Violence and injury in marital arguments: risk patterns and gender differences

Family poverty over the early life course and adult experiences of intimate partner violence: a cohort study

OBJECTIVES

This study aimed to determine whether family poverty over the early childhood, adolescent, and adult periods of the life course independently predicts experiences of intimate partner violence (IPV) in adulthood.

STUDY DESIGN

This was a birth cohort study in Brisbane, Australia, with pregnant women recruited at their first booking-in visit and their children, followed up to 30 and 40 years of age.

METHODS

Family income was obtained from the mother when the child was 6 months, 5 and 14 years of age. Offspring reported their own family income at 21, 30, and 40 years of age. The offspring completed the Composite Abuse Scale at 30 and 40 years. Adjusted logistic regression models are used to predict experiences of IPV at 30 (n = 2157) and 40 (n = 1438) years.

RESULTS

The findings at 30 and 40 years of age are consistent. Only poverty experienced concurrently with the assessment of IPV is strongly associated. At the 40-year follow-up, family poverty predicts higher ratios of all four forms of IPV; severe combined abuse (odds ratio [OR] = 2.24, 95% confidence interval [CI] = 1.24, 4.05), physical abuse (OR = 3.37, 95% CI = 1.95, 5.82), emotional abuse (OR = 2.09, 95% CI = 2.58, 8.57) and harassment (OR = 4.70, 95% CI = 2.58, 8.57).

CONCLUSION

Concurrent family poverty is strongly and consistently associated with patterns of IPV. These associations are for cross-sectionally collected data with the prospectively collected data not replicating these findings. Although it is not possible to identify a specific causal pathway, the findings suggest that the immediate consequences of poverty are strongly associated with IPV. Programmes that address poverty reduction provide the best prospect for reducing societal levels of IPV.

News Stories of Intimate Partner Violence: An Experimental Examination of Media Framing and Perpetrator Sex in LGBTQ Versus Heterosexual Relationships

This study experimentally examines the effects of perpetrator sex (male or female), relationship context (heterosexual or homosexual), and the type of media framing (episodic or thematic) on endorsement for public health perspectives about intimate partner violence (IPV) and punishment preferences for IPV perpetrators. Participants (N = 750) were randomly assigned to a condition, exposed to a composite news story, and then completed a survey. Manipulation check responses demonstrated a pattern suggesting that participants had difficulty attending to details of IPV in stories where the perpetrator was a woman, or where the violence occurred in a homosexual relationship. Results revealed significant interaction effects for the endorsement of public health perspectives and for perpetrator punishment preferences. Results for the endorsement of public health perspectives showed that thematic framing caused stronger support only when the perpetrator was a heterosexual man. Results for perpetrator punishment preferences revealed a pattern where participants preferred stronger punishments for heterosexual male perpetrators over any other group. Participants did not distinguish in their punishment preferences for male or female homosexual perpetrators, but these were still stronger than their punishment preferences for heterosexual female perpetrators. Theoretical implications are presented with attention to extending research about media portrayals of IPV, and discussion is offered concerning practical considerations for public health support services that address IPV.

The Effects of Workplace Support on Workplace Disruptions: Differences Between White and Black Survivors of Intimate Partner Violence

Abuser-initiated workplace disruptions are experienced by women who are in abusive intimate relationships. However, workplace disruptions may be prevented with targeted workplace supports. Using pilot data, this study examined relationships between workplace disruptions and workplace supports. Crosstabulation and Fisher's exact test results were stratified by race to understand potential racial discrimination of survivors. Findings revealed supports are associated with infrequent workplace disruptions for Black women, but White women were extended a wider variety of supports, even with frequent disruptions. Discussion of results is applied to workplaces and policy makers seeking to better support employees experiencing partner violence.

Stressful life events, intimate partner violence, and perceived stress in the postpartum period: longitudinal findings in rural Pakistan

PURPOSE

While the association between intimate partner violence (IPV) and stress is well documented, the directionality of this relationship is unclear. We use an adjusted longitudinal study design to better understand if stressful life events in the home precipitate or exacerbate intimate partner violence (IPV) and if experiences of IPV, in turn, increase levels of perceived stress.

METHODS

Longitudinal data were collected among married women in rural Pakistan at 12 and 24 months postpartum (N = 815). Adjusted Poisson and linear regression models were used to examine stressful life events, past year IPV and severity (number and frequency of violent acts), and perceived stress (Cohen Perceived Stress Scale).

RESULTS

At 12 months postpartum, the prevalence of past year physical, psychological, and sexual IPV was 8.5%, 25.7%, and 25.1%, respectively, with 42.6% experiencing any IPV. After adjustment, stressful life events were associated with a subsequent increased likelihood of all IPV types and increased severity of all but physical IPV. Any past year IPV (versus none) and greater IPV severity were associated with 3.43 (95% CI 2.33-4.52) and 2.57 (95% CI 1.87-3.27) point subsequent increases in perceived stress. Physical, psychological, and sexual IPV and their respective severities were all independently associated with increased perceived stress.

CONCLUSIONS

Among postpartum women in Pakistan, stressful life events increase the likelihood of IPV and, in turn, experiences of IPV increase stress levels. Support to families undergoing stressful circumstances may be critical to reducing women's IPV exposure and resulting elevated stress.

Using Technology to Conduct Focus Groups With a Hard-to-Reach Population: A Methodological Approach Concerning Male Victims of Partner Abuse in Four English-Speaking Countries

Research shows that the experiences of male victims of partner abuse (PA) are often denied by the public and the professionals who are charged to support PA victims. Recruiting female victims for research on PA victimization is relatively easy because there are existing structures to serve this group of victims. Thus, male victims are considered a hard-to-reach (HTR) population, and studying them can be difficult. This article focuses on the use of technology to collect qualitative data from male PA victims in an international study focusing on male victims. The researchers used their own professional networks to recruit and screen a convenience sample of male victims of female-to-male PA, in four different English-speaking countries: Australia, Canada, England, and the United States. Four web-based, video-enabled, focus groups were held for each country-for a total of 12 groups and 41 male participants. This article addresses recruitment methods, the use of technology in data collection, protecting the confidentiality of male victims, methods for informed consent, and lessons learned to facilitate future research.

Coercive Controlling Behaviors and Reporting Physical Intimate Partner Violence in Australian Women: An Exploration

This study explores two approaches to measuring coercive controlling behaviors (CCBs)-counting how many different CCB types and examining the frequency of each CCB experienced-to examine their utility in explaining the relationship between CCBs and physical intimate partner violence (IPV). Australian women aged 18-68 years (n = 739; M_age = 31.58, SD_age = 11.76) completed an online survey. Count and frequency CCB approaches yielded similar significant associations with increased physical IPV. Both approaches suggest that frightening behaviors in particular are significantly indicative of also experiencing physical IPV; however, when you count CCB types, public name-calling becomes important, whereas when you examine the frequency of each CCB type, jealousy/possessiveness becomes important. These findings suggest differential utility between measures of CCBs, which examine the frequency of specific CCB types and which count CCB types, and that both approaches are useful in understanding how coercion and control relate to physical violence within intimate relationships.

Gender Differences in Intimate Partner Violence in Current and Prior Relationships

Although much available research indicates that intimate partner violence (IPV) is male perpetrated, growing recent evidence suggests a gender symmetry model of family violence. This article examines gender differences in IPV in current and prior relationships reported by young adults. Data comprised 2,060 young adults (62.1% females) who participated in the 30-year follow-up of the Mater Hospital and University of Queensland Study of Pregnancy (MUSP) in Brisbane, Australia. The Composite Abuse Scale was used to measure IPV during the last 12 months in the respondents' most recent relationship. Similar proportions of males and females reported leaving their prior relationships. Both males and females who were not currently in a relationship reported experiencing much higher rates of IPV than those who were in a relationship. There were no differences in the past experience of IPV between males and females who were not currently in a relationship, but males in a current relationship reported they experienced most forms of IPV more often than did females. IPV typically involves both male and female perpetrators and victims. It does appear that the majority of relationships involving higher rates of IPV were dissolved. IPV was more likely to have occurred in relationships that ended than in relationships that persisted. Males more often remain in an abusive relationship and report experiencing higher rates of IPV in their current relationships compared with females.

Risk and Protective Factors Associated With Intimate Partner Violence in a Nationally Representative Sample of Korean Men

OBJECTIVES

In recent years, multiple studies have investigated the issue of intimate partner violence (IPV) in Korea. However, most of those studies have focused on IPV against women, while overlooking the problem of men IPV victimization. Considering this, the current study identified risk and protective factors for IPV and examined their influence on IPV victimization among Korean men.

METHODS

We used a nationally representative sample of 1668 Korean men from the 2013 Korea National Survey on Domestic Violence. The associations between potential IPV risk factors and different types of IPV were investigated using univariate and multivariate logistic regression. Specifically, separate analyses were conducted of 5 types of IPV (neglect, controlling behaviors, emotional violence, economic violence, and physical violence).

RESULTS

The prevalence of IPV among Korean men and women showed only marginal gender differences. Controlling behaviors (men, 23.3%; women, 23.9%) and emotional violence (men, 16.5%; women, 18.8%) were the most common types of IPV reported, followed by neglect (men, 11.2%; women, 11.7%). Separate logistic regression analyses for the 5 subtypes of IPV revealed that mutual IPV was a strong predictor of IPV. Men who abused their wives were more likely to experience neglect (odds ratio [OR], 29.24; p<0.01), controlling behaviors (OR, 36.61; p<0.01), emotional violence (OR, 58.07; p<0.01), economic violence (OR, 18.78; p<0.01), and physical violence (OR, 38.09; p<0.01).

CONCLUSIONS

The findings of this study suggest that IPV intervention strategies should particularly focus on couples whose relationship is characterized by patterns of bidirectional violence.

Girls' and Women's Violence: The Question of General Versus Uniquely Gendered Causes

In this review, we consider theory and research focused on girls' and women's violence, with an emphasis on studies that inform long-running debates about whether uniquely gendered explanations are required to understand such behaviors. The review emphasizes potentially malleable social processes and influences, and studies that have explored neighborhood, family, and peer-based sources of risk. We also examine contemporary research on precursors of a specific type of aggression-intimate partner violence -where self-reports of perpetration have been found to be similar across gender, but research has consistently shown that the consequences are generally more serious for female victims. Our review draws on findings from analyses of large scale survey data as well as qualitative approaches that explore meanings and motivations. The results point to significant areas of overlap as well as some distinctive patterns by gender, support learning and intersectionality theories, and identify potentially fruitful areas for additional research.

Setting an Agenda to Address Intimate Partner Violence Among Young Men Who Have Sex With Men: A Conceptual Model and Review

Research investigating intimate partner violence (IPV) among sexual minorities is limited. The research that does exist has found that rates of IPV are similar to or higher than the rates found for heterosexual women, the most commonly studied population in this area. This limited research has resulted in a dearth of prevention/intervention programs targeted for these populations. While some may argue that existing IPV programs can be used for these populations, this review presents an argument for more targeted work with sexual minority populations, using young men who have sex with men (YMSM) as an example. Drawing on the framework of intersectionality, this article argues that the intersectionality of age, sexual identity, and gender combines to create a spectrum of unique factors that require specific attention. This framework allows for the identification of known correlates for IPV as well as factors that may be unique to YMSM or other sexual minority populations. The article presents a conceptual model that suggests new areas of research as well as a foundation for the topics and issues that should be addressed in an intervention.

Does leaving an abusive partner lead to a decline in victimization?

Background

This paper investigates gender differences in persistence of intimate partner violence (IPV), for those remaining or leaving an abusive relationship. We followed a sample of males and females to examine whether leaving an abusive partner may alter the continuity of victimization.

Methods

Data were taken from the 21 and 30-year follow-ups of the Mater Hospital and University of Queensland Study of Pregnancy (MUSP) in Australia. A cohort of 1265 respondents, including 874 females and 391 males, completed a 21-item version of the Composite Abuse Scale.

Results

We found proportionally similar rates of IPV victimization for males and females at both the 21 and 30 year follow-ups. Females who reported they had an abusive partner at the 21 year follow-up were more likely to subsequently change their partner than did males. Harassment and then emotional abuse appeared to have a stronger association for females leaving a partner. For males, a reported history of IPV was not significantly associated with leaving the partner. There was no significant association between leaving (or not) a previous abusive relationship and later victimization, either for male or female respondents.

Conclusion

Changing a partner does not interrupt the continuity of victimization either for male or female respondents, and previous IPV victimization remained a determining factor of re-abuse, despite re-partnering.

Risk Factors for Hispanic Male Intimate Partner Violence Perpetration

The literature review analyzed 24 studies that explored male intimate partner violence (IPV) perpetration risk factors among men, in particular Hispanics, using the socioecological model framework composed of four socioecological levels for violence prevention. Six databases were reviewed within the EBSCO search engine for articles published from 2000 to 2014. Articles reviewed were specific to risk factors for IPV perpetration among Hispanic men, focusing particularly on Mexican American men. Many key factors have previously been associated with risk for IPV perpetration; however, certain determinants are unique to Hispanics such as acculturation, acculturation stress, and delineated gender roles that include Machismo and Marianismo. These risk factors should be incorporated in future targeted prevention strategies and efforts and capitalize on the positive aspects of each to serve as protective factors.

Violence toward Health Care Workers

The aim of this study was to establish data for career prevalence and 1 year incidence of workplace violence for major categories of health care workers. Three consecutive work environment questionnaire studies at a large Swedish hospital provided the basis for the study. Prevalence and incidence rates of violence were age and gender adjusted to the Swedish working population. Prevalence of violence in the study population was compared to data from a national sample of Swedish registered nurses. Incidence of violence in each professional group was compared to that of the largest group of hospital employees, registered nurses. Standardized prevalence ratios for violence were significantly higher for all nursing personnel and physicians, and were highest for practical nurses (1.56). Standardized incidence rates ranged from 18/100 person years for physicians to 31/100 person years for practical nurses. The relative risk for violence at work over a 1 year period was significantly higher only for practical nurses (1.59) as compared to registered nurses. Nursing personnel and physicians were at considerable risk for workplace violence in the course of their careers. One year incidence rates were highest for practical nurses.

Abuse During Pregnancy in Industrialized and Developing Countries

Abuse during pregnancy has increasingly been identified as an important problem with significant consequences for maternal and infant health, particularly in North America. The authors review available evidence of the prevalence and consequences of abuse during pregnancy, including maternal mortality, outside of North America. The range of prevalence found in developing countries is much wider (3.8% to 31.7%) than that of industrialized countries (3.4% to 11%), which is much closer to findings from North America. There is a need for more studies using consistent definitions and methodologies to examine the patterns and forms of abuse related to pregnancy worldwide.

Patterns of Injuries

This study uses two types of independent variables, age and the location of the physical wound, to develop a model of injury patterning that identifies violent behavior without direct observation of the assault. In this research, domestic violence injuries are compared to accidental injuries. The results indicate that there are specific and predictable injury patterns that separate abuse from other kinds of wounds. A logistic regression model was developed to identify the regions of the body most susceptible to injury from domestic assault. Using the age of the victim and the injury regions, probabilities were calculated to determine which wounds were caused by abuse.

A Comparison of Risk Factors for Intimate Partner Violence–Related Injury Across Two National Surveys on Violence Against Women

This study compares risk factors for intimate partner violence–related injury across two national data sources on violence against women, the Canadian Violence Against Women Survey and the National Violence Against Women Survey in the United States. After equating the data sets as much as possible on the types of violence experienced and risk factors, the authors determined which risk factors in each data source predicted injury and compared the magnitudes of associations between risk factors and injury across the data sets. The article presents results on bivariate and multivariate findings, model fit across the data sets, and statistical comparisons of findings across the data sets. Obtaining convergent findings across data sources on risk factors for injury will allow public health practitioners to intervene more effectively with women at risk for experiencing violence-related injuries perpetrated by spouses.

Prevalence of Male Intimate Partner Abuse in Vietnam

The present study investigated the prevalence of both current and lifetime physical partner abuse among Vietnamese males who reside in Vietnam. Participants ( N = 315) were randomly selected to participate in the study. Participants completed the Vietnamese version of the Conflict Tactics Scale–2. A total of 47% ( n = 148) of the sampled participants were identified as current physical abusers and 68% ( n = 214) as past abusers. Four of the most common abusive tactics abusers exhibited toward their partner were (a) throwing something at their wife (80%), (b) pushing or shoving their partner (78%), (c) beating up their partner (54%), and (d) twisting their partner's arm or hair (60%).

Utilization of Police by Abused Pregnant Hispanic Women

Three hundred twenty-nine Hispanic prenatal patients at urban public health clinics who were assessed during routine prenatal care as abused completed the Severity of Violence Against Women Scales and were asked about frequency and effectiveness of their utilization of police. Of the 23% who had used the police, 72% reported that police were very or somewhat effective. Of the women who had used police, 37% said that the violence had ended compared with 22% of the nonusers. Women who had used the police in the past 12 months had experienced more severe abuse than those women who had not. Longitudinal research is needed to determine whether increased severity precedes or follows abused women's use of the police so that the women may be counseled appropriately.

Behavioral and Psychological Differences Among Abused Women Who Use Violence in Intimate Relationships

This article examines behavioral and psychological differences among women who used violence in four types of relationships. Nearly all of the women experienced physical abuse from their male partners. Types were compared on the extent of childhood abuse experienced, use of avoidance coping, anger, motivations for using violence, injuries, psychological symptoms, and alcohol use. Women in the Victim type (the partner used more physical violence and coercion against her than she against him) and the Abused Aggressor type (the woman used more violence and coercion against the partner than he against her) had the poorest behavioral and psychological indices. Women in Mixed-Female Coercive relationships (the woman’s use as of coercion was equivalent to or greater than her partner, but the partner used as much or more violence) had the fewest difficulties. Scores for women in Mixed-Male Coercive relationships (the partner was more coercive than the woman, but the woman’s use of violence was equivalent to or greater than the partner’s) generally fell in between the other groups.

A Typology of Women's Use of Violence in Intimate Relationships

Women's use of violence in intimate relationships is not well understood. This study examined women's violence in relation to their male partners'sviolence against them. The sample consisted of 108 women who had used physical violence with a male partner in the previous 6 months. Almost all the women experienced physical abuse from their male partners. Whereas the women in the sample used more emotional abuse and moderate physical violence than their partners, the women were more often victims of sexual violence, injury, and coercive control. Three types of relationships were identified: women as victims (34%), women as aggressors (12%), and mixed relationships (50%), which were of two subtypes'mixed-male coercive (32%) and mixed-female coercive (18%). The study illustrates that women's violence needs to be examined within the context of male violence and abuse. The implications of the findings are discussed for researchers and practitioners who work with domestically violent women.

Beyond the Measurement Trap

Many areas of women's health, including battering, suffer from conceptual and methodological deficits. This article uses the “measurement trap” (Graham & Campbell, 1991), a set of conditions defined by lack of information resulting from a narrow conceptualization of the problem, poor existing data sources, inappropriate outcome indicators, and limited measurement techniques, as a framework for describing how current approaches to conceptualizing and measuring battering hamper research and program efforts in the field of domestic violence. We then describe an alternative conceptualization-and-measurement approach that is based on battered women's experiences. We argue that an experiential approach, which grounds measurement in women's lived experiences, improves our ability to conduct research that correctly identifies, monitors, and explains the epidemiology of this phenomenon and provides a solid basis for policy and program development.

Intimate Partner Violence in the Great Recession

In the United States, the Great Recession was marked by severe negative shocks to labor market conditions. In this study, we combine longitudinal data from the Fragile Families and Child Wellbeing Study with U.S. Bureau of Labor Statistics data on local area unemployment rates to examine the relationship between adverse labor market conditions and mothers' experiences of abusive behavior between 2001 and 2010. Unemployment and economic hardship at the household level were positively related to abusive behavior. Further, rapid increases in the unemployment rate increased men's controlling behavior toward romantic partners even after we adjust for unemployment and economic distress at the household level. We interpret these findings as demonstrating that the uncertainty and anticipatory anxiety that go along with sudden macroeconomic downturns have negative effects on relationship quality, above and beyond the effects of job loss and material hardship.

HIV-Testing Rates and Testing Locations Among Women Who Have Experienced Intimate Partner Violence: Data From the Centers for Disease Control Behavioral Risk Factor Surveillance System, 2006

Data from the Centers for Disease Control and Prevention's (CDC) 2006 Behavioral Risk Factor Surveillance System were analyzed to report the HIV-testing rates and locations of women who have experienced intimate partner violence (IPV). Of the 18,917 women in the sample, 19.8% reported experiencing IPV. Over half of the women who experienced IPV reported testing rates of 52.4%, compared with 35.5% of the overall sample. Testing rates and locations significantly differed by race/ethnicity. Findings and their implications are explored, with an emphasis on increasing access to HIV testing and treatment for women who have experienced IPV and providing sexual safety planning for women accessing HIV-testing services.

Young Men Who Have Sex With Men’s Experiences With Intimate Partner Violence

Research estimating the prevalence of intimate partner violence (IPV) among men who have sex with men (MSM) and other sexual minority populations is limited. However, existing research indicates rates similar to heterosexual women. This mixed-methods study was designed to inform intervention development and provides a description of the types of IPV experienced by young MSM (YMSM) within their dating and intimate relationships. Data collected include 101 surveys with YMSM aged 18 to 25 and 26 semi-structured qualitative interviews. YMSM experienced high levels of psychological aggression, physical assault, and sexual coercion both as victims and perpetrators. The study also found that there were high rates of mutual perpetration, young men reporting being both victim and perpetrator of partner violence. Qualitative data provide context and descriptions of these incidents to provide more information about the circumstances and perceptions of these incidents. The findings indicate that interventions should be multifaceted and include schools, communities, and families to address anger management, conflict resolution, and communication skills within young men’s relationships.

Drowning the pain: intimate partner violence and drinking to cope prospectively predict problem drinking

INTRODUCTION

The present study examined the longitudinal association among drinking problems, drinking to cope, and degree of intimate partner violence (IPV). Two competing models were tested; the first model posited that drinking to cope leads to greater drinking problems and this subsequently leads to more violence in the relationship (an intoxication-violence model). The second model speculated that violence in the relationship leads to drinking to cope, which in turn leads to greater drinking problems (a self-medication model).

METHODS

Eight hundred and eighteen undergraduate students at a large north-western university participated in the study over a two year period, completing assessments of IPV, alcohol related problems and drinking to cope at five time points over a two year period as part of a larger social norms intervention study.

RESULTS

Analyses examined two competing models; analyses indicated that there was support for the self-mediation model, whereby people who have experienced violence have more drinking problems later, and this association is temporally mediated by drinking to cope.

DISCUSSION

The current results are discussed in light of past research on the self-medication model.

World assumptions, religiosity, and PTSD in survivors of intimate partner violence

Intimate partner violence (IPV) is among the most frequent types of violence annually affecting women. One frequent outcome of violence exposure is posttraumatic stress disorder (PTSD). The theory of shattered world assumptions represents one possible explanation for adverse mental health outcomes following trauma, contending that trauma disintegrates individuals' core assumptions that the world is safe and meaningful, and that the self is worthy. Research that explores world assumptions in relationship to survivors of IPV has remained absent. A more consistent finding in research on IPV suggests that religiosity is strongly associated with survivors' reactions to, and recovery from, IPV. The present study found that world assumptions was a significant mediator of the relationship between IPV exposure and PTSD symptoms. Religiosity was also significantly, positively related to PTSD symptoms, but was not significantly related to amount of IPV exposure. Though African American women reported more IPV exposure and greater religiosity than European American women in the sample, there were no interethnic differences in PTSD symptom endorsement. Implications of these findings are discussed.

Prevalence of Intimate Partner Violence and Associated Risk Factors Among Latinos/as

This study seeks to contribute to the limited literature on intimate partner violence (IPV) with Latino populations by analyzing national estimates of prevalence of and risk factors for IPV across the three largest Latino subgroups: Cuban-Origin, Mexican-Origin, and Puerto Ricans. Results showed that foreign-born Mexicans reported the highest rates of IPV compared with foreign-born Cubans and Puerto Ricans; Latinas with higher levels of education and employment reported higher levels of IPV; and foreign-born Mexicans reported a higher rate of less injurious IPV than their U.S.-born counterparts. These findings highlight the need to inform programs of varying nature of Latinas experiencing IPV.

Addressing PTSD in low-income victims of intimate partner violence: moving toward a comprehensive intervention

Research indicates that female victims of intimate partner violence (IPV) are at risk for developing posttraumatic stress disorder (PTSD) and other negative mental health outcomes. Low-income women of color experience IPV at disproportionately high rates and may need a comprehensive array of resources to recover from victimization. Although cognitive-behavioral therapy, a psychotherapeutic approach, has been established as the most effective treatment for PTSD in some populations, psychotherapy may not be sufficient for this population of survivors. This article reviews the relevant research and literature on treatment approaches for victims of IPV and provides an overview of studies investigating more holistic intervention approaches that feature components such as social support groups and advocacy, in addition to psychotherapy. Relying on conservation of resources theory, which posits a relationship between resources and psychological stress, and a relationship-oriented ecological framework, this article presents a model of a comprehensive intervention for disadvantaged minority victims of IPV that can help address issues related to PTSD and empower survivors to access necessary resources.

Parental punishment and peer victimization as developmental precursors to physical dating violence involvement among girls

The current study examined harsh punishment and peer victimization as developmental precursors to girls' involvement in physical dating violence (PDV), and the putative mediating effect of rejection sensitivity. The sample comprised 475 African American and European American participants of the longitudinal Pittsburgh Girls Study who were dating at age 17. About 10% of girls reported significant perpetration and/or victimization of physical aggression in the relationship. Results showed that initial level and escalation in harsh punishment (between 10-13 years) and escalation in peer victimization (10-15 years) predicted PDV involvement, but this relationship was not mediated by rejection sensitivity. The results highlight the need to consider the impact of early experience of different forms of aggression on girls' risk for PDV involvement.

The interactive effects of PTSD, emotion regulation, and anger management strategies on female-perpetrated IPV

Research supports a relationship between posttraumatic stress disorder (PTSD) symptoms and intimate partner violence (IPV) perpetration, and theory implicates emotion regulation and anger management skills as probable moderators to that relationship (Chemtob, Novaco, Hamada, Gross, & Smith, 1997). However, no study has investigated these interactive relationships with female-perpetrated physical IPV. Therefore, this study examined the interactive effects of PTSD symptoms, emotion regulation, and anger management skills on female-perpetrated physical IPV. Female community members (N = 254) completed measures of PTSD symptoms, emotion regulation strategies, anger management skills during partner conflict, and IPV perpetration. Results indicated two-way interaction effects between emotion regulation and both PTSD symptoms and negative partner attributions. In addition, PTSD symptoms, emotion regulation, and escalating strategies marginally interacted to predict female-perpetrated IPV. Implications of these results for future research and interventions are discussed.

Phenomenology of borderline personality disorder: the role of race and socioeconomic status

Little is known about racial differences in borderline personality disorder (BPD) that may influence etiology, phenomenology, and treatment of women with BPD. A total of 83 women with BPD participated in this cross-sectional study: n = 41 white and n = 42 African-American women. Structured interviews were used to assess Axis I and II disorders, and a series of interviews and questionnaires captured internalizing and externalizing symptoms. The white women with BPD reported more severe internalizing symptoms, whereas the African-American women reported more severe externalizing symptoms. Except for the association between race and number of suicide attempts, the relationship between race and internalizing/externalizing symptoms was mediated by socioeconomic status. In conclusion, African-American women with BPD may present with more severe symptoms of lack of anger control and fewer suicidal behaviors than those of white women with BPD, raising the possibility that they are misdiagnosed and receive treatments that are not optimal for BPD.

The sleeper effect of intimate partner violence exposure: long-term consequences on young children's aggressive behavior

BACKGROUND

Children who have been exposed to intimate partner violence (IPV) experience a wide variety of short-term social adjustment and emotional difficulties, including externalizing behavioral problems such as aggression. While children are affected by IPV at all ages, little is known about the long-term consequences of IPV exposure at younger ages. Because early experiences provide the foundation for later development, children exposed to IPV as an infant or toddler may experience worse negative outcomes over time than children never exposed.

METHODS

Using the National Survey of Child and Adolescent Well-Being (NSCAW), latent growth curve modeling was conducted to examine whether early IPV exposure occurring between birth and age three (n = 107), compared with no exposure (n = 339), affects the development of aggressive behavior over 5 years. This modeling allowed for empirical exploration of developmental trajectories, and considered whether initial social development trajectories and change over time vary according to early IPV exposure.

RESULTS

Children who were exposed to more frequent early IPV did not have significantly different aggressive behavior problems initially than children who were never exposed. However, over time, the more frequently children were exposed between birth and 3 years, the more aggressive behavior problems were exhibited by age eight.

CONCLUSIONS

Results indicate a long-term negative behavioral effect on children who have been exposed to IPV at an early age. An initial assessment directly following exposure to IPV may not be able to identify behavior problems in young children. Because the negative effects of early IPV exposure are delayed until the child is of school age, early intervention is necessary for reducing the risk of later aggressive behavior.

Contributions of work stressors, alcohol, and normative beliefs to partner violence

OBJECTIVE

A body of research has established that lower socioeconomic populations, including blue-collar workers, are at higher risk for problem drinking and intimate partner violence. This study of married/cohabiting construction workers and their spouses/partners describes how work stressors, hazardous drinking, and couple characteristics interact to influence normative beliefs around partner violence and, thereafter, its occurrence.

METHOD

Our survey respondents from a sample of 502 dual-earner couples were asked about drinking patterns, past-year partner violence, normative beliefs about partner violence, work-related stressors, impulsivity, and childhood exposure to violence and other adverse events. We conducted semi-structured qualitative interviews with 81 workers on context of work stress, partner violence, and drinking.

RESULTS

Analyses of data revealed that men's and women's normative beliefs about partner violence were positively related to maleto- female partner violence; female partner violence normative beliefs were associated with female-to-male partner violence. Both partners' levels of impulsivity were directly associated with male-to-female and female-to-male partner violence, and male partner's frequency of intoxication mediated the association between level of impulsivity and male-to-female partner violence. Female partner's adverse childhood experience was directly associated with male-to-female partner violence. Both survey and qualitative interviews identified individual and workrelated factors that influence the occurrence of violence between men and women.

DISCUSSION

These findings provide guidelines for prevention of partner violence that can be implemented in the workplace with attention to hazardous drinking, job stress, treatment, education, and work culture.

Drinking context and intimate partner violence: evidence from the California community health study of couples

OBJECTIVE

Couples in which one or both partners is a heavy or problem drinker are at elevated risk for intimate partner violence (IPV), yet little is known about the extent to which each partner's drinking in different contexts (volume consumed per setting in bars, parties, at home, or in public places) increases the likelihood that partner aggression will occur. This study examined associations between the volume consumed in different settings by each partner and the occurrence and frequency of IPV.

METHOD

We obtained a geographic sample of married or cohabiting couples residing in 50 medium to large California cities. Cross-sectional survey data were collected via confidential telephone interviews (60% response rate). Logistic and negative binomial regression analyses were based on 1,585 couples who provided information about past-12-month IPV, drinking contexts (number of times attended, proportion of drinking occasions when attended, average number of drinks), frequency of intoxication, and psychosocial and demographic factors. Drinking context-IPV associations for each partner were adjusted for the other partner's volume for that context and other covariates.

RESULTS

Male partner's volume per setting for bars and parks or public places was associated with the occurrence and frequency of male-to-female IPV and female-to-male IPV. Male's volume per setting for quiet evening at home was associated with the occurrence of female-to-male IPV; female partner's volume for this setting was associated with the frequency of male-to-female IPV and female-to-male IPV.

CONCLUSIONS

Among couples in the general population, each partner's drinking in certain contexts is an independent risk factor for the occurrence and frequency of partner aggression.

Women's Education, Marital Violence, and Divorce: A Social Exchange Perspective

Drawing on social exchange theories, the authors hypothesized that educated women are more likely than uneducated women to leave violent marriages and suggested that this pattern offsets the negative education - divorce association commonly found in the United States. They tested these hypotheses using 2 waves of young adult data on 914 married women from the National Longitudinal Study of Adolescent Health. The evidence suggests that the negative relationship between women's education and divorce is weaker when marriages involve abuse than when they do not. The authors observed a similar pattern when they examined the association of women's proportional earnings and divorce, controlling for education. Supplementary analyses suggested that marital satisfaction explains some of the association among women's resources, victimization, and divorce but that marital violence continues to be a significant moderator of the education - divorce association. In sum, education appears to benefit women by both maintaining stable marriages and dissolving violent ones.

The association of intimate partner violence and depressive symptoms in a cohort of rural couples

PURPOSE

The purpose of this study was to estimate the prevalence of physical and emotional intimate partner violence (IPV) perpetration and victimization among adult, cohabitating couples. The association between IPV and depressive symptoms, as well as the severity of depressive symptoms, was reported for both males and females.

METHODS

In a rural cohort study, 548 couples completed survey items concerning physical and emotional IPV, and mental health.

FINDINGS

Males and females who perpetrated physical IPV were 17.7 and 11.5 times more likely, respectively, to also be victims of physical IPV. Male and female perpetrators of emotional IPV were 18.7 and 5.2 times as likely, respectively, to also be victims of emotional IPV. Males and females with IPV histories were 3.0 and 2.4 times more likely, respectively, to have depressive symptoms (P < .001) than those without abuse histories. Females reported higher scores than males on the depressive symptoms index.

CONCLUSIONS

This study suggests that many couples in rural areas use physical and emotional violence against each other in their relationships, and that both males and females who report a history of IPV are more likely to report depressive symptoms. These findings support IPV screening for physical and emotional violence among all patients and providing follow-up intervention programs in health care settings.

The Interconnections Project: development and evaluation of a community-based depression program for African American violence survivors

BACKGROUND

Multi-faceted depression care programs based within the healthcare system have been found to be effective, but may not fully address the needs of African American Intimate Partner Violence (IPV) survivors, many of whom are not seeking depression care in healthcare settings.

OBJECTIVES

To develop and evaluate a multifaceted, community-based depression care program (the Interconnections Project) for African American women with a history of IPV.

METHODS

We used a community-based participatory research (CBPR) approach to develop, implement, and evaluate the intervention. Participants were African American women who had current depressive symptoms and a lifetime history of IPV. They participated in a 6-month intervention where a peer advocate provided education, skills training, and case management services, and used Motivational Interviewing to support self-management behaviors. We conducted pre-intervention and post-intervention assessments using quantitative and qualitative data.

RESULTS

Fifty-nine women participated, with 92 % attending any sessions and 51 % attending at least 6 h of intervention activities. Intervention changes made to better accommodate participants' unpredictable schedules improved participation rates. Participants noted high levels of satisfaction with the program. There were significant improvements in depression severity (PHQ-9 13.9 to 7.9, p < 0.001), self-efficacy, self-management behaviors, and self-esteem (all p < 0.001), but no increase in use of antidepressants. Common themes related to why the program was helpful included that the program was by and for African American women, that it fostered trust, and that it taught self-management strategies with practical, lasting value.

CONCLUSION

Culturally specific, community-based interventions led by peer advocates may be a promising way to help African American IPV survivors effectively address depression.

Differential Associations Between Partner Violence and Physical Health Symptoms Among Caucasian and African American Help-Seeking Women

The relationship between partner violence and physical health symptoms is well-established. Although some researchers have theorized that the physical health effects of partner violence may be worse for ethnic minority women, there is little research addressing this topic. The current study examined whether African American women demonstrate a differential association in this relationship than Caucasian women. This study included 323 women (232 African American, 91 Caucasian) who participated in a larger investigation of the psychological and psychophysiological correlates of recent partner violence among women seeking help for the abuse. Race was examined as a moderator of the relationship between partner violence frequency and physical health symptoms. Although mean levels of partner violence frequency and physical health symptoms did not significantly differ between African American and Caucasian women, linear regression analyses demonstrated a significant positive relationship between partner violence frequency and physical health symptoms for African American women; whereas there was no association observed between these variables for Caucasian women. Post hoc analyses revealed that posttraumatic stress disorder symptoms partially mediated the association between partner violence frequency and physical health symptoms for the African American women. The current findings underscore the importance of considering race when studying the effect of partner violence on women's health.

Predicting potentially life-threatening partner violence by women toward men: a preliminary analysis

Researchers have documented predictors of life-threatening violence by men toward women. Little research has assessed predictors of life-threatening violence toward men by women. We investigated such predictors in a sample of 302 men who sustained partner violence (PV) and sought help. Based on prior research on women as victims, we examined the following as potential predictors: demographics of the participant, his female partner, and their relationship; relationship power imbalances; her use of various forms of PV; her alcohol/drug use; his use of various forms of PV; his mental health and substance abuse; and his help seeking and social support. Logistic regressions indicated that there were 2 consistent predictors: the female partner's frequency of physical PV and the number of sources from which the participant sought help.

Intimate Partner Violence among California Couples: Multilevel Analysis of Environmental and Partner Risk Factors

This study assessed the extent to which environmental (Census block-group alcohol outlet density, neighborhood demographic characteristics) and partner risk factors (e.g., hazardous drinking, psychosocial characteristics) contribute to the likelihood of intimate partner violence among 1,753 couples residing in 50 medium-to-large California cities. Multilevel logistic regression models were used to analyze the role of alcohol outlets (off-premise outlets, bars/pubs and restaurants), neighborhood demographic characteristics, and partner risk factors in relation to male-to-female partner violence (MFPV) and female-to-male partner violence (FMPV) risk. Approximately 12% of couples reported past-year partner violence. Results showed that none of the environmental measures were related to MFPV or FMPV. Male partner's impulsivity and each partner's adverse childhood experiences were associated with MFPV risk. Risk factors for FMPV were male partner's impulsivity and frequency of intoxication and female partner's adverse childhood experiences. Individual/couple characteristics appear to be the most salient IPV risk factors. The male partner's heavy drinking may lead to negative partner/spousal interactions that result in FMPV. The male partner's impulsivity, and each partner's adverse childhood experiences, may potentiate couple conflict and result in aggression. Interventions that target prevention of family dysfunction during childhood may help reduce interpersonal violence in adulthood.

Across racial/ethnic boundaries: investigating intimate violence within a national sample

The number of interracial relationships in the United States continues to increase. The fact is, though, that race remains a significant influence in the lives of individuals and in their relationships. Although there is evidence that relationships that cross racial/ethnic boundaries may be at greater risk for conflict and dissolution, there have been few investigations as to whether such relationships are at greater risk for violence. Using data from the National Violence Against Women Survey, I find that there are differences in risk of intimate violence depending on the racial/ethnic dyad of the couple. Ethnic monoracial relationships demonstrate the greatest risk for physical and nonphysical forms of violence, controlling for structural factors, whereas women in interracial relationships report higher rates of nonphysical violence, as compared with women in White monoracial relationships. Implications for theory and practice are discussed.

Association of intimate partner violence and childhood sexual abuse with cancer-related well-being in women

BACKGROUND

Limited evidence suggests that intimate partner violence (IPV) may be associated with poorer cancer outcomes. We hypothesized that timing and type of IPV as well as childhood sexual abuse (CSA) may negatively affect depression, perceived stress, and cancer-related well-being.

METHODS

This was a cross-sectional study of women diagnosed with either breast, cervical, or colorectal cancer in the prior 12 months included in the Kentucky Cancer Registry. Consenting women were interviewed by phone (n=553). Multivariate analysis of covariance (MANCOVA) was used to determine the association between IPV (37% lifetime prevalence) and type, timing, and the range of correlated cancer-related well-being indicators, adjusting for confounding factors.

RESULTS

IPV (p=0.002) and CSA (p=0.03) were associated with the six correlated well-being indicators. Specifically, lifetime and current IPV were associated with lower Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) (p=0.006) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-SP) (p=0.03) scores, higher perceived stress at diagnosis (p=0.006), and depressive symptom scores at diagnosis (p<0.0001), whereas CSA was associated with lower FACT-B (p=0.02), increased number of comorbid conditions (p=0.03), and higher current stress levels (p=0.04). Current and past IPV, as well as psychologic abuse, were associated with poorer well-being among women with a recent cancer diagnosis.

CONCLUSIONS

Our results provide evidence that both IPV and CSA negatively influence cancer-related well-being indicators. These data suggest that identification of lifetime IPV and other stressors may provide information that healthcare providers can use to best support and potentially improve the well-being of female cancer patients.

Examining gender differences in the nature and context of intimate partner violence

Many studies have been conducted on gender differences in intimate partner violence (IPV), producing inconsistent results. Some studies report that men were victimized by IPV as much as women were, whereas others find that IPV was predominantly perpetrated by men against women. The nature and context of IPV may be crucial to understanding gender differences in IPV, but national data collections do not regularly report on this information. This study expects to fill this gap by using nationally representative data to examine differences in the nature and context of IPV between male and female perpetrators. This study uses the Collaborative Psychiatric Epidemiology Surveys (CPES). Descriptive statistics for each gender are first obtained (n = 2,190). A discriminant analysis is used with gender as a grouping variable, including only perpetrators of IPV (n = 236). The independent variables are age, race, education, employment, financial security, frequency and severity of IPV, controlling behaviors, and the initiator of physical arguments. The study findings suggest that women and men do not vary much in the prevalence, frequency, and severity of IPV, controlling behaviors, or the initiation of physical arguments. They also suggest that those variables are rather weak in differentiating IPV against men from IPV against women. Since the study revealed some gender differences in IPV and, at the same time, encountered methodological difficulties in convincingly showing them as real gender differences, more research is clearly needed.

Developing an empirical profile for elder abuse research in Canada

The aging population of Canada and the associated caregiving demands highlight the need for elder abuse research. The objectives of this article are to provide a review of literature while identifying recommendations and directions for future research. Significant gaps in the knowledge base are identified that preclude the development of effective programming and policies. Future research directions include prevalence studies in community and institutional settings; studies on correlates, risk, and protective factors; research to clarify definitional issues and to develop psychometrically sound measurements; qualitative studies; and the need to support elder abuse research through capacity building and appropriate resource strategies.

Investigating partner abuse among HIV-positive men who have sex with men

High rates of partner abuse (PA) of all types-physical, sexual, and psychological-have been identified in studies of HIV-positive individuals. We examined both the prevalence and correlates of same-sex PA in HIV-positive men who have sex with men (MSM). Participants recruited from public outpatient HIV clinics (N = 168) completed CASI surveys about PA and current physical and mental health. Electronic medical record data were obtained for HIV biomarkers. Results indicate high rates of past year PA (physical, 19%; sexual, 17%; psychological, 51%; any, 54%), with rates comparable to, or higher than, those reported in recent studies of HIV-positive women and older studies of HIV-positive MSM. Overall, participants endorsing past year PA reported poorer mental but not physical health. Participants who endorsed past year physical PA, specifically, reported the largest number of mental health problems. HIV care providers should routinely assess PA, especially physical PA, in all MSM patients.

A Systematic Review of Risk Factors for Intimate Partner Violence

A systematic review of risk factors for intimate partner violence was conducted. Inclusion criteria included publication in a peer-reviewed journal, a representative community sample or a clinical sample with a control-group comparison, a response rate of at least 50%, use of a physical or sexual violence outcome measure, and control of confounding factors in the analyses. A total of 228 articles were included (170 articles with adult and 58 with adolescent samples). Organized by levels of a dynamic developmental systems perspective, risk factors included: (a) contextual characteristics of partners (demographic, neighborhood, community and school factors), (b) developmental characteristics and behaviors of the partners (e.g., family, peer, psychological/behavioral, and cognitive factors), and (c) relationship influences and interactional patterns. Comparisons to a prior review highlight developments in the field in the past 10 years. Recommendations for intervention and policy along with future directions for intimate partner violence (IPV) risk factor research are presented.

Alcohol outlet density and intimate partner violence-related emergency department visits

BACKGROUND

Previous research has identified risk factors for intimate partner violence (IPV) severity, injury, and emergency department (ED) visits. These risk factors have been shown at both the individual level (heavy drinking and other substance use on the part of 1 or both partners) and the neighborhood level (residence in an area characterized by poverty and social disadvantage). Alcohol outlet density has been linked with assaultive violence in community settings, but has not been analyzed in relation to IPV-related ED visits. This study examined the effects of outlet densities on IPV-related ED visits throughout California between July 2005 and December 2008.

METHODS

Half-yearly counts of ED visits related to IPV (E-code 967.3) were computed for each zip code from patient-level public data sets. Alcohol outlet density measures, calculated separately for bars, off-premise outlets, and restaurants, were derived from California Alcohol Beverage Control records. Census-based neighborhood demographic characteristics previously shown to be related to health disparities and IPV (percent black, percent Hispanic, percentage below 150% of poverty line, percent unemployed) were included in models. This study used Bayesian space-time models that allow longitudinal analysis at the zip code level despite frequent boundary redefinitions. These spatial misalignment models control for spatial variation in geographic unit definitions over time and account for spatial autocorrelation using conditional autoregressive (CAR) priors. The model incorporated data from between 1,686 (2005) and 1,693 (2008) zip codes across California for 7 half-year time periods from 2005 through 2008 (n = 11,836).

RESULTS

Density of bars was positively associated with IPV-related ED visits. Density of off-premise outlets was negatively associated with IPV-related ED visits; this association was weaker and smaller than the bar association. There was no association between density of restaurants and IPV-related ED visits.

CONCLUSIONS

Further research is needed to understand the mechanisms by which environmental factors, such as alcohol outlet density, affect IPV behaviors resulting in ED visits.

Racial differences in the prevalence of intimate partner violence against women and associated factors

Intimate partner violence against women (IPV) affects all populations, but significant variations among these groups have been suggested. However, research results on racial differences in IPV are not only inconclusive, they are also limited-particularly with regard to racial minorities. As a result, it has been challenging for practitioners and service providers in many communities to serve an increasing number of racial minority clients. This study used the Collaborative Psychiatric Epidemiology Surveys (CPES) to examine differences in the prevalence of IPV, and associated factors, among major race groups in the U.S. Included variables were age, race, financial security, employment, education, social network, IPV perpetration and victimization, and severity of IPV. The results showed that Blacks were victimized the most, followed by Whites and Latinos, and Asians were victimized the least. Asians were the least likely to be victimized by IPV, even when controlling for sociodemographic variables. The odds of victimization for Blacks and Latinos were not significantly different from Whites. Financial security and age affected IPV victimization. Those who perceived themselves as financially secure were less likely to be victimized than those who did not. The older were less likely to be victimized than the younger. Employment, education, and social networks did not affect victimization. Race was not a significant predictor of perpetration, when controlling for other variables. Age was the only predictor of perpetration: the older were less likely to perpetrate IPV than the younger.