Understanding the Barriers of Violence Victims' Health Care Use

The Mental "Weight" of Discrimination: The Relationship between Perceived Interpersonal Weight Discrimination and Suicidality in the United States

Extant research has investigated the relationship between body weight and suicidality because obesity is highly stigmatized, leading to social marginalization and discrimination, yet has produced mixed results. Scholars have speculated that factors associated with body weight, such as weight discrimination, may better predict suicidality than body weight itself. We consider this possibility among a sample of 12,057 adult participants ages 33 to 43 in Wave V of the National Longitudinal Study of Adolescent to Adult Health through investigation of the relationships between weight discrimination and two dimensions of suicidality-suicide ideation and attempts. We also examine gender as a moderator of these relationships. We find that weight discrimination is positively associated with both suicide ideation and attempts, and this relationship is similar among men and women. Our findings underscore the need to address issues of weight discrimination in our society to better promote mental well-being.

Establishing Empathetic Collaborative Care for Survivors of Violence Through Multidisciplinary Simulation

BACKGROUND

Although nurses are introduced to an array of patient populations in nursing school, how to care for and treat survivors of violence typically does not get the same time and attention. Treating survivors of violence not only includes professional competency, but also empathy and the ability to work collaboratively with multidisciplinary professionals. This article describes a multidisciplinary survivors of violence simulation involving nursing, criminal justice, and psychology students that addresses empathetic and collaborative care for victims of violence.

METHOD

Students participated in sexual assault, domestic violence, and human trafficking simulations. A Socratic debriefing technique with the standardized patient present was used.

RESULTS

Students established positive relationships within their groups through respect and effective communication. Discussions during debriefing indicated students understood the importance of competent, empathetic, collaborative care.

CONCLUSION

This educational initiative suggests the potential to improve multidisciplinary care for victims of violence through simulation. [J Nurs Educ. 2022;61(12):716-719.].

Assault-related injuries reported to police and treated by healthcare providers in the United States

Research suggests that assault-related injuries known by the police significantly differ from those known by healthcare providers, but the magnitude and nature of these differences are poorly understood. To address this gap, our study examined the empirical differences between assault-related injuries reported to police and treated by healthcare providers. In June of 2021, we analyzed the National Crime Victimization Survey (1993-2019) to estimate the prevalence of police reporting and healthcare use among 5093 nonfatal victimizations that caused injury and were either reported to the police or treated by healthcare in the United States. Quasi-Poisson models identified the factors associated with whether people who sustained the injuries used healthcare (v. only reported to police) and reported to police (v. only used healthcare). Among victimizations that caused only minor injuries, 43% involved only a police report, 11% involved only healthcare, and 46% involved both services. Among victimizations that caused serious injuries, 14% involved only a police report, 13% involved only healthcare, and 73% involved both services. Whether people with violent injuries used healthcare (v. only reported to police) and reported to police (v. only used healthcare) was significantly associated with 13 different person- and incident-level factors. The number and nature of assault-related injuries reported to law enforcement significantly differ from those treated by healthcare providers. Therefore, public health efforts to link police and healthcare data are warranted and recommended.

Victim-Offender Relationship and the Emotional, Social, and Physical Consequences of Violent Victimization

INTRODUCTION

Research is equivocal about how the social relationship between victims and offenders is linked to the emotional, social, and physical consequences of violence. This study examines the association of victim-offender relationship with the adverse outcomes reported by injured and uninjured victims of violence.

METHODS

The study analyzed 16,723 violent victimizations recorded by the National Crime Victimization Survey from 2008 to 2018. Multivariable quasi-Poisson models estimated the associations between the victim-offender relationship and victims' emotional distress, social distress, and physical and emotional symptoms. These models also estimated a statistical interaction between victim-offender relationship and violent injury to examine how this association differed for injured and uninjured victims. The analyses occurred during 2020 and 2021.

RESULTS

Uninjured victims were more likely to report emotional distress (risk ratio=1.41, 95% CI=1.33, 1.50), social distress (risk ratio=3.12, 95% CI=2.78, 3.51), more physical symptoms (symptom frequency ratio=1.68, 95% CI=1.51, 1.87), and more emotional symptoms (symptom frequency ratio=1.13, 95% CI=1.08, 1.18) in family member/intimate partner violence than in stranger violence. Victims also reported worse outcomes after acquaintance violence than after stranger violence. For injured victims, these differences narrowed-but were still significant-in emotional and social distress models. However, the number of emotional and physical symptoms reported by injured victims did not significantly vary across victim-offender relationships.

CONCLUSIONS

Relational closeness between victims and offenders is a risk factor for adverse outcomes after violent victimization, and it is more strongly associated with these outcomes for uninjured victims than for injured victims.

Trajectories of violent victimization over the life course: Implications for mental and physical health

Violent victimization experiences correspond to an array of negative consequences including poorer mental and physical health. Drawing on life course theories of stress proliferation and well-being, we use four waves of data from the Add Health study to identify pathways of violent victimization from adolescence through young adulthood using group-based trajectory modeling. We then assess the influence of victimization trajectory membership on a range of subsequent health outcomes including depression, PTSD, clinical and subclinical symptoms, and self-rated health. Our results show those with increasing experiences of victimization in young adulthood are at greatest risk for poor health outcomes. Notably, trajectories marked by violent victimization limited in adolescence are not associated with any indicators of poor health. Black individuals and males are at particular risk for membership in victimization trajectories with the greatest risk for future negative health outcomes. Our findings demonstrate that violent victimization occurs via heterogeneous patterns over the life course with significant consequences for well-being and broader health disparities among adults.