The Development of the Measure of Adolescent Relationship Harassment and Abuse (MARSHA): Input From Black and Multiracial, Latinx, Native American, and LGBTQ+ Youth

Housing Insecurity Among College Students: Associations with Interpersonal Violence Victimization

One of the most significant economic impacts of sexual and dating violence across the lifespan is housing insecurity and homelessness. However, research on the association between housing instability and interpersonal violence among college students is limited. As such, the purpose of this study is to better understand the association between sexual and dating violence victimization and housing security among college students using data from a campus climate assessment administered on two campuses of a large, urban public university in the northeast. To reduce response burden there were rotating survey modules used so participants were assigned to either the sexual violence (n = 2,672) or dating violence (n = 1,645) module. Bivariate and multivariate logistic regression analyses were used to examine the association between sexual violence victimization or dating violence victimization since coming to college and past year housing insecurity among college students and which types of housing insecurity were associated with sexual violence victimization. Student-survivors who experienced sexual violence had 2.5 times greater odds of experiencing housing insecurity compared to students who had not experienced sexual violence since coming to the university. Similarly, students who experienced physical or psychological dating violence since entering college had four times greater odds respectively of experiencing housing insecurity compared to students who did not experience dating violence. Campus and community-based services for college students are impactful at addressing academic and safety concerns and should incorporate supportive services related to housing.

Confronting Discrimination: Opportunities and Challenges in Addressing Human Trafficking for Forensic Nurses and Related Disciplines

BACKGROUND

Commercial sexual exploitation of children (CSEC) is a critical public safety and health concern in the United States. While evidence exists on the healthcare needs of exploited youth, less is known about the barriers they face accessing care. Discrimination in health care is one barrier reported by exploited youth and can include the perception of being treated differently based on perceived intelligence, engagement in commercial sex, or not feeling heard by nurses or doctors.

AIMS

To explore asa experienced or are at high risk of CSEC.

METHODS

Survey data from a sample of 534 young people aged 13-24 years who experienced or are at risk of CSEC were collected via agency partnership and social media. Ordinary least squares and logistic regression models examined the associations among victimization histories and different perceived discrimination events in healthcare settings. CSEC disclosure is highly associated with discriminatory events in medical settings.

RESULTS

Among evaluated victimization histories, CSEC experiences were the most highly associated with an increase in the odds of each discriminatory event in the present measure, compared to other victimization histories that yielded lower associations of discrimination in medical settings. Experiences of discrimination in health care are an underexamined barrier to CSEC victims seeking and engaging with health care.

IMPLICATIONS

By fostering a supportive, nonjudgmental environment, healthcare providers can improve healthcare experiences for CSEC survivors. Recommendations include enhancing training for healthcare professionals and creating more accessible and supportive healthcare services tailored to the unique needs of these young people.

Elevated Odds of Dating Violence Among U.S. Youth with Mental Health and Neurodevelopmental Conditions: Estimates from a Nationally Representative Cross-Sectional Study

Youth with mental health and neurodevelopmental conditions may be at increased risk for interpersonal violence victimization and perpetration as compared to counterparts without these conditions. To investigate this possibility, we conducted an analysis using U.S. nationally representative data collected from youth ages 11 to 21 years old (N = 846). We calculated the prevalence of any dating abuse victimization or perpetration, as well as four specific subtypes of dating abuse-physical, sexual, psychological, and cyber dating abuse-for youth with eight types of mental health and neurodevelopmental disorders (i.e., anxiety, depression, post-traumatic stress disorder [PTSD], oppositional defiant or other conduct disorder, bipolar disorder [BD], attention deficit disorder/attention deficit hyperactivity disorder [ADHD], autism, or learning disability). Nearly one-half (43%) of the sample reported that they had one or more of the eight mental health or neurodevelopmental conditions (n = 337), 75% of those reported experiencing at least one act of dating abuse victimization in the past year, and 62% reported one or more acts of dating abuse perpetration. Ordinal regression model analyses demonstrated that youth with mental health and neurodevelopmental conditions had substantially elevated odds of more frequent physical, sexual, psychological, and cyber dating abuse victimization (adjusted odds ratios ranged from 1.2 to 7.4) and dating abuse perpetration (adjusted odds ratios ranged from 1.0 to 6.9) controlling for gender, sexual orientation, race, ethnicity, age, and household income. Compared to youth with no mental health or neurodevelopmental conditions, youth with BD were particularly likely to report more frequent experiences of all types of dating abuse victimization. Also, sexual dating abuse perpetration was elevated among youth with anxiety, depression, PTSD, BD, and ADHD. Funders are called upon to invest strategically in the development and rigorous testing of healthy relationships promotion programs and strategies that will benefit the millions of youth in U.S. schools who have these conditions.

Exploring the Dimensions and Correlates of Teen Economic Abuse Through a Cross-Sectional Survey

PURPOSE

Teen economic abuse (TEA) is an understudied form of adolescent relationship abuse with limited measures available to assess prevalence. The purpose of this article is to assess the underlying dimensions of survey items (developed with youth) to refine measurement of and validate the structures comprising TEA and examine differences in prevalence of TEA perpetration (Prp) and victimization (Vct) by demographic characteristics.

METHODS

This cross-sectional, online survey was conducted between July and September 2021. Youth ages 13-19 who read English and reside in the United States were eligible to complete this study. Recruitment occurred through a national violence prevention listserv with an emphasis on reaching organizations serving youth who are unhoused, juvenile justice and child welfare-system involved, identifying as sexual or gender minorities, or from communities of color. Based on exploratory and confirmatory factor analysis, negative binomial regression models were run to assess associations of demographic characteristics, with levels of TEA Vct and Prp.

RESULTS

Adolescents who identify as White reported significantly more types of TEA exposures than their American Indian or Alaskan Native (adjusted incident rate ratios = 1.3; 95% CI = [1.1, 1.4]), Hispanic Latino (1.2 [1.1, 1.4]), and Multiracial peers (2.4 [1.8, 3.1]). Gender diverse adolescents (1.14 [1, 1.3]) and cisgender females (1.08 [1, 1.2]) had significantly more types of TEA exposures than cisgender males. Those with past-year physical or sexual violence in dating relationships reported more types of TEA exposures (4.1 [3.8, 4.4]) than those who had not experienced such violence. Adolescents with exposure to foster care or homelessness had more types of TEA (1.3 [1.2, 1.4]) than those without such experiences.

DISCUSSION

Healthcare providers serving youth should be aware of how economic abuse manifests in adolescent relationships when providing support and resources for youth, especially those who are system-involved or experiencing housing instability. Findings also highlight the need for education about TEA and economic justice in violence prevention programs.

Economic Abuse and Help-Seeking Intentions Among Adolescents

Economic adolescent relationship abuse (ARA) includes coercive behaviors leading to interference with education, employment, and finances. To date, no study has examined help seeking among adolescents and young adults if they were to experience economic ARA. The goals of this article include examining: (a) help-seeking intentions of adolescents regarding economic ARA; (b) help-seeking sources and reasons for not seeking help; and (c) differences in help-seeking intentions based on age, race/ethnicity, gender identity, and experiences of economic ARA. We conducted a cross-sectional survey of adolescents ages 13-19 focused on economic ARA experiences and help seeking. We performed descriptive statistics of help-seeking intentions, sources, and barriers. We utilized logistic regression, adjusted for age, race/ethnicity, and gender identity, to explore associations between economic ARA victimization and help-seeking intentions. Of 2,852 participants, 56% said they would seek help for economic ARA. Adolescents with positive help-seeking intentions shared that they would seek help from their parents (43%) or friends (35%). Those less likely to seek help were concerned about others finding out (32%), not being believed (31%), or authority figures being notified (31%). Help-seeking intentions were lower among Black/African American adolescents (aOR = 0.55, CI [0.43, 0.70]) and Multiracial adolescents (aOR = 0.26, CI [0.16, 0.42]) compared to White adolescents. Help-seeking intentions were higher among gender diverse adolescents (aOR = 5.78, CI [2.98, 11.22]) and those ages 15-17 years (aOR = 1.84, CI [1.36, 2.47]) compared to those identifying as female and ages 18-19 years. Help-seeking intentions were lower among adolescents who experienced economic ARA (aOR = 0.61, CI [0.51, 0.72]). While the majority of adolescents reported that they would seek help if they experienced economic ARA, those who had experienced economic ARA were less likely to report intentions to seek help. Supportive interventions for adolescents experiencing economic ARA are needed.

Relationship Dynamics and Abusive Interactions in a National Sample of Youth and Young Adults

Stemming intimate partner violence among adults demands earlier education and skill-building supportive of healthy youth and young adult dating relationships. The current U.S.-based study examines a spectrum of youth and young adult relationship dynamics (RDs), inclusive of abusive interactions. In a nationally representative cohort of youth aged 10-18 at baseline and one parent or caregiver, survey responses regarding RDs from 618 participants ages 15-23 at wave 5 follow-up were analyzed. Latent class analysis of four positive dynamics, six problematic dynamics, and three scales of adolescent relationship abuse (ARA) were estimated, yielding four latent profiles of dating RDs. Relationships characterized by Unhealthy and Intense RDs both exhibited high probability of ARA but differed from each other in terms of other positive and problematic dynamics. Relationships characterized by Disengaged RDs had lower probability of ARA but elevated probability of awkward communications, negative feelings, social liability, and other challenging dynamics. Several baseline covariates were significantly associated with profiles of dating RDs approximately 5 years later. Younger participants were more likely to subsequently fall in an Intense or Disengaged RDs profile, as were participants with baseline emotional health problems. Further, classification in the Unhealthy RDs profile was less likely for participants reporting a better baseline relationship with their parents and more likely for those exposed to violence in childhood. These findings suggest that in addition to developmental maturity, youth and young adults would benefit from closer investigation and processing of past emotional and relational issues and traumas to foster healthier dating relationships.

The Psychometric Properties of the Measure of Adolescent Relationship Harassment and Abuse (MARSHA) With a Nationally Representative Sample of U.S. Youth

This article describes a new instrument that assesses adolescent dating abuse (ADA) victimization and perpetration. The Measure of Adolescent Relationship Harassment and Abuse (MARSHA) is a comprehensive instrument that includes items on physical, sexual, and psychological ADA, as well as cyber dating abuse, social control, and invasion of privacy. Data for this study came from a population-based, nationally representative sample of adolescents ages 11 to 21 years old (N = 1,257). Exploratory factor analysis was conducted for the victimization and perpetration versions of the MARSHA, and convergent and divergent validity were assessed using the Conflict in Adolescent Dating Relationships Inventory (CADRI) and the juvenile victimization questionnaire (JVQ), respectively. Results suggest that the MARSHA has good reliability and validity, and that each subscale had good internal consistency. The authors propose that the MARSHA may be a strong alternative to the CADRI or the conflict tactics scale (CTS) because it reflects contemporary forms of abuse, such as online harassment and pressure to send nude selfies, and the nonconsensual dissemination of sexually explicit images.

Development and Validation of the Teen Dating Aggression Measure Among Canadian Youth

Teen dating violence (TDV) victimization is a traumatic experience that can have adverse consequences for adolescents. Current measures that assess TDV do not fully distinguish between psychological and relational forms of aggression, nor do they capture aggressive acts that are common within adolescent relationships. The purpose of this study was to evaluate the psychometric properties of the Teen Dating Aggression Measure (TeDAM) using a sample of 730 Canadian adolescents (M = 15.88 years, SD = 1.23). The measure is an expansion of the Conflict in Adolescent Dating Relationships Inventory and includes items that describe other forms of violence such as coercion and control, along with more traditional indicators of dating violence (e.g., sexual aggression). Factor analyses yielded three factors, namely psychological aggression, sexual and physical aggression, and relational aggression, which were correlated with more frequent cannabis and alcohol use as well as rape myth acceptance. These results provide initial support for the utility of the TeDAM for assessing TDV with adolescents.