"Everybody's Really Close-Knit": Disconnections Between Helping Victims of Intimate Partner Violence and More General Helping in Rural Communities

A comparison of two strategies to assess sexual violence: general vs. specialised trauma screening strategies in two high-risk substance use health disparity samples

Background/Objective: Using two different high-risk samples, the present study compared and contrasted two different strategies/questionnaire types for assessing a history of sexual violence: a general trauma screening vs. specialised behaviourally-specific questionnaires.Methods: Sample 1 included 91 men and women seeking detoxification treatment services in a publicly funded, urban clinic who completed a trauma and substance use questionnaire battery during treatment. Sample 2 included 310 women at a rural college who completed a trauma and religious coping questionnaire battery for course credit. All participants completed both types of questionnaires: One general trauma screening questionnaire (i.e. the Life Events Checklist [LEC]) and two behaviourally-specific specialised questionnaires (i.e. the 2007 Sexual Experiences Survey [SES] and the Childhood Trauma Questionnaire [CTQ]).Results: There were large differences in the cases identified by the behaviourally-specific questionnaires (SES and CTQ) compared to the general trauma screening questionnaire (the LEC) in both samples but few differences in the prevalence rates of sexual violence detected by each questionnaire type. In the detoxification sample, the differences were especially notable for men. Follow-up analyses indicated that degree of traumatisation impacted results likely by increasing participant's willingness to endorse face-valid items on the LEC.Conclusions: For men, the behaviourally-specific questionnaires (SES/CTQ) were necessary to identify cases. For those with more severe trauma histories, the LEC was equivalent to the SES/CTQ in identifying a similar number of sexual violence cases. Thus, clinicians and researchers should consider the population when selecting assessments to identify sexual violence history.

US veterinarians' perceptions of discussing COVID-19 vaccination with animal owners during routine visits

COVID-19 vaccination uptake is disproportionately lower among rural, politically conservative, and underserved individuals in the United States. Engaging this population requires leveraging unique potential human health advocates, like veterinarians. Between September and October 2021, 103 veterinarians responded to open-ended prompts to assess providers' willingness and potential barriers to discussing COVID-19 vaccination within a veterinary visit. Veterinarians perceived they had a public health role in providing reliable and accurate COVID-19 information, including information related to approved vaccines. However, veterinary practitioners were aware of numerous potential barriers to having such discussions within a clinical visit (e.g., scope of practice concerns, shifting focus away from the animal, politicization of vaccination). Findings indicate policy efforts, aligned with the One Health initiative, are needed to address the role of veterinary medicine in human health care following catastrophic events, like the COVID-19 pandemic. Similarly, veterinarians require tailored vaccine materials that can be utilized within the clinic or community setting.

From believers to skeptics: Latent class analysis of COVID-19 protective practices and perceptions among agricultural community members

PURPOSE

This cross-sectional study aimed to identify homogenous groups of agricultural producers and stakeholders based on their perceptions of effectiveness and use of COVID-19 protective behaviors.

METHODS

We conducted an online survey of agricultural producers and stakeholders through Qualtrics. Participants responded to 7 statements about COVID-19 protective behavior effectiveness and 7 statements about participation in COVID-19 protective behaviors in the previous 2 weeks. These statements included handwashing, disinfecting, refraining from touching one's face, covering one's face when coughing/sneezing, staying at home, social distancing, and wearing a face mask. Additional survey sections included demographics and health history. We performed separate latent class analysis (LCA) to identify clusters of agricultural producers' and stakeholders' perceptions and participation in COVID-19-related protective behaviors based on their pattern of responses.

FINDINGS

Based on LCA, participants were distributed as universal believers (33%), social believers (16%), personal believers (26%), moderate believers (17%), and social skeptics (85%) of effectiveness and as low (15%), moderate (40%), and high (45%) adherents of COVID-19 protective behaviors. Those who were female, older, or had underlying health conditions were more likely to be universal believers and highly adherent. High adherence was also more likely among those who lived in urban areas or were not self-employed.

CONCLUSIONS

Results suggest that groups of agricultural producers and stakeholders based on perception of effectiveness and participation in COVID-19 protective behaviors are associated with demographic and health characteristics. Public health campaigns that increase or maintain motivation to comply with protective behaviors should be developed and implemented specific for agricultural populations.

Community Conversations on Relationship Violence: Town Variations in Prevention Perceptions through Concept Mapping

To further develop domestic and sexual violence (DSV) prevention strategies at the community level requires an understanding of how community members in towns think about prevention. Using concept mapping, this study sought to better understand community members' perspectives about what DSV prevention strategies would be most feasible, most effective, and generate the greatest community support within their town. Data were collected across four rural Northern England towns. Participants (>90% White) in each town (total sample size = 119) brainstormed, sorted, and rated between 67 and 90 statements per town (x̅ = 75). Based on the results, a 5-cluster solution of school settings, conversations, individual direct action, community building, and community awareness was identified across all four towns as DSV prevention strategies with one town identifying an additional cluster solution of governance. Despite identifying similar prevention strategies, participants from each town rated these clusters of strategies differently on how feasible, effective, and supported they would be in their community. Overall, our results suggest that there were interesting consistencies across four towns in a similar geographic region in terms of how DSV prevention was described. However, individual communities differed in their views of the feasibility and acceptability of the different strategies. These results suggest that different strategies and higher-level actions may be required to address and prevent DSV within different towns and communities and that community narratives can clarify which specific strategies may encounter fewer barriers to implementation.

Social Reactions Received by Survivors of Intimate Partner Violence: A Qualitative Validation of Key Constructs From the Social Reactions Questionnaire

The majority of intimate partner violence survivors tell at least one person about the abuse, and the reactions of these support providers can have a profound impact on survivors' recovery. In recent years, the Social Reactions Questionnaire (SRQ) has become the predominant measure of social reactions toward intimate partner violence survivors, but the SRQ was developed based on the experiences of sexual assault survivors only. To determine how well intimate partner violence survivors' descriptions of social reactions from informal support providers align with constructs in the SRQ, we examined qualitative interview data about survivors' interactions with informal support providers obtained from a larger study with 113 female survivors of intimate partner violence. Excerpts were coded inductively, and a total of 12 types of social reactions emerged. Seven of these social reactions aligned with existing social reactions in the SRQ: (a) emotional support, (b) tangible aid, (c) blame, (d) took control, (e) treated differently, (f) egocentric reactions, and (g) distraction. An additional six reactions emerged as separate constructs, including (h) minimization, (i) told to leave, (j) advice, (k) interventions, and (l) indifference. These findings highlight the need for direct interventions with friends and family members to improve social reactions toward intimate partner violence survivors.

Acquired Brain Injuries and Intimate Partner Violence: A Situational Analysis of Help Seeking Barriers in Rural Northern New England

Nurses care for women experiencing non-fatal strangulation and acquired brain injuries whether or not it is disclosed. Situational analysis was used to analyze 23 interviews from Northern New England with survivors, healthcare workers, and violence/legal advocates to explore overlapping relationships between violence, acquired brain injuries, non-fatal strangulation, and seeking care. Findings included the concepts of paying social consequences and the normalization of violence. Non-fatal strangulation was described as increasingly related to violence and other areas. Repetitive acquired brain injuries can impair functioning needed to address violence and healthcare providers and advocates are generally unaware of the impact of acquired brain injuries. A lack of resources, training, and tools for acquired brain injury screening were barriers in recognizing and responding to it, causing hidden symptoms. This study adds to the literature examining intimate partner violence in rural areas; specifically intimate partner violence-related acquired brain injuries in rural areas.

Community Actionists: Understanding Adult Bystanders to Sexual and Domestic Violence Prevention in Communities

OBJECTIVES

Researchers and practitioners are becoming increasingly aware that domestic and sexual violence (DSV) can be addressed at the community level by involving bystanders (or actionists, a term used to specify third parties who help as opposed to those who stand by). Since most research on DSV actionists has been conducted in secondary and higher educational contexts, little is known about actionist behaviors in towns and neighborhoods among adults. The current study examines how groups of actionists with differing levels of proactive and reactive behaviors related to DSV prevention vary in their community perceptions.

METHODS

We surveyed 1,623 adults (age range = 18 and over; 95% White; 52% female) across four rural communities in New England using direct mail methods. We asked participants about their perceived opportunities for taking action in the face of acute DSV risk and about any such actions they had taken in their communities during the past year. We also asked about participants' perceptions of community prevention-related social norms. From this data, we calculated prevention action ratios that resulted in three groups of actionists: non-responders, occasional responders, and frequent responders.

RESULTS

Individuals who more consistently responded to DSV reported positive perceptions of community social norms and processes. The most involved group of actionists had stronger perceptions of injunctive community norms.

CONCLUSIONS

Results suggest that prevention strategies that aim to change social norms among adults may enhance prevention outcomes in communities.