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Katerndahl DA, Burge SK, Ferrer RL, Becho J, Wood R. Predictors of Perceived Need for and Actual Action Taking Among Women in Violent Relationships. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:3344-3371. [PMID: 27659685 DOI: 10.1177/0886260516669543] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Decision-making of women in violent relationships is poorly understood. The study seeks to identify predictors of need-for-action and actions taken by women in violent relationships. The participants were 143 women who experienced violence in previous month from 6 primary care clinics. The methods involved multiple times series using daily assessments of household environment, marital relationship, concerns, violence, and need-for-action collected via telephone interactive voice response for 8 weeks. Outcomes include daily need-for-action and reports of actions taken. Same-day correlates and prior-day associations using vector autoregressions were sought, combined across subjects using meta-analytic techniques. Need for help depended on stalking, concern for child safety, forgiveness, and low perceived control; actually seeking help depended on sense of control with same-day stress and need for help. Need for legal action depended on concern for child safety and finances with desire to keep family together; actually taking legal action, correlated only with prior-day stalking and concerns about child safety but less about effects of violence on child. Need to leave depended on his violence, with concern about its effect on child, her forgiveness, and a low desire to keep family together, while actually leaving was primed by a day of his drinking, and triggered by same-day stress and need to leave, but lower levels of her drinking or his seeking forgiveness. Once gone, prior-day stalking and his alcohol use correlated with returning to the relationship. Taking action depends upon few prior- and same-day factors unique to each action.
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Affiliation(s)
| | - Sandra K Burge
- 1 University of Texas Health Science Center at San Antonio, USA
| | - Robert L Ferrer
- 1 University of Texas Health Science Center at San Antonio, USA
| | - Johanna Becho
- 1 University of Texas Health Science Center at San Antonio, USA
| | - Robert Wood
- 1 University of Texas Health Science Center at San Antonio, USA
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Sullivan CM, Aguilar E, López-Zerón G, Parra-Cardona JR. Disseminating the Community Advocacy Project in Mexico: A Feasibility Study. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:2920-2937. [PMID: 27520021 PMCID: PMC10372774 DOI: 10.1177/0886260516663901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The Community Advocacy Project is an evidence-based practice that has been shown to lead to numerous positive changes in the lives of intimate partner violence (IPV) survivors. Prior research conducted in the Midwest United States, and with primarily African American and Anglo American survivors, has shown that this short-term, community-based advocacy intervention results in increased safety and quality of life even 2 years after the intervention ends. The current study describes the process of culturally adapting and disseminating this program in Monterrey, Mexico, with a sample of low-income Mexican IPV survivors exposed to a variety of considerable contextual stressors. Interviews were conducted with advocates, advocate supervisors, and survivors to examine the acceptability and utility of the intervention. Twenty-seven IPV survivors, seven advocates, and four advocate supervisors participated in the intervention research. Advocates and their supervisors were highly laudatory, believing the intervention to be culturally relevant and effective. Encouraging changes were found for survivors as well, with positive changes over time being found on safety, quality of life, social support, and depression.
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Affiliation(s)
| | - Elizabeth Aguilar
- 2 Centro de Investigación Familiar A.C., Monterrey, Nuevo Leon, Mexico
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Choi AWM, Wong JYH, Lo RTF, Chan PY, Wong JKS, Lau CL, Kam CW. Intimate partner violence victims' acceptance and refusal of on-site counseling in emergency departments: Predictors of help-seeking behavior explored through a 5-year medical chart review. Prev Med 2018; 108:86-92. [PMID: 29278677 DOI: 10.1016/j.ypmed.2017.12.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2017] [Revised: 11/14/2017] [Accepted: 12/13/2017] [Indexed: 10/18/2022]
Abstract
Healthcare services constitute the first formal support that many intimate partner violence (IPV) victims receive and a link to formal welfare and psychological support. The help-seeking behavior for psychosocial support, e.g., Accident and Emergency Departments (AED) onsite counseling, is key to developing effective support for IPV victims. This study aimed to strengthen the health-welfare support link to aid IPV prevention in AEDs by investigating the acceptance and refusal of on-site counseling by IPV victims. A retrospective cohort study retrieved and reviewed all records of IPV victims presenting at the AEDs of two Hong Kong hospitals between 2010 and 2014. A total of 157 male and 823 female IPV victims were identified, 295 of whom refused on-site counseling. Bivariate and multivariate analyses were performed to examine the association between help-seeking and demographic and violent injury-related factors. The odds of help-seeking via on-site counseling were significantly lower for victims with mental illness (aOR=0.49; 95% CI=0.27, 0.88). After controlling for all demographic characteristics, mental illness, and drug abuse information, sex remained an independent predictor of help-seeking (aOR=2.62; 95% CI=1.45, 4.74); victims who had experienced >2 abuse incidents were more likely to seek help than those who had experienced ≤2 abuse incidents (aOR=1.90; 95% CI=1.11, 3.26). The factors associated with help-seeking from on-site services by IPV victims reflect the need for multidisciplinary collaborative work aimed at IPV prevention. Healthcare professionals require training on how to promote help-seeking behavior targeted specifically for male and female IPV victims according to their needs and preferences.
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Affiliation(s)
- Anna Wai-Man Choi
- Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, 5/F, Jockey Club Tower, Pokfulam, Hong Kong, China.
| | - Janet Yuen-Ha Wong
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 4/F, William M.W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong, China
| | - Ruby Tsz-Fung Lo
- Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, 5/F, Jockey Club Tower, Pokfulam, Hong Kong, China
| | - Pik-Ying Chan
- Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, 5/F, Jockey Club Tower, Pokfulam, Hong Kong, China
| | - John Kit-Shing Wong
- Department of Accident and Emergency Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong, China
| | - Chu-Leung Lau
- Department of Accident and Emergency Medicine, Pok Oi Hospital, Yuen Long, Hong Kong, China
| | - Chak-Wah Kam
- Department of Accident and Emergency Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong, China
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