Intimate partner violence among HIV positive pregnant women in South Africa

The aim of the study was to determine the prevalence of intimate partner violence (IPV) and associated factors among pregnant HIV-infected women in primary health care facilities in Nkangala and Gert Sibande districts, Mpumalanga, South Africa. Participants were 673 women who were, on average, 28.39 ± 5.73 years old. Data were collected through Audio Computer Assisted Self Interview (ACASI), and analysed using the IBM Statistical Package for Social Sciences (SPSS). Overall, 56.3% reported having experienced either psychological or physical IPV, and 19.6% reported physical IPV. In logistic multivariable regression analyses, higher levels of depressive symptoms and greater perceived stigma were associated with combined physical and psychological IPV. Psychological IPV and physical IPV were also individually associated with greater perceived stigma and higher levels of depressive symptoms. The design and implementation of evidence-informed interventions that can empower and protect HIV-infected pregnant women from IPV is essential to managing their health-related quality of life.     

Predicting Bidirectional Intimate Partner Violence: Demographic and Historical Factors That Influence Initiating Threats or Use of Violence by IPV Victims

Using data from the National Violence Against Women Survey, this study explored the role of gender and other demographic and historical factors that influence initiating threats or use of violence among a sample of intimate partner violence (IPV) victims—an element of bidirectional violence. For this study, involvement in a relationship marked by bidirectional violence was defined as an affirmative response to this question: Were you the first person to use/threaten physical force? after respondents self-identified as IPV victims. The hypothesized model to predict initiating threats or use of violence among male victims was not significant, but marital status, income, employment status, and childhood victimization experiences did significantly predict female behavior. Age, race, education, alcohol use, drug use, and posttraumatic stress disorder (PTSD) symptoms were not useful in explaining model variance for men or women. The rates of perpetration were equivalent for males and females; however, these findings suggest that gender is still an important context to consider when theorizing about bidirectional IPV.     

Intimate Partner Violence and Relationship Dissolution Among Reserve Soldiers

The military has sought to prevent intimate partner violence (IPV) and relationship dissolution. This study examined the longitudinal associations of psychosocial, demographic, and military service characteristics with IPV and relationship dissolution among 546 married or cohabiting reservist military personnel that both mobilized and demobilized during an approximate 8-month period in 2003. Over 13% reported engaging in IPV in the year prior to mobilization. Younger age and more stress were associated with IPV. Upon demobilization, 5% of the sample had experienced relationship dissolution, which was associated with less education, CONUS (continental United States) deployments, and enlisted rank. Identifying the factors associated with IPV and relationship dissolution may help detect couples at potential risk to improve family support and military readiness.     

Development and psychometric evaluation of a rapid intimate partner violence perpetration screening tool

Current methods of identifying intimate partner violence (IPV) perpetration rely upon lengthy screening instruments, partner injury, and legal involvement. There exist no viable, brief screening tools to facilitate the rapid and early identification of IPV perpetration. The development of a brief IPV screening tool would reduce participant burden and compensation in research as well as aid in self‐identification and appropriate consultation for treatment. Three samples were recruited and administered an IPV assessment measure. Receiver Operating Characteristic (ROC) curve analyses were used to determine a critical subset of items that could be rapidly administered and used to accurately detect physical IPV perpetrators. A set of four items emerged that were capable of differentiating between partner violent and nonviolent participants in Samples 1 (the Area Under the ROC Curve (AUC) = .95, SE = .02), 2 (AUC = .98, SE =.01), and 3 (AUC = .94, SE = .04). Internal consistency of the screening items was acceptable across samples and the scores on the screening tool were significantly associated in the expected direction with all assessed risk factors for IPV. Initial evaluation of the rapid IPV perpetration screening tool suggests that it may help satisfy the growing need to quickly determine research eligibility and to help college students self‐identify risk, offering objective data upon which to base the decision for follow‐up consultation.

     

Controversies Involving Gender and Intimate Partner Violence: Response to Commentators

In this response, I raise additional concerns related to controversies about gender and intimate partner violence (IPV). First, I argue that focusing on the dynamics of bi-directionally violent couples will enhance our ability to prevent a large quantity of IPV. Second, while directing resources toward those most impacted by IPV (i.e., women, children) is essential; pre-determining that women are always the appropriate victims is sexist and detrimental to prevention efforts. Third, although I offered a typology of bi-directionally violent couples, most of the factors associated with IPV (i.e., attachment, perceived control, fear, anger) and, most aspects of IPV, are dimensional constructs occurring in a society in which women’s roles are fluid. Making sense of this complexity poses a continued challenge.     

The Effects of Social Capital and Neighborhood Characteristics on Intimate Partner Violence: A Consideration of Social Resources and Risks

Intimate partner violence (IPV) is a growing public health problem, and gaps exist in knowledge with respect to appropriate prevention and treatment strategies. A growing body of research evidence suggests that beyond individual factors (e.g., socio‐economic status, psychological processes, substance abuse problems), neighborhood characteristics, such as neighborhood economic disadvantage, high crime rates, high unemployment and social disorder, are associated with increased risk for IPV. However, existing research in this area has focused primarily on risk factors inherent in neighborhoods, and has failed to adequately examine resources within social networks and neighborhoods that may buffer or prevent the occurrence of IPV. This study examines the effects of neighborhood characteristics, such as economic disadvantage and disorder, and individual and neighborhood resources, such as social capital, on IPV among a representative sample of 2412 residents of Toronto, Ontario, Canada. Using a population based sample of 2412 randomly selected Toronto adults with comprehensive neighborhood level data on a broad set of characteristics, we conducted multi‐level modeling to examine the effects of individual‐ and neighborhood‐level effects on IPV outcomes. We also examined protective factors through a comprehensive operationalization of the concept of social capital, involving neighborhood collective efficacy, community group participation, social network structure and social support. Findings show that residents who were involved in one or more community groups in the last 12 months and had high perceived neighborhood problems were more likely to have experienced physical IPV. Residents who had high perceived social support and low perceived neighborhood problems were less likely to experience non‐physical IPV. These relationships did not differ by neighborhood income or gender. Findings suggest interesting contextual effects of social capital on IPV. Consistent with previous research, higher levels of perceived neighborhood problems can reflect disadvantaged environments that are more challenged in promoting health and regulating disorder, and can create stressors in which IPV is more likely to occur. Such analyses will be helpful to further understanding of the complex, multi‐level pathways related to IPV and to inform the development of effective programs and policies with which to address and prevent this serious public health issue.     

The Association between Attachment Styles and Physical Intimate Partner Violence Perpetration and Victimization: A Meta‐Analysis

In this meta‐analysis, we examine attachment styles—something commonly incorporated into couples therapy—and their association with physical intimate partner violence (IPV) perpetration and victimization among men and women. This meta‐analysis incorporated 33 studies that looked at the association between four different attachment styles and IPV. This study examined the strength of the correlation among different attachment styles and IPV perpetration and victimization, examined gender differences in the strength of the association among attachment styles and IPV, and compared the strength of the association with IPV among different attachment styles. We found that anxious attachment, avoidant attachment, and disorganized attachment styles were all significantly associated with physical IPV perpetration and victimization. Secure attachment was significantly negatively related to IPV perpetration and victimization. There was a significantly stronger association between avoidant attachment and IPV victimization for women compared to men. Clinical implications related to the importance of fostering secure attachments when working with couples or individuals who have experienced IPV are addressed.     

Substance use and partner violence among urban women seeking emergency care

Growing evidence suggests intimate partner violence (IPV) and substance misuse are co-occurring problems that disproportionately affect low income urban women seeking care in emergency departments (EDs) and represent leading causes of injuries that result in ED visits. This paper examines temporal bidirectional associations between different types of drug and alcohol use and different types of IPV in a longitudinal study of a representative sample of 241 low-income urban women receiving emergency care from an ED in the Bronx, New York. After adjusting and matching for sociodemographics and potentially confounding multilevel risk and protective covariates, women who reported using heroin in the prior 6 months at Wave 1 were twice as likely as nonheroin-using women to indicate any physical, injurious, or sexual IPV at subsequent waves and were 2.7 times more likely to indicate experiencing an injury from IPV at subsequent waves. Crack or cocaine use in the past 6 months at Wave 1 was associated with an increased likelihood of injurious IPV and severe verbal abuse at subsequent waves. Findings also suggested that sexual IPV was significantly associated with subsequent use of crack or cocaine. The multiple bidirectional associations found linking these problems underscore the need for conducting routine screening for IPV and substance misuse among women in low-income urban EDs, and for improving linkages to services that will ultimately reduce the risk of morbidity, disability, and mortality related to these co-occurring problems.     

Personality and situational correlates of self-reported reasons for intimate partner violence among women versus men referred for batterers' intervention

This study examines personality and situational correlates of self-reported reasons for intimate partner violence (IPV) among women and men court-ordered to batterers' intervention as IPV offenders. Women endorsed self-defense and men retaliation as their primary reasons for IPV. Both also endorsed emotion dysregulation as a reason for much of their violence. Women's partner violence was largely, but not exclusively, situationally motivated. Women's reasons for violence also related significantly to self-reported borderline personality symptomology. Men's reasons for IPV related primarily to their self-reported antisocial and borderline personality traits, not to situational factors. Thus, the IPV of some women and some men may be considered "characterological," in that it reflects something about the individual's character or personality. Control or domination of one's partner was not a primary reason for violence among women or men, despite the assumption on which many batterer intervention programs are based, that IPV is primarily a power and control tactic. Clinical implications and recommendations for future research are provided.     

Barriers to Help-Seeking Among Immigrant African Women Survivors of Partner Abuse: Listening to Women's Own Voices

Most studies in the United States documenting immigrant women's experiences of intimate partner violence (IPV) have not included the perspectives of abused immigrant African women. This study utilized a phenomenological approach to explore help-seeking barriers and factors impacting decisions to leave an abusive relationship among 15 immigrant African women. Results from the qualitative analysis indicated that the culture of gender inequality and acceptance of gender violence were primary barriers. Self-blame, loyalty, concern for children, and lack of knowledge regarding abuse, services, and legal rights were additional barriers, along with structural factors such as finances, underemployment, and housing. Muslim African women also feared the additional stigma of being in polygamous relationships. Implications for practice and future research are discussed.     

Expanding perspectives: A social inequities lens on intimate partner violence,reproductive justice,and infant mental health

Intimate partner violence (IPV) poses a threat to the attainment of reproductive justice. Women who experience IPV are limited in their ability to parent their children in a secure and nurturing environment, which can have negative effects on the mother and child immediately and long-term, potentially distressing reproductive well-being across generations. Societal inequities faced by women, particularly women of color, within education, economic, and legal systems are associated with risk factors for IPV. This article will use national- and state-level data with case examples and the lens of reproductive justice to consider the impact of and potential solutions to historical and institutional inequities related to IPV.     

Friends in Need: Bystander Intervention for Intimate Partner Violence in Beijing and Seoul

How and why friends respond to control intimate partner violence has seldom been studied in survey data, in cross-cultural comparisons, or outside the United States. Moreover, the study of such responses has been siloed in two different research streams. The concept of bystander intervention has been mainly studied in psychology, whereas informal social control has been used in sociology. We use comparative data from two East Asian cultures (China and South Korea) to hypothesize and test for relationships among totalitarian-style partner control, Confucian gender role norms, secrecy regarding intimate partner violence (IPV), and two types of bystander intervention. The data consist of random probability samples of married/partnered women from Beijing (n?=?301) and Seoul (n?=?459). Multilevel models with the combined data indicate that protective intervention is negatively associated with Confucian gender role norms. Punitive intervention is associated with IPV secrecy and totalitarian-style partner control. There were important differences between Beijing and Seoul. Although not significant in the combined Seoul and Beijing data, totalitarian-style partner control and neighborhood informal social control were associated with more protective intervention in the Beijing model, but not in the Seoul model. Totalitarian-style partner control and IPV secrecy were associated with punitive intervention in Seoul, but not in Beijing. Interestingly, punitive intervention was positively associated with neighborhood socioeconomic status. Lower social cohesion in Beijing may explain differences in perceived bystander intervention between the two cities. Interventions for IPV must be thoroughly grounded in a deep understanding of sociocultural factors influencing bystander intervention.

     

Community Matters: Intimate Partner Violence Among Rural Young Adults

Drawing on social disorganization theory, the current study examined the extent to which community-level poverty rates and collective efficacy influenced individual reports of intimate partner violence (IPV) perpetration, victimization, and bystander intervention among a sample of 178 young adults (18–24; 67.4 % women) from 16 rural counties across the eastern US who completed an online survey that assessed demographic information, IPV perpetration, victimization, bystander intervention, and collective efficacy. We computed each county’s poverty rate from the 2007–2011 American Community Survey. Generalized estimating equations demonstrated that after controlling for individual-level income status, community-level poverty positively predicted IPV victimization and perpetration for both men and women. Collective efficacy was inversely related to IPV victimization and perpetration for men; however, collective efficacy was unrelated to IPV victimization and perpetration for women. Whereas IPV bystander intervention was positively related to collective efficacy and inversely related to individual-level income status for both men and women, community-level poverty was unrelated to IPV bystander intervention for both men and women. Overall, these findings provide some support for social disorganization theory in explaining IPV among rural young adults, and underscore the importance of multi-level IPV prevention and intervention efforts focused around community-capacity building and enhancement of collective efficacy.     

The Relationship between Intimate Partner Violence and Suicidal Ideation among Young Chinese,Korean, and Vietnamese American Women

ABSTRACT

High depression and suicide rates are critical problems that have a significant impact on the lives of young Asian American women. Intimate partner violence (IPV) has been identified as a predictor of suicidality in general female samples, but no research study has examined the relationship between IPV and suicidality in a sample of 1.5 and second-generation Chinese, Korean, and Vietnamese American women. We used data collected from 173 women (aged 18-35 years) who were screened for eligibility to participate in the development and efficacy study of Asian American Women’s Action for Resilience and Empowerment (AWARE). We measured the prevalence of (a) IPV, (b) lifetime suicidal ideation/intent, and (c) childhood abuse and tested the association between IPV and lifetime suicidal ideation/intent among study participants who completed the clinical screening assessments. The results indicated that seven out of 10 women in our sample experienced lifetime suicidal ideation/intent, psychological aggression was the most commonly reported form of IPV during the last six months, followed by sexual coercion, and history of physical and/or sexual partner violence had the most robust association with lifetime suicidal ideation/intent after controlling for demographic factors and childhood abuse. Our study suggests that suicide prevention and intervention programs for young 1.5 and second-generation Asian American women should not only address experiences of childhood abuse, but also incorporate culturally adapted behavioral health approaches to identify and target physical and sexual partner violence. Furthermore, any such programs need to integrate a systemic approach in addressing IPV within the context of various marginalized experiences of Asian American women.     

Changing Public Attitudes as a Prevention Strategy to Reduce Intimate Partner Violence

ABSTRACT

Although violence by intimate partners has decreased in the past decade, it is still a problem affecting many women. For instance, IPV accounted for 22% of violent crimes against women between 1993 and 1998 (NCVS). The paucity of research evaluating the effectiveness of primary prevention strategies to reduce IPV has been recognized in various reports on intimate partner violence. Experts have suggested that public awareness campaigns would be helpful both to inform abused women about strategies for getting help, and to potentially change pub-Address correspondence to Jacquelyn C. Campbell, PhD, RN, Johns Hopkins University, School of Nursing, 525 North Wolfe Street, Room 436, Baltimore, MD21205. lic attitudes and norms about IPV. This article reviews published research available on public education campaigns regarding intimate partner violence, as well as education campaigns conducted for other issues, in order to better understand the potential for success and the limitations of this type of intervention.     

Association of intimate partner violence with sociodemographic factors in married women: a population-based study in Iran

Intimate partner violence (IPV) is a neglected public health issue in Iran. This study was conducted among married women residing in urban Rasht (northern Iran), to estimate the prevalence and frequency of different forms of IPV from husband and their associations with socio-demographic factors. We carried out a population-based cross-sectional survey with cluster sampling design from February to October 2015. The samples consisted of married women aged ≥ 18 years with total household in Rasht city (north Iran) as the sample frame. We administered the Revised Conflict Tactics Scale (CTS-2) to estimate prevalence of past-year IPV. Of 2091 women, 57.1% had suffered psychological aggression, 27.6% physical abuse, 26.6% sexual abuse, and 6.9% injury. A significant association with IPV was found for women with, age ≤ 40 years, unemployed, low education, husband’s addiction and rented-householders. Women who experienced physical abuse, had less age at marriage than women without violence. Also women with sexual coercion had less length of marriage than other non-abused women. On logistic regression, the strongest predictor of psychological, physical and sexual abuse was unemployment of spouse, whereas for injury it was low educational level (<12 years) of women. Our findings suggest that risk of IPV is high in our population. There is an obvious need of preventive and treatment activities. Our findings point at that various forms of abuse are different from each other in terms of differing characteristics of the perpetrators and it might be that also different strategies are needed to reduce and prevent these violence. Confirmation by further research is needed.     

The Intimate Partner Violence Stigmatization Model and Barriers to Help Seeking

The intimate partner violence (IPV) stigmatization model identifies how three stigma components hinder IPV help-seeking behaviors: cultural stigma, stigma internalization, and anticipated stigma. Cultural stigma highlights societal beliefs that delegitimize people experiencing abuse. Stigma internalization involves the extent to which people come to believe that the negative stereotypes about those who experience IPV may be true of themselves. Anticipated stigma emphasizes concern about what will happen once others know about the partner abuse (e.g., rejection). We provide an integrative literature review that supports the IPV stigmatization model and its role in reducing help-seeking behaviors.     

Intimate Partner Violence Among Transitional-Aged Women With and Without Disabilities: Implications for Social Work Practice

Although women with disabilities are at increased risk for intimate partner violence (IPV), little is known about how this phenomenon impacts transitional-aged young women with disabilities who are still trying to master the developmental challenges of adolescence. This study explores risk factors for and prevalence of IPV by drawing on a population-based sample of women ages 18–21 with (N = 1,616,207) and without (N = 7,554,064) self-reported disabilities. Findings suggest that risk factors for IPV were more prevalent among sample members, as was past year experience of IPV. This study has implications for school social workers and disability service providers who interact with this population.     

Intimate Partner Violence and Drinking among Victims of Adult Sexual Assault

Intimate partner violence (IPV) is associated with problem drinking. Correlates of alcohol consumption frequency and problem drinking were examined among female sexual assault survivors (N = 1,863). Data were analyzed with blockwise multiple regressions. Results show heavy alcohol consumption and problem drinking were associated with IPV history, sexual assault by strangers or acquaintances, and maladaptive coping. Physical IPV history and partner sexual assault showed distinct effects on drinking outcomes among women. Physical IPV history partially mediated the effect of childhood sexual abuse (CSA) on problem drinking. Research is needed to examine the relationship between victimization histories and drinking among female sexual assault victims. This might enable treatments and interventions to be tailored to the trauma histories of female victims.     

Religious Affiliation,Denominational Homogamy,and Intimate Partner Violence Among U.S. Couples

Intimate partner violence (IPV) is a major public health issue. Few studies, however, have examined the role of religion in IPV perpetration and victimization. This study analyzed the contribution of religious factors to IPV risk and prevalence among a sample of 1,440 married couples interviewed for the 1995 National Study of Couples. Results indicate that rates of IPV did not significantly differ by couple homogamy/heterogamy or type of denominational affiliation. Attendance at religious services at least weekly was associated with lower rates of IPV perpetration among men and with lower rates of IPV victimization among men and women. These findings were attenuated in the multivariate logistic regression analyses. Study findings suggest that religion does not have a strong or direct influence on the occurrence of IPV; alcohol‐related problems, however, may be a mediating factor. Despite the null findings, religious institutions can play an important role in primary and secondary IPV prevention.