Dating Violence Victimization among Adolescents in Europe: Baseline Results from the Lights4Violence Project

Current institutionalized sexism in nursing degree classrooms: A multicenter qualitative study in Catalonia

Everyday sexism is not always consciously identified in nursing degree classrooms. This leads to the reproduction of inequality that is legitimized in interpersonal relationships and institutional dynamics.

AIM

Describe how nursing students perceive and experience everyday sexism in the classroom at various universities in Catalonia.

METHODS

Multicenter study using quantitative and qualitative content analysis of semi-structured interviews. The study population comprised fourth-year nursing students in Catalonia. The interviews were conducted online from February to June 2022. An ad hoc interview script was designed based on the scientific literature on the perception of sexism and discrimination in the classroom. The anonymity and confidentiality of participants and data were ensured.

RESULTS

Twenty fourth-year nursing students participated, 18 women and two men, ages 21 to 49. Use of the space was unequal: men occupy the back rows of the classroom, forming male-only groups. Moreover, men participate more often in large groups when a debate is established, and they do so impulsively. Women are more respectful and ask questions about class content. Male students tend to do less work in group projects but present more. Female students lead the group work, especially in terms of coordination and organization, and take responsibility for the more complex parts. However, they participate less in oral presentations.

CONCLUSION

In the nursing classroom, women are invisibilized and limited in their use of space. They also take on excess work but participate less. Men participate more, reject inclusive language, and work together to claim their space. These dynamics create the conditions for a nursing degree education steeped in legitimized everyday sexism.

Sexual violence in Catalan adolescents: prevalence, associated factors and health consequences

OBJECTIVE

To estimate the prevalence of sexual violence among Catalan adolescents and its associated factors, as well as examining the relationship between experiencing sexual violence and low mood and risky substance use.

METHOD

Cross-sectional study conducted with 5900 adolescents (53.2% girls). The main study variables were having experienced sexual violence and reporting unhealthy behaviours or health problems (low mood, daily tobacco consumption and alcohol and cannabis risky consumption). Prevalence rates were estimated for all variables, and Poisson regression models with robust variance were used to analyse potential associations with independent variables.

RESULTS

The prevalence of experienced sexual violence was 30%, with differences between boys (14.1%; 95%CI: 12.8-15.4) and girls (43.3%; 95%CI: 41.6-45.0). Having a minority sexual orientation, early onset of sexual relations, being in a higher academic course, having experienced and exercised bullying, and poor relationship with the parents were associated with experienced sexual violence. Experiencing sexual violence was associated with low mood, daily tobacco consumption and risky alcohol and cannabis consumption for both sexes.

CONCLUSIONS

Experiencing sexual violence in adolescence is prevalent, particularly among girls and sexual minorities, and is associated with mental health issues and substance use. The study highlights the need for gender-sensitive healthcare policies that address mental health and social support systems. Comprehensive prevention programs must consider the experiences of gender minorities and the psychosocial factors that contribute to the experience of sexual violence.

Prevalence and factors associated with the perpetration and victimization of teen dating violence: A systematic review and meta-analysis protocol

Dating violence is a global health problem that affects adolescents physically, psychologically and sexually. During adolescence, there is a high prevalence and negative consequences in both perpetration and victimization, which can vary according to culture, but maintain common characteristics in traditional societies. Factors associated with the perpetration and victimization of gender-based violence among adolescents include gender inequality, discrimination, substance use, parental neglect, peer influence and exposure to family violence. Despite modern criticisms of gender expectations, traditional views that legitimize violence persist. In this sense, the collection of global data on the prevalence and factors associated with dating violence among adolescents could favour comparative studies between Western and Eastern cultures and is fundamental for informing public policies in a globalized world. It is hoped that the results will contribute to expanding scientific knowledge in the area, as well as helping managers and the academic community to target resources, identify risk groups and promote gender equality from adolescence onwards. In this sense, this study aims to globally assess the prevalence and factors associated with the perpetration and victimization of dating violence among adolescents. It is hoped that the results will expand scientific knowledge in this area.

Validation of the Adolescent Dating Violence Victim-Blaming Attitudes Scale

Dating violence (DV) is a social problem that affects adolescents worldwide. Prevalence figures show that this type of violence is starting at an increasingly younger age, which is why it is important to study attitudes toward DV, as they are an important risk factor. Victim-blaming attitudes justify this type of violence by excusing perpetrators and blaming victims. The present study aimed to validate an instrument developed to assess victim-blaming attitudes in DV cases among the adolescent population: The Adolescent Dating Violence Victim-Blaming Attitudes Scale (ADV-VBA). Two samples of high school students were recruited using a two-stage stratified sampling by conglomerates, one consisting of 758 adolescents (48% females) and the other of 160 (50% females), whose ages ranged from 12 to 18 years. We found that this instrument presented good reliability and validity evidence, showing good internal consistency, a clear one-factor latent structure, and a close relation to other related constructs, such as ambivalent sexism and perpetration and victimization of DV. We also found that items did not present differential item functioning across gender and the instrument was especially informative for assessing moderate to high levels of victim-blaming attitudes. A short five-item version is also presented for use when time and space constraints exist. Our results indicate that the ADV-VBA scale is a psychometrically sound measure to assess victim-blaming attitudes in cases of adolescent DV.

"As I dropped the phone, she slapped me for the first time": Experiences of intimate partner violence among Nigerian men during COVID-19 restrictions

Limited literature exists on men's experiences with intimate partner violence (IPV) during the COVID-19 lockdown, especially in resource-constrained settings like Nigeria. We investigated the prevalence, risk factors, and lifetime experiences of IPV among men in Nigeria, during COVID-19 restrictions. Using a mixed methods design, we interviewed 420 married men with a structured questionnaire and conducted 20 in-depth interviews. Logistic regression and a framework approach were used for data analysis. Approximately 86.4% of respondents (n=363) experienced IPV at some point in their lifetime. The prevalence of IPV during the COVID-19 restrictions was 76.2% (n=320). Over a lifetime, verbal (67.4%), physical (78.1%), and sexual coercion (81.0%) were the most common forms of IPV. During the COVID-19 lockdown, the corresponding proportions were 48.6%, 69.5%, and 57.4%, respectively. Male- and female-perpetrated IPV over a lifetime (88.3% vs 87.6%) and during COVID-19 restrictions (88.3% vs 81.4%) were similar (p>0.05). Older age, non-Muslim religion, longer marital duration, partner's profession, and no formal education were associated with higher IPV risk. Home confinement, financial stress, childbirth, disrespect towards spouse's parents, emotional detachment, disputes about child discipline, and suspected infidelity contributed to IPV. Men's active involvement in family life, improved communication, and increased transparency emerged as protective factors. Our findings highlight the high rates of IPV during the pandemic, with men as both perpetrators and victims. Future epidemic preparedness plans should prioritize IPV prevention strategies that enhance partner communication, promote male involvement in family life, address the gender education gap, and provide support services.

Teen dating violence: predictive role of sexism and the mediating role of empathy and assertiveness based on gender

Background

Despite efforts to prevent dating violence among adolescents, it remains a major problem with multiple negative consequences. Sexist beliefs, empathy, and assertiveness influence teen dating violence (TDV) with potential gender differences.

Objectives

(1) Determine gender disparities in TDV perpetration and victimization, including relational, verbal-emotional, and physical aspects, as well as roles; (2) Analyze gender variations in sexism, empathy, assertiveness, and their relationship with TDV; (3) Establish a predictive model of sexism in TDV with empathy and assertiveness as mediators for both genders.

Participants and setting

A sample of 862 secondary school students (50.2% females, 49.8% males; mean age: 14.1 years) from diverse regions in Spain participated.

Methods

TDV was measured using the Conflict in Adolescent Dating Relationships Inventory (CADRI) in a cross-sectional study. Sexism, empathy, and assertiveness were assessed using the Ambivalent Sexism Inventory (ASI), Interpersonal Reactivity Index (IRI), and Assertiveness Inventory for Students Questionnaire (AISQ), respectively.

Results

Females exhibited higher TDV perpetration, specifically verbal-emotional TDV. Males showed more relational TDV and hostile sexism, while no benevolent sexism differences were observed. Mediation models demonstrated sexism, assertiveness, and empathy as individual predictors of TDV, with varying mediation effects. Personal distress partially mediates the link between sexism and TDV perpetration or victimization in males, while practical personal ability mediates between sexism and TDV perpetration in females.

Conclusion

Sexism predicts both perpetration and victimization in TDV, linked to empathy and assertiveness. Notably, specific dimensions of empathy and assertiveness mediate the connection between sexism and TDV, displaying gender-specific patterns. Preventive measures should consider personal distress in male perpetrators/victims and practical personal ability in female perpetrators.

Everyday sexism in nursing degrees: A cross-sectional, multicenter study

BACKGROUND

Gender stereotypes are reproduced in healthcare settings, leading to unequal relationships, discrimination, and sexism. University students express insecurity about their ability to identify and handle these situations. There are gaps in our knowledge about everyday sexism in academic and clinical nursing settings.

AIM

To describe how nursing students perceive sexist behavior in their daily life at university and during university teaching.

DESIGN

Cross-sectional, multicenter study using an online questionnaire.

SETTING

Eight universities that offer nursing degrees in Catalonia.

PARTICIPANTS

In total, 317 valid responses were collected. The inclusion criteria were to be a third- or fourth-year undergraduate or a first- or second-year postgraduate nursing student in Catalonia. There were no exclusion criteria. Snowball sampling.

METHOD

Online questionnaire designed ad hoc with sociodemographic variables, academic characteristics, and perception of sexism and discrimination in students' daily life collected between November 2020 and March 2021. The Microsexism Against Women Scale was used as a frame of reference to formulate questions on sexism and discrimination at the nursing school and during practicums. A descriptive, bivariate analysis of the data was performed.

RESULTS

Students do not place importance on differences between genders in involvement, task distribution, and oral presentation of group work. In this setting, there seems to be no perception of situations of power or inequality. Female students reported a higher frequency of unwanted physical contact than male students; however, the percentage was similar for both in practicums. Everyday sexism and discrimination were perceived at the nursing school but not in practicums.

CONCLUSIONS

Everyday sexism is perceived in nursing degrees in the context of relationships within the school but not during classroom teaching or in care settings. Various mechanisms make it difficult for students to consciously detect such behaviors. Addressing sexism in nursing training is necessary to ensure a safe learning environment.

Risk factors of self-reported physical child abuse during the COVID-19 pandemic in Japan: work-related changes in men and fear of COVID-19 in women

Background

There is no global consensus on whether pandemic-related factors are related to child abuse. How the pandemic reinforces the risk factors of child abuse might depend largely on individuals' current and past lifestyles in each country. Some changes of lifestyles continue after the pandemic, and it is important to understand which factors are strongly associated with child abuse. We analyzed the pandemic-related characteristics of offenders and non-offenders of self-reported child physical abuse from Internet survey data in Japan and discussed how the pandemic affected physical child abuse and what caused the difference by gender.

Methods

We conducted a cross-sectional study on physical child abuse by caregivers based on the Internet survey conducted from September to October 2021. We divided the participants who were living with their child aged less than 14 years into offenders and non-offenders based on the answer to the question about physical child abuse. The population distribution of the sample was compared to that of caregivers under the same conditions in a large Japanese dataset. The association between their characteristics and physical child abuse was analyzed by univariable and multivariable analysis.

Results

The caregivers analyzed in the cohort had similar population distributions to those in the large Japanese dataset. As risk factors of male offenders, "work from home 4-7 days/week," "decreased work," "normal relationships with household members (compared to good relationships)," "COVID-19 infected, both themselves and household members, within a year," "unwillingness to receive COVID-19 vaccination because the license process of the vaccine is doubtful," "high levels of benevolent sexism," and "history of child abuse" were observed. As risk factors of female offenders, "bad relationships with household members (compared to good relationships)," "fear of COVID-19," "COVID-19 infected, both themselves and household members, within a year," "feelings of discrimination related to COVID-19 in the past two months," and "history of child verbal abuse" were observed.

Conclusions

Among male offenders, a significant relationship was observed regarding work-related changes, which may have been reinforced by the pandemic. Furthermore, the extent of the influence and fear of losing jobs caused by these changes may have varied according to the strength of gender roles and financial support in each country. Among female offenders, a significant relationship was observed regarding fear of infection itself, which is consistent with the findings of other studies. In terms of factors related to dissatisfaction with families, in some countries with prominent stereotyped gender roles, men are thought to experience difficulties adapting to work-related changes induced by crises, while women are thought to experience intense fear of the infection itself.

Are Children Harmed by Being Locked up at Home? The Impact of Isolation during the COVID-19 Pandemic on the Phenomenon of Domestic Violence

The phenomenon of violence against children is a very complex one. There are many types of child abuse, and they are culturally dependent to a significant degree. Although studies show that children generally only suffer from mild COVID-19 infection, some social restrictions introduced during the pandemic, such as home isolation, may have many severe consequences on the population's mental health. Studies on this topic suggest that violence against children increased during lockdown due to the COVID-10 pandemic. This narrative review summarizes this available literature on the subject and discusses the different forms of violence against children, their cultural aspects, the impact of the COVID-19 pandemic on the phenomenon of violence, the long-term consequences of the above, and forms of assistance for abused minors.

The Perceptions of Sexual Harassment among Adolescents of Four European Countries

Sexual harassment is a crucial public health issue among adolescents. In order to develop school health promotion programs, there is a need to involve adolescents themselves paying particular attention to their perceptions, beliefs, attitudes and practices. Therefore, the aim of this study was to explore the adolescents' perceptions about sexual harassment as well as the ways it could be prevented. Four focus groups were conducted during an online "camp" in autumn 2021, facilitated by members of SHEHAP project research team. Participants were secondary school students from Finland, Greece, Lithuania and Portugal. The qualitative data was analyzed using content analysis. Concerning how participants perceive sexual harassment, the themes that emerged were: physically expressed sexual harassment; verbally expressed sexual harassment; virtually expressed sexual harassment; violation of self-determination. Virtual environment; school environment; public environment; familiar environment, were identified as the places where sexual harassment may occur. Finally, in regard to the participants' views on the prevention of sexual harassment, the following themes emerged: youth education; adult education aiming teachers and parents; professional, peer and family support; official consequences; health education methods. The findings of the current study can be used for the development of school-based programs aiming to prevent sexual harassment among adolescents.

Violence in Dating Relationships: Validation of the CADRI Questionnaire in a Young Adult Population

Dating violence in the young adult population is reaching alarming levels. However, the instruments used to measure it and their results are still heterogeneous. The main aim of this study was to validate the Conflict in Adolescent Dating Relationships Inventory questionnaire for a young adult Spanish university population aged between 19 and 25 years old, and to describe the types of violence perpetrated and suffered.

MATERIAL AND METHODS

Observational, descriptive, cross-sectional study. A validity analysis was carried out through a confirmatory factor analysis. The relative frequencies for each type of violence and the Chi2 test for two dichotomous variables were used to describe the different types of violence perpetrated and suffered.

RESULTS

The sample consisted of 976 young adults aged 19-25 years old (M = 21.7 years. SD = 1.8). The confirmatory factor analysis had an adequate structure and a good fit to the model. The types of violence perpetrated and suffered were described according to the sex of the participants, with significant differences found for verbal-emotional violence and physical violence exerted.

CONCLUSIONS

The confirmatory factor analysis allowed us to consider the application of the questionnaire to be correct for the study population.

A 10 year (2011-2021) systematic review of teen dating violence prevention programs

BACKGROUND

Teen dating violence (TDV) refers to the physical, sexual and/or psychological violence that takes place within a romantic relationship amongst teenagers. TDV has devastating consequences for the victims, particularly for young women, who also experience increased risk of relationship violence in their adulthood. In view of this, the implementation of effective TDV prevention programs has the potential to tackle both TDV and contribute to eradicate gender-based violence. The aim of this study was to conduct a systematic review examining the effectiveness of the TDV programs published during the last decade (2011-2021).

METHODS

From the 1143 studies identified through the database searches, 28 met the inclusion criteria: 10-18 years old; experimental, or quasi-experimental with control group; examining knowledge, attitudes and/or TDV behavior indicators; 2011-2021.

RESULTS

Although there were still many programs focused on changing knowledge and attitudes only, we found an increase in the number of studies examining TDV behavioral indicators. A modest improvement in the quality of the programs in terms of their ability to modify the desired TDV behaviors was detected, yet resistance to change was still observed.

CONCLUSIONS

Effective programs met many of the requirements specified by the gender transformative programme literature (time-intensive, multilevel, multicomponent skill development approaches). Nonetheless, we identified some brief, creative and effective interventions worth implementing given their cost-efficacy.

From Endorsement of Ambivalent Sexism to Psychological IPV Victimization: The Role of Attitudes Supportive of IPV, Legitimating Myths of IPV, and Acceptance of Psychological Aggression

Research on intimate partner violence (IPV) has recognized psychological abuse as a precursor of physical and sexual violence in intimate relationships. However, risk factors in predicting women's psychological abuse victimization in such a context are still unclear. The goal of the present work was to investigate the role of ambivalent sexism on psychological IPV victimization, by taking into account in the same study the effect of three additional social-psychological factors: women's (i) attitudes supportive of IPV, (ii) endorsement of legitimating myths of IPV, and (iii) acceptance of psychological aggression in intimate relationships. A total of 408 Italian young women (M age = 23.87; SD = 2.39) involved in non-marital heterosexual romantic relationships completed measures aimed at assessing (i) hostile and benevolent sexism, (ii) attitudes supportive of IPV, (iii) legitimating myths of IPV, (iv) prevalence of psychological abuse experienced within the last 12 months, and performed a task developed ad hoc to measure, and (v) acceptance of psychological aggression in intimate relationships. Results showed that the effect of ambivalent sexism on participants' prevalence of psychological abuse was mediated by the endorsement of attitudes supportive of IPV and legitimating myths of IPV, as well as by acceptance of psychological aggression. Findings are discussed based on literature about ambivalent sexism, and attitudes and beliefs about IPV.

Evaluation of the lights4violence program: reduction in machismo and acceptance of violence among adolescents in Europe

Background

Machismo and acceptance of violence (AV) against women are part of the social construction of hegemonic masculinity and are related to the risk of dating violence. This study aims to analyze the effectiveness of the Lights4Violence program in reducing machismo and AV in secondary school students from different European cities.

Methods

Quasi-experimental longitudinal study using a convenience sample of 1,146 high school students from different European cities (12–17 years old) including 575 intervention group students (59.1% girls) and 571 control group students (62.7% girls). We performed linear regression models to identify the effect of the intervention, modelling the difference in means in machismo and AV (dependent variables) between wave-2 and wave-1.

Results

An interaction was identified between the group variable and the empathy variable. In wave-2, girls with high empathy at baseline in the intervention group obtained lower mean AV scores (β: -0.131; p = 0.004). However, the boys in the intervention group (reference: control group) with low empathy at baseline registered a significant increase in the mean values of machismo (β: 0.247; p < 0.001).

Conclusion

The importance of empathy is shown in the effectiveness of interventions to reduce machismo and AV in adolescents. While the Lights4Violence program focuses on promoting healthy relationships, there were some controversial results. It is possible that some children, especially those with less empathy, may have felt “challenged” during the intervention and/or assessment. This suggests the need for the development of interventions that also consider psychological processes and integrate the promotion of positive expressions of masculinity.

Who to Tell? A Latent Class Analysis of Adolescents' Intentions to Disclose Dating Violence

Adolescents' willingness to disclose violence in romantic relationships has important implications for their safety and overall well-being. However, research is limited on adolescent intentions to seek help for dating violence. Using self-report data from 493 rural youth (54% male, 49.7% African American), this study examined heterogeneity of adolescent help-seeking in relation to different forms of violence and sources of potential disclosure. Latent class analyses identified four distinct groups of adolescents: (a) Multi-help-seekers (20.5%) who are likely to seek help for any form of dating violence from multiple sources, (b) Reluctant help-seekers (21.1%) who are unlikely to seek help for any form of violence from any source, (c) Informal help-seekers (28.8%) who are willing to disclose dating violence primarily to caregivers and friends, and (d) Selective help-seekers (29.5%) with varied intentions to disclose some forms of violence to select people. Results further revealed that class membership was differentially related to gender and caregiver's level of education. Additionally, findings confirmed expectations that variation in adolescent well-being and safety measures was a function of membership in help-seeking classes. The article discusses these findings in the context of targeted programs and services to promote help-seeking among rural youth.

Abiétar D, Sánchez-Martínez F, Forcadell-Díez L, Pérez G, Sanz-Barbero B. Dating violence and associated factors among male and female adolescents in Spain

Background

Dating Violence (DV) is a public health problem that is on the rise. In this paper, we aim to analyse different factors associated with DV victimization among female and male adolescents in Spain, considering socioeconomic circumstances, sexual orientation and the presence of different attitudes and experiences related to violence.

Methods

Cross-sectional data from a convenience sample of 640 ever-partnered adolescents aged 13 to 17 at schools in the cities of Alicante (n = 359, 50.1% girls) and Terrassa (n = 281, 51.9%) in the context of an educational intervention to promote healthy relationships. We calculated the prevalence of different forms of DV (physical, sexual and control and fear) and carried out multivariate regression models by sex.

Results

5.5% of girls and 8.7% of boys declared having suffered lifetime physical and/or sexual violence, while 22% of girls and 20.5% of boys reported control and/or fear victimization. The likelihood of DV was higher among migrants and those with foreign-born parents (aPR girls = 2.1 CI95%: 1.1–3.9; aPR boys = 1.9: CI95%: 1.0–3.6); prior experiences of abuse (aPR girls = 1.6; CI95%: 1.0–2.6; aPR boys = 1.7; CI95%: 1.1–2.6); and those who showed higher levels of machismo (aPR girls = 1.0; CI95%: 1.0–1.1; aPR boys = 1.0; CI95%: 1.0–1.1). In girls, DV increased among those who reported lesbian/bisexual orientation and poor relationship with teachers.

Conclusions

DV is socially patterned and increases among LGB adolescents (especially in the case of girls), migrants, and those with foreign-born parents, and adolescents who reported prior experiences of violence in childhood. Future DV prevention programs should consider social inequalities in the likelihood of DV and by reinforcing adolescents’ abilities to recognize social support sources and reject machismo and violence.

Psychometric Properties and Confirmatory Factor Analysis of the Spanish Version of the Maudsley Violence Questionnaire among Adolescent Students

The Maudsley Violence Questionnaire (MVQ) is an instrument specifically developed to evaluate violent thinking through two subscales examining macho attitudes and the acceptance of violence. This study analyzed the psychometric properties and factor structure of the Spanish version of the MVQ questionnaire in a large sample of 1933 Spanish adolescents. An online questionnaire was used to collect variables, such as sociodemographic and sexism data. The factor structure showed good fit indices in Spanish adolescents, which were similar to the original scale. The exploratory analysis yielded a first factor that explained 11.3% of the total variance and a second factor that explained 10.8% of the total variance. The Goodness of Fit Index (GFI) (0.902), Adjusted Goodness of Fit Index (AGFI) (0.90), Normed Fit Index (NNFI) (0.85), and the Comparative Fit Index (CFI) (0.86) suggested that the model fit the data adequately (with values ≥ 0.90) and the Root Mean Square Error of Approximation (RMSEA) (≤0.10) values indicative of an adequate fit. This study contributes a Spanish-language validated tool to measure machismo and the acceptance of violence among adolescents.

Assessing Adolescent Dating Violence in the YourLife Project: Proposal of an Instrument for Spanish-Speaking Countries

Background: Several instruments have been developed to assess adolescent dating violence but only few have been validated in Spanish-speaking settings. Some instruments are too long and may not be feasible to include them in a multipurpose questionnaire. We developed an instrument to be used in the YourLife project, an international project about young people lifestyles. Objective: We aimed to analyze the psychometric properties of this instrument in three Spanish-speaking countries (Chile, Ecuador, and Spain). Method: We included 1049 participants, aged 13–18 years. Exploratory and confirmatory factor analyses were conducted. Associations between dating violence and variables expected to covariate with it (substance use, school peer aggression, justification of dating violence, and relationship power imbalance), were tested. Results: Two different constructs (psychological and physical/sexual) for suffered and perpetrated violence were identified and confirmed in the three countries. The dating violence subscales had Cronbach’s alpha scores higher than 0.85. The strongest associations between dating violence and variables related to it were found within the relationship power imbalance items, suggesting that these items may be useful to detect adolescent dating violence when a specific questionnaire cannot be implemented. Conclusion: This instrument seems to be adequate to assess suffered and perpetrated adolescent dating violence within a multipurpose questionnaire among schooled adolescents.