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Wholeben M, Cheon H, Goodson A, Salazar G, McCreary R. Incidence and Factors Associated With Interpersonal Violence in Trauma Patients in a U.S.-Mexico Border City: A Retrospective Cohort Analysis. J Trauma Nurs 2025; 32:63-69. [PMID: 40053547 DOI: 10.1097/jtn.0000000000000836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2025]
Abstract
BACKGROUND Interpersonal violence occurs frequently and has devastating effects on the health of Hispanic trauma survivors. However, the incidence and risk factors associated with interpersonal violence remain understudied in U.S.-Mexico border communities. OBJECTIVE This study aims to identify the incidence and factors associated with interpersonal violence in trauma patients in a U.S.-Mexico border city. METHODS A single-center, retrospective cohort study design was used to explore interpersonal violence in patient records from the sexual assault nurse examiner trauma registry in a Southwestern Level I trauma center from 2017 to 2022. Inclusion criteria included all interpersonal violence trauma survivors seen by the sexual assault nurse examiner department. Exclusion criteria included specific data points in the trauma registry, such as types of injury, zip code of interpersonal violence survivor residency, and outreach services that could reidentify trauma survivors. Variables of interest included survivor and interpersonal violence incident characteristics. RESULTS Of the total N = 1,249 patients studied, the mean age was 23; 86% (N = 1,077) were female, and 69.7% (N = 870) were Hispanic/Latino/Spanish. Interpersonal violence events were more likely to occur in May, June, and October, on the weekends, and between 12 a.m. and 6 a.m. Significant associations were noted between age and gender, race and ethnicity, hearing status, and disability. CONCLUSION This study demonstrates the importance of assessing regional patterns of interpersonal violence to identify local population trends that can inform staff training and community outreach efforts for targeted interpersonal violence prevention.
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Affiliation(s)
- Melissa Wholeben
- Author Affiliations: College of Nursing, The University of Texas at El Paso, El Paso, Texas (Dr Wholeben); Department of Criminal Justice & Security Studies, College of Liberal Arts,The University of Texas, El Paso, Texas (Drs Cheon and Goodson); Trauma Manager of Education, Injury Prevention, & SANE Program, Trauma Prevention Department, University Medical Center, El Paso, Texas (Mrs Salazar); and Data Analytical Lab, College of Science, The University of Texas at El Paso, El Paso, Texas (Mr McCreary)
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Russell K, Hunter SC, Post A, Rasmussen S, Cramer RJ. Examining mental health correlates of hate-motivated behaviour in Scotland: An investigation of victims, perpetrators and victim-perpetrators. Int J Soc Psychiatry 2024; 70:1341-1345. [PMID: 38915218 PMCID: PMC11528929 DOI: 10.1177/00207640241262732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/26/2024]
Abstract
BACKGROUND Hate-motivated behaviour (HMB) ranges from microaggressions to criminal acts and is a public health concern with wide-ranging consequences. AIMS The current study aimed to examine the mental health correlates of HMB perpetration, victimisation and co-occurring victimisation/perpetration. METHODS Participants (n = 447) completed an online cross-sectional survey assessing demographic factors, HMB (perpetration and victimisation), positive mental wellbeing and symptoms of depression and anxiety. RESULTS HMB victimisation was associated with lower positive mental wellbeing and increased symptoms of anxiety and depression. However, neither HMB perpetration nor co-occurring perpetration/victimisation were associated with any of the three mental health outcome measures. CONCLUSION Experiencing HMB as a victim is linked to increased psychological distress. Additional research, which focuses on sampling populations who are known to be at greater risk for involvement in HMB, is needed to fully understand the impact of the victim-offender overlap on mental health outcomes.
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Affiliation(s)
- Kirsten Russell
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Simon C Hunter
- Department of Psychology, Glasgow Caledonian University, UK
- Faculty of Education, University of Western Australia, Perth, Australia
| | - Abigail Post
- Department of Public Health Sciences, University of North Carolina at Charlotte, USA
| | - Susan Rasmussen
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Robert J Cramer
- Department of Public Health Sciences, University of North Carolina at Charlotte, USA
- Violence Prevention Center, University of North Carolina at Charlotte, USA
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Criss S, Kim M, De La Cruz MM, Thai N, Nguyen QC, Nguyen TT. Experiences of racism in the U.S. - A perspective from Asian & Pacific Islander, Black, Latina, and Middle Eastern women. Heliyon 2024; 10:e28823. [PMID: 38596122 PMCID: PMC11002583 DOI: 10.1016/j.heliyon.2024.e28823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 02/26/2024] [Accepted: 03/25/2024] [Indexed: 04/11/2024] Open
Abstract
Introduction Racism is a critical social determinant of health because it can have a direct impact on health and well-being, as well as infiltrate systems, policies, and practices. Few studies have explored the similarities and differences of experiences with racism and health between different minoritized groups. The objective of this paper is to examine how racism influences life experiences from the perspectives of Asian & Pacific Islander, Black, Latina, and Middle Eastern women. Methods Eleven online racially/ethnically homogeneous focus groups with a total of 52 participants were conducted in the U.S., with representation from the North, South, and West coast. The online focus groups were recorded, transcribed, and two were translated into English (from Vietnamese and Spanish). The data was coded through NVivo and analyzed through a series of team meetings to establish themes. Results Participants reported experiences of racism and discrimination, including physical and verbal personal attacks. They shared the role of microaggressions in their daily life, along with the ubiquitous anti-Black sentiment discussed in every group. Our participants discussed the complexities of intersectionality in their experience of discrimination, specifically regarding immigration status, language spoken, and gender. Participants also reported the role of direct racism and vicarious racism (e.g., the experiences with racism of friends or family, awareness of racist incidents via the news) in affecting their mental health. Some effects were fear, stress, anxiety, depression, and self-censoring. For participants in the Black and Latina focus groups, mental health stressors often manifested into physical issues. Discussion Understanding the nuances in experiences across racial/ethnic groups is beneficial in identifying potential interventions to prevent and address racism and its negative health impacts.
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Affiliation(s)
- Shaniece Criss
- Department of Health Sciences, Furman University, Greenville, SC, 29613, USA
| | - Melanie Kim
- Department of Anthropology, Brown University, Providence, RI, 02912, USA
| | | | - Nhung Thai
- Department of Nutritional Sciences and Toxicology, University of California, Berkeley, CA, 94720, USA
| | - Quynh C. Nguyen
- Department of Epidemiology & Biostatistics, University of Maryland School of Public Health, College Park, MD, 20742, USA
| | - Thu T. Nguyen
- Department of Epidemiology & Biostatistics, University of Maryland School of Public Health, College Park, MD, 20742, USA
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Askew AJ, Randall A, Alvarez JC, Elbe CI, Caravelli N, Gonzales M, van der Star A, Blashill AJ. Examining the association of structural stigmas with body image-related outcomes among sexual minority individuals. Body Image 2024; 48:101652. [PMID: 38141492 DOI: 10.1016/j.bodyim.2023.101652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 11/13/2023] [Accepted: 11/20/2023] [Indexed: 12/25/2023]
Abstract
Sexual minority individuals display heightened body image disturbance, which is associated with negative health outcomes. Structural stigmas are associated with negative health outcomes among sexual minority individuals, but the association between structural stigmas and body image is not understood. Using a linear regression approach, we examined how U.S. state-level structural racism and structural sexual minority stigma were associated with body image-related outcomes including eating pathology, appearance and/or performance-enhancing drug (APED) misuse, and dysmorphic concern. Participants were 942 cisgender sexual minority individuals ages 18-30, with approximately equal representation among non-Hispanic/Latinx White, Black, Asian, and Hispanic/Latinx individuals. There was not a significant main effect of state-level structural sexual minority stigma on body image-related outcomes. In states with higher structural racism, Hispanic/Latinx participants endorsed higher APED misuse, and this interaction was not significant among non-Hispanic/Latinx White individuals. This pattern was not found among Black or Asian participants, nor was it replicated for dysmorphic concern or eating pathology. Findings suggest that reducing exposure to structural racism could reduce APED misuse among Hispanic/Latinx individuals.
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Affiliation(s)
- Autumn J Askew
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, United States
| | - Alyson Randall
- Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, United States
| | - Jordan C Alvarez
- Department of Psychology, Auburn University, Auburn AL, United States
| | - Connor I Elbe
- Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, United States
| | - Nicolas Caravelli
- Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, United States
| | - Manuel Gonzales
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, United States
| | - Arjan van der Star
- Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, United States
| | - Aaron J Blashill
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, United States; Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, United States.
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Lockwood S, Farrell A, Cuevas CA, Robles J. Bias Crime and Victimization Among Latinx Adults: Formal and Informal Help Seeking. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP22600-NP22626. [PMID: 35195467 DOI: 10.1177/08862605211072175] [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: 06/14/2023]
Abstract
Latinx adults have become increasingly vulnerable to bias motivated victimization. The impact of such incidents on Latinx communities is severely understudied, particularly concerning whether or not victims will seek help as a result of such events. Evidence within other victimization contexts demonstrate Latinx populations may be less likely to seek formal help from police, medical providers, and other formal authorities, relying instead on informal support networks such as family and friends. The current study sought to understand formal and informal help-seeking behavior among Latinx adults who experienced bias motivated victimization. The Understanding and Measuring Bias Victimization against Latinos study obtained rates of bias victimization and subsequent help-seeking behavior among Latinx adults who reported experiencing bias victimization (n = 315, 34.6% of full sample of 910). Those who experience bias victimization seek formal help at much lower rates than informal forms of support. Logistic regression analyses controlling the type of victimization demonstrated that participants who experienced a victimization constituting a hate crime were more likely to seek formal help compared to experiencing non-criminal bias events. Implications include addressing barriers to Latinx bias victims seeking forms of help, in addition to understanding the potential polyvictimization histories that predict why Latinx adults may decide to seek help.
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Affiliation(s)
- Sarah Lockwood
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Amy Farrell
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Carlos A Cuevas
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Jesenia Robles
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
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Kehn A, Kaniuka AR, Benson K, Sorby ML, Stornelli L, Cramer RJ. Assessing attitudes about hate: Further validation of the hate crime beliefs scale. CURRENT PSYCHOLOGY 2022; 42:1-11. [PMID: 35990200 PMCID: PMC9375071 DOI: 10.1007/s12144-022-03626-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2022] [Indexed: 11/03/2022]
Abstract
The Hate Crime Beliefs Scale (HCBS) is an assessment of attitudes about hate crime laws, offenders, and victims. The original HCBS includes four subscales (negative beliefs, offender punishment, deterrence, and victim harm), while a shortened and modified version from the United Kingdom (UK; HCBS-UK) consists of three subscales (denial, sentencing, and compassion). We conducted a psychometric test of the HCBS in order to identify a best fitting structure with possible item reduction. A total of 463 participants completed the original HCBS, measures of social dominance orientation (SDO) and right-wing authoritarianism (RWA), and demographic questions. Factor analyses revealed good fit of the data for a Hate Crime Beliefs Scale-Short Form (HCBS-SF), largely modeled after the HCBS-UK. The three subscales were: denial (i.e., downplaying hate crime severity and low support for hate crime laws), sentencing (i.e., support for more punitive offender punishment), and compassion (i.e., understanding and concern for victims). All subscales possessed acceptable internal consistency. The denial subscale was positively associated with RWA subscale and SDO scores. The sentencing and compassion subscales were significantly negatively correlated with SDO and RWA subscale scores. Republicans held the least supportive views of hate crime laws, concern for victims, and punishment of offenders. Data underscore the importance of evaluating hate crime beliefs in public opinion and other contexts. The HCBS-SF better captures hate crime related attitudes than the previously developed longer version of the HCBS.
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Affiliation(s)
- Andre Kehn
- Department of Psychology, University of North Dakota, 501 N. Columbia Road, Grand Forks, ND 58202 USA
| | - Andrea R. Kaniuka
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223 USA
| | - Kevin Benson
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223 USA
| | - Mariah L. Sorby
- Department of Psychology, University of North Dakota, 501 N. Columbia Road, Grand Forks, ND 58202 USA
| | - Lauren Stornelli
- Department of Psychology, University of North Dakota, 501 N. Columbia Road, Grand Forks, ND 58202 USA
| | - Robert J. Cramer
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223 USA
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Carlo G, Murry VM, Davis AN, Gonzalez CM, Debreaux ML. Culture-Related Adaptive Mechanisms to Race-Related Trauma Among African American and US Latinx Youth. ADVERSITY AND RESILIENCE SCIENCE 2022; 3:247-259. [PMID: 35677462 PMCID: PMC9162880 DOI: 10.1007/s42844-022-00065-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/22/2022] [Indexed: 10/25/2022]
Abstract
African American and US Latinx families have faced over two centuries of systemic racism and discrimination, elevating risk for trauma, adversity, and disparities for their youth. These circumstances have compromised the health and well-being of many of these youth. However, many other African American and US Latinx youth are able to succeed despite these challenges. In recent years, scholars have begun to identify ways in which minoritized youth adapt and respond to adversity to become competent, well-functioning individuals. Drawing on two conceptual models of cultural resilience, one grounded in the study of African American youth and one grounded in the study of US Latinx youth, we summarize supportive research associated with each model. Using these conceptual models to guide our critical review of extant studies, we present an integrative review of work to guide the design of strength-based, cultural asset-centered research studies and preventive interventions targeting African American and US Latinx youth.
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Affiliation(s)
- Gustavo Carlo
- School of Education, University of California, Irvine, Irvine, CA 92867 USA
| | - Velma McBride Murry
- Department of Health PolicyDepartment of Human and Organizational DevelopmentSchool of Medicine, Peabody College, Vanderbilt University, Nashville, TN USA
| | | | - Catherine M. Gonzalez
- Department of Human and Organizational Development, Vanderbilt University, Nashville, TN USA
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Allwood M, Ghafoori B, Salgado C, Slobodin O, Kreither J, Waelde LC, Larrondo P, Ramos N. Identity-based hate and violence as trauma: Current research, clinical implications, and advocacy in a globally connected world. J Trauma Stress 2022; 35:349-361. [PMID: 34708457 DOI: 10.1002/jts.22748] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 07/08/2021] [Accepted: 07/21/2021] [Indexed: 11/08/2022]
Abstract
Hate-based violence is increasingly recognized as an urgent social justice and human rights issue that is pervasive across geographical and socioeconomic boundaries. There is a growing body of research that demonstrates the traumatic impact of hate-based violence on the victim's mental and physical health. This review focuses on examining scientific knowledge and prevalence data on identity-based hate and violence exposure. A framework for conceptualizing hate-based violence as a traumatic event or series of traumatic events is offered as a means to understand research findings and intervention approaches. The importance of research, advocacy, and human rights training is highlighted in the efforts to address the traumatic impact of identity-based hate and violence.
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Affiliation(s)
- Maureen Allwood
- Department of Psychology, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
| | - Bita Ghafoori
- Long Beach Trauma Recovery Center, Department of Advanced Studies in Education and Counseling, California State University, Long Beach, Long Beach, California, USA
| | - Carolina Salgado
- Department of Psychiatry, Universidad Catolica del Maule, Talca, Chile
| | - Ortal Slobodin
- Department of Education, Ben-Gurion University of the Negev, Beersheba, Israel
| | | | - Lynn C Waelde
- Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, California, USA
| | - Paulina Larrondo
- Centre for Reproductive Medicine and Adolescent Integral Development, School of Medicine, University of Chile, Santiago, Chile
| | - Nadia Ramos
- Department of Psychiatry, Universidad de Talca, Talca, Chile
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