General and Culturally Specific Factors Influencing Black and White Rape Survivors' Self-Esteem

Measuring Healing and Recovery After Gender-Based Violence: A Scoping Review

Healing after gender-based violence (GBV) is multidimensional, with varying instruments used in the scientific literature to capture this phenomenon quantitively in survivor populations. The purpose of this scoping review was to (a) describe quantitative measures used to evaluate recovery after GBV, (b) compare these findings with domains uncovered in a qualitative metasynthesis about survivors' perspectives about healing after GBV, and (c) summarize recovery relationships found. We searched Pubmed, PsycInfo, and Violence/Criminology/Family Studies Abstracts. Studies were included for review if they (a) used quantitative methods, (b) evaluated healing or recovery in survivors of GBV, (c) were available in English, and (d) were empirical articles in peer-reviewed journals. Two thousand nine hundred thirty-five articles were reviewed by title and abstract, and 92 articles were reviewed by full text. Twenty-six articles were included in this review. Eight studies used an alleviation of adverse symptomology as a proxy for recovery, eight used growth-related outcomes, and ten used a combination of both types of measures. While the quantitative instruments synthesized in this review seemed to map onto some of the recovery domains identified through qualitative metasynthesis, no study synthesized measured all domains simultaneously. Studies synthesized identified that recovery-related outcomes may be influenced by social support, symptom burden, disclosure, and various therapeutic intervention programs tested in the literature to date. Synthesizing research on recovery after GBV is an essential step to understand gaps in measurement and understanding. Streamlining and using holistic recovery outcome measurement can aid in the development of evidence-based interventions to promote healing in survivor populations.

Racial and ethnic differences in perceptions of campus climate related to sexual violence

Objective: To assess perceptions of university institutional climate related to sexual violence and whether these differed by race/ethnicity. Participants: Matriculated undergraduates > age 18 (n = 1028). Methods: Students were invited via campus email to participate in an online survey. Results: Overall, only 20% agreed that the university is creating an environment in which unwanted sexual experiences seemed common or normal, but these findings differed by race. Black students were more likely than their white peers to feel the university is creating an environment in which unwanted sexual experiences seem common or normal (37.3% vs. 19.7%, p < .001) and creating an environment in which such instances were more likely to occur (33.3% vs. 13.4%, p < .001). Conclusions: Data suggest that while students generally perceive that the university is working to create a positive and safe climate, these perceptions vary by race. Further investigation is necessary to better understand the concerns of students of color.

An Ecological Review of Homicide Bereavement's Risk Factors: Implications for Future Research

This literature review focused on homicide bereavement (HB) risk factors. A content analysis was conducted on 83 empirical papers published in English from January 2000 to December 2021 in peer-reviewed journals. Extracted HB risk factors were synthesized according to six main dimensions: individual level; situational homicide-related factors; and micro, meso, exo, and macro social levels. The review demonstrates that macro-level and situational homicide-related risk factors are in special need of further study. In addition, how HB risk factors interact with one another to influence HB also requires further study. Future research may benefit from examining whether and how individuals experiencing HB influence related factors at various social levels. Last, given that almost all reviewed studies were conducted in Western societies, the sociocultural and ethnic diversity in HB risk factors is in dire need of future study.

College Students' Experiences of Dating App Facilitated Sexual Violence and Associations with Mental Health Symptoms and Well-Being

Dating app facilitated sexual violence (DAFSV) includes behaviors such as unwanted sexual comments/harassment, unsolicited sexual photos, and gender/sexuality-based harassment - and could extend to sexual violence when meeting partners face-to-face. The effects of sexual violence on mental health are well-established; however, research on DAFSV has been limited. The goal of the current study was to understand college students' experiences of DAFSV and investigate cross-sectional associations with indicators of mental health (i.e. depression and anxiety symptoms) and well-being (i.e. self-esteem, loneliness, perceived control). Participants were college students in the United States who used dating apps (N = 277) and identified primarily as women (64.6%) and heterosexual/straight (74.0%). Most participants (88.4%) self-reported at least one instance of DAFSV. Women (vs. men) and sexual minority (vs. heterosexual/straight) individuals experienced more frequent DAFSV. Regression analyses indicated that DAFSV frequency was associated with higher depression and anxiety symptoms, higher loneliness, lower self-esteem, and lower perceived control. This study highlights the importance of DAFSV for a broad range of well-being indicators. Given that dating apps are one of the most common means of meeting partners, research is needed to better understand these initial interactions, prevent DAFSV from occurring, and mitigate the impact of DAFSV on health outcomes.

Sociodemographic Factors Associated with Social Tolerance for Intimate Partner Violence in Peru: Evidence from the National Survey of Social Relations, 2019

Our objective was to determine the factors associated with social tolerance for intimate partner violence (IPV) in the Peruvian population. A population-based cross-sectional study was conducted. Data from the 2019 National Survey of Social Relations (ENARES) of Peru were used. This survey collected data from a total of 1,026 Peruvians aged 18 years and older. Multilevel linear regression models were performed to evaluate the factors associated with a standardized index of social tolerance for IPV. Likewise, a stratified analysis was performed according to sex. Being older (β = .01; 95% confidence interval [CI]: .01-.01) and living outside the capital (β = 0.24; 95% CI: .07-0.41) were associated with greater social tolerance for IPV. On the other hand, being female (β = -0.26; 95% CI: -0.36 to -0.17) and having a higher educational level were associated with lower tolerance. In the stratified analysis by sex, in both men and women, being older and having a higher level of education were associated with higher and lower tolerance for IPV, respectively. On the other hand, living outside the capital was associated with greater tolerance only in men. In Peru, older people and those living outside the capital showed greater acceptance of IPV, while women and those with higher levels of education expressed rejection of IPV.

Predicting College Women's Self-esteem Based on Verbal Coercion Experience and Verbal Tactic Items on the Revised Sexual Experiences Survey

Verbal coercion experience is common among college women and has sometimes been associated with lower self-esteem. The current study examined self-esteem based on the two verbal coercion items included in the latest version of the most popular measure of sexual victimization experience, the Sexual Experiences Survey-Short Form Victimization (SES-SFV; Koss et al., 2007). One item includes verbal tactics categorized as "threat" and the other item includes verbal tactics categorized as "criticism." Undergraduate women (n = 479) completed the Rosenberg Self-Esteem Scale and the SES-SFV. Results showed that women who experienced criticism reported lower self-esteem than those who did not experience criticism. However, threat experience was not significantly related to women's self-esteem. Findings support Koss et al.'s suggestion that criticism tactics are more negative than threat tactics, and imply that self-esteem may be negatively associated with some sexually coercive verbal tactics but not associated with others. Future researchers should pay careful attention to operational definitions of verbal coercion.

Social Movement and Mental Health of South Korean Women Sexual Violence Survivors, 2012-2019

Objectives. To examine whether the #MeToo movement influenced depressive symptoms among women in South Korea with a history of experiencing sexual violence. Methods. We used data from a nationally representative sample (n = 4429) of women 19 to 50 years of age who participated in the Korean Longitudinal Survey of Women and Families between 2012 and 2019. A difference-in-differences model was used to estimate within-person changes in depressive symptoms attributable to the #MeToo movement across women with and without a history of experiencing sexual violence. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CESD). Results. After adjustment for potential confounders, the #MeToo movement led to a 1.64 decrease in CESD scores among women with a history of experiencing sexual violence relative to women without such a history. Conclusions. Our findings suggest that the #MeToo movement in Korea led to reduced depressive symptoms among women with a history of experiencing sexual violence. Public Health Implications. Despite the progress of the #MeToo movement, there are still judicial and institutional problems that can revictimize sexual violence survivors. Further policy changes will likely improve the mental health of survivors. (Am J Public Health. Published online ahead of print July 14, 2022:e1-e9. https://doi.org/10.2105/AJPH.2022.306945).

Disclosure to friends or family and consequences after interpersonal violence: intersections of sexual identity and race

Objective: This study's purpose was to examine whether disclosures to friends or family post-victimization was associated with emotional and academic consequences (e.g. feeling detached from others, getting worse grades) among students grouped by sexual identity and race intersections. Participants and Methods: We analyzed data from an online survey that was distributed to students (n = 6,331) at a university in the Southeast. Results: Path analyses indicated disclosure to friends and family partially mediated the relationship between victimization and consequences, such that an increase in the number of disclosures was associated with an increase in the number of consequences. These paths were significant among White sexual minority victims, sexual minority victims of color, White heterosexual students, and heterosexual students of color. Conclusions: These findings indicate that disclosure to informal sources is associated with amplified consequences, which may be ameliorated by training friends and family to respond to disclosures in a supportive manner.

Understanding the factors associated with married women's attitudes towards wife-beating in sub-Saharan Africa

BACKGROUND

Intimate partner violence remains a major public health problem, especially in countries in sub-Saharan Africa. We examined the factors associated with married women's attitudes towards wife-beating in sub-Saharan Africa.

METHODS

We used Demographic and Health Survey data of 28 sub-Saharan African countries that had surveys conducted between 2010 and 2019. A sample of 253,782 married women was considered for the analysis. Bivariate and multivariate logistic regression analyses were carried out, and the results were presented using crude odds ratio (cOR) and adjusted odds ratio (aOR) at 95% confidence interval.

RESULTS

The pooled result showed about 71.4% of married women in the 28 countries in this study did not justify wife-beating. However, the prevalence of non-justification of wife-beating varied from 83.4% in Malawi to 17.7% in Mali. Women's age (40-44 years-aOR = 1.61, 95% CI 1.16-2.24), women's educational level (secondary school-aOR = 1.47, 95% CI 1.13-1.91), husband's educational level (higher-aOR = 0.55, 95% CI 0.31-0.95), women's occupation type (professional, technical or managerial-aOR = 1.66, 95% CI 1.06-2.62), wealth index (richest-aOR = 5.52, 95% CI 3.46-8.80) and women's decision-making power (yes-aOR = 1.39, 95% CI 1.19-1.62) were significantly associated with attitude towards wife-beating.

CONCLUSION

Overall, less than three-fourth of married women in the 28 sub-Saharan African countries disagreed with wife-beating but marked differences were observed across socio-economic, decision making and women empowerment factors. Enhancing women's socioeconomic status, decision making power, and creating employment opportunities for women should be considered to increase women's intolerance of wife-beating  practices, especially among countries with low prevalence rates such as Mali.

Trauma History as a Significant Predictor of Posttraumatic Growth Beyond Mental Health Symptoms in Women-Identifying Survivors of Undergraduate Non-Consensual Sexual Experiences

There is little data on what influences posttraumatic growth for women who experienced non-consensual sexual contact (NCSC) as an undergraduate college student. The purpose of this study is to garner a better understanding of posttraumatic growth among women-identifying survivors of undergraduate NCSC by addressing the following aims: 1) evaluate the mediating role of NCSC-related shame on the relationship between perceived peer rape myth acceptance and posttraumatic growth (n = 174); and 2) evaluate the shared and independent variance contributions of mental health symptoms and trauma history clusters on posttraumatic growth (n = 151).NCSC-related shame did not mediate the relationship between perceived peer rape myth acceptance and posttraumatic growth. Mental health symptoms and trauma history significantly contributed to 35.27% of posttraumatic growth variance, with the trauma history cluster significantly influencing posttraumatic growth scores beyond mental health symptoms. Based on these findings, it is important that clinicians assess for a history of trauma and the impact of that trauma in addition to mental health symptoms when trying to understand posttraumatic growth after campus sexual violence.

"You Should Have Known Better": The Social Ramifications of Victimization-Focused Sexual Assault Prevention Tips

Common sexual assault prevention strategies emphasize individuals' responsibility to protect themselves from victimization. Using a feminist theoretical approach, the present study was the first to assess the unintended, negative consequences that result when taking a victimization-focused approach to sexual assault prevention. Participants (N = 321) were primarily heterosexual, Caucasian undergraduate students from a Western postsecondary institution. A between-participants experimental design was employed, whereby participants were randomly assigned to one of three conditions: (a) victimization-focused prevention tips (n = 114; e.g., "Be alert and aware of your surroundings"); (b) perpetration-focused prevention tips (n = 103; e.g., "Don't slip any unwanted substances into drinks at bars or parties"); or (c) study tips for control purposes (n = 104; e.g., "Take a ten-minute break every hour"). Following prevention tip exposure, participants read a sexual assault vignette and completed measures of victim culpability and several related constructs (i.e., ambivalent sexism, belief in a just world, and rape myth acceptance). Results indicated that participants who received victimization-focused prevention tips attributed significantly more blame to the victimized woman in the vignette than participants in both the control condition and perpetration-focused condition. Based on these results, it is recommended that social institutions further evaluate the efficacy and unintended consequences of prevalent victimization-focused sexual assault prevention strategies. Specifically, institutions should consider the implications of endorsing strategies that are evidenced to enhance victim blame, thereby perpetuating rape culture. Prevention strategies that engage bystanders and seek to prevent perpetration should be considered as an alternative approach.

Experience of gender-based violence and its effect on depressive symptoms among Indian adolescent girls: Evidence from UDAYA survey

BACKGROUND

Violence against women has been one of the most prominent issue and a major public health concern. It is a principle violation of basic human rights and has both physical and mental effect on the victim. This study focuses on married and unmarried girls aged 15 to 19 years, belonging to Uttar Pradesh and Bihar, India. This study attempts to examine depression level among married and unmarried girls who have faced violence against them. With the unprecedented growth in social networking, online digital platform and its accessibility, the study also brings out the pertinent aspect of internet based violence and its psychological outcome on adolescent girls. Hence, the study can be seen as an important and needed value addition to the existing pool of knowledge on the subject.

METHODS

The study uses Understanding the lives of adolescents and young adults (UDAYA) project data for Uttar Pradesh and Bihar. Depressive symptoms among adolescent girl is the outcome variable of the study. Descriptive statistic and bivariate analysis has been used to get to preliminary results. Chi-squared test is used to test the significant of variables. Further, multi-variate analysis (logistic regression) was used.

RESULTS

Almost 29, 23 and 26 percent of married adolescent girls had faced emotional, physical and sexual violence respectively. It was found that about five per cent of unmarried and eight per cent of married girls had high depressive symptoms. It was found that unmarried adolescent girls who had witnessed their father beating mother were 71 percent more likely to suffer from higher depressive symptoms [OR: 1.71, 1.09-2.69]. Adolescents who faced perpetrated bullying had 90 per cent [OR: 1.90, 1.32-2.72] and 86 per cent [OR: 1.86, 0.98-3.52] higher likelihood to suffer from higher depressive symptoms.

CONCLUSION

The study goes beyond intimate partner violence and includes various covariates to explain the association between violence and depressive symptoms among married and unmarried adolescents. Hence, more inclusive policies are needed to address the issue of violence against women as the spectrum of the violence is expanding with time.

Sexual Assault Disclosure: The Effect of Victim Race and Perpetrator Type on Empathy, Culpability, and Service Referral for Survivors in a Hypothetical Scenario

The aftermath of sexual assault warrants further attention surrounding the responses provided by those to whom survivors disclose, especially when perpetrator type or victim race may affect whether the bystander response is supportive or attributes culpability to the victim. Disclosure responses have significant consequences for survivors' posttrauma mental health and formal help-seeking behavior. The current study used a sample of 348 self-report, paper-and-pencil surveys administered during the fall 2015 semester to a purposive sample of undergraduate students with a mean age of 20.94 years old at a midsized, Southern public university. Survey design included a randomly assigned 2 × 2 hypothetical sexual assault disclosure vignette. The objective of the study was to assess the effect of perpetrator type (stranger vs. acquaintance) and victim race (White vs. Black) on empathic concern, culpability attributions, and resource referral. Between-subjects factorial ANOVA and multivariate ordinary least squares (OLS) regression models were estimated to identify the role of vignette manipulations, participant-sexual victimization history, and rape myth acceptance on empathy, culpability, and resource referral for the sexual assault survivor portrayed in the vignette. Multivariate analyses included main effects and moderation models. Findings revealed increased culpability and decreased resource referral for victims of acquaintance rape as compared with stranger rape, independent of victim race. Although no direct victim race effects emerged in the multivariate analyses, race moderated the effect of culpability on resource referral indicating culpability attributions decreased resource referral, but only when the victim was Black . Implications from the results presented here include a continued focus on bystander intervention strategies, empathy-building techniques, and educational programming targeting potential sexual assault disclosees and race stereotypes that disadvantage victims of color.

Dedicated care pathways in Italian hospital emergency rooms for women who are victims of violence and abuse: Italian National Guidelines (DPCM 24.11.2017 - G.U. n. 24 issued 30.01.2018)

Gender-based violence affects one third of women globally with death the ultimate consequence after repeated violence. Government intervention is imperative. This article focuses on recent Italian legislation that provides a framework to assist victims of violence in Italian Emergency Rooms.

Predicting College Women's Body-Esteem and Self-Esteem Based on Rape Experience, Recency, and Labeling

We examined body-esteem and self-esteem based on rape experience, rape labeling status (yes; no) and recency of rape (recently, within past year; earlier, between age 14 and the past year). Undergraduate women (n = 1,005) completed the Body-Esteem Scale, Rosenberg Self-Esteem Scale, and Sexual Experiences Survey. Women raped within the past year (recently) reported lower levels of both body-esteem and self-esteem than those raped over a year ago (earlier) and nonvictims, but women raped earlier did not differ from nonvictims. Rape labeling status was not significant. Findings identify lower body-esteem, in addition to lower self-esteem, as correlates of recent rape.

‘No One . . . Saves Black Girls’: Black University Women’s Understanding of Sexual Violence

Although research has found that sexual violence is a serious issue on college campuses, the lack of diversity in previous samples calls into question the findings’ generalizability to non-White populations. Consequently, little is known about how Students of Color conceptualize sexual violence. Using an intersectional and phenomenological approach, we examined how Black/African American university women understand sexual violence, as well as their perceptions of cultural barriers to help-seeking and reporting this violence. Seven themes emerged: (a) Historical Legacy of Racialized Trauma Against Black Women, (b) Stereotypes of Hypersexualized Black Women, (c) Silence and Community Protection, (d) Duality of Black Spirituality and/or Religiosity, (e) Racial Injustice and Systemic Barriers to Help-Seeking and Reporting, (f) Stereotypes of Strong Black Women, and (g) Grassroots Healing and Empowerment of Black Communities. We provide recommendations for counselors and university staff to develop culturally grounded campus prevention initiatives for Black women.

Associations Between Sexual Assault Severity and Psychological and Physical Health Outcomes: Similarities and Differences Among African American and Caucasian Survivors

There are well-established associations between sexual assault victimization and deleterious psychological and physical health outcomes. The present study contributes to the emerging health disparities literature by examining similarities and differences in relationships between the severity of the sexual assault and health in a community sample of African American and Caucasian survivors. Although the overall pattern of relationships was expected to be comparable for all survivors, some associations were hypothesized to be stronger for African American survivors as compared with Caucasian survivors based on theories of chronic stress. Single, African American, and Caucasian women were recruited for a study of dating experiences through random digit dialing in one large metropolitan area. Participants who experienced a sexual assault since age 14 were included in this study (121 African American and 100 Caucasian women). Multigroup path analyses indicated that for both African American and Caucasian survivors, sexual assault severity was significantly positively associated with posttraumatic stress disorder (PTSD) symptoms, and depressive symptoms were significantly positively associated with physical health symptoms. Among African American survivors, sexual assault severity affected physical health symptoms indirectly through its impact on depressive symptoms, and assault severity indirectly affected drinking problems through its impact on PTSD symptoms; these relationships were not found for Caucasian survivors. These findings highlight the need for additional research that focuses on health disparities in sexual assault survivors' recovery process, so that treatment programs address culturally relevant issues.

"I Still Feel Like I Am Not Normal": A Review of the Role of Stigma and Stigmatization Among Female Survivors of Child Sexual Abuse, Sexual Assault, and Intimate Partner Violence

Child sexual abuse (CSA), sexual assault (SA), and intimate partner violence (IPV) occur within social contexts that shape how survivors judge themselves and are evaluated by others. Because these are gendered sexual and intimate crimes that violate social norms about what is appropriate and acceptable, survivors may experience stigma that includes victim-blaming messages from the broader society as well as specific stigmatizing reactions from others in response to disclosure; this stigmatization can be internalized among survivors as self-blame, shame, and anticipatory stigma. Stigma and stigmatization play an important role in shaping survivors' thoughts, feelings, and behaviors as they recover; their risk of revictimization; and their help-seeking and attainment process. In this review, we synthesize recent CSA, SA, and IPV research ( N = 123) that examines female survivors' self-blame, shame, internalized stigma, and anticipatory stigma as well as negative social reactions in response to survivors' disclosure. We highlight critical findings as well as implications for research, practice, and policy, and we note gaps in our current knowledge.

Attitudes towards Intimate Partner Violence against Women among Women and Men in 39 Low- and Middle-Income Countries

BACKGROUND

Violence against women perpetrated by an intimate partner (IPV) is prevalent in low- and middle-income countries (LAMIC). The aim was to describe the attitudes of women and men towards perpetration of physical violence to women by an intimate partner, in a large group of low- and middle-income countries.

METHODS AND FINDINGS

We used data from Round Four of the UNICEF Multiple Indicator Cluster Surveys. Attitudes towards IPV against women were assessed by a study-specific scale asking if 'wife beating' is justified in any of five circumstances. Overall, data from 39 countries (all had data from women and 13 countries also had data from men) were included in the analyses. The proportions of women who held attitudes that 'wife-beating' was justified in any of the five circumstances varied widely among countries from 2.0% (95% CI 1.7;2.3) in Argentina to 90.2% (95% CI 88.9;91.5) in Afghanistan. Similarly, among men it varied from 5.0% (95% CI 4.0;6.0) in Belarus to 74.5% (95% CI 72.5;76.4) in the Central African Republic. The belief that 'wife-beating' is acceptable was most common in Africa and South Asia, and least common in Central and Eastern Europe and Latin America and the Caribbean. In general this belief was more common among people in disadvantaged circumstances, including being a member of a family in the lowest household wealth quintile, living in a rural area and having limited formal education. Young adults were more likely to accept physical abuse by a man of his intimate partner than those who were older, but people who had never partnered were less likely to have these attitudes.

CONCLUSIONS

Violence against women is an international priority and requires a multicomponent response. These data provide evidence that strategies should include major public education programs to change attitudes about the acceptability of IPV against women, and that these should be addressed to women and girls as well as to boys and men.

Sexual Assault Victim Participation in Police Investigations and Prosecution

This research seeks to examine why victim participation rates in police investigations and prosecution decline following reporting of sexual assault to police. It was hypothesized that several factors would impact victim participation, including whether the incident reflected stereotypical sexual assault scenarios, if the victim used alcohol or illicit drugs prior to the incident, and if the hospital staff initially reported the incident. The study coded victim participation following initial police reporting from police case investigation narratives. Based on the 544 cases of sexual assault reported to a Midwestern police department, it was found that victims were indeed more likely to continue participating after initial reports to police if their assaults reflected stereotypical sexual assault scenarios. Future research should include discussions with victims about their participation in the criminal justice system following initial reporting to further clarify the findings noted here.

Silenced suffering: the need for a better understanding of partner sexual violence

This article has two overall goals. First, to examine the current state of sexual violence research to highlight several shortcomings in the knowledge on partner sexual violence. Second, to describe several factors to consider in future research to facilitate a more in-depth understanding of partner sexual violence. Shortcomings of the research on partner sexual violence include (1) overreliance on dichotomous yes/no representations of sexual violence experiences; (2) lack of, or inadequate documentation of the scope and nature of partner sexual violence; (3) inadequate ways to account for impairment of consent under different circumstances; (4) difficulties in discriminating unwanted from nonconsensual sexual activities; and (5) limited information about the role sexual violence plays in the larger context of coercive control. In order to facilitate a more in-depth understanding of partner sexual assault, there is a need (1) to better understand the scope and nature of partner sexual assault and (2) to better understand the role partner sexual violence plays in coercive control. By improving the measurement of this phenomenon, victims, researchers, practitioners, and those involved in the justice system might be better equipped to respond to sexual violence among intimate partners.

Healing pathways: longitudinal effects of religious coping and social support on PTSD symptoms in African American sexual assault survivors

African American women are at a slightly increased risk for sexual assault (A. Abbey, A. Jacques-Tiaura, & M. Parkhill, 2010). However, because of stigma, experiences of racism, and historical oppression, African American women are less likely to seek help from formal agencies compared to White women (Lewis et al., 2005; S. E. Ullman & H. H. Filipas, 2001) and/or women of other ethnic backgrounds (C. Ahrens, S. Abeling, S. Ahmad, & J. Himman, 2010). Therefore, the provision of culturally appropriate services, such as the inclusion of religion and spiritual coping, may be necessary when working with African American women survivors of sexual assault. Controlling for age and education, the current study explores the impact of religious coping and social support over 1 year for 252 African American adult female sexual assault survivors recruited from the Chicago metropolitan area. Results from hierarchical linear regression analyses reveal that high endorsement of religious coping and social support at Time 1 does not predict a reduction in posttraumatic stress disorder (PTSD) symptoms at Time 2. However, high social support at Time 2 does predict lower PTSD at Time 2. Also, it is significant to note that survivors with high PTSD at Time 1 and Time 2 endorse greater use of social support and religious coping. Clinical and research implications are explored.

Sexual Coercion Among Black and White Teenagers

The relations between type of sexual coercion (i.e., verbal, substance-facilitated, physical) and psychological and behavioral health were examined among Black ( n = 107) and White ( n = 114) young women. We also explored the moderating role of sexual stereotypes in understanding the relations between sexual coercion and health. Over half (53%) of the total sample reported experiencing at least one sexually coercive incident. Direct relations were found between sexual coercion type and psychological and behavioral health correlates. Specifically, for both Black and White young women, greater verbal coercion was related to increased risky sexual behaviors. Substance-facilitated sexual coercion was related to lower levels of two indicators of mental health among Black participants (i.e., psychological distress and self-esteem). Endorsement of sexual stereotypes moderated the relations between total sexual coercion experiences and self-esteem for Black young women and between total sexual coercion experiences and psychological distress for White young women.

Characteristics of sexual assault and disclosure among women in substance abuse recovery homes

Research suggests that many women experience some form of sexual assault in their lifetime and that women who engage in substance abuse often have a higher incidence of past sexual assault than women in the general population. Given the documented rates of sexual assault among women in recovery from substance use, it is important to explore community interventions that promote positive recovery from substance use and sexual assault. One model that promotes successful substance use recovery is the Oxford House--a democratic, self-supported substance use recovery home. Research demonstrated that living in an Oxford House provides sober social support and that this increased social support may promote the use of positive coping strategies to strengthen recovery from substance use, however; the relationship between social support and sexual assault for women is unclear. Thus, the current study examines the Oxford House model for women in recovery from substance use who have experienced sexual assault. A cross-sectional sample of women living in Oxford Houses in the United States was obtained to examine the relationship among disclosure of sexual assault, social support, and self-esteem. Results suggested that many women used Oxford House as a setting in which to disclosure prior sexual assault. Results also indicated that women who disclosed their assault experience reported higher self-esteem and social support than women who had not disclosed. Possible implications include the value of substance abuse recovery homes as a safe, supportive environment for women to address issues related to sexual assault.

Surviving the storm: the role of social support and religious coping in sexual assault recovery of African American women

African American women are at high risk for sexual assault. In addition, many African American women endorse the use of social support and religiosity to cope with trauma. The current study investigates the relationship between these two coping strategies and posttrauma symptoms in a sample of 413 African American female sexual assault survivors using confirmatory factor analysis and structural equation modeling. Findings indicated that survivors with greater social support were less likely to endorse the symptoms of depression and PTSD. Conversely, increased use of religious coping was related to greater endorsement of depression and PTSD symptoms. Counseling and research implications are explored.

Shattering silence: exploring barriers to disclosure for African American sexual assault survivors

National-, community-, and college-based studies have documented the high prevalence of sexual assault among African American women. Although African American women experience sexual assault at alarming rates, they are less likely to disclose or seek help in the aftermath of sexual assault. The purpose of this literature review is to provide a critique of the current literature examining the barriers to disclosure for African American women, such as intrapsychic factors, the damaging effect of an unsupportive response to initial disclosure, stigmatization of African American female sexuality, apprehension regarding racism, and racial loyalty. The authors provide a summary of the literature, gaps in current empirical studies, and needs for future study. Culturally relevant intervention recommendations are described. Finally, implications for sexual assault policy are provided.

Who Is to Blame? Rape of Hindu-Muslim Women in Interethnic Violence in India

This research examined attitudes that predict rape blame in contexts of interethnic violence between minority Muslims and dominant Hindu communities in Mumbai, India. I hypothesized that, in contexts of interethnic violence, prejudicial attitudes toward communities and attitudes that view rape as a conflict tool (i.e., an effective strategy to control an ethnic community) would predict victim blame. This study is among the first to provide empirical support that ethnic prejudice and specific misogynistic attitudes are important predictors of rape victim blame in ethnic violence contexts. Findings indicate that attitudes that exploit women's positions across categories of gender and religious community predict higher victim blame attributions. Findings are relevant to current intercommunity relationships and provide insights for community-based responses and primary interventions.

From the margins to the center: ethnic minority women and the mental health effects of sexual assault

The trauma of sexual assault is heightened for many women by the interlocking experience of societal traumas such as racism, sexism, and poverty. The mental health effects of sexual assault are mediated by race and ethnicity. The investigators explore the experiences of African American, Asian American, Latina, and Native American female survivors of sexual assault. The sociohistorical context of intergenerational trauma in the lives of ethnic minorities is a part of the context for the contemporary experience of sexualized violence. Racial and ethnic dynamics related to sexual assault prevalence, mental health effects, and disclosure are examined. Literature related to cultural beliefs, community attitudes, and perceived social support in relation to sexualized violence are also reviewed. Finally, practice, research, and policy implications are discussed.

An ecological model of the impact of sexual assault on women's mental health

This review examines the psychological impact of adult sexual assault through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology contribute to post-assault sequelae. Using Bronfenbrenner's (1979, 1986, 1995) ecological theory of human development, we examine how individual-level factors (e.g., sociodemographics, biological/genetic factors), assault characteristics (e.g., victim-offender relationship, injury, alcohol use), microsystem factors (e.g., informal support from family and friends), meso/ exosystem factors (e.g., contact with the legal, medical, and mental health systems, and rape crisis centers), macrosystem factors (e.g., societal rape myth acceptance), and chronosystem factors (e.g., sexual revictimization and history of other victimizations) affect adult sexual assault survivors' mental health outcomes (e.g., post-traumatic stress disorder, depression, suicidality, and substance use). Self-blame is conceptualized as meta-construct that stems from all levels of this ecological model. Implications for curbing and/or preventing the negative mental health effects of sexual assault are discussed.

Factors influencing attitudes to violence against women

Attitudes toward men's violence against women shape both the perpetration of violence against women and responses to this violence by the victim and others around her. For these reasons, attitudes are the target of violence-prevention campaigns. To improve understanding of the determinants of violence against women and to aid the development of violence-prevention efforts, this article reviews the factors that shape attitudes toward violence against women. It offers a framework with which to comprehend the complex array of influences on attitudes toward violent behavior perpetrated by men against women. Two clusters of factors, associated with gender and culture, have an influence at multiple levels of the social order on attitudes regarding violence. Further factors operate at individual, organizational, communal, or societal levels in particular, although their influence may overlap across multiple levels. This article concludes with recommendations regarding efforts to improve attitudes toward violence against women.