Age‐Specific Associations Between Violence Exposure and Past 30‐Day Marijuana and Alcohol Use

Using data from a cohort study of students at risk for high school dropout, we examined associations between violence exposure and past 30‐day alcohol and marijuana use. We used varying‐coefficient regression with person‐level fixed effects to estimate how those associations changed within‐person across ages approximately 14–23. Generally, violence perpetration was most strongly associated with substance use, within‐person. Substance use became increasingly associated with both observed violence and violence perpetration during early/middle adolescence; this increase continued longer into development (age 18+) for alcohol use. Across most of the age range studied here, violence victimization was minimally associated with within‐person changes in substance use. Results indicate age‐specific associations between violence exposure and alcohol and other drug use, which may be useful for informing prevention strategies.     

Dangerous Privilege: Trans Men,Masculinities, and Changing Perceptions of Safety

This article examines the construction of masculinities in social interaction through in‐depth interviews with trans men living in the San Francisco Bay Area. Interviewees’ concerns for safety, particularly the threat of violence from other men, shaped their masculine practices, which led some men to practice defensive masculinities and, for others, constrained their ability to practice transformative masculinities. Respondents’ concerns for safety, and their masculine practices, changed according to variation in transition, physical location, audience, and their physical stature. These findings have implications for the relationship between men's fear of violent victimization and accountability to situated gender expectations in interaction and the persistence of gender inequality. Theoretically, this article engages a complex understanding of accountability and multiple masculinities to argue that the perceived threat of violence shapes men's practices in interaction. The fear of violence encourages conformity and inhibits men's transformative practices.     

Staying with People Who Slap Us Around: Gender,Juggling Responsibilities and Violence in Paid (and Unpaid) Care Work

Little is actually known about women's occupational health, let alone how men and women may experience similar jobs and health risks differently. Drawing on data from a larger study of social service workers, this article examines four areas where gender is pivotal to the new ways of organizing caring labour, including the expansion of unpaid work and the use of personal resources to subsidize agency resources; gender‐neutral violence; gender‐specific violence and the juggling of home and work responsibilities. Collective assumptions and expectations about how men and women should perform care work result in men's partial insulation from the more intense forms of exploitation, stress and violence. This article looks at health risks, not merely as compensable occupational health concerns, but as avoidable products of forms of work organization that draw on notions of the endlessly stretchable capacity of women to provide care work in any context, including a context of violence. Indeed, the logic of women's elastic caring appear crucial to the survival of some agencies and the gender order in these workplaces.     

Consequences of Male Partner Violence for Low‐Income Minority Women

The current study used a random sample of 563 low‐income women to test Johnson's (1995) theory that there are two major forms of male‐partner violence, situational couple violence and intimate terrorism, which are distinguished in terms of their embeddedness in a general pattern of control. The study examined the associations between type of violence experienced and respondents’ physical health, psychological distress, and economic well‐being. Analyses revealed three distinct patterns of partner violence: intimate terrorism, control/no threat, and situational couple violence. Compared to victims of control/no threat and situational couple violence, victims of intimate terrorism reported more injuries from physical violence and more work/activity time lost because of injuries. Compared to women who experienced no violence in the previous year, victims of intimate terrorism reported a greater likelihood of visiting a doctor, poorer health, more psychological distress, and a greater likelihood of receiving government assistance.     

Average cost per person victimized by an intimate partner of the opposite gender: a comparison of men and women

Differences in prevalence, injury, and utilization of services between female and male victims of intimate partner violence (IPV) have been noted. However, there are no studies indicating approximate costs of men's IPV victimization. This study explored gender differences in service utilization for physical IPV injuries and average cost per person victimized by an intimate partner of the opposite gender. Significantly more women than men reported physical IPV victimization and related injuries. A greater proportion of women than men reported seeking mental health services and reported more visits on average in response to physical IPV victimization. Women were more likely than men to report using emergency department, inpatient hospital, and physician services, and were more likely than men to take time off from work and from childcare or household duties because of their injuries. The total average per person cost for women experiencing at least one physical IPV victimization was more than twice the average per person cost for men.     

Trajectories of Prosocial Behavior and Physical Aggression in Middle Childhood: Links to Adolescent School Dropout and Physical Violence

Trajectories of prosocial behavior and physical aggression between 6 and 12 years of age were identified for a sample (N=1,025) of males. The trajectories were then used to predict school dropout and physical violence at age 17. Using a group‐based semi‐parametric method, two trajectories of prosociality (low and moderate declining) and three trajectories of physical aggression (low, moderate, and high declining) were obtained. Only a small minority (3.4%) of the boys were characterized by both high aggression and moderate prosociality. Physical aggression predicted both school dropout and physical violence, but contrary to expectations, prosocial behavior did not have additive or protective effects.     

Long‐Term Physical Health Consequences of Adverse Childhood Experiences

This study examined associations between adverse childhood family experiences and adult physical health using data from 52,250 U.S. adults aged 18 to 64 from the 2009 to 2012 Behavioral Risk Factor Surveillance System. We found that experiencing childhood physical, verbal, or sexual abuse, witnessing parental domestic violence, experiencing parental divorce, and living with someone who was depressed, abused drugs or alcohol, or who had been incarcerated were associated with one or more of the following health outcomes: self‐rated health, functional limitations, diabetes, and heart attack. Adult socioeconomic status and poor mental health and health behaviors significantly mediated several of these associations. The results of this study highlight the importance of family‐based adverse childhood experiences on adult health outcomes and suggest that adult socioeconomic status (SES) and stress‐related coping behaviors may be crucial links between trauma in the childhood home and adult health.     

Transnational Vietnamese American Marriages in the New Land

This article examines the transnational marriages between Vietnamese men living abroad and Vietnamese women living in Vietnam. By presenting conceptual and cultural evidence to discern the dynamics of gender roles and marriage expectations in transnational marriages, the article seeks to uncover the uniqueness of roles and expectations within this culture. A closer look reveals possible marital issues based on incongruent expectations between the two parties, which may lead to possible mental health and domestic violence issues. Further, the article expounds on the barriers in receiving help. Practice, policy, and research suggestions are included.     

Disability and abuse in relation to substance abuse: a descriptive analysis

This analysis reviewed five years of a state's substance abuse treatment admissions and discharges in order to identify specific patterns among persons who had a disability. Using a series of group comparisons, Chi-squares, and logistic regressions, specific patterns of violence and abuse to this population were identified. Results indicate that persons who had a disability and abused substances were more likely to be victimized by physical abuse and domestic violence when compared with their peers without a disability. A person with a disability had about one-half to one-third the odds of receiving long-term residential, short-term residential and intensive outpatient care when compared with persons without a disability.     

“People Will Bury Their Guns before They Surrender Them”: Implementing Domestic Violence Gun Control in Rural,Appalachian versus Urban Communities

Though gun violence is a global issue, the risk of firearm death is substantially higher in the United States than in other high‐income nations. Guns are deeply rooted within American culture; however, different subcultures exist along the urban‐rural divide. Such differences between urban and rural communities related to gun culture have been dubbed “firearm localism.” We investigated firearm localism in a state that has the highest proportion of firearm‐related domestic violence homicide and a large rural area representing a subgroup of rural culture: Appalachia. Specifically, key professionals reported issues related to domestic violence gun control in their communities. We conducted phone and in‐person surveys with a sample of community professionals (N = 133) working in victim services and the justice system in urban and Appalachian communities. Despite evidence of a strong gun culture in the rural communities, both urban and rural professionals estimated that about two‐thirds of their community would support restricting abusers' firearm access. Additionally, rural professionals were more likely to show concern for abusers' Second Amendment rights when discussing unintended negative consequences of gun confiscation; urban professionals were more likely to point out that gun confiscation can provide a false sense of security for victims. Policy implications are discussed.     

Associations Between Psychological,Physical, and Sexual Intimate Partner Violence and Health Outcomes Among Women Veteran VA Patients

Women veterans experience high rates of lifetime intimate partner violence (IPV) and suffer a variety of trauma-related health conditions. The purpose of this study was to identify health status and health risk behaviors associated with experiences of psychological, physical, or sexual IPV among women veterans receiving care at a Veterans Affairs (VA) medical center. We conducted surveys with 249 women veteran patients and examined health factors associated with each form of violence. Sexual IPV victimization had the most pronounced associations with adverse health. In multivariate analysis, controlling for age, race, and income, women veterans who experienced sexual violence victimization were close to or more than three times as likely as those who experienced no IPV to report poor or fair overall health, a diagnosis of post-traumatic stress disorder or depression, bipolar disorder, or anxiety, difficulty sleeping, cigarette smoking, and problem drinking. Those who reported psychological violence only (without physical or sexual violence) also reported greater odds of self-rated poor or fair health. These findings are consistent with findings from studies with non-veteran populations and serve to further identify the unique contributions of sexual IPV to health outcomes. The integrated VA health care system offers opportunities for IPV identification and response including a coordinated team-based care model with social work integrated within primary care.     

Disability and Abuse in Relation to Substance Abuse

Abstract

This analysis reviewed five years of a state's substance abuse treatment admissions and discharges in order to identify specific patterns among persons who had a disability. Using a series of group comparisons, Chi-squares, and logistic regressions, specific patterns of violence and abuse to this population were identified. Results indicate that persons who had a disability and abused substances were more likely to be victimized by physical abuse and domestic violence when compared with their peers without a disability. A person with a disability had about one-half to one-third the odds of receiving long-term residential, short-term residential and intensive outpatient care when compared with persons without a disability.     

Violence,rape, and sexual coercion: everyday love in a South African township

This paper presents findings of an anthropological study among pregnant adolescents in Cape Town, South Africa. The inquiry focuses on the sexual dynamics within adolescent relationships. The study reveals widespread male coercion and violence within sexual relationships. Informants describe assault as a regular feature of their relationships. In South Africa, power relations between men and women are commonly manifested as and imposed through sexual violence and assault. Men use physical assault to force sexual contact, beating their female partners if they refuse to have sex, are suspected of sexual infidelity, or are found to be using contraceptives. Moreover, women experience abuse such as gang rape. Yet, health promotion interventions fail to acknowledge sexual encounters as instances in which unequal power relations between men and women are expressed. It is these power relations which determine women's ability or inability to protect themselves against sexually transmitted disease, pregnancy, and unwelcome sexual acts. This study underlines the need to consider gender power issues in the design and impact assessment of HIV/AIDS and reproductive health interventions and in challenging male violence.     

Domestic violence and child abuse: developing sensitive policies and guidance

Domestic violence is everywhere and nowhere. No statutory organization or health service has work with either perpetrators or survivors of domestic violence (usually women and children) as the primary focus of their service, yet all agencies will have very significant numbers among their clients/service users. It is therefore crucial that the policy framework is developed both within and between agencies to address the need, and scope, of intervention in this area and particularly the impact on children. Currently, significant steps have been taken by some agencies in the UK to address this previously neglected issue, though the developments are patchy. This paper draws on a UK‐wide research study which mapped the extent and range of service provision for families where there is domestic violence and also developed a framework of good practice indicators for provision in this area. This article examines one of the indicators of good practice arising from the research—that of policy development—within social service departments and within the multi‐agency arena. Copyright © 2001 John Wiley & Sons, Ltd.     

A comparative study of experiences of client violence and its impact among Iranian and Swedish social workers

Client violence toward social workers has been recognized as a serious problem, and major concern has been raised with regard to its impacts on social workers' practice and physical and psychological health. There is recognition among researchers and policy-makers that it is time for the international social work community to develop conventions and agreements to address this issue globally. A cross-cultural study between Sweden and Iran was conducted to compare and contrast levels of violence between the two countries. Prevalence of violence was 72% in Sweden and 68% in Iran. Iranian social workers show a significantly higher increase in general mental health problems regarding client violence compared to Swedish social workers. Despite differences in rules and regulations between Sweden and Iran, client violence was found to be common in the two countries. Preventive policies for detecting potential violence situation are good but not enough. We suggest taking actions on building trust and supportive structures within organisations.     

Which Adolescents Need to Talk About Safety and Violence?

Summary

Exposure to violence has harmful psychological effects on adolescents, and when asked, inner-city adolescents will talk openly about violence in their lives. In response to a clinical self-assessment questionnaire, prospective adolescent mental health clients revealed high rates of exposure to physical, sexual, and community violence: 73.5% had witnessed violence, 43.6% had been a victim of violence, 26.4% had had their bodies touched in a way that made them feel uncomfortable, 24.4% had been threatened with a weapon, and 11.1% had experienced forced sex. Clients also expressed substantial worry about their own and their friends' dangerous behaviors. Desire to talk to a counselor about safety was significantly related to overall safety risk (p < .001), and over three-quarters of adolescents either wanted or needed to talk with a counselor. Age and gender differences in patterns of vulnerability and type of counseling need were explored.     

Mental Health Conditions Among North Korean Female Refugee Victims of Sexual Violence

The study aims to examine the negative effects of sexual violence on North Korean (NK) female refugees in South Korea. Although the prevalence of sexual violence victimization is extremely high and mental health problems are serious among these refugees, little to no research has been done on the relationship between sexual violence and mental health among these women. The mental health conditions of two groups of women (sexual violence victims and those who have not experienced sexual violence) were compared using ANCOVA analyses. The results show that suicidal ideation and alcohol use are significantly more prevalent in the sexual violence group than in the non‐sexual violence group. The women who had experienced sexual violence in particular should be provided with more professional and sustained treatment and management services. The government must improve the effectiveness of existing policies related to suicide and the drinking culture in South Korea.     

It's All a Matter of Attitude

Abstract

Studies have consistently documented an incidence rate of between 25% and 50% for domestic violence in gay and lesbian relationships. These numbers suggest that the gay and lesbian community is dealing with a significant mental health issue, one that is not being adequately addressed. If mental health professionals can be taught ways to assess for domestic violence in their work with sexual minorities, those persons being abused can learn strategies for ensuring their physical safety.     

“I’d rather injure somebody else than get injured”: An introduction to the study of exposure to physical violence among young people experiencing homelessness

ABSTRACT

Homeless young people are at risk for a range of negative health and behavioral outcomes, and they commonly report exposure to physical violence, as both perpetrators and victims. Semi-structured interviews focusing on exposure to physical violence were conducted with 18 homeless young people in Victoria, Australia. Results showed perpetration of physical violence occurred as a form of self-protection. Painful experiences of physical victimization were also described. Injuries were sustained as a result of both physical violence perpetration and victimization. Results suggest an important duality exists between homeless young people’s acceptance of exposure to physical violence as normal and requiring emotional detachment at the time of its occurrence, and later reflection about exposure to physical violence with emotional engagement and problematizing the necessity of normalization and detachment. Shame, stigma, and unequal power relationships were described in relation to interactions with health professionals. Future research exploring violence as a response to vulnerability and subsequent feelings of shame and stigma in homeless young people is especially warranted.     

Assessing physical, sexual, and psychological violence perpetrated by intimate male partners toward women: a Spanish cross-sectional study

There have been many studies on the impact of intimate partner violence (IPV) on women's health, there being agreement on its detrimental effect. Research has focused mainly on the impact of physical violence on health, with few studies assessing the effect of sexual and psychological violence. Furthermore, there are many differences in the way violence experienced by women is assessed. While some researchers use available instruments, others develop their own questionnaires. This article gives detailed information about physical, sexual, and psychological violence, lifetime history of women's victimization, and aspects of women's behavior and feelings obtained with the questionnaire used in a Spanish cross-sectional study. Our results corroborate that IPV is not homogeneous, it being necessary to ask women about each type of violence they have experienced. Furthermore, to accurately assess the impact of IPV on women's health, it is necessary to control for other variables that also have detrimental effects on health.