"I Thought It Was Normal:" Perspectives of Black Nursing Students From High-Risk IPV Communities on Causes and Solutions to IPV in the Black Community

Perceptions, Help-Seeking, and High-Risk Domestic Violence in Black Communities

One in four women report experiencing intimate partner violence. Yet, nearly 45% of Black women report experiencing this same crime. In addition, while Black women compose 14% of the U.S. population, they represent 31% of domestic violence fatalities and are three times more likely than White women to be killed by an intimate partner. This points to the continued need to better understand how the Black community perceives domestic violence and how their perception influences their help-seeking strategies. This paper reports on a project examining how Black communities perceive domestic violence, high-risk domestic violence, and how these perceptions impact their help-seeking strategies. The study was conducted between April 2020 and October 2020 with 128 participants that participated in focus groups in six geographically diverse U.S. cities including rural, urban, and suburban communities. The findings reaffirmed and presented new information about the perceptions of domestic violence, the impact of inadequate and negative systems' responses, the lack of cultural responsiveness and poor police interactions, and the calculated decision-making that survivors in the Black community use to determine who to tell, how to tell, and where to go in use of adapted help-seeking strategies. Implications are provided as to how to address these issues.

Black Communities' Perspectives on High-Risk Domestic Violence

Domestic violence homicide is a serious issue that is receiving increased attention in communities across the country. The Black community has been disproportionately impacted by domestic violence fatality. However, little information has been obtained as to how these communities understand and perceive high-risk domestic violence. This article provides information from 128 focus group participants from diverse Black communities on their perceptions of what constitutes high-risk domestic violence. The findings affirm some current high-risk indicators, such as stalking, strangulation, use of threats, access to a weapon, and isolation, and provide nuanced perspectives of each indicator. In addition, the findings provide new thoughts on what these communities identified as high-risk domestic violence, including public violence, repeated violence with no consequences, escalation of arguments, disconnection from the community, and being a member of a marginalized group. Implications for practice, policy, education, and protocol development are provided.

Development and Validation of the Scale of Attitudes about Seeking Formal Help in the Context of Intimate Partner Violence

Stigma plays a critical role in the decision-making process of intimate partner violence (IPV) survivors, particularly whether they disclose, initiate, and continue with care for the consequences of the violence. As such, this study developed and validated a scale to assess the manifestation of IPV stigma on survivors' attitudes toward accessing services, using a racially and ethnically diverse sample of women (N = 409). An exploratory factor analysis was conducted using a calibration subset (n = 206) to identify the factor structure of the newly developed scale. A confirmatory factor analysis was then performed using a validation subset (n = 203) to validate the hypothesized model. To assess language and Latina ethnic differences in the scale functioning, multiple indicators and multiple causes (MIMIC) modeling was applied. To test for construct validity, the scale's correlation with two conceptually relevant variables was estimated. The final exploratory factor analysis (EFA) model retained eight items across two factors, accounting for 58.63% of the variance. Factor 1 captures attitudes related to anticipated stigma, and factor 2 captures attitudes related to internalized stigma. Results from the CFA validated the hypothesized second-order, two-factor model of the scale of Attitudes About Seeking Formal Help. Overall, results from the MIMIC model indicated measurement invariance across English and Spanish-speaking and Latina and non-Latina survivors. Construct validity was supported. This scale provides a tool to help capture and understand IPV stigma in relation to accessing professional services. Specifically, practitioners will be able to identify survivors who endorse high negative attitudes about seeking formal help, potentially being at higher risk of service discontinuation. Such information could, in turn, help guide a targeted service plan. Practitioners may also use this tool with ongoing clients to inform their practices and determine whether specific IPV stigma should be the focus of intervention.

COVID-19-induced surge in the severity of gender-based violence might increase the risk for acquired brain injuries

While initial reports have emphasized a global rise in the frequency of intimate partner violence following COVID-19, emerging data are now showing a concerning surge in the severity of COVID-19-induced physical intimate partner violence. One of the most dangerous, frequent, yet hidden consequences of severe physical intimate partner violence is acquired brain injury, including repetitive mild traumatic brain injury and hypoxic brain injury. Although the increase in high-risk physical abuse during COVID-19 is gaining recognition, what still remains absent is the urgent discussion on intimate partner violence-related acquired brain injury during these times. The potential analogous surge in intimate partner violence-related acquired brain injury may have implications for both healthcare providers and healthcare actions/policies as repeated brain injuries have been associated with residual functional deficits and chronic disability. In addition, even in the pre-pandemic times, intimate partner violence-related acquired brain injury is likely unrecognized and/or misclassified due to overlap in symptoms with other comorbid disorders. This review aimed to raise awareness about intimate partner violence-related acquired brain injury within the context of COVID-19. Health actions and policies that should be considered as part of the pandemic response to minimize adverse outcomes associated with intimate partner violence-related acquired brain injury have also been discussed.