. VIOLENCE AND VICTIMS 2019; 34:492-507. [PMID: 31171730 PMCID: PMC6557280 DOI: 10.1891/0886-6708.vv-d-18-00075] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Heavy episodic drinking (HED) and hookups increase college women's vulnerability to sexual victimization. We examined whether the effect of HED on first year college sexual victimization severity was mediated via hookups, that is, casual sexual encounters between individuals not in a relationship. We also tested the hypothesis that greater sexual limit-setting would attenuate the positive effect of hookups on sexual victimization. Freshman women (N = 335) were recruited by e-mail to complete an online survey regarding their college drinking and sexual experiences. The effect of HED frequency on sexual victimization was completely mediated via hookups. There was a significant indirect path from HED to victimization via alcohol-involved hookups; the path through sober hookups was not significant. We found some support for the hypothesis that sexual limit-setting reduced the impact of hookups on sexual victimization severity. Findings suggest the importance of targeting sexual behavior, which frequently occurs in conjunction with drinking, as a way of preventing college sexual victimization.
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Affiliation(s)
- Maria Testa
- Department of Psychology and Clinical and Research Institute on Addictions, University at Buffalo, Buffalo, New York
| | | | - Weijun Wang
- Research Institute on Addictions, University at Buffalo, Buffalo, New York
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27
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Richards TN. An Updated Review of Institutions of Higher Education's Responses to Sexual Assault: Results From a Nationally Representative Sample. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:1983-2012. [PMID: 27402582 DOI: 10.1177/0886260516658757] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
It has been more than a decade since Karjane, Fisher, and Cullen reviewed a nationally representative sample of Institutions of Higher Education (IHEs) and documented "sexual assault on college campuses" and "what colleges are doing about it." The current research aimed to examine the current state of IHE's response to campus sexual assault as well as any changes in IHE's response over the previous decade. To this end, the present study provides a comparison of data reported in Karjane et al. and 2015 data from a statistically equivalent sample ( n = 820). IHE's utilization of policies and procedures that reflect recent guidance by the Department of Education's Office for Civil Rights (OCR) and best practices indicated by the 2014 White House Task Force to Protect Students From Sexual Assault are also presented and discussed.
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28
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Vik BF, Nöttestad JA, Schei B, Rasmussen K, Hagemann CT. Psychosocial Vulnerability Among Patients Contacting a Norwegian Sexual Assault Center. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:2138-2157. [PMID: 27449896 DOI: 10.1177/0886260516659657] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In this study, the objective was to assess the occurrence of specific vulnerability factors among adult and adolescent females attending a Norwegian sexual assault center (SAC). We also explored assault characteristics and investigated whether these characteristics differed between the group of patients with vulnerability factors compared with the group without such factors. We conducted a retrospective descriptive study of 573 women ≥ 12 years of age attending the SAC at St. Olavs Hospital, Trondheim, Norway, between July 1, 2003 and December 31, 2010. A patient was considered vulnerable if at least one of the following features was present: intellectual or physical disability; history of present/former mental health problems; history of present/former alcohol/substance abuse; or former sexual assault. At least one vulnerability factor was present in 59% of the cases. More than one vulnerability factor was present in 29%. Reporting at least one vulnerability factor was associated with a higher patient age, unemployment, a higher frequency of reported light/moderate physical violence, and the documentation of minor body injury. In contrast, those without vulnerability more often were students assaulted during night time, by a casual or stranger assailant and reporting a higher intake of alcohol prior to the assault. There are obvious patterns of differences in the nature of sexual assaults reported among victims with specific vulnerability factors compared with victims without these factors. Future research should address these differences and possible solutions for better protection of especially vulnerable individuals against sexual offenses, such as those with mental health and substance abuse difficulties.
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Affiliation(s)
- Bjarte Frode Vik
- 1 Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- 2 St. Olavs University Hospital, Trondheim, Norway
| | - Jim Aage Nöttestad
- 1 Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- 2 St. Olavs University Hospital, Trondheim, Norway
| | - Berit Schei
- 1 Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- 2 St. Olavs University Hospital, Trondheim, Norway
| | - Kirsten Rasmussen
- 1 Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- 2 St. Olavs University Hospital, Trondheim, Norway
| | - Cecilie Therese Hagemann
- 1 Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- 2 St. Olavs University Hospital, Trondheim, Norway
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29
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Gilbert L, Sarvet AL, Wall M, Walsh K, Reardon L, Wilson P, Santelli J, Khan S, Thompson M, Hirsch JS, Mellins CA. Situational Contexts and Risk Factors Associated with Incapacitated and Nonincapacitated Sexual Assaults Among College Women. J Womens Health (Larchmt) 2018; 28:185-193. [PMID: 30481099 DOI: 10.1089/jwh.2018.7191] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Research has documented multilevel risk factors associated with experiencing incapacitated sexual assault among undergraduate women. Less is known about multilevel risk factors associated with nonincapacitated sexual assault. This study examines and compares the different settings, coercion methods, and relationships in which incapacitated and nonincapacitated sexual assaults occur among undergraduate women. MATERIALS AND METHODS Our sample included 253 undergraduate women who reported experiencing sexual assault during college on a population-based survey of randomly selected students at two colleges in New York City in 2016 (N = 1671, response rate = 67%). We examined event-level data on their most significant sexual assault incident since entering college. Using multivariable statistical analysis, we identified situational contexts associated with incapacitated and nonincapacitated assault incidents adjusting for binge drinking, illicit drug use, and other confounding sociodemographic and psychosocial variables. RESULTS Almost half (47%) of women who experienced sexual assault reported being incapacitated due to alcohol or drugs during the most significant incident. Being at a party before the event and "acquaintance" perpetrators were associated with incapacitated sexual assault after adjusting for binge drinking and other confounders. Meeting a perpetrator through an Internet dating app or indicating the perpetrator was an intimate partner were each associated with nonincapacitated assault incidents. Perpetrator use of physical force and verbal coercion were also associated with nonincapacitated assault incident. CONCLUSIONS The different situational contexts associated with incapacitated and nonincapacitated sexual assaults have important implications for the design of prevention strategies that will effectively target the diverse risk environments in which campus sexual assault occurs.
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Affiliation(s)
- Louisa Gilbert
- 1 Social Intervention Group, School of Social Work, Columbia University , New York, New York
| | - Aaron L Sarvet
- 2 Mental Health Data Science, Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute , New York, New York
| | - Melanie Wall
- 2 Mental Health Data Science, Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute , New York, New York
| | - Kate Walsh
- 3 Ferkauf Graduate School of Psychology, Yeshiva University , Bronx, New York.,4 Department of Epidemiology, Mailman School of Public Health, Columbia University , New York, New York
| | - Leigh Reardon
- 5 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York
| | - Patrick Wilson
- 5 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York
| | - John Santelli
- 6 Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University , New York, New York
| | - Shamus Khan
- 7 Department of Sociology, Columbia University , New York, New York
| | - Martie Thompson
- 8 Department of Youth, Family, and Community Studies, Clemson University , Clemson, South Carolina
| | - Jennifer S Hirsch
- 5 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York
| | - Claude A Mellins
- 9 Division of Gender, Sexuality and Health, Department of Psychiatry and Sociomedical Sciences, New York State Psychiatric Institute and Columbia University , New York, New York
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30
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Tomaszewska P, Krahé B. Predictors of Sexual Aggression Victimization and Perpetration Among Polish University Students: A Longitudinal Study. ARCHIVES OF SEXUAL BEHAVIOR 2018; 47:493-505. [PMID: 27543105 DOI: 10.1007/s10508-016-0823-2] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Revised: 06/12/2016] [Accepted: 07/20/2016] [Indexed: 05/16/2023]
Abstract
This two-wave study investigated predictors of sexual aggression victimization and perpetration in a convenience sample of 318 Polish university students (214 women), considering males and females from the perspective of both victims and perpetrators. At T1, we assessed participants' risky sexual scripts (defined as cognitive representations of consensual sexual interactions containing elements related to sexual aggression), risky sexual behavior, pornography use, religiosity, sexual self-esteem, and attitudes toward sexual coercion. These variables were used to predict sexual aggression perpetration and victimization reports obtained 12 months later (T2) for two time windows: (a) since the age of 15 until a year ago and (b) in the past year. As expected, risky sexual scripts were linked to risky sexual behavior and indirectly increased the likelihood of victimization in both time windows. Lower sexual self-esteem predicted sexual victimization since age 15, but not in the past 12 months. Pornography use and religiosity indirectly predicted victimization via risky scripts and behavior. Attitudes toward sexual coercion were a prospective predictor of sexual aggression perpetration. The results extend the international literature on sexual aggression and have implications for sexual education and sexual aggression prevention programs.
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Affiliation(s)
| | - Barbara Krahé
- Department of Psychology, University of Potsdam, Potsdam, Germany
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31
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DiLillo D, Jaffe AE, Watkins LE, Peugh J, Kras A, Campbell C. The Occurrence and Traumatic Impact of Sexual Revictimization in Newlywed Couples. COUPLE & FAMILY PSYCHOLOGY 2016; 5:212-225. [PMID: 28392971 PMCID: PMC5383208 DOI: 10.1037/cfp0000067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The present study examines whether individuals with a history of child sexual abuse are at risk of sexual revictimization in marriage and, if so, whether these experiences are associated with increased trauma symptomatology. Two hundred heterosexual newlywed couples were recruited from marriage license records and completed self-report assessments of past sexual victimization and sexual coercion within the marital dyad. Actor-Partner Interdependence Models revealed that, compared to non-victims, women with a history of child sexual abuse (CSA) experienced more acts of sexual coercion by their husbands during the past year. Moreover, there was a significant interaction between CSA and sexual coercion such that, among women who experienced CSA, the relationship between marital revictimization and trauma symptoms was stronger. Findings suggest that, for women but not men, sexual revictimization may occur in the context of a new marriage, and these experiences are associated with increased trauma symptoms. These findings have implications for understanding female survivors' perceptions of risk, and are particularly concerning given the high degree of personal and legal commitment involved in marriage.
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Affiliation(s)
| | | | | | - James Peugh
- Cincinnati Children's Hospital Medical Center
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Abbey A, Pegram SE, Woerner J, Wegner R. Men's Responses to Women's Sexual Refusals: Development and Construct Validity of a Virtual Dating Simulation of Sexual Aggression. PSYCHOLOGY OF VIOLENCE 2016; 8:87-99. [PMID: 29375925 PMCID: PMC5784838 DOI: 10.1037/vio0000078] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To provide evidence regarding the construct validity of a sexual aggression proxy in which male participants go on multiple virtual dates with a woman. A unique strength of this proxy is participants' opportunity to make choices throughout the simulation about how they interact with their virtual date. These decisions determine their exposure to the female agent's sexual refusals. METHOD Piloting included focus groups (n = 82), surveys (n = 95), and cognitive interviews (n = 32). To establish construct validity, 87 male participants completed two separate sessions: 1) an online survey with measures of discriminant and convergent validity; and 2) a lab session in which they went on multiple dates that included nonsexual options, sexual options which the female agent accepted, and sexual options she refused. Sexual aggression was operationalized as the total number of sexual refusals that participants' received. RESULTS There was strong correlational evidence for discriminant and convergent validity. As hypothesized, there were some differences in the risk factors associated with refusals received on casual as compared to steady dates. Additionally, the number of refusals received was associated with the types of thoughts and actions commonly reported by perpetrators. CONCLUSIONS This simulation provides a new approach for examining sexual aggression in controlled experiments that vary factors within the simulation such as the man's and woman's intoxication and past sexual history. Because what happens is based on each individual's responses, it could be adapted for use in prevention and treatment programs.
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Lorenz K, Ullman SE. Exploring Correlates of Alcohol-Specific Social Reactions in Alcohol-Involved Sexual Assaults. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2016; 25:1058-1078. [PMID: 28239252 PMCID: PMC5321657 DOI: 10.1080/10926771.2016.1219801] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Disclosing pre-assault drinking may influence reactions sexual assault survivors receive from their support networks. Such reactions likely affect survivor's post-assault adjustment. Thus, it is important to identify assault and disclosure characteristics related to disclosing one's drinking and receiving social reactions that specifically comment on pre-assault alcohol use. This exploratory study examined demographic, assault, and disclosure factors as predictors of both survivors' decisions to disclose their pre-assault alcohol use and social reactions survivors received related to their pre-assault alcohol use. Out of survivors who were drinking at the time of the assault, those with more education and who reported greater alcohol impairment or resistance during the assault were more likely to disclose pre-assault alcohol use. As expected, this study found that of women disclosing pre-assault drinking, those with more education and more violent assaults received more negative social reactions specifically commenting on their use of alcohol prior to the assault. Such negative reactions were more common for those telling parents, police, or medical professionals. Women with less education received more positive and negative social reactions that commented specifically on their use of alcohol prior to the assault. Interestingly, results showed that disclosing pre-assault alcohol use in greater detail was related to positive social reactions specific to preassault drinking and experiencing greater alcohol impairment at the time of the assault was associated with both positive and negative social reactions specific to pre-assault alcohol use. Implications for research and intervention are provided for survivors disclosing alcohol-related sexual assaults.
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Siddique JA. Age, Marital Status, and Risk of Sexual Victimization: Similarities and Differences Across Victim-Offender Relationships. JOURNAL OF INTERPERSONAL VIOLENCE 2016; 31:2556-2575. [PMID: 25846759 DOI: 10.1177/0886260515579507] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
By now, age and marital status are well-established correlates of criminal victimization, including adult women's sexual victimization. National crime statistics, as well as a large body of scholarly literature, have specified that younger women and unmarried women are at comparatively higher risk of sexual victimization than older women and married women. Few studies, however, have examined the relationship between age, marital status, and risk of victimization across diverse situational contexts of sexual victimization. The current study used data from the National Crime Victimization Survey (NCVS) to examine whether the relationship between age, marital status, and risk of sexual victimization varied across victimization experiences involving three victim-offender relationships: stranger, acquaintance, and intimate partner. Results indicate both similarities and differences in the relationship between age, marital status, and risk of victimization across these three situational contexts of victimization. As expected, age was a significant predictor of victimization in all models; however, younger women's increased risk of victimization was far more pronounced for acquaintance and intimate partner victimization experiences as compared with stranger experiences. Also, consistent with prior research, unmarried women were at higher risk of victimization in all models; however, within unmarried status categories, separated women were at highest risk of both intimate partner and acquaintance victimization experiences as compared with never married or divorced women.
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Street AE, Rosellini AJ, Ursano RJ, Heeringa SG, Hill ED, Monahan J, Naifeh JA, Petukhova MV, Reis BY, Sampson NA, Bliese PD, Stein MB, Zaslavsky AM, Kessler RC. Developing a Risk Model to Target High-risk Preventive Interventions for Sexual Assault Victimization among Female U.S. Army Soldiers. Clin Psychol Sci 2016; 4:939-956. [PMID: 28154788 DOI: 10.1177/2167702616639532] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Sexual violence victimization is a significant problem among female U.S. military personnel. Preventive interventions for high-risk individuals might reduce prevalence, but would require accurate targeting. We attempted to develop a targeting model for female Regular U.S. Army soldiers based on theoretically-guided predictors abstracted from administrative data records. As administrative reports of sexual assault victimization are known to be incomplete, parallel machine learning models were developed to predict administratively-recorded (in the population) and self-reported (in a representative survey) victimization. Capture-recapture methods were used to combine predictions across models. Key predictors included low status, crime involvement, and treated mental disorders. Area under the Receiver Operating Characteristic curve was .83-.88. 33.7-63.2% of victimizations occurred among soldiers in the highest-risk ventile (5%). This high concentration of risk suggests that the models could be useful in targeting preventive interventions, although final determination would require careful weighing of intervention costs, effectiveness, and competing risks.
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Affiliation(s)
- Amy E Street
- National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine
| | | | - Robert J Ursano
- Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University School of Medicine
| | | | - Eric D Hill
- Department of Health Care Policy, Harvard Medical School
| | | | - James A Naifeh
- Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University School of Medicine
| | | | - Ben Y Reis
- Predictive Medicine Group, Boston Children's Hospital and Harvard Medical School
| | | | - Paul D Bliese
- Darla Moore School of Business, University of South Carolina
| | - Murray B Stein
- Departments of Psychiatry and Family Medicine & Public Health, University of California San Diego, and VA San Diego Healthcare System
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Association between Sexual Victimization History, Posttraumatic Stress Symptoms, and Women’s Decision Making in Risky Social Situations: the Moderating Effect of Ethnicity. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2016. [DOI: 10.1007/s10862-016-9557-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Cavanaugh CE, Campbell J, Braxton N, Harvey J, Wingood G. Adapting an Evidence-Based HIV-Prevention Intervention for Women in Domestic Violence Shelters. PSYCHOLOGY OF VIOLENCE 2016; 6:469-477. [PMID: 27398257 PMCID: PMC4933957 DOI: 10.1037/vio0000042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
OBJECTIVE Despite the documented intersection of intimate partner violence and HIV, there is a paucity of evidence-based HIV prevention interventions for female survivors of intimate partner violence in the United States. This paper describes the adaptation of an effective HIV prevention intervention, Sisters Informing Sisters about Topics on AIDS (SISTA), for women in domestic violence shelters and the steps taken to improve the adapted intervention's implementation. METHOD The adaptation process was guided by the ADAPT-ITT framework and data collected from directors, direct client service providers, and residents of two domestic violence shelters located in urban areas, as well as topical experts. RESULTS Eleven of 12 shelter staff (92%) reported that HIV interventions had never been implemented at their shelter and 64% reported they had not provided residents with educational brochures about HIV prevention. Changes made to adapt SISTA for this population and enhance the implementation of the intervention included reducing the intervention's duration; adding education about the intersection of intimate partner violence, substance use, and HIV; and adding an HIV risk assessment and safety plan. CONCLUSIONS Next steps will include implementing the adapted intervention and evaluating its perceived acceptability and efficacy, and assessing whether contextual factors influence the intervention's implementation.
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Affiliation(s)
| | | | - Nikia Braxton
- Rollins School of Public Health, Emory University, Atlanta, GA
| | - Jenna Harvey
- Department of Psychology, Rutgers University, Camden, NJ
| | - Gina Wingood
- Mailman School of Public Health, Columbia University, NYC, NY
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Carey KB, Durney SE, Shepardson RL, Carey MP. Precollege Predictors of Incapacitated Rape Among Female Students in Their First Year of College. J Stud Alcohol Drugs 2016; 76:829-37. [PMID: 26562590 DOI: 10.15288/jsad.2015.76.829] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE The first year of college is an important transitional period for young adults; it is also a period associated with elevated risk of incapacitated rape (IR) for female students. The goal of this study was to identify prospective risk factors associated with experiencing attempted or completed IR during the first year of college. METHOD Using a prospective cohort design, we recruited 483 incoming first-year female students. Participants completed a baseline survey and three follow-up surveys over the next year. At baseline, we assessed precollege alcohol use, marijuana use, sexual behavior, and, for the subset of sexually experienced participants, sex-related alcohol expectancies. At the baseline and all follow-ups, we assessed sexual victimization. RESULTS Approximately 1 in 6 women (18%) reported IR before entering college, and 15% reported IR during their first year of college. In bivariate analyses, precollege IR history, precollege heavy episodic drinking, number of precollege sexual partners, and sex-related alcohol expectancies (enhancement and disinhibition) predicted first-year IR. In multivariate analyses with the entire sample, only precollege IR (odds ratio = 4.98, p < .001) remained a significant predictor. However, among the subset of sexually experienced participants, both enhancement expectancies and precollege IR predicted IR during the study year. CONCLUSIONS IR during the first year of college is independently associated with a history of IR and with expectancies about alcohol's enhancement of sexual experience. Alcohol expectancies are a modifiable risk factor that may be a promising target for prevention efforts.
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Affiliation(s)
- Kate B Carey
- Brown University School of Public Health, Providence, Rhode Island
| | - Sarah E Durney
- Brown University School of Public Health, Providence, Rhode Island
| | - Robyn L Shepardson
- Syracuse Veterans Affairs Center for Integrated Healthcare, Syracuse, NewYork
| | - Michael P Carey
- The Miriam Hospital & Brown University, Providence, Rhode Island
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Benjet C, Bromet E, Karam EG, Kessler RC, McLaughlin KA, Ruscio AM, Shahly V, Stein DJ, Petukhova M, Hill E, Alonso J, Atwoli L, Bunting B, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, Florescu S, Gureje O, Huang Y, Lepine JP, Kawakami N, Kovess-Masfety V, Medina-Mora ME, Navarro-Mateu F, Piazza M, Posada-Villa J, Scott KM, Shalev A, Slade T, ten Have M, Torres Y, Viana MC, Zarkov Z, Koenen KC. The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium. Psychol Med 2016; 46:327-343. [PMID: 26511595 PMCID: PMC4869975 DOI: 10.1017/s0033291715001981] [Citation(s) in RCA: 628] [Impact Index Per Article: 78.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Considerable research has documented that exposure to traumatic events has negative effects on physical and mental health. Much less research has examined the predictors of traumatic event exposure. Increased understanding of risk factors for exposure to traumatic events could be of considerable value in targeting preventive interventions and anticipating service needs. METHOD General population surveys in 24 countries with a combined sample of 68 894 adult respondents across six continents assessed exposure to 29 traumatic event types. Differences in prevalence were examined with cross-tabulations. Exploratory factor analysis was conducted to determine whether traumatic event types clustered into interpretable factors. Survival analysis was carried out to examine associations of sociodemographic characteristics and prior traumatic events with subsequent exposure. RESULTS Over 70% of respondents reported a traumatic event; 30.5% were exposed to four or more. Five types - witnessing death or serious injury, the unexpected death of a loved one, being mugged, being in a life-threatening automobile accident, and experiencing a life-threatening illness or injury - accounted for over half of all exposures. Exposure varied by country, sociodemographics and history of prior traumatic events. Being married was the most consistent protective factor. Exposure to interpersonal violence had the strongest associations with subsequent traumatic events. CONCLUSIONS Given the near ubiquity of exposure, limited resources may best be dedicated to those that are more likely to be further exposed such as victims of interpersonal violence. Identifying mechanisms that account for the associations of prior interpersonal violence with subsequent trauma is critical to develop interventions to prevent revictimization.
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Affiliation(s)
- C. Benjet
- Department of Epidemiology and Psychosocial Research, Instituto Nacional de Psiquiatría Ramón de la Fuente, Mexico City, Mexico
| | - E. Bromet
- Department of Psychiatry, Stony Brook University School of Medicine, New York, NY, USA
| | - E. G. Karam
- Department of Psychiatry and Clinical Psychology, Balamand University, Beirut, Lebanon
- Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon
- Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon
| | - R. C. Kessler
- Department of Health Care Policy, Harvard University Medical School, Boston, MA, USA
| | - K. A. McLaughlin
- Department of Psychology, University of Washington, Seattle, WA, USA
| | - A. M. Ruscio
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
| | - V. Shahly
- Department of Health Care Policy, Harvard University Medical School, Boston, MA, USA
| | - D. J. Stein
- Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Republic of South Africa
| | - M. Petukhova
- Department of Health Care Policy, Harvard University Medical School, Boston, MA, USA
| | - E. Hill
- Department of Health Care Policy, Harvard University Medical School, Boston, MA, USA
| | - J. Alonso
- IMIM-Hospital del Mar Research Institute, Parc de Salut Mar; Pompeu Fabra University (UPF); and CIBER en Epidemiología y Salud Pública (CIBERESP), Spain
| | - L. Atwoli
- Moi University School of Medicine, Eldoret, Uasin Gishu, Kenya
| | - B. Bunting
- School of Psychology, University of Ulster, Northern Ireland, UK
| | - R. Bruffaerts
- Universitair Psychiatrisch Centrum – Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium
| | - J. M. Caldas-de-Almeida
- Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
| | - G. de Girolamo
- IRCCS St John of God Clinical Research Centre, Brescia, Italy
| | - S. Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - O. Gureje
- Department of Psychiatry, University College Hospital, Ibadan, Nigeria
| | - Y. Huang
- Institute of Mental Health, Peking University, Beijing, People’s Republic of China
| | - J. P. Lepine
- Hôpital Lariboisière Fernand Widal, Assistance Publique Hôpitaux de Paris, University Paris Diderot and Paris Descartes, Paris, France
| | - N. Kawakami
- Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan
| | | | - M. E. Medina-Mora
- Department of Epidemiology and Psychosocial Research, Instituto Nacional de Psiquiatría Ramón de la Fuente, Mexico City, Mexico
| | - F. Navarro-Mateu
- IMIB-Arrixaca, CIBERESP-Murcia, Subdirección General de Salud Mental y Asistencia Psiquiátrica, Servicio Murciano de Salud, El Palmar (Murcia), Spain
| | - M. Piazza
- National Institute of Health, Lima, Peru
| | | | - K. M. Scott
- Department of Psychological Medicine, University of Otago, Dunedin, New Zealand
| | - A. Shalev
- NYU School of Medicine, New York, NY, USA
| | - T. Slade
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - M. ten Have
- Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
| | - Y. Torres
- Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia
| | - M. C. Viana
- Department of Social Medicine, Federal University of Espírito Santo, Vitoria, Brazil
| | - Z. Zarkov
- Directorate Mental Health, National Center of Public Health and Analyses, Sofia, Bulgaria
| | - K. C. Koenen
- Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA
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Bagwell-Gray ME, Messing JT, Baldwin-White A. Intimate Partner Sexual Violence: A Review of Terms, Definitions, and Prevalence. TRAUMA, VIOLENCE & ABUSE 2015; 16:316-35. [PMID: 25561088 DOI: 10.1177/1524838014557290] [Citation(s) in RCA: 92] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Intimate partner sexual violence (IPSV) is a significant aspect of intimate partner violence (IPV). While intimate partners commit one third of sexual assaults, IPSV is often overlooked in studies about IPV and in research on sexual violence. There are difficulties identifying, defining, and measuring IPSV, and research lacks consistency in terminology and measurement. The purpose of this article is to review the terms, definitions, and measurements associated with IPSV. Academic journals and nonscholarly documents from the United States were searched for articles and reports associated with the study of sexual violence and IPV. Forty-nine documents met the criteria for inclusion. A four-part taxonomy defining IPSV was developed, which included IPSV, intimate partner sexual coercion, intimate partner sexual abuse, and intimate partner forced sexual activity. The average weighted prevalence rates of these various forms of IPSV were calculated across included research studies. However, the measurements generally used to assess IPV do not adequately measure IPSV. Future research should consist terms to ensure consistent conceptualization and measurement of IPSV and to inform practice with survivors.
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Livingston JA, Testa M, Windle M, Bay-Cheng LY. Sexual risk at first coitus: Does alcohol make a difference? J Adolesc 2015; 43:148-58. [PMID: 26121927 DOI: 10.1016/j.adolescence.2015.05.018] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2014] [Revised: 04/02/2015] [Accepted: 05/29/2015] [Indexed: 11/24/2022]
Abstract
This study examines whether use of alcohol at first coitus is associated with increased sexual risk for young women. First coitus is the focus of the investigation because it is a memorable, formative experience that has implications for subsequent sexual health. A community sample of young women ages 18-19 years (N = 227) completed retrospective interviews. Characteristics and perceptions of the first coital event were examined using chi squares and one-way multivariate analysis of variance (MANOVA) to determine if there were differences based on alcohol-involvement. Alcohol-involved first coitus events occurred in social settings with risky partners, were rated less positively, and were non-consensual relative to those that did not involve alcohol. Alcohol use was not related to condom use. Alcohol-involvement was associated with subsequent pairing of alcohol with sex and incapacitated rape. Adolescent alcohol use occurs in contexts that increases young women's sexual risk through exposure to risky partners.
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Affiliation(s)
- Jennifer A Livingston
- Research Institute on Addictions, University at Buffalo, State University of New York, 1021 Main Street, Buffalo, NY 14203, United States.
| | - Maria Testa
- Research Institute on Addictions, University at Buffalo, State University of New York, 1021 Main Street, Buffalo, NY 14203, United States
| | - Michael Windle
- Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, United States
| | - Laina Y Bay-Cheng
- School of Social Work, University at Buffalo, 685 Baldy Hall, Buffalo, NY 14260, United States
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Abbey A, Wegner R. Using Experimental Paradigms to Examine Alcohol's Role in Men's Sexual Aggression: Opportunities and Challenges in Proxy Development. Violence Against Women 2015; 21:975-96. [PMID: 26048214 DOI: 10.1177/1077801215589378] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The goals of this article are to review the major findings from alcohol administration studies that use sexual aggression proxies and to encourage additional experimental research that evaluates hypotheses about the role of alcohol in the etiology of men's sexual aggression. Experiments allow participants to be randomly assigned to drink conditions, therefore ensuring that any differences between drinkers and nondrinkers can be attributed to their alcohol consumption. One of the biggest challenges faced by experimental researchers is the identification of valid operationalizations of key constructs. The tension between internal and external validity is particularly problematic for violence researchers because they cannot allow participants to engage in the target behavior in the laboratory. The strengths and limitations associated with written vignettes, audiotapes, videotapes, and confederate proxies for sexual aggression are described. Suggestions are made for future research to broaden the generalizability of the findings from experimental research.
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O'Hara RE, Cooper ML. Bidirectional associations between alcohol use and sexual risk-taking behavior from adolescence into young adulthood. ARCHIVES OF SEXUAL BEHAVIOR 2015; 44:857-71. [PMID: 25808720 PMCID: PMC4399236 DOI: 10.1007/s10508-015-0510-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Revised: 12/06/2013] [Accepted: 01/02/2014] [Indexed: 05/29/2023]
Abstract
Overwhelming evidence indicates that sexual risk-taking behavior and alcohol use are linked, but the nature, strength, and timing of these relations may differ between gender and racial subgroups. These issues were addressed by examining the course and interrelations of both behaviors from adolescence into young adulthood, as well as how these patterns differed between both men and women and between Blacks and Whites. Data came from a representative, community-based sample of 1867 urban participants surveyed up to 5 times over a 15-year period. Although both prospective and trajectory analyses showed that adolescent involvement in one behavior predicted later involvement in the other, most patterns were moderated by gender, race, or both. In general, positive, bidirectional associations were discovered among men and Whites. Among women, adolescent sexual risk-taking behavior positively predicted later drinking, but not vice versa. For Blacks, adolescent alcohol use was inconsistently related to later sexual risk-taking behavior, and adolescent sexual risk-taking negatively predicted later alcohol use. Results suggest that associations between sexual risk-taking behavior and alcohol use are more complex than previously thought and that an adequate understanding of these links must account for both gender and racial differences.
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Affiliation(s)
- Ross E O'Hara
- Department of Community Medicine and Health Care, University of Connecticut Health Center, MC 6325, Farmington, CT, 06030-6325, USA,
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Rowe LS, Jouriles EN, McDonald R. Reducing sexual victimization among adolescent girls: a randomized controlled pilot trial of my voice, my choice. Behav Ther 2015; 46:315-27. [PMID: 25892168 DOI: 10.1016/j.beth.2014.11.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 11/10/2014] [Accepted: 11/13/2014] [Indexed: 11/28/2022]
Abstract
Despite extensive efforts to develop and implement programs to prevent sexual violence, few programs have empirically-demonstrated efficacy. The primary exceptions are programs that emphasize risk-reduction skills; yet even these programs are not consistently effective. This study seeks to add to the literature by evaluating the effects of My Voice, My Choice (MVMC), a 90-minute assertive resistance training program that emphasizes skill practice in an immersive virtual environment (IVE). We hypothesized that MVMC would reduce male-to-female sexual victimization among adolescent girls over a 3-month follow-up period. We also examined whether these results would generalize to other forms of male-to-female relationship violence and to girls' psychological distress. Eighty-three female students from an urban public high school were randomized to MVMC (n=47) or to a wait-list control condition (n=36); 78 provided data over the 3-month follow-up period. Participants assigned to MVMC were less likely than control participants to report sexual victimization during the follow-up period. Our results also suggest that MVMC reduced risk for psychological victimization and for psychological distress among participants with greater prior victimization at baseline. The promising results of this pilot trial suggest that MVMC may help girls evade male-to-female relationship violence.
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Simpson TL, Stappenbeck CA, Luterek JA, Lehavot K, Kaysen DL. Drinking motives moderate daily relationships between PTSD symptoms and alcohol use. JOURNAL OF ABNORMAL PSYCHOLOGY 2015; 123:237-47. [PMID: 24661174 DOI: 10.1037/a0035193] [Citation(s) in RCA: 133] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Posttraumatic stress disorder (PTSD) and alcohol dependence (AD) frequently co-occur, although results of both cross-sectional and longitudinal studies evaluating the nature of their relationship have been mixed. There has been varied support for competing models explaining how these conditions influence one another. To assess both the self-medication and mutual maintenance models, as well as examine the potential moderating role of drinking motives, the current study used Generalized Estimating Equations to evaluate daily associations for an average of 7.3 days between PTSD symptoms and alcohol use in a mixed-gender sample of individuals who met criteria for both PTSD and AD. Results generally supported a self-medication model with elevated PTSD symptoms predictive of greater alcohol use on that same day and on the following day. Contrary to a mutual maintenance model prediction, drinking did not predict next-day PTSD symptoms. Results also indicated that both coping and enhancement drinking motives were significant moderators of the PTSD and drinking relationships, suggesting that these relationships may be more or less salient depending on an individual's particular drinking motivations. For example, among those higher on coping drinking motives, a 1-unit increase in PTSD symptom severity was associated with a 35% increase in amount of alcohol consumed the same day, while among those low on coping drinking motives, a 1-unit PTSD increase was associated with only a 10% increase in alcohol consumption. We discuss implications of these findings for the larger literature on the associations between PTSD and alcohol use as well as for clinical interventions. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
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Affiliation(s)
- Tracy L Simpson
- Center of Excellence in Substance Abuse Treatment & Education (CESATE), VA Puget Sound Health Care System
| | | | | | - Keren Lehavot
- Mental Illness Research, Education, and Clinical Center (MIRECC), VA Puget Sound Health Care System
| | - Debra L Kaysen
- Department of Psychiatry and Behavioral Sciences, University of Washington
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Wigderson S, Katz J. Feminine ideology and sexual assault: are more traditional college women at greater risk? Violence Against Women 2015; 21:616-31. [PMID: 25757718 DOI: 10.1177/1077801215573333] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Previous research has not conclusively determined whether traditional femininity increases women's risk for sexual assault. Certain femininity beliefs, such as valuing deference, may increase risk for sexual assault by discouraging sexual refusal assertiveness (SRA). Other femininity beliefs, such as valuing purity, may promote self-protective behaviors. College women (N = 254) provided self-report data on these beliefs, risk and protective behaviors, and sexual assault experiences. Traditional femininity was not directly associated with experiencing sexual assault. However, specific traditional beliefs were related to behaviors directly associated with risk. High SRA and sexual abstinence simultaneously reduced the odds for sexual assault.
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Shechory Bitton M, Ben-David S. Elaborations on sexual assault on dates among Israeli students: risk, detrimental effect, and resilience factors. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2014; 58:1500-1519. [PMID: 23966287 DOI: 10.1177/0306624x13497895] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The current study of 668 Israeli male and female students examines the prevalence of gendered risk factors for sexual assault (SA) on dates, posttraumatic stress disorder (PTSD) as a detrimental effect of SA, and self-efficacy as resiliency to refuse unwanted sex following SA. Two different sets of risk factors that increased the likelihood of SA on dates emerged from the hierarchical regression. Sexual experience, use of drugs, and private location increased the risk of being SA victims among males, whereas sexual experience, perceived provocative behavior, and alcohol use increased the risk among females. In addition, PTSD and self-efficacy to refuse unwanted sex following SA on dates were predicted by the extent of coercive sexual victimization. PTSD was also predicted by subjective perception of sexual behavior and rape myths, whereas efficacy was predicted by private location. The findings contribute to the literature by showing the contribution of various risk factors to experiencing SA, and by showing SA effect on PTSD and self-efficacy.
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Parks KA, Hsieh YP, Taggart C, Bradizza CM. A longitudinal analysis of drinking and victimization in college women: is there a reciprocal relationship? PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2014; 28:943-51. [PMID: 25134028 PMCID: PMC4274186 DOI: 10.1037/a0036283] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The purpose of the current study was to assess the relationship between drinking and severe physical and sexual victimization in a sample of 989 college women over 5 years. Participants completed a Web-based survey each fall semester, beginning as first-time incoming freshman, and continuing each year for 5 years. The survey was comprehensive in assessing drinking, victimization, and relevant covariates. Women were followed whether they remained at university or not. Prior year same type of severe victimization predicted current year victimization, both severe physical and sexual. However, prior year drinking did not predict current year severe victimization. Prior year severe sexual victimization predicted current year drinking. Our findings of a longitudinal relationship between severe sexual victimization and subsequent increases in drinking suggests that college women may be drinking to cope with negative sequelae that they experience as a result of the victimization. We did not find the same longitudinal relationship between drinking and severe physical or sexual victimization, suggesting that a reciprocal relationship does not exist between drinking and victimization among college women. We did find that severe sexual victimization decreased across college, suggesting that the year prior to and the first year of college may be a critical period for intervening to reduce risk for severe victimization.
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Wegner R, Pierce J, Abbey A. Relationship type and sexual precedence: their associations with characteristics of sexual assault perpetrators and incidents. Violence Against Women 2014; 20:1360-82. [PMID: 25288595 DOI: 10.1177/1077801214552856] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although most sexual assaults are committed by men who know their victims, few researchers have considered how characteristics of perpetrators and incidents differ depending on the victim-perpetrator relationship. This study addresses this gap with a community sample of 204 men who reported committing a sexually aggressive act in an audio computer-assisted self-interview. 2 (Relationship Type: Committed vs. Casual) × 2 (Sexual Precedence: Yes vs. No) ANOVAs revealed significant main effects of relationship type and sexual precedence associated with individual difference and incident characteristics. These findings demonstrate the importance of developing theories and prevention programs tailored for different relationship contexts.
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50
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Predictors of sexual coercion and alcohol use among female juvenile offenders. J Youth Adolesc 2014; 44:114-26. [PMID: 25107488 DOI: 10.1007/s10964-014-0166-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Accepted: 07/29/2014] [Indexed: 10/24/2022]
Abstract
Female juvenile offenders report high rates of sexual coercion and substance use, yet the temporal relationship between the two remains unclear. The focus of this study was to conduct a prospective examination of predictors of sexual coercion and substance use for a group of high-risk young women. Two hundred and forty five adolescent females (34 % of a sample including males and females), between the ages of 14-17, and from a larger study of juvenile offenders, were recruited from juvenile probation offices to participate in a longitudinal study on substance use and sexual risk. At baseline, participants completed measures associated with increased risk for sexual coercion, including substance use, perceived relationship control, and externalizing behavior. At 6- and 24-month follow-up, participants also completed a measure assessing sexually coercive experiences. Path analysis revealed that less relationship control at baseline predicted sexual coercion at 6-months. Additionally, 6-month sexual coercion predicted alcohol use and sexual coercion at 24-month follow-up. Logistic regression analysis revealed also that alcohol use at 6-months predicted sexual revictimization at 24-months. Sexual coercion appears to be associated with subsequent increases in alcohol use, suggesting that female juvenile offenders may be using alcohol to cope with the psychological and emotional consequences of victimization. Alcohol use is linked to increased risk for repeat sexual coercion, suggesting that exposure to risky environments also may be important in understanding these girls' risk. Difficulties responding assertively in sexual relationships (i.e., low relationship control) also seem to increase female juvenile offenders' risk for sexual coercion. Finally, previous sexual coercion appears to increase risk for future victimization, highlighting the importance of early intervention for this at-risk group.
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