1
|
Beaujolais B. Empowerment Self-Defense Intervention Outcomes: A Descriptive Review of Measures. TRAUMA, VIOLENCE & ABUSE 2024; 25:1448-1467. [PMID: 37366638 DOI: 10.1177/15248380231179727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Abstract
Global research about empowerment self-defense (ESD)-a sexual assault resistance intervention recommended as a component of a comprehensive sexual assault prevention strategy-continues to emerge, with studies reporting positive effects, including reduced risk of sexual assault victimization. Researchers have suggested ESD may produce additional positive public health outcomes beyond the prevention of sexual violence, but more research is needed to understand the benefits associated with ESD training. However, to conduct high-quality research, scholars have suggested a need for improved measurement tools. To better understand these measurement gaps, the purpose of this study was to identify and review measures used in ESD outcome studies; and in doing so, to determine the range of outcomes previously measured in quantitative studies. Within the 23 articles meeting study inclusion criteria, there were 57 unique scales that measured a range of variables. These 57 measures were grouped into nine construct categories: assault characteristics (n = 1); attitudes and beliefs (n = 6); behavior and behavioral intentions (n = 12); fear (n = 4); knowledge (n = 3); mental health (n = 8); any past unwanted sexual experiences (n = 7); perception of risk and vulnerability (n = 5); and self-efficacy (n = 11). Except for mental health, most scales were developed in the Global North using college student populations, so measures for diverse populations (e.g., diverse in age, culture, ethnicity, geographical origin) are critically needed. Future research should focus on identifying and/or developing standardized tools that measure the full constellation of targeted outcomes. Evaluation of the methodological quality of studies assessing psychometric performance of the tools should also be prioritized.
Collapse
|
2
|
Anderson JC, Boakye MD, Feinstein Z, Miller-Walfish S, Jones KA, Chugani CD, Schmulevich A, Jackson R, Miller E. College students' experiences of sexual violence and reasons for seeking care in campus health and counseling centers. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:753-760. [PMID: 35380934 PMCID: PMC9532461 DOI: 10.1080/07448481.2022.2057189] [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] [Received: 10/14/2020] [Revised: 07/01/2021] [Accepted: 03/20/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Examine associations between care seeking reasons in college health and counseling centers and sexual violence (SV). PARTICIPANTS College students (n = 2,084 baseline, n = 1,170 one-year follow up) participating in a cluster randomized controlled trial of an SV reduction intervention on 28 campuses. METHODS Computer-based survey data gathered during students' clinic visit and one-year follow up. RESULTS Despite high prevalence of SV, students almost never sought care specifically for SV (0.5% of reported visits). Gender differences emerged for reasons students sought care generally, but were not associated with differences in care seeking among those who experienced SV. At baseline and one-year, students who reported SV were more likely to state mental or sexual and reproductive health as their reason for care seeking. CONCLUSION Many students seeking care have experienced SV yet present with other health needs. Providers need to recognize this and have a low threshold for providing SV resources routinely. Supplemental data for this article can be accessed online at https://doi.org/10.1080/07448481.2022.2057189.
Collapse
Affiliation(s)
- Jocelyn C. Anderson
- College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Michelle D.S. Boakye
- College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Zoe Feinstein
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
- School of Nursing, Yale University, Orange, Connecticut, USA
| | - Summer Miller-Walfish
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Kelley A. Jones
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA
| | - Carla D. Chugani
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Alexandra Schmulevich
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Reesha Jackson
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Elizabeth Miller
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| |
Collapse
|
3
|
Oueis J, McKie RM, Reissing ED. A Qualitative Account of Coping Following Non-Consensual Sexual Experiences among Gay, Bisexual, and Other Men Who Have Sex with Men. JOURNAL OF SEX RESEARCH 2024; 61:414-426. [PMID: 37310380 DOI: 10.1080/00224499.2023.2220694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Sexual consent among gay, bisexual, and other men who have sex with men (GBMSM) has not been thoroughly documented in the academic literature. Research has suggested that GBMSM incur a greater risk for experiencing non-consensual sexual experiences (NSEs) compared to heterosexual, cis-gendered men. Despite the high prevalence of NSEs impacting this population, little research has been conducted on how GBMSM cope after NSEs. The purpose of this study was to examine how GBMSM cope following NSEs. Responses were analyzed from 206 GBMSM, aged 18-77 (M = 31.84), recruited across Canada. Participants completed an online survey, answering open-ended questions on experiences of NSEs and how they coped afterward. Guidelines for thematic analysis were followed to analyze the responses, indicating that GBMSM cope both maladaptively (e.g., avoidance, withdrawal from social networks and sexual relationships) and adaptively (e.g., seeking therapy, social support) following NSEs. Some participants were affected by and needed to cope with their NSEs over a longer term (e.g., ongoing rumination, enjoying sexual and intimate relationships less). Participants used a range of coping skills and showed openness to reach out for help from formal and informal sources, but also noted that resources were not always accessible or culturally sensitive to GBMSM's needs. Responses are discussed in the context of barriers to effective coping, such as perceptions of masculinity and maladaptive sexual scripts.
Collapse
Affiliation(s)
- Jeremy Oueis
- School of Psychology, Faculty of Social Sciences, University of Ottawa
| | - Raymond M McKie
- School of Psychology, Faculty of Social Sciences, University of Ottawa
| | - Elke D Reissing
- School of Psychology, Faculty of Social Sciences, University of Ottawa
| |
Collapse
|
4
|
Uhlich M, Peterson ZD, Li Y, Brown A, Han J, McBride JAD. Different Components of Sexual Narcissism Are Differentially Associated With Specific Sexual Aggression Strategies: An Exploratory Study Among Male and Female College Students. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2024; 36:111-125. [PMID: 38596809 PMCID: PMC10903577 DOI: 10.1080/19317611.2024.2311142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 01/22/2024] [Indexed: 04/11/2024]
Abstract
Objectives This study investigated whether components of sexual narcissism are associated with different types of sexual aggression (e.g., verbal pressure or force) among students because this is a prevalent problem on college campuses. Methods College students (N = 508) were recruited for a cross-sectional online study. Results Results showed that components of sexual narcissism were related to different strategies of sexual aggression, with sexual entitlement being associated with not providing the victim an opportunity to object and exploiting intoxication. Gender moderated some of the associations, with women showing a stronger relationship than men. Conclusions These findings suggest that sexual narcissism represents a risk factor for sexual aggression in men and women and highlight the need for gender-inclusive and tailored interventions to prevent sexual aggression.
Collapse
Affiliation(s)
| | - Zoë D. Peterson
- Kinsey Institute, Indiana University, Bloomington, IN, USA
- Department of Counseling and Educational Psychology, Indiana University, Bloomington, IN, USA
| | - Yi Li
- Department of Counseling, School, and Educational Psychology, University at Buffalo, Buffalo, NY, USA
| | - Andrew Brown
- Department of Counseling and Educational Psychology, Indiana University, Bloomington, IN, USA
| | - Jin Han
- Department of Counseling and Educational Psychology, Indiana University, Bloomington, IN, USA
| | | |
Collapse
|
5
|
Mark KP, Vowels LM, Mullis L, Hoskins K. Women's strategies for navigating a healthy sex life post-sexual trauma. PLoS One 2023; 18:e0291011. [PMID: 37672546 PMCID: PMC10482293 DOI: 10.1371/journal.pone.0291011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 08/21/2023] [Indexed: 09/08/2023] Open
Abstract
Sexual trauma is common. Consequences of sexual trauma can include deterioration of mental and physical health and it can also affect future romantic and sexual relationships. Previous studies have identified common healthy and destructive coping mechanisms to recover after experiencing sexual trauma, but few studies have investigated useful strategies to move into a healthy sexual relationship focused on resilience. In-depth semi-structured interviews were conducted with 41 women with a history of sexual trauma who were in a healthy sexual relationship at the time of participation. Participants provided strategies that helped them move beyond the sexually traumatic event(s) toward a healthy sexual relationship. Reflexive thematic analysis identified 5 effective and 6 ineffective strategies reported by the participants. Rich examples of resilience and empowerment were overarching in the effective strategies used for moving toward healthy sexual relationships. Women were also able to reflect on the strategies that were ineffective for them with kindness and understanding for their coping at that time, a normalizing theme for women working through sexual trauma. The results of this study will help therapists and researchers working with women who have experienced sexual trauma learn from their experiences in working beyond trauma toward a healthy sexual relationship.
Collapse
Affiliation(s)
- Kristen P. Mark
- Department of Family Medicine & Community Health, University of Minnesota Medical School, Minneapolis, MN, United States of America
- Institute for Sexual & Gender Health, University of Minnesota Medical School, Minneapolis, MN, United States of America
| | - Laura M. Vowels
- Department of Social and Political Sciences, Family DevelOpment Lab (FADO), Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Lindsey Mullis
- Human Development Institute, University of Kentucky, Lexington, KY, United States of America
| | - Katarina Hoskins
- Institute for Sexual & Gender Health, University of Minnesota Medical School, Minneapolis, MN, United States of America
| |
Collapse
|
6
|
Mrejen M, Rosa L, Rosa D, Hone T. Gender inequalities in violence victimization and depression in Brazil: results from the 2019 national health survey. Int J Equity Health 2023; 22:100. [PMID: 37226195 PMCID: PMC10207796 DOI: 10.1186/s12939-023-01916-4] [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: 04/06/2023] [Accepted: 05/11/2023] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Violence is a worldwide public health challenge and has been linked to depression in many settings. Depression is higher in women and differential exposure to violence is a potential risk factor - especially in countries with high-levels of violence. This paper provides a comprehensive characterization of the association between violence victimization and depression in Brazil, focusing on sex/gender inequalities. METHODS We used data from the 2019 wave of the National Health Survey (PNS) in Brazil to assess whether respondents had depression (using PHQ-9) and if they were victims of violence, differentiating by the type of violence, the frequency of victimization, and the primary aggressor. We used logit models to assess the association between victimization and the likelihood of having depression. We predicted probabilities of being depressed, considering the interaction between violence victimization and sex/gender, to analyze the differences between men and women. RESULTS Rates of violence victimization and depression were higher among women than among men. The odds of being depressed were 3.8 (95%CI: 3.5-4.2) times higher among victims of violence than among non-victims, and 2.3 (95%CI: 2.1-2.6) times higher among women than among men, adjusting for socioeconomic factors. For any given income level, racial/ethnic or age group, victims of violence who were women had the highest predicted probabilities of being depressed - e.g., 29.4% (95%CI: 26.1-32.8) for lower-income women, 28.9% (95%CI: 24.4-33.2) for black women, and 30.4% (95%CI: 25.4-35.4) for younger women that suffered violence. Over one in three women that suffered multiple types of violence, experienced violence more frequently, or where the aggressor was an intimate partner or another family member were predicted to have depression. CONCLUSIONS Being a victim of violence was strongly associated with higher risk of depression in Brazil, with women more likely to be both victims of violence and develop depression. Frequent, sexual, physical or psychological violence, and intimate partners or family member perpetrators were major risk factors for depression and should be a public health priority.
Collapse
Affiliation(s)
- Matías Mrejen
- Instituto de Estudos para Políticas de Saúde (IEPS), São Paulo, Brazil.
| | - Leonardo Rosa
- Instituto de Estudos para Políticas de Saúde (IEPS), São Paulo, Brazil
| | - Dayana Rosa
- Instituto de Estudos para Políticas de Saúde (IEPS), São Paulo, Brazil
- Instituto de Medicina Social, Universidade do Estado de Rio de Janeiro (IMS UERJ), Rio de Janeiro, Brazil
| | - Thomas Hone
- Instituto de Estudos para Políticas de Saúde (IEPS), São Paulo, Brazil
- Department of Primary care and Public Health, Imperial College London, South Kensington, UK
| |
Collapse
|
7
|
Borgogna NC, Lathan EC, Aita SL. Sexual and Gender Minority Victimization: Base Rates of Assault in College Students Across Sexual and Gender Identities. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:5613-5637. [PMID: 36214479 DOI: 10.1177/08862605221124253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Past findings have indicated that sexual and gender minority (SGM) individuals experience disproportionate rates of emotional, physical, and sexual assault compared to their heterosexual/cisgender counterparts. While these findings are robust, many studies report homogenous groupings of SGM participants. This practice likely masks important between-group differences. We sought to address this issue by examining reported base rates of emotional, physical, and sexual assault within 12 months of data collection, split across specific sexual (heterosexual, gay/lesbian, bisexual, questioning, queer, pansexual, asexual, and demisexual) and gender (cisgender men, cisgender women, gender nonconforming female assigned at birth [FAB], and gender nonconforming male assigned at birth) identity groups. Our data came from 2020 to 2021 Healthy Minds Study, a large survey of college students living in the United States (N = 119,181). Results indicated most forms of assault were higher in SGM groups compared to heterosexual and cisgender individuals, both on univariate and multivariate (e.g., one or more type of assault) levels. Demisexual individuals reported the highest base rates for emotional assault (45.7%), whereas pansexual individuals reported highest rates of physical assault (12.5%) and sexual assault (17.3%). Demisexual individuals reported the highest multivariate base rate of experiencing at least one form of assault (49.5%), and pansexual individuals reported the highest multivariate base rate of experiencing all three forms of assault (4.7%) within the past 12 months. Gender nonconforming FAB individuals reported the highest univariate and multivariate base rates across assault types compared to all other gender identity groups. With few exceptions, compared to heterosexual and cisgender men (referents), all other sexual and gender identity groups reported significantly higher adjusted odds of experiencing each assault type. These data suggest SGM individuals experience disproportionate levels of assault.
Collapse
Affiliation(s)
| | - Emma C Lathan
- Emory University School of Medicine, Atlanta, GA, USA
| | | |
Collapse
|
8
|
Labonté A, Paquette G, Martin-Storey A, Bergeron M. Social Reactions and Trauma Symptoms Among Gender and Sexual Minority Students Disclosing Sexual Violence. VIOLENCE AND VICTIMS 2023; 38:267-288. [PMID: 37011946 DOI: 10.1891/vv-2021-0072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Addressing the higher rates of sexual violence experienced by gender and sexual minority students in university contexts requires an understanding of responses to disclosures of sexual violence. Using data from a large-scale study of sexual violence in university contexts, the current study examined (1) whether gender and sexual minority status was associated with responses to sexual violence disclosure and (2) how disclosure responses were associated with trauma symptoms among these students. Linear regression indicated that university students' (n = 1,464) reports of responses to disclosures of sexual violence did not differ across gender or sexual minority status. Focusing on gender and sexual minority participants (n = 327), linear regression linked turning against the victim and positive responses to higher levels of trauma symptoms.
Collapse
Affiliation(s)
- Ariane Labonté
- Group for Research and Intervention on Children's Social Adjustment (GRISE), Université de Sherbrooke, Faculté d'éducation, Sherbrooke, Québec, Canada
| | - Geneviève Paquette
- Group for Research and Intervention on Children's Social Adjustment (GRISE), Université de Sherbrooke, Faculté d'éducation, Sherbrooke, Québec, Canada
| | - Alexa Martin-Storey
- Group for Research and Intervention on Children's Social Adjustment (GRISE), Université de Sherbrooke, Faculté d'éducation, Sherbrooke, Québec, Canada
| | - Manon Bergeron
- Chaire de recherche sur les violences sexistes et sexuelles en milieu d'enseignement supérieur, Université du Québec à Montréal, Montréal, Québec, Canada
| |
Collapse
|
9
|
Female students as victims of sexual abuse at institutions of higher learning: insights from Kwazulu-natal, South Africa. SN SOCIAL SCIENCES 2023; 3:40. [PMID: 36817690 PMCID: PMC9919736 DOI: 10.1007/s43545-023-00611-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 01/04/2023] [Indexed: 02/13/2023]
Abstract
The focus of the wider study on which this paper is based was to uncover the social context of the sexual victimisation phenomenon in three selected institutions of higher learning in Durban, KwaZulu-Natal Province, South Africa. The objectives of the study were to examine the nature of sexual victimisation against female students in selected universities in Durban; to determine the factors that contribute to the sexual victimisation of female students; to investigate the effects of sexual victimisation on female students and to explore the reasons for female students' reluctance to report sexual victimisation. The sample comprised a total of 60 participants who had been purposively selected from three universities in the study area. The data were collected by means of interviews and were thematically analysed. The study found that incapacitated rape is more common on campuses than forcible rape, which is when perpetrators use threats and/or physical force. This could be attributed to the excessive use of alcohol and drugs by both victims and perpetrators. The study also confirmed that female students are reluctant to report sexual victimisation to the authorities. A key recommendation is that security measures need to be upgraded to ensure a safe environment for female students on campuses in the study area. Supplementary Information The online version contains supplementary material available at 10.1007/s43545-023-00611-z.
Collapse
|
10
|
Schnittker J. What makes sexual violence different? Comparing the effects of sexual and non-sexual violence on psychological distress. SSM - MENTAL HEALTH 2022. [DOI: 10.1016/j.ssmmh.2022.100115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
11
|
Scandurra C, Zapparella R, Policastro M, Continisio GI, Ammendola A, Bochicchio V, Maldonato NM, Locci M. Obstetric violence in a group of Italian women: socio-demographic predictors and effects on mental health. CULTURE, HEALTH & SEXUALITY 2022; 24:1466-1480. [PMID: 34463607 DOI: 10.1080/13691058.2021.1970812] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 08/17/2021] [Indexed: 06/13/2023]
Abstract
This study had two aims: (1) to explore the types and incidence of obstetric violence (OV) in a group of Italian women, as well as associated socio-demographic factors; and (2) to assess whether OV affects women's mental health (e.g. psychological distress and post-traumatic stress). A web-based cross-sectional study was conducted with 282 Italian women. Women answered questions on socio-demographic factors, childbirth characteristics, OV and mental health. Multiple linear regression analyses assessing the predictive role of socio-demographic and childbirth characteristics on OV were conducted. Additionally, hierarchical multiple linear regression analyses assessing whether OV affected women's mental health were also carried out. More than three quarters of the sample (78.4%) had experienced at least one type of OV (55.5% of non-consented care and 66.4% of abuse and violence). The factors most associated with OV were younger age, low educational level, not having attended a prenatal childbirth preparedness course, and having given birth naturally. The form of OV that most affected women's mental health was that linked to abuse and violence rather than non-consented care. Study findings shed light into addressing OV from a multidimensional perspective.
Collapse
Affiliation(s)
- Cristiano Scandurra
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| | - Rosanna Zapparella
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| | - Marilina Policastro
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| | | | - Alessandra Ammendola
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| | - Vincenzo Bochicchio
- Department of Humanistic Studies, University of Calabria, Arcavacata di Rende, Italy
| | - Nelson Mauro Maldonato
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| | - Mariavittoria Locci
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy
| |
Collapse
|
12
|
Leclerc ME, Lafontaine MF, Brassard A, Péloquin K. Exploring Insecure Romantic Attachment and Justifications for the Use of Intimate Partner Psychological Aggression in Couples. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP21070-NP21091. [PMID: 34791928 PMCID: PMC9554365 DOI: 10.1177/08862605211055156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The attachment theory has commonly been used to examine intimate partner psychological aggression (IPPA), but few studies have examined its association with self-reported justifications for one's own use of IPPA. Behaviors, including the use of IPPA, are influenced, maintained, and function within the context of their justifications, highlighting the importance of investigating these justifications to obtain a clearer picture of IPPA. This study examined whether insecure romantic attachment (i.e., attachment anxiety and attachment avoidance) in both partners of a couple was associated with their justifications for their own use of IPPA. A community sample of 81 mixed-sex couples who reported using IPPA in the last year completed self-reported questionnaires on adult romantic attachment and their justifications for their use of IPPA. Results of a path analysis based on the actor-partner interdependence model revealed moderate positive associations between attachment anxiety and one's use of internal and external justifications for their IPPA perpetration in men and women. An unexpected dyadic positive association is discussed. These results suggest that the use of justifications for one's use of IPPA may reflect a strategy of hyperactivation that could contribute to the cycle of psychological aggression. Uncovering the function of these justifications could provide important therapeutic benefits, which are discussed in the study's implications.
Collapse
Affiliation(s)
- Marie-Eve Leclerc
- School of Psychology, Faculty of
Social Sciences, University of Ottawa, Ottawa, ON, Canada
| | | | | | | |
Collapse
|
13
|
Cavanagh A, Kimber M, MacMillan HL, Ritz SA, Vanstone M. Conceptualizing Physicians' Roles in Addressing Intimate Partner Violence: A Critical Discourse Analysis of Resources for Canadian Physicians. Violence Against Women 2022:10778012221114922. [PMID: 35989661 DOI: 10.1177/10778012221114922] [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: 11/16/2022]
Abstract
Resources addressing intimate partner violence (IPV) play a role in shaping how physicians conceptualize and perform their roles in caring for affected patients. This study combines environmental scanning with critical discourse analysis (CDA) to parse how roles of physicians were represented in 28 education materials and policy documents about IPV, taking the Canadian training milieu as an example. We developed a cyclical model of three core physician roles in addressing IPV-learning about IPV, identifying patients experiencing IPV, and responding to patients' disclosures of IPV. The construction of these physician roles is suggestive of an ongoing process of medicalization of IPV.
Collapse
|
14
|
Jayaweera RT, Goin D, Twine R, Neilands TB, Wagner RG, Lippman SA, Kahn K, Pettifor A, Ahern J. Associations between WASH-related violence and depressive symptoms in adolescent girls and young women in South Africa (HPTN 068): a cross-sectional analysis. BMJ Open 2022; 12:e061032. [PMID: 35790334 PMCID: PMC9258484 DOI: 10.1136/bmjopen-2022-061032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 06/13/2022] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE There is a lack of research on experiences of WASH-related violence. This study aims to quantify the association between experience or worry of violence when using the toilet or collecting water and depressive symptoms among a cohort of young women in South Africa. METHODS Data are from visit 3 of the HPTN 068 cohort of adolescent girls in rural Mpumalanga Province, South Africa. Participants (n=1798) included in this analysis were aged 13-21 at baseline. Lifetime experience of violence or fear of violence when using the toilet and collecting water was collected by self-report; depressive symptoms in the past week were measured using the Center for Epidemiological Studies Depression Scale (CES-D). We used G-computation to calculate the prevalence difference (PD) and prevalence ratio of depression (CES-D score >15) associated with each domain of violence, controlling for baseline covariates. FINDINGS A total of 15.1% of respondents reported experiencing violence when using the toilet; 17.1% reported experiencing violence when collecting water and 26.7% reported depression. In adjusted models, those who reported experiencing violence when using the toilet had an 18.1% higher prevalence of depression (95% CI: 11.6% to 24.4%) than those who did not experience violence when using the toilet. Adjusted prevalence of depression was also higher among those who reported violence when collecting water (PD 11.9%, 95% CI: 6.7% to 17.2%), and who worried about violence when using the toilet (PD 12.8%, 95% CI: 7.9% to 19.8%), as compared with those who did not report these experiences. Worrying about violence when collecting water was not associated with depression after adjusting for covariates. CONCLUSION Experience of WASH-related violence is common among young women in rural South Africa, and experience or worry of experiencing violence is associated with higher prevalence of depressive symptoms. TRIAL REGISTRATION NUMBER NCT01233531; Post-results.
Collapse
Affiliation(s)
- Ruvani T Jayaweera
- Ibis Reproductive Health, Oakland, California, USA
- Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, California, USA
| | - Dana Goin
- Program on Reproductive Health and the Environment, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA
| | - Rhian Twine
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
| | - Torsten B Neilands
- Department of Medicine, University of California San Francisco, San Francisco, California, USA
| | - Ryan G Wagner
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
| | - Sheri A Lippman
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Department of Medicine, University of California San Francisco, San Francisco, California, USA
| | - Kathleen Kahn
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Department of Public Health and Clinical Medicine, Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden
| | - Audrey Pettifor
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Department of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Jennifer Ahern
- Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, California, USA
| |
Collapse
|
15
|
Sewalem J, Molla A. Mental distress and associated factors among women who experienced gender based violence and attending court in South Ethiopia: a cross-sectional study. BMC Womens Health 2022; 22:187. [PMID: 35597941 PMCID: PMC9124378 DOI: 10.1186/s12905-022-01770-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 05/13/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Gender-based violence is an act that has physical, psychological, and sexual consequences for women. It is a widespread issue, particularly in developing countries, and it causes women mental distress. Despite the fact that gender-based violence has a significant impact on mental distress, there have no study in Ethiopia. As a result, the purpose of this study was to determine the prevalence and associated factors of mental distress among mothers who had experienced gender-based violence and were in court. METHODS A cross-sectional study was conducted on 423 samples. The data was entered into Epi-data version 3.01 and analyzed with SPSS version 21. Binary logistic regression was used, and variables with p-values less than 0.05 were considered statistically significant with regard to mental distress at the respective 95% CI. RESULT The prevalence of mental distress was found to be 59.6% in this study. Mental distress was associated with factors such as a lack of social support, a lack of formal education, a husband's substance use, rural residence, age greater than 33 years, and a low family income. CONCLUSION The prevalence of mental distress is high when compared to the majority of previous findings from other countries. Screening and managing psychological distress in women with a history of violence is preferable, and integrating psychosocial care into court services is recommended.
Collapse
Affiliation(s)
- Jerusalem Sewalem
- Department of Psychiatry, College of Medicine and Health Science, Dilla University, P.O.BOX: 419, Dilla, Ethiopia.
| | - Alemayehu Molla
- Department of Psychiatry, College of Medicine and Health Science, Dilla University, P.O.BOX: 419, Dilla, Ethiopia
| |
Collapse
|
16
|
Gómez JM. Campus Sexual Violence, Gender, and Mental Health in Diverse Undergraduate/Graduate Students. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2022; 31:981-995. [PMID: 36468083 PMCID: PMC9718436 DOI: 10.1080/10926771.2022.2043972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 11/18/2021] [Accepted: 01/29/2022] [Indexed: 06/17/2023]
Abstract
Campus sexual violence (CSV) is linked with poor mental health and alcohol use, with cisgender women and some people of Color at increased risk for victimization. Though undergraduates' experiences of CSV are typically studied, graduate/professional students may additionally be impacted by CSV. Campus climate surveys recruit random samples of the entire student population, thus increasing generalizability. The purpose of the study is to pilot the ARC3 campus climate survey to examine CSV, mental health, and alcohol use by gender and minority status in diverse undergraduates and graduate/professional students. Random samples of undergraduates (N = 775) and graduate/professional students (N = 525) completed a 30-min online survey. Compared to graduate/professional students and men, undergraduates and women experience more CSV. CSV was associated with alcohol use in undergraduates and poorer mental health in undergraduates and graduate/professional students. Universities' prevention and intervention strategies should include undergraduate and graduate/professional students, targeting sexism.
Collapse
Affiliation(s)
- Jennifer M. Gómez
- Department of Psychology, Merrill Palmer Skillman Institute for Child & Family Development (MPSI), Wayne State University, Detroit, MI, USA
- Center for Institutional Courage, Palo Alto, CA, USA
| |
Collapse
|
17
|
Rahill GJ, Joshi M, Blanc J, Littlewood K, Salinas-Miranda A, Rice C. Self-reported sleep disturbance patterns in urban haitians: A latent class analysis. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2022. [DOI: 10.1080/00207411.2022.2041266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Guitele J. Rahill
- College of Behavioral & Community Sciences (CBCS), University of South Florida (USF), Tampa Florida, FL, USA
| | - Manisha Joshi
- College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA
| | - Judite Blanc
- Center for Healthful Behavior, New York University Langone Health, New York, New York
| | - Kerry Littlewood
- College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA
| | | | - Christopher Rice
- School of Social Work, Florida International University, Miami, FL, USA
| |
Collapse
|
18
|
Gómez JM. Gender, Campus Sexual Violence, Cultural Betrayal, Institutional Betrayal, and Institutional Support in U.S. Ethnic Minority College Students: A Descriptive Study. Violence Against Women 2022; 28:93-106. [PMID: 33851553 PMCID: PMC8582003 DOI: 10.1177/1077801221998757] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Women and ethnic minorities are at increased risk for campus sexual violence (CSV). Due to inequality, within-group victimization in marginalized communities includes cultural betrayal. Universities commit institutional betrayal (e.g., inadequate prevention) and institutional support (e.g., sensitivity). With a campus climate survey, the purpose of the study is to characterize, by gender, U.S. ethnic minority undergraduates' CSV, cultural and institutional betrayal, and institutional support. Participants (N = 222) were a random sample of ethnic minority undergraduates. College women experienced higher rates of CSV and institutional betrayal. Universities can implement a research agenda that centralizes the role of oppression in CSV.
Collapse
Affiliation(s)
- Jennifer M. Gómez
- Wayne State University, Detroit, MI, USA
- Center for Institutional Courage
| |
Collapse
|
19
|
Free BL, Lipinski AJ, Lewin RK, Majeed R, Zakarian RJ, Beck JG. Using a Person-Centered Approach to Identify Patterns of Exposure to Intimate Partner Violence and Child Abuse in Women: Associations With Mental Health. CHILD MALTREATMENT 2021; 26:376-386. [PMID: 34338045 DOI: 10.1177/10775595211031655] [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: 06/13/2023]
Abstract
Patterns of exposure to intimate partner violence (IPV) and child abuse (CA) were explored in 467 women seeking psychological assistance following IPV. Using latent class analysis, three classes were obtained: women who had experienced physical, sexual, and psychological IPV, along with childhood physical and sexual abuse (IPV + CA; 38.5%); women who had experienced physical, sexual, and psychological IPV only (IPV/no CA; 52.9%); and women who had experienced psychological IPV only (Psych IPV only; 8.6%). Associations of class membership with severity of specific mental health conditions were examined, along with the number of diagnosed conditions. Significant between-class differences were noted on severity of IPV-related posttraumatic stress disorder, depressive disorders, alcohol and substance use disorders, and social phobia. Classes also differed significantly on the number of mental health conditions. Understanding patterns of betrayal-based trauma (e.g., IPV and CA) can inform care within agencies that serve IPV survivors by highlighting individuals at-risk for mental health conditions.
Collapse
Affiliation(s)
- Bre'Anna L Free
- Department of Psychology, 5415University of Memphis, Memphis, TN, USA
| | | | - Rivian K Lewin
- Department of Psychology, 5415University of Memphis, Memphis, TN, USA
| | - Rimsha Majeed
- Department of Psychology, 5415University of Memphis, Memphis, TN, USA
| | | | - J Gayle Beck
- Department of Psychology, 5415University of Memphis, Memphis, TN, USA
| |
Collapse
|
20
|
Mahoney CT, Lynch SM, Benight CC. The Indirect Effect of Coping Self-Efficacy on the Relation Between Sexual Violence and PTSD Symptoms. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:9996-10012. [PMID: 31608775 DOI: 10.1177/0886260519881525] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
One in five women experience rape and one in four experience unwanted sexual contact, incurring significant risk of negative psychological outcomes such as posttraumatic stress disorder (PTSD). Given this heightened risk, it is imperative to examine factors that can inhibit the development of PTSD symptoms in response to sexual violence in women. Perceived coping self-efficacy (CSE) is a cognitive appraisal ability utilized to regulate internal and external stressors that arise from traumatic events and is crucial for effective adaptation after traumas such as sexual violence. This study investigated CSE as a potential protective factor against trauma-related psychopathology in female rape survivors. In this study, 518 female undergraduate students (M age = 22.71 years, SD = 8.33 years; 82.4% Caucasian) completed self-report measures of nonconsensual sexual experiences, CSE, and PTSD symptom severity. Of those, 375 women (M age = 22.89 years, SD = 6.91 years; 83.7% Caucasian) reported at least one incident of a nonconsensual sexual experience. We hypothesized that CSE would indirectly affect the relationship between sexual violence and PTSD symptom severity, such that CSE would be protective against PTSD symptoms. In line with our hypothesis, there was evidence of a significant indirect effect, 95% confidence interval (CI) = [0.18, 0.44]. This evidence suggests that CSE may be an important protective factor given women's increased risk of developing PTSD symptoms following sexual violence. Furthermore, this finding suggests that programs targeting the development of CSE may prevent or lessen risk of PTSD symptoms following sexual violence.
Collapse
|
21
|
Wong JYH, Choi EPH, Lo HHM, Wong W, Chio JHM, Choi AWM, Fong DYT. Intimate Partner Sexual Violence and Mental Health Indicators Among Chinese Emerging Adults. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP10229-NP10254. [PMID: 31478438 DOI: 10.1177/0886260519872985] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Intimate partner sexual violence (IPSV) among emerging adults, including heterosexuals and sexual minorities in the Chinese population, is poorly understood. Focusing on college students, the objectives of the present study were to estimate the prevalence of IPSV among Chinese emerging adults, examine the association between sexual orientation and IPSV, and evaluate the mental health and quality of life of survivors of IPSV. Data were collected from four university campuses in Hong Kong. A total of 1,015 participants were included in the data analysis. The prevalence of IPSV as identified by Conflict Tactics Scale (CTS)-2 was 12.1%. There was no gender difference in the prevalence of IPSV. Multiple logistic regression found that being older; having experienced childhood sexual abuse and having a smoking habit; and belonging to a sexual minority were factors associated with IPSV. Multiple linear regression found that IPSV survivors were more likely to have higher levels of anxiety and depression, more severe psychosomatic symptoms, and poorer quality of life in three domains: psychological, social relationships, and environment when compared with those without IPSV experience. The documented factors underscored the importance of awareness that men and sexual minorities might incur IPSV, which should receive more attention in IPSV prevention programs. Also, interventions for IPSV survivors should be targeted at improving their mental health and quality of life and sex education should place more emphasis on sexual consent and sexual health in dating relationships.
Collapse
Affiliation(s)
| | | | | | - Wendy Wong
- The Chinese University of Hong Kong, Hong Kong
| | | | | | | |
Collapse
|
22
|
Paquette G, Martin-Storey A, Bergeron M, Dion J, Daigneault I, Hébert M, Ricci S, Castonguay-Khounsombath S. Trauma Symptoms Resulting From Sexual Violence Among Undergraduate Students: Differences Across Gender and Sexual Minority Status. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP9226-NP9251. [PMID: 31195873 DOI: 10.1177/0886260519853398] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Experiencing sexual violence is an important risk factor for trauma symptoms, and these symptoms significantly impair psychosocial functioning. Sexual and gender minority university students are more likely than their heterosexual and cisgender peers to experience sexual violence (e.g., sexual harassment, unwanted sexual contact, or sexual coercion) while attending university, but research on the consequences of these experiences is needed to inform service provision to these vulnerable populations. Using a large-scale study of university-based sexual violence in Quebec, the current study examined how gender and sexual minority status were associated with the severity of trauma symptoms among students who experienced sexual violence (N = 1,196). Findings indicated that compared with their cisgender peers, gender minority students experienced significantly higher levels of trauma symptoms as a result of sexual violence, controlling for the severity of sexual violence behaviors experienced and other variables. Among cisgender women, but not cisgender men, sexual minority identity was also associated with higher levels of trauma symptoms, controlling for severity of sexual violence behaviors experienced and other variables. Furthermore, gender of perpetrator and amount of sexual violence moderated the associations between sexual identity and trauma symptoms among cisgender women. These findings not only suggest that gender minority and some sexual minority university students are more likely to experience sexual violence, but that they are also more likely to experience negative psychological sequelae as a consequence of these experiences. Ultimately, these findings may suggest the need for services that are more supportive of the specific needs of gender and sexual minority students with regard to sexual violence.
Collapse
Affiliation(s)
- Geneviève Paquette
- Groupe de recherche sur les inadaptations sociales de l'enfance de l'Université de Sherbrooke (Québec), Canada
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Québec, Canada
| | - Alexa Martin-Storey
- Groupe de recherche sur les inadaptations sociales de l'enfance de l'Université de Sherbrooke (Québec), Canada
| | | | - Jacinthe Dion
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Québec, Canada
- Université du Québec à Chicoutimi, Québec, Canada
| | - Isabelle Daigneault
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Québec, Canada
- Université de Montréal, Québec, Canada
| | - Martine Hébert
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Québec, Canada
- Université du Québec à Montréal, Québec, Canada
| | | | - Sonn Castonguay-Khounsombath
- Groupe de recherche sur les inadaptations sociales de l'enfance de l'Université de Sherbrooke (Québec), Canada
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Québec, Canada
| |
Collapse
|
23
|
Yuen B, Billings J, Morant N. Talking to Others About Sexual Assault: A Narrative Analysis of Survivors' Journeys. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP9714-NP9737. [PMID: 31288608 DOI: 10.1177/0886260519861652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Previous research suggested the benefits for sexual assault survivors to talk about their trauma and its mental health implications, but it remained unclear what steps sexual assault survivors need to take to be able to have these conversations. To address this gap in the literature, this study aims to explore the journeys of sexual assault survivors with the use of narrative interviews to retain the richness of the data. This study reports the findings of a narrative analysis of the accounts of six female sexual assault survivors aged between 20 and 38. The analysis provides an individual case profile for each participant, the core aspects and tone of each narrative, and a cross-case analysis. The cross-case analysis reveals an overarching theme of "the bumpy journey" within which the individual difficulties encountered are examined. The analysis also reveals the two main factors that motivated the participant to strive to make a difference for other sexual violence survivors and to improve their mental health through talking about their experiences. The implications for services providing continuous and long-term support to sexual assault survivors and clinical practices are discussed.
Collapse
|
24
|
Wright PJ, Paul B, Herbenick D. Pornography, impersonal sex, and sexual aggression: A test of the confluence model in a national probability sample of men in the U.S. Aggress Behav 2021; 47:593-602. [PMID: 34076267 DOI: 10.1002/ab.21978] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 04/20/2021] [Accepted: 04/27/2021] [Indexed: 11/10/2022]
Abstract
This paper reports findings on men's exposure to extreme pornography, impersonal sexuality, and sexual aggression from the National Survey of Porn Use, Relationships, and Sexual Socialization, a U.S. population-based probability study. Despite Malamuth's confluence model (CM) of sexual aggression positing that an impersonal approach to sex interacts with exposure to pornography to predict the likelihood of committing sexual assault, only a few studies have actually tested this prediction. Additionally, the data from the only previous nationally representative study were gathered more than 30 years ago. Results of the present study generally supported the CM. Extreme pornography exposure and impersonal sexuality were both associated with a higher probability of sexual aggression. Although impersonal sex was a robust predictor in and of itself, men who were more exposed to pornography and impersonal in their approach to sex were more likely to be sexually aggressive than men who were impersonal in their approach to sex but less exposed to pornography. Results maintained when indicators of sex drive were included in analyses. The only finding inconsistent with the CM was that the association between pornography exposure and sexual aggression was stronger among men lower rather than higher in impersonal sex.
Collapse
Affiliation(s)
- Paul J. Wright
- Department of Communication Science The Media School at Indiana University Bloomington Indiana USA
| | - Bryant Paul
- Department of Communication Science The Media School at Indiana University Bloomington Indiana USA
| | - Debby Herbenick
- The School of Public Health at Indiana University Bloomington Indiana USA
| |
Collapse
|
25
|
Dawson DN, Volpe VV, Laurent HK. Synergistic Effects of Psychological Intimate Partner Violence Exposure and Gender Discrimination on Postnatal Mental Health Trajectories. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP8907-NP8932. [PMID: 31057035 DOI: 10.1177/0886260519844274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
While the literature examining physical intimate partner violence (IPV) is extensive, the impact of psychological IPV on mental health during high-risk times such as the period following childbirth is not well understood. The current study examined associations between psychological IPV and the course and severity of women's postnatal mental health symptoms (depression, anxiety, and trauma symptoms). Both main effects of psychological IPV exposure and possible exacerbation by broader social victimization (i.e., gender discrimination) were considered. Participants were 76 mothers from a larger longitudinal study, who completed self-report measures of IPV, gender discrimination, and affective symptoms at 3, 6, 12, and 18 months postnatal. Hierarchical linear modeling revealed a main effect of psychological IPV on the course of trauma symptoms only. As hypothesized, gender discrimination moderated the effect of psychological IPV on all symptom trajectories in a synergistic manner. At moderate to high levels of gender discrimination only, psychological IPV predicted higher affective symptom severity and an escalating course of postnatal anxiety symptoms. These findings underscore the importance of expanding current conceptualizations of IPV impacts to incorporate relevant aspects of individuals' social-ecological context. Future directions and implications for prevention and intervention are discussed.
Collapse
|
26
|
Harling G, Bountogo M, Sié A, Bärnighausen T, Lindstrom DP. Nonverbal Response Cards Reduce Socially Desirable Reporting of Violence Among Adolescents in Rural Burkina Faso: A Randomized Controlled Trial. J Adolesc Health 2021; 68:914-921. [PMID: 33902816 PMCID: PMC8083106 DOI: 10.1016/j.jadohealth.2020.09.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 08/14/2020] [Accepted: 09/07/2020] [Indexed: 01/02/2023]
Abstract
PURPOSE Accurate measures of violence are difficult to obtain from self-reported data because of stigmatization and social undesirability of the topic. Most methods that attempt to reduce such biases require literacy and either remove the benefits of interviewer guidance or do not give individual-level results. We tested a low-tech nonverbal response card that avoids revealing interviewees' responses to interviewers while retaining interviewer support among adolescents in communities with very low educational attainment. METHODS As part of a broader health questionnaire, we asked a sample of 1,644 adolescents, aged 12-20 years, in northwestern Burkina Faso about their experiences of physical and sexual violence. We randomized participants to either a conventional verbal response arm or a nonverbal response card arm where respondents' answers were unspoken and not displayed to interviewers. We first evaluated response validity and reliability in each arm, then compared prevalence rates across arms and evaluated whether any differences varied by respondent characteristics using regression models. RESULTS The level of internal reliability of responses among nonverbal respondents was similar to or greater than that of verbal respondents. Nonverbal respondents reported similar patterns of physical assault and sexual debut as verbal respondents but significantly higher levels of sexual assault and forced sex. These differences were broadly similar across sample subgroups defined by age, gender, proneness to social desirability, and mental health. CONCLUSIONS Nonverbal response cards offer a practical and beneficial method for reducing underreporting of stigmatized and traumatic experiences while maintaining data quality in low-literacy populations.
Collapse
Affiliation(s)
- Guy Harling
- Institute for Global Health, University College London, London, United Kingdom; Africa Health Research Institute (AHRI), KwaZulu-Natal, South Africa; Department of Epidemiology, Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; MRC/WITS Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | | | - Ali Sié
- Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso
| | - Till Bärnighausen
- Institute for Global Health, University College London, London, United Kingdom,Africa Health Research Institute (AHRI), KwaZulu-Natal, South Africa,Heidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Germany,Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - David P. Lindstrom
- Department of Sociology, Population Studies and Training Center, Brown University, Providence, Rhode Island
| |
Collapse
|
27
|
Lockard AJ, Scofield BE, Janis R, Pérez-Rojas AE, Stauffer A, Bartholomew TT, Gundel B, Locke BD. Initial Distress, Changes in Distress, and Reasons for Ending Therapy in Clients Affected by Sexual Trauma. JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY 2021. [DOI: 10.1080/87568225.2021.1907640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - Brett E Scofield
- Center for Counseling and Psychological Services, The Pennsylvania State University, State College, Pennsylvania, USA
| | - Rebecca Janis
- The Center for Collegiate Mental Health, Pennsylvania State University, State College, Pennsylvania, USA
| | - Andrés E Pérez-Rojas
- Counseling and Educational Psychology, New Mexico State University, Las Cruces, New Mexico, USA
| | - Ashley Stauffer
- The Edna Bennett Pierce Prevention Research Center, Pennsylvania State University, State College, Pennsylvania, USA
| | | | | | - Benjamin D. Locke
- Center for Counseling and Psychological Services, The Pennsylvania State University, State College, Pennsylvania, USA
| |
Collapse
|
28
|
Morean ME, Darling N, Smit J, DeFeis J, Wergeles M, Kurzer-Yashin D, Custer K. Preventing and Responding to Sexual Misconduct: Preliminary Efficacy of a Peer-Led Bystander Training Program for Preventing Sexual Misconduct and Reducing Heavy Drinking Among Collegiate Athletes. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP3453-NP3479. [PMID: 29884110 DOI: 10.1177/0886260518777555] [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: 06/08/2023]
Abstract
Sexual misconduct occurs with disproportionate frequency on college campuses, and alcohol is involved in most sexual assaults. Importantly, collegiate athletes are at risk for both heavy drinking and sexual misconduct. Thus, the current study evaluated the efficacy of a novel, 2.5-hr, peer-facilitated, interactive, group-based bystander intervention program for student athletes that integrated information on sexual misconduct and risky drinking (Preventing and Responding to Sexual Misconduct [PRSM]). In all, 205 athletes completed 25-min surveys immediately before and after the training, and 76 (of 94 invited) completed a 3-month follow-up. Participating in the workshop was associated with significant increases in acknowledgment that sexual misconduct is a problem on campus, knowledge of where to get help if sexual misconduct occurs, knowledge about the college's procedures for addressing sexual misconduct, confidence that the college's procedures for addressing sexual misconduct are fair, bystander confidence, and engagement in a range of bystander activities. A significant decrease in rape myths also was observed. Participating in the workshop also produced changes in alcohol-related beliefs and behaviors. After participating in PRSM, athletes reported increased expectations that drinking alcohol can produce negative effects including aggression and acute intoxication. Participating in the workshop also was associated with significant reductions in drinking frequency, the total number of drinks consumed per month, the maximum drinks consumed in 24 hours, the frequency of binge-drinking episodes, and the experience of alcohol-related problems. In sum, the PRSM program evidenced preliminary efficacy as a program designed to increase prosocial bystander behavior and decrease high-risk drinking among collegiate athletes; changes in beliefs and behaviors consistent with reducing risk for sexual misconduct and problem drinking were observed after workshop participation. Future research should evaluate whether the PRSM program is effective for use with other high-risk populations like fraternity members or more diverse institutions of higher education including large universities.
Collapse
|
29
|
Alvarez-Hernandez LR, Cardenas I, Bloom A. COVID-19 Pandemic and Intimate Partner Violence: an Analysis of Help-Seeking Messages in the Spanish-Speaking Media. JOURNAL OF FAMILY VIOLENCE 2021; 37:939-950. [PMID: 33678949 PMCID: PMC7914115 DOI: 10.1007/s10896-021-00263-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 06/12/2023]
Abstract
The role of the Spanish-speaking media is crucial for how Latinx communities learn about seeking help when experiencing intimate partner violence (IPV). This study investigated the IPV help-seeking messages disseminated by the Spanish-speaking media in the U.S. during the COVID-19 pandemic. We engaged in an exploratory content analysis of videos from Univision's main website, the most-watched Spanish-speaking media network in the U.S. We searched for videos related to IPV help-seeking posted from March 19-April 21, 2020-including the weeks after the World Health Organization declared COVID-19 a global pandemic and the U.S. mandated a shelter-in-place. After assessing inclusion criteria, 29 videos were analyzed. Data were analyzed using basic content analysis to determine frequencies and inductive interpretive content analysis to code for help-seeking messages. We identified eight manifest messages related to seeking help when experiencing IPV in times of a crisis: (1) contact a professional resource; (2) contact law enforcement; (3) contact family, friends, and members of your community; (4) create a safety plan; (5) don't be afraid, be strong; (6) leave the situation; (7) protect yourself at home; and (8) services are available despite the pandemic. We found that the manifest messages alluded to three latent messages: (1) it is your responsibility to change your circumstances; (2) you are in danger and in need of protection; and (3) you are not alone. IPV and media professionals should ensure a structural understanding of IPV in their help-seeking messages and avoid perpetrating stigmatizing and reductionist messages.
Collapse
Affiliation(s)
| | - Iris Cardenas
- School of Social Work, Rutgers University, 123 Church Street, New Brunswick, NJ 08901 USA
| | - Allison Bloom
- Department of Sociology and Anthropology, Moravian College, 1130 Monocacy St., Bethlehem, PA 18018 USA
| |
Collapse
|
30
|
Chilinda ZB, Wahlqvist ML, Lee MS, Huang YC. Higher maternal autonomy is associated with reduced child stunting in Malawi. Sci Rep 2021; 11:3882. [PMID: 33594098 PMCID: PMC7886910 DOI: 10.1038/s41598-021-83346-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 01/19/2021] [Indexed: 11/09/2022] Open
Abstract
Child undernutrition is a major health problem in Malawi. We assessed the association between maternal autonomy and child stunting in Malawi. We utilized nationally representative pooled cross-sectional data from the 2010 and 2015/16 Malawi Demographic and Health Surveys (MDHS), which included 7348 mother (28.1 ± 6.8 years, range 15-49 years)-child (27.6 ± 16.7 months, range 0-59 months) pairs. Maternal autonomy composite scores captured decision-making power, tolerance of domestic violence, and financial independence. The nutritional outcome measure was stunting (height-for-age z score < - 2). Logistic regression assessed associations between maternal autonomy and stunting, and dominance analysis evaluated the relative importance of the associated factors. From the two surveys combined, 39.2% were stunted. Stunting decreased from 45.0% in 2010 to 34.6% in 2015/16; concurrently, maternal autonomy improved and was evidently associated with stunting (aOR = 0.81, 95% CI = 0.71, 0.93; p = 0.002). However, this association was probably mediated by other factors associated with improved child nutrition, including maternal education and family wealth, which, along with child age, were associated with stunting in the dominance analysis. Concurrent interventional programs may also have contributed to the decrease in stunting between the surveys, thus moderating the effect of maternal autonomy.
Collapse
Affiliation(s)
- Zizwani Brian Chilinda
- Graduate Institute of Public Health, China Medical University, 91 Hsueh-Shih Road, North District, Taichung City, 40402, Taiwan
| | - Mark L Wahlqvist
- Department of Nutrition, China Medical University, 91 Hsueh-Shih Road, North District, Taichung City, 40402, Taiwan
- School of Public Health, National Defense Medical Center, No. 161, Section 6, Minquan East Road, Neihu District, Taipei City, 11490, Taiwan
- Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli County, 35053, Taiwan
- Monash Asia Institute, Monash University, 5th Floor, H Building, 900 Dandenong Road, Caulfield East, VIC, 3145, Australia
| | - Meei-Shyuan Lee
- School of Public Health, National Defense Medical Center, No. 161, Section 6, Minquan East Road, Neihu District, Taipei City, 11490, Taiwan
| | - Yi-Chen Huang
- Department of Nutrition, China Medical University, 91 Hsueh-Shih Road, North District, Taichung City, 40402, Taiwan.
| |
Collapse
|
31
|
Eisenberg ME, Lust K, Mathiason MA, Porta CM. Sexual Assault, Sexual Orientation, and Reporting Among College Students. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:62-82. [PMID: 29294876 DOI: 10.1177/0886260517726414] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Research has demonstrated significantly higher rates of sexual assault victimization among lesbian, gay, bisexual and queer (LGBQ) students than heterosexual students, and the overwhelming majority of assaults are not reported to any official system. Given the potential for support services to provide valuable assistance and promote well-being after an assault, the present study explores whether LGBQ students report assaults at similar rates to heterosexual students. As part of the 2015 College Student Health Survey, 10,646 male and female college students at 2- and 4-year colleges in Minnesota provided data regarding sexual assault victimization; reporting to a health care provider, campus authority, police, or social contact; and sexual orientation (two items, including write-in). Chi-square tests were used to detect associations between sexual assault victimization and five sexual orientation groups; and between sexual orientation and assault reporting (for 523 assault incidents). Almost 6% of students reported that they had experienced sexual assault in the previous 12 months. Significant differences in assault experience were seen by sexual orientation groups, for both males and females. For example, rates of sexual assault were 2.5 to over 5 times higher among bisexual and queer/pansexual/other females than among heterosexual females. Reporting of sexual assault to health care providers, campus authorities or police was rare for both heterosexual and sexual minority students, and there were no significant differences in reporting across sexual orientation. LGBQ students and heterosexual students appear to be similarly comfortable accessing health care providers, police, and campus resources, suggesting that these services are not overtly biased or unwelcoming to sexual minorities. However, rates of sexual assault were considerably higher among sexual minority groups, suggesting a need for primary prevention that is appropriate and sensitive to the experiences of LGBQ students.
Collapse
|
32
|
Stewart DE, MacMillan H, Kimber M. Recognizing and Responding to Intimate Partner Violence: An Update. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2021; 66:71-106. [PMID: 32777936 PMCID: PMC7890590 DOI: 10.1177/0706743720939676] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Donna E Stewart
- University Professor, Department of Psychiatry, 7938University of Toronto, Toronto, Ontario, Canada; Head of Research and Academic Development, Centre for Mental Health, Senior Scientist, University Health Network, Toronto, Ontario, Canada; Ethics and Review Committee, World Psychiatric Association, Geneva, Switzerland
| | - Harriet MacMillan
- Distinguished University Professor, Departments of Psychiatry and Behavioural Neurosciences, and Pediatrics, and Chedoke Health Chair in Child Psychiatry, Offord Centre for Child Studies, 3710McMaster University, Hamilton, Ontario, Canada
| | - Melissa Kimber
- Assistant Professor, Department of Psychiatry and Behavioural Neurosciences and Core Member of the Offord Centre for Child Studies, 3710McMaster University, Hamilton, Ontario, Canada
| |
Collapse
|
33
|
Dokkedahl S, Kristensen TR, Murphy S, Elklit A. The complex trauma of psychological violence: cross-sectional findings from a Cohort of four Danish Women Shelters. Eur J Psychotraumatol 2021; 12:1863580. [PMID: 34992746 PMCID: PMC8725710 DOI: 10.1080/20008198.2020.1863580] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background: Psychological trauma has only recently been considered a traumatic event. Therefore, research on Posttraumatic Stress Disorder (PTSD) and Complex-PTSD following exposure to psychological violence, is less studied compared with physical and sexual violence. Objectives: This study aimed to establish the prevalence of PTSD and C-PTSD of among female victims of partner violence (IPV) and examine the unique association between different subtypes of IPV (i.e. physical, psychological and sexual IPV) and the traumatic response. Methods: The study includes a shelter-based sample of female victims of IPV (N = 147). Validated measures were used to estimate IPV exposure and mental health outcomes. Partial Correlation and Hierarchical Regression was used to examine the association between IPV and PTSD and C-PTSD, respectively. Results: The study found a high prevalence of both PTSD (56.5%) and C-PTSD (21.1%) in the sample. Overall, when controlling for the other types of violence, psychological violence correlated with PTSD, C-PTSD, negative affect and somatization. When controlling for psychological violence, neither physical nor sexual violence correlated with any of the mental health outcomes. Hierarchical regression models helped explain 23.5% and 29.7% of the variance in symptoms of PTSD and C-PTSD, respectively. Conclusion: A relatively large subgroup of the women had symptoms of C-PTSD, which demonstrate a potentially unmet need for trauma-informed treatment services in Danish Women Shelters. Psychological violence was found to be the strongest risk factor for all mental health outcomes and thus, it is important to acknowledge the severity of this IPV subtype.
Collapse
Affiliation(s)
- Sarah Dokkedahl
- Danish National Center of Psychotraumatology, Odense, Denmark.,Department of Psychology, University of Southern Denmark, Odense, Denmark.,Dannercenterfonden, Copenhagen, Denmark
| | - Trine Rønde Kristensen
- Centre for Persons Subjected to Violence, Center of Social Medicine, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark
| | - Siobhan Murphy
- Danish National Center of Psychotraumatology, Odense, Denmark.,Department of Psychology, University of Southern Denmark, Odense, Denmark.,Queen's University Belfast, Centre for Public Health, Belfast, N. Ireland
| | - Ask Elklit
- Danish National Center of Psychotraumatology, Odense, Denmark.,Department of Psychology, University of Southern Denmark, Odense, Denmark
| |
Collapse
|
34
|
Candura SM, Pettenuzzo E, Negri C, Gallozzi A, Scafa F. Work-related post-traumatic stress disorder: report of five cases. INDUSTRIAL HEALTH 2020; 58:565-572. [PMID: 32655085 PMCID: PMC7708739 DOI: 10.2486/indhealth.2020-0079] [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] [Received: 04/22/2020] [Accepted: 06/30/2020] [Indexed: 05/31/2023]
Abstract
Post-traumatic stress disorder (PTSD) may arise after events involving a risk to physical integrity or to life, one's own or that of others. It is characterized by intrusive symptoms, avoidance behaviors, and hyper-excitability. Outside certain categories (e.g., military and police), the syndrome is rarely described in the occupational setting. We report here five unusual cases of work-related PTSD, diagnosed with an interdisciplinary protocol (occupational health visit, psychiatric interview, psychological counselling and testing): (1) a 51-yr-old woman who had undergone three armed robbery attempts while working in a peripheral post office; (2) a 53-yr-old maintenance workman who had suffered serious burns on the job; (3) a 33-yr-old beauty center receptionist after sexual harassment and stalking by her male employer; (4) a 57-yr-old male psychiatrist assaulted by a psychotic outpatient; (5) a 40-yr-old woman, sales manager in a shoe store, after physical aggression by a thief. All patients required psychiatric help and pharmacological treatment, with difficulty of varying degrees in resuming work. We conclude that PTSD can develop even in professional categories generally considered to be at low risk. In such cases, a correct interdisciplinary diagnostic approach is fundamental for addressing therapy and for medico-legal actions.
Collapse
Affiliation(s)
- Stefano M Candura
- Occupational Medicine Unit, Department of Public Health, Experimental and Forensic Sciences, University of Pavia, Italy
- Occupational Medicine Unit, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Pavia, Italy
| | - Emanuela Pettenuzzo
- Occupational Medicine Unit, Department of Public Health, Experimental and Forensic Sciences, University of Pavia, Italy
| | - Claudia Negri
- Psychiatry Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Pavia, Italy
| | - Alessia Gallozzi
- Occupational Medicine Unit, Department of Public Health, Experimental and Forensic Sciences, University of Pavia, Italy
| | - Fabrizio Scafa
- Occupational Medicine Unit, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Pavia, Italy
| |
Collapse
|
35
|
Miller E, Jones KA, McCauley HL, Rofey DL, Clark DB, Talis JM, Anderson JC, Chugani CD, Coulter RWS, Abebe KZ. Cluster Randomized Trial of a College Health Center Sexual Violence Intervention. Am J Prev Med 2020; 59:98-108. [PMID: 32362510 PMCID: PMC7360347 DOI: 10.1016/j.amepre.2020.02.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 02/09/2020] [Accepted: 02/10/2020] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Sexual violence, particularly in the context of drinking, is prevalent on college campuses. This study tested a brief intervention to prevent sexual violence among students receiving care from college health centers. STUDY DESIGN This study was a two-arm, unblinded cluster RCT. SETTING/PARTICIPANTS On 28 campuses with health/counseling centers (1:1 randomization allocation; 12 intervention and 16 control), from September 2015 to March 2018, a total of 2,291 students seeking care at college health centers completed surveys before the appointment, immediately after, 4 months later, and 12 months later. INTERVENTION Intervention college health center staff received training on delivering sexual violence education to all students seeking care. Control sites provided information about drinking responsibly. MAIN OUTCOME MEASURES The primary outcome was students' change in recognition of sexual violence. Additional outcomes included sexual violence disclosure and use of services among students with a history of sexual violence at baseline. Generalized linear mixed models accounting for campus-level clustering assessed intervention effects. Data were analyzed from September 2018 to June 2019. RESULTS Half (55%) of students seeking care at college health centers reported any history of sexual violence exposure. No between-group differences in primary (β=0.001, 95% CI= -0.04, 0.04) or secondary outcomes emerged between intervention and control students. Post-hoc analyses adjusting for the intensity of intervention delivery (intensity-adjusted) revealed an increase in self-efficacy to use harm reduction strategies (β=0.09, 95% CI=0.01, 0.18) among intervention participants. Among those who reported sexual violence at baseline, intervention students had increased odds of disclosing violence during the visit (AOR=4.47, 95% CI=2.25, 8.89) in intensity-adjusted analyses compared with control. No between-group differences emerged for remaining outcomes. CONCLUSIONS Sexual violence exposure is high among students seeking care in college health centers. A brief provider-delivered sexual violence intervention, when implemented with fidelity, was associated with improved self-efficacy to use harm reduction and increased disclosure of sexual violence during clinical encounters but no increased use of services. More interventions that are stronger in intensity are needed to connect students to sexual violence services. TRIAL REGISTRATION This study is registered at www.clinicaltrials.gov NCT02355470.
Collapse
Affiliation(s)
- Elizabeth Miller
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
| | - Kelley A Jones
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Heather L McCauley
- School of Social Work, Michigan State University, East Lansing, Michigan
| | - Dana L Rofey
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Psychiatry, Western Psychiatric Hospital, Pittsburgh, Pennsylvania
| | - Duncan B Clark
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Janine M Talis
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Jocelyn C Anderson
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; College of Nursing, Pennsylvania State University, State College, Pennsylvania
| | - Carla D Chugani
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Robert W S Coulter
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Kaleab Z Abebe
- Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| |
Collapse
|
36
|
Mark KP, Vowels LM. Sexual consent and sexual agency of women in healthy relationships following a history of sexual trauma. PSYCHOLOGY & SEXUALITY 2020. [DOI: 10.1080/19419899.2020.1769157] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Kristen P. Mark
- Department of Kinesiology & Health Promotion, University of Kentucky, Lexington, KY, USA
| | - Laura M. Vowels
- Department of Psychology, University of Southampton, Southampton, UK
| |
Collapse
|
37
|
Sinko L, Munro-Kramer M, Conley T, Burns CJ, Arnault DMS. Healing is not linear: Using photography to describe the day-to-day healing journeys of undergraduate women survivors of sexual violence. JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 48:658-674. [PMID: 31794101 DOI: 10.1002/jcop.22280] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 10/20/2019] [Accepted: 10/22/2019] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to describe the day-to-day healing processes of women who experienced undergraduate sexual violence. We engaged 19 women in a photo-elicitation experience with follow-up individual interviews to identify themes of both healing and darker moments in survivors' everyday lives. Healing was found to function on a continuum influenced by darker moments (i.e., moments that elicited fear, anxiety, loneliness, guilt, anger, and worthlessness) and healing moments (i.e., rebuilding moments of self-care, self-love, connection, hope, peace, and freedom). Responses to darker moments included feeling overwhelmed, disconnected, and intentional vulnerability. Healing moments were influenced by self-reflection, authentic interactions, and resource utilization. The photographs taken in this study shed light on the impact of sexual violence in women's daily lives long after these traumatic and unjust experiences. This knowledge can be used to foster a sense of universality in survivors who are currently struggling and growing after their experiences as well as give service providers greater insight into what survivors' day-to-day needs may be.
Collapse
Affiliation(s)
- Laura Sinko
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Michelle Munro-Kramer
- Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, Michigan
| | - Terri Conley
- Department of Psychology, University of Michigan, Ann Arbor, Michigan
| | - Courtney J Burns
- Department of Biomedical Engineering, University of Michigan College of Engineering, Ann Arbor, Michigan
| | - Denise M Saint Arnault
- Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, Michigan
| |
Collapse
|
38
|
Flecha R, Tomás G, Vidu A. Contributions From Psychology to Effectively Use, and Achieving Sexual Consent. Front Psychol 2020; 11:92. [PMID: 32140122 PMCID: PMC7042399 DOI: 10.3389/fpsyg.2020.00092] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 01/13/2020] [Indexed: 12/16/2022] Open
Abstract
Psychology related to areas such as gender, language, education and violence has provided scientific knowledge that contributes to reducing coercive social relationships, and to expanding freedom in sexual-affective relationships. Nonetheless, today there are new challenges that require additional developments. In the area of consent, professionals from different fields, such as law, gender, and education, are in need of evidence differentiating human communication that produces consent, and those conditions that coerce. Up to now, consent has been focused on verbal language, for example, “no means no,” or “anything less than yes is no.” Despite the fact that focusing consent on verbal language is a very important part of the problem, it does not solve most of the issues currently raised, like the famous case of “La Manada” in Spain. This article presents the most recent results of a new line of research, which places the problem and the solution in communicative acts, not only in speech acts. Even though there might be a “yes” in a sexual-affective relationship, there might not be consent, and it is indeed a coercive relationship if that “yes” has been given in a relationship determined by institutional power or by interactive power. Institutional power may occur if whoever made the proposal for the relationship is a person in charge of the process of selecting personnel in a company, and one of the candidates is the person who receives the proposal. Interactive power may occur if whoever makes the proposal is situated in an equal or inferior position in the company to the person receiving it, but the former threatens sextortion the latter. The potential social impact of this research has been already shown in the cases analyzed for this study.
Collapse
Affiliation(s)
- Ramon Flecha
- Department of Sociology, University of Barcelona, Barcelona, Spain
| | - Gema Tomás
- School of Law, University of Deusto, Bilbao, Spain
| | - Ana Vidu
- School of Law, University of Deusto, Bilbao, Spain
| |
Collapse
|
39
|
Association between family conflict resolution methods and depressive symptoms in South Korea: a longitudinal study. Arch Womens Ment Health 2020; 23:123-129. [PMID: 30843119 DOI: 10.1007/s00737-019-00957-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Accepted: 02/26/2019] [Indexed: 12/20/2022]
Abstract
We investigated the relationship between family conflict resolution and depression, focusing on each component of family conflict resolution to determine which factors have stronger associations with depression. We used data from 2008 to 2015 of the Korea Welfare Panel Study. Our final sample included 3565 participants. For each participant, we included at least 2-8 years of follow-up data with a mean follow-up time of 4.05 ± 2.52 years. To identify the relationship between new-onset depressive symptoms and participants' family conflict resolution styles, we performed generalized estimating equation analysis with autoregressive working correlations to estimate adjusted odds ratios for new-onset depressive symptoms adjusted for covariates. Compared with positive family conflict resolution, negative family conflict resolution had a higher odds ratio for depressive symptoms (aOR 1.80, 95% CI 1.42-2.29). This relationship was strongly founded on participants who were women (aOR 2.35, 95% CI 1.55-3.94) with experience of verbal aggression (aOR 1.84, 95% CI 1.42-2.37) and threatening behaviors (aOR 1.89, 95% CI 1.25-2.85). Negative family conflict resolution has long-term associations with an elevated risk of depressive symptoms. In particular, we observed higher risks of depression with verbal and psychological conflict than with physical conflict. Health care providers and health policymakers should support the management and development of methods for dealing with family conflict to improve mental health at a family level, as well as an individual level.
Collapse
|
40
|
Galu SB, Gebru HB, Abebe YT, Gebrekidan KG, Aregay AF, Hailu KG, Abera GB. Factors associated with sexual violence among female administrative staff of Mekelle University, North Ethiopia. BMC Res Notes 2020; 13:15. [PMID: 31910890 PMCID: PMC6945712 DOI: 10.1186/s13104-019-4860-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 12/14/2019] [Indexed: 11/24/2022] Open
Abstract
Objective To assess factors associated with sexual violence among female administrative staffs of Mekelle University, North Ethiopia. Results From the total number of participants, 188 (52.8%) had shift work and 110 (30.9%) of these had day and night shift. About half 180 (50.2%) of the participants face sexual violence similarly, 53 (14.9%) of the victims of violence performed by their boss. In multiple logistic regression analysis young age [AOR: 2.319 (1.059–5.075)], educational status of secondary school or less [AOR: 1.981 (1.126–3.485)], office and students related workplace [AOR: 4.143 (1.975–8.687), 2.887 (1.396–5.973)], having night shift [AOR: 2.131 (1.258–3.611)], having multiple partner (AOR: 8.916 (3.052–26.047)] and knowing other female violated in office [AOR: 3.920 (2.326–6.606)] were the factors associated with sexual violence.
Collapse
Affiliation(s)
- Sara Bahta Galu
- Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia.
| | - Haftu Berhe Gebru
- College of Health Science, School of Nursing, Mekelle University, Mekelle, Ethiopia
| | | | | | | | | | | |
Collapse
|
41
|
Liao DL, Chen YC, Hsieh WY, Wang PL. Individual factors in intimate partner violence desistance: A descriptive patient study of eight patients. TAIWANESE JOURNAL OF PSYCHIATRY 2020. [DOI: 10.4103/tpsy.tpsy_3_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
42
|
d'Avila S, Campos AC, Bernardino ÍDM, Cavalcante GMS, Nóbrega LMD, Ferreira EFE. Characteristics of Brazilian Offenders and Victims of Interpersonal Violence: An Exploratory Study. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:4459-4476. [PMID: 27807203 DOI: 10.1177/0886260516674940] [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
The aim of this study was to characterize the profile of Brazilian offenders and victims of interpersonal violence, following a medicolegal and forensic perspective. A cross-sectional and exploratory study was performed in a Center of Forensic Medicine and Dentistry. The sample was made up of 1,704 victims of nonlethal interpersonal violence with some type of trauma. The victims were subject to forensic examinations by a criminal investigative team that identified and recorded the extent of the injuries. For data collection, a specific form was designed consisting of four parts according to the information provided in the medicolegal and social records: sociodemographic data of the victims, offender's characteristics, aggression characteristics, and types of injuries. Descriptive and multivariate statistics using cluster analysis (CA) were performed. The two-step cluster method was used to characterize the profile of the victims and offenders. Most of the events occurred during the nighttime (50.9%) and on weekdays (66.3%). Soft tissue injuries were the most prevalent type (94.6%). Based on the CA results, two clusters for the victims and two for the offenders were identified. Victims: Cluster 1 was formed typically by women, aged 30 to 59 years, and married; Cluster 2 was composed of men, aged 20 to 29 years, and unmarried. Offenders: Cluster 1 was characterized by men, who perpetrated violence in a community environment. Cluster 2 was formed by men, who perpetrated violence in the familiar environment. These findings revealed different risk groups with distinct characteristics for both victims and offenders, allowing the planning of targeted measures of care, prevention, and health promotion. This study assesses the profile of violence through morbidity data and significantly contributes to building an integrated system of health surveillance in Brazil, as well as linking police stations, forensic services, and emergency hospitals.
Collapse
|
43
|
Prevalence and correlates of partner violence among adolescent girls and young women: Evidence from baseline data of a cluster randomised trial in Tanzania. PLoS One 2019; 14:e0222950. [PMID: 31593577 PMCID: PMC6782098 DOI: 10.1371/journal.pone.0222950] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 09/10/2019] [Indexed: 11/19/2022] Open
Abstract
Background Little has been documented about partner violence among adolescent girls and young women (AGYW) who are out of school, a factor associated with HIV acquisition. To understand areas for prioritising HIV prevention intervention efforts, we explored the prevalence and correlates of partner violence among out of school AGYW in Shinyanga, Tanzania. Methods A cross-sectional analysis of data from AGYW aged 15–23 years recruited in a cluster randomised trial conducted between October and December 2017 was used to examine correlates of partner violence. Data were collected through an Audio Computer-Assisted Self-interview. Multivariate logistic regression analysis was used to evaluate the association. Results 2276 (75.5%) AGYW were sexually active. Of these, 816 (35.9%) reported having experienced violence from partners in the last six months. After adjusting for other covariates, being formerly married (AOR = 1.55, 95% CI:1.02, 2.37), having children (AOR = 1.79, 95% CI:1.47, 2.16), anxiety and depression symptoms (AOR = 3.27, 95%CI: 2.15, 4.96), having engaged in sex work in the past six months (AOR = 1.92, 95% CI: 1.45, 2.53) and economic deprivation (AOR = 1.61, 95% CI: 1.34,1.92) were significantly associated with partner violence. Conclusions Almost one in three sexually active AGYW had experienced partner violence in the 6 months preceding the survey. The findings underscore the need for future research to focus on understanding the reasons and dynamics underlying high level of partner violence among AGYW. Furthermore, there is a need for implementing intervention programs that aim to reduce economic deprivation among AGYWs and address social norms and structures perpetuating violence against AGYW. Trial registration ClinicalTrials.gov—IDNCT03597243.
Collapse
|
44
|
Powell A, Henry N. Technology-Facilitated Sexual Violence Victimization: Results From an Online Survey of Australian Adults. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:3637-3665. [PMID: 27697966 DOI: 10.1177/0886260516672055] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Online forms of sexual harassment and abuse as experienced by adults represent an emerging yet under-researched set of behaviors, such that very few studies have sought to estimate the extent of the problem. This article presents the results of an online survey of 2,956 Australian adult (aged 18 to 54 years) experiences of technology-facilitated sexual violence (TFSV) victimization. The prevalence of TFSV was analyzed in relation to a 21-item scale developed in accordance with prior conceptual research identifying multiple dimensions of TFSV including digital sexual harassment, image-based sexual abuse, sexual aggression and/or coercion, and, gender and/or sexuality-based harassment (including virtual sexual violence). Results revealed significant differences in lifetime TFSV victimization for younger (18-24) and non-heterosexual identifying adults. Lifetime TFSV victimization for men and women was not significantly different, though women were more likely to report sexual harassment victimization and men were more likely to report victimization through the distribution of non-consensual images, as well as gender and/or sexuality-based harassment. The authors conclude that although women and men report experiencing similar overall prevalence of TFSV victimization, the nature and impacts of those experiences differ in particular gendered ways that reflect broader patterns in both gender relations and "offline" sexual harassment.
Collapse
|
45
|
Menger-Ogle LM, Kaufman MR, Fisher GG, Ryan EP, Stallones L. Using Peer Education to Promote Psychosocial and Occupational Health and Empowerment Among Female Sex Workers in Nepal. Violence Against Women 2019; 26:1445-1466. [PMID: 31397217 DOI: 10.1177/1077801219861155] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Female sex workers (FSWs) in Nepal are vulnerable to an array of occupational risks, which may compromise their psychosocial health and ability to engage in protective behaviors. A peer education (PE) intervention designed to empower and promote the psychosocial health of FSWs was pilot tested in Kathmandu, Nepal. FSWs who were exposed to the PE intervention (n = 96) had significantly higher scores on psychosocial health knowledge, perceived self-efficacy and ability to access resources, happiness, and job control compared with those who were not (n = 64). PE may be a promising way to promote psychosocial health and empowerment among FSWs.
Collapse
|
46
|
Dworkin ER, Brill CD, Ullman SE. Social reactions to disclosure of interpersonal violence and psychopathology: A systematic review and meta-analysis. Clin Psychol Rev 2019; 72:101750. [PMID: 31260816 DOI: 10.1016/j.cpr.2019.101750] [Citation(s) in RCA: 91] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 06/12/2019] [Accepted: 06/22/2019] [Indexed: 10/26/2022]
Abstract
Public attention has been increasingly paid to how friends, family members, and others can best support survivors of sexual assault and other forms of violence. The broader social support literature posits that perceiving social support positively is more important to mental health than the degree to which social support is actually received, and that negative interactions with social supporters are more harmful than positive interactions are helpful (potentially because negative reactions violate survivors' expectations of their social supporters). This may be especially true after a crisis, such as interpersonal violence. Thus, this systematic review and meta-analysis summarizes the literature on social reactions to interpersonal violence. Meta-regression analyses were performed on 1871 correlations from 51 studies reflecting the degree to which receiving specific reactions more frequently, or perceiving reactions more positively, was associated with psychopathology. Results indicated that negative social reactions to disclosure-especially reactions involving controlling, distracting, and treating survivors differently-were associated with worse psychopathology, whereas positive social reactions did not appear to be protective. Perceiving reactions more positively was associated with less severe psychopathology, but (although causation cannot be concluded) positive perceptions' potential benefit appeared to be smaller than the potential risk conveyed by negative reactions. These findings indicate that interventions which reduce the degree to which survivors receive negative social reactions are needed.
Collapse
Affiliation(s)
- Emily R Dworkin
- University of Washington School of Medicine, 1100 NE 45(th) St., Ste. 300, Seattle, WA 98105, USA.
| | - Charlotte D Brill
- University of Washington, 119A Guthrie Hall Box 351525, Seattle, WA 98195-1525, USA.
| | - Sarah E Ullman
- University of Illinois, Chicago, 1007 West Harrison Street (MC 141), 4050B Behavioral Sciences Building, Chicago, IL 60607-7140, USA.
| |
Collapse
|
47
|
Counselman-Carpenter E, Redcay A. Mining for Posttraumatic Growth (PTG) in Sexual Minority Women Who Survive Intimate Partner Violence: A Conceptual Perspective. Behav Sci (Basel) 2018; 8:bs8090077. [PMID: 30154308 PMCID: PMC6162730 DOI: 10.3390/bs8090077] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Revised: 08/17/2018] [Accepted: 08/21/2018] [Indexed: 11/16/2022] Open
Abstract
This theoretical paper explores the need to use posttraumatic growth (PTG) as a framework when studying sexual minority women (SMW) who are survivors of intimate partner violence (IPV) to examine the relationship between risk factors such as stress, anxiety and alcohol use and to understand the role of protective factors through mining for the presence of posttraumatic growth (PTG). Despite a call for continued research in this highly vulnerable population, representative studies of SMW and PTG remain extremely limited. Research that examines the relationship between IPV, behavioral health issues, and posttraumatic growth would provide the opportunity to develop tailored intervention models and opportunities for program development to decrease isolation and increase factors of posttraumatic growth. In particular, the impact of how interpersonal relationships as potential mediators and/or outcomes of posttraumatic growth (PTG) needs to be explored more thoroughly. PTG is a valuable framework for vulnerable populations such as sexual minority women because it focuses on how transformative change may result from traumatic experiences such as surviving IPV.
Collapse
Affiliation(s)
| | - Alex Redcay
- School of Social Work, Millersville University, Millersville, PA 17551, USA.
| |
Collapse
|
48
|
Lewis RJ, Winstead BA, Braitman AL, Hitson P. Discrepant Drinking and Partner Violence Perpetration Over Time in Lesbians' Relationships. Violence Against Women 2018; 24:1149-1165. [PMID: 30037320 DOI: 10.1177/1077801218781925] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Discrepant drinking (i.e., differences in alcohol use) and perpetration of intimate partner violence in same-sex female couples were examined. Self-identified lesbian participants were recruited from market research firms and reported on their own and their partner's alcohol use and their own perpetration of psychological aggression and physical violence at baseline, then 6 and 12 months later. Cross-lagged panel analyses revealed that discrepant drinking predicted participants' subsequent perpetration of psychological aggression but not physical violence. Both psychological aggression and physical aggression predicted subsequent discrepant drinking. Consistent with findings in heterosexual couples, differences in alcohol use appear to be a risk factor for relationship aggression.
Collapse
Affiliation(s)
- Robin J Lewis
- 1 Old Dominion University, Norfolk, VA, USA.,2 Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
| | - Barbara A Winstead
- 1 Old Dominion University, Norfolk, VA, USA.,2 Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
| | | | - Phoebe Hitson
- 2 Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
| |
Collapse
|
49
|
Choi EPH, Wong JYH, Fong DYT. An Emerging Risk Factor of Sexual Abuse: The Use of Smartphone Dating Applications. SEXUAL ABUSE : A JOURNAL OF RESEARCH AND TREATMENT 2018; 30:343-366. [PMID: 27698090 DOI: 10.1177/1079063216672168] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Smartphone dating applications (apps) have become popular in recent years. However, the association between the use of dating apps and sexual abuse remains uninvestigated. The aim of this study was to examine the association between using dating apps and the sexual abuse of males and females. Six hundred sixty-six participants were recruited in four universities in Hong Kong in 2015. Overall, the 1-year prevalence of sexual abuse was 12.4% (95% confidence interval [CI]: [9.8, 14.9]) and the lifetime prevalence was 14.2% (95% CI: [11.5, 16.9]). Multiple logistic regressions found that users of dating apps (adjusted odds ratio [aOR]: 2.13, p < .05) were more likely to be sexually abused in the past year than non-users. Using dating apps was also a risk factor of lifetime sexual abuse (aOR: 1.83, p < .05). Our findings suggest that app users should deserve more attention in risk assessment, risk stratification, and sexual abuse prevention programs.
Collapse
Affiliation(s)
- Edmond Pui Hang Choi
- 1 School of Nursing, The University of Hong Kong, Pok Fu Lam, Hong Kong
- 2 Department of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong
| | | | | |
Collapse
|
50
|
Behnken MP, Duan Y, Temple JR, Wu ZH. Injury and Psychiatric Disorder in Low-Income Women Experiencing Bidirectional Intimate Partner Violence. VIOLENCE AND VICTIMS 2018; 33:259-274. [PMID: 29609675 DOI: 10.1891/0886-6708.vv-d-15-00066] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study compared severity of physical violence, intimate partner violence (IPV)-related injury, and lifetime diagnoses of psychiatric disorders among women in relationships with bidirectional, unidirectional, or no IPV. The sample includes 763 low-income women from community-based family planning clinics. Results showed that women in relationships with bidirectional IPV were more likely to experience severe physical violence and severe IPV-related injury compared to women in the unidirectional IPV category. These women were also more likely to be diagnosed with drug abuse and depression than women in relationships without IPV. Similarly, women in the bidirectional IPV category were more likely to be diagnosed with drug abuse when compared to women in the victim-only unidirectional IPV category. Recommendations for health-care providers are discussed.
Collapse
|