Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services

Intimate partner violence (IPV) damages a woman's physical and mental well-being, and indicates that her children are likely to experience abuse, neglect and other traumatic experiences. Adult HMO members completed a questionnaire about adverse childhood experiences (ACEs) including childhood abuse, neglect, and household dysfunction. We used their responses to retrospectively assess the relationship between witnessing intimate partner violence and experiencing any of the 9 ACEs and multiple ACEs (ACE score). Compared to persons who grew up with no domestic violence, the adjusted odds ratio for any individual ACE was approximately two to six times higher if IPV occurred (p < 0.05). There was a powerful graded increase in the prevalence of every category of ACE as the frequency of witnessing IPV increased. In addition, the total number of ACEs was increased dramatically for persons who had witnessed IPV during childhood. There was a positive graded risk for self-reported alcoholism, illicit drug use, i.v. drug use and depressed affect as the frequency of witnessing IPV increased. Identification of victims of IPV must include screening of their children for abuse, neglect and other types of adverse exposures, as well as recognition that substance abuse and depressed affect are likely consequences of witnessing IPV. Finally, this data strongly suggest that future studies, which focus on the effect of witnessing IPV on long-term health outcomes, may need to take into consideration the co-occurrence of multiple ACEs, which can also affect these outcomes.     

Warrantless Arrest in Domestic Violence

Abstract

Legislators in the United States have responded to domestic violence by passing laws to criminalize domestic violence without empirical support of the effectiveness of this intervention. This research examines policy implementation and domestic violence arrest rates to determine the effectiveness of such legislation in Virginia. The implementation of written domestic violence policies and training for law enforcement officers was expected to increase domestic violence arrest rates. The findings show a positive impact of law enforcement training on felony (repeat offender) domestic violence arrest rates. The findings are relevant for social workers involved in policy and resource allocation for domestic violence interventions.     

Union wages, rents, and skills in health care labor markets

We examine the effect of unions on the earnings of health care workers, with emphasis on the measurement and sources of union wage premiums. Using data constructed from the 1973 though 1994 Current Population Surveys, standard union premium estimates are found to be substantially lower among workers in health care than in other sectors of the economy, and to be smaller among higher skill than among lower skill occupational groups. Longitudinal analysis of workers switching union status, which controls for worker-specific skills, indicates a small impact of unions on earnings within both high and low skilled health care occupations. Evidence is found for small, but significant, union threat effects in health care labor markets. It has been argued that recent legal changes in bargaining unit determination should enhance union organizing and bargaining power. Although we cannot rule this out, such effects are not readily apparent in our data. The authors appreciate the assistance of David Macpherson, who helped develop the CPS data files used in the paper.     

Corruptus interruptus: the limits of transactional imaginaries in Moi’s Kenya

This article attempts to unsettle treatments of sovereignty that assume an intrinsic relationship between violence and the law even while critiquing the capacity of the law to ground social order through violence. In such discussions, the police become the embodiment of the force of law without content, especially in totalitarian contexts. In contrast, this article explores other conceptions of the police and by extension, sovereignty, at work in Kenya through an examination of police/citizen interactions at a marked political moment – the end of the 24-year rule of Kenyan President Daniel Arap Moi in 2002. Through a particular example of the complicated conviviality that pervades state/society relations in many patrimonial political contexts – in this case between a policeman, a bus driver, and the bus diver’s wife – I attempt to reframe normative conceptions about the police and of enforcement in the context of Kenya’s failing patrimonial economy of circulation and capture in the early 2000s.     

Economic predictors of child maltreatment in an Australian population-based birth cohort

A correlation between socioeconomic disadvantage and child maltreatment has long been observed, but the drivers of this association are poorly understood. We sought to estimate the effects of economic factors on risk of child maltreatment after adjusting for other known influences using the Australian Temperament Project, a population-based birth cohort of 2443 individuals and their parents. We used logistic regression to estimate associations of childhood economic factors (parental education, occupation, and unemployment; type of housing; and retrospective perception of poverty) with retrospective reports of perceived child maltreatment (physical abuse, sexual abuse, emotional abuse, neglect, and witnessing of domestic violence), controlling for demographic factors, parental mental health and substance use, and child health. We then used these estimates to approximate the proportions of child maltreatment—population attributable fractions—that are theoretically preventable by addressing childhood economic disadvantage. Economic factors were associated with all types of child maltreatment. For the most part, these associations diminished only partially when controlling for noneconomic confounders, supporting hypotheses of causal relationships. Jointly, economic factors were significant predictors of physical abuse, sexual abuse, and witnessing of domestic violence but not of emotional abuse or neglect. Retrospective perceptions of childhood poverty were, in particular, strongly associated with most forms of child maltreatment but not with sexual abuse after accounting for other economic factors. We estimated that 27% of all child maltreatment was jointly attributable to economic factors. These findings suggest that strategies that reduce economic disadvantage are likely to hold significant potential to reduce the prevalence of child maltreatment.     

Health care risks and access within the community of Michigan over-the-road truckers

This mixed methods study explored health care access problems faced by long-distance truck drivers. Thirty trucking professionals were interviewed at truck-stops in Michigan about health status and health care access. Thirty of the 88 drivers approached participated. The most common illnesses they reported concerned the eye, back, excessive stress at work and painful joints or arthritis. Most respondents had a family doctor; for those who did not, cost was a major contributing factor. More than one third stated their health is "not excellent" because of poor accessibility to healthcare on the road. Almost unanimously, drivers desired to have access to health care clinics in truck-stop areas and described particular access problems; the solution may be as simple as making the existing health care system more amenable to those driving large truck rigs.     

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.     

Interview: Tatyana Lipovskaya,Sisters Sexual Assault Recovery Centre,Moscow, Russia

The Sisters' Sexual Assault Recovery Center was established in Moscow, Russia, in 1993, to address the needs of victims of sexual violence. The Center's help-line received 4029 crisis calls in 1994-97. Most clients are seeking information about medical services or legal aid. Others call about employment, HIV/AIDS, alcoholism, and drug abuse. Services are available without regard to age, sex, occupation, or sexual orientation. Program funding has come entirely from Western foundations and organizations. Although Russia has not passed a law on domestic violence, the post-Communism government is reluctantly starting to acknowledge that rape and domestic violence are serious social problems. The Center runs an educational program for law enforcement officers to increase their sensitivity and create an environment of safety for women who report sexual violence.     

The Need for Domestic Violence Laws With Adequate Legal and Social Support Services

Long overlooked by the law, the area of family violence is one of the most strident examples of the law's potential impotency when unsupported by strong enforcement procedures and serious re-education programs. The law, by itself, is simply a grouping of words and phrases, innocuous in and of themselves. A law must have the backing of the community for which it is passed. If it means a major change in the lifestyle of the people, concurrent services must be made available to facilitate that change. A domestic violence law without necessary support services involving medical, legal, psychological, economic, and child care needs may as well not exist at all. Even though most states have passed some recent legislation involving family violence, much more needs to be done in order to adequately implement those laws. The major thrust of this article seeks the development of comprehensive domestic violence programs which take into consideration all aspects of the problem.     

Exposure to Economically Abusive Tactics Among Adolescent Girls in the Child Welfare System

Economically abusive tactics (EAT), including financial exploitation, economic control, and employment sabotage, have been increasingly identified in intimate relationships. Negative outcomes include increased material hardship, increased depression, and co-occurrence with physical and emotional abuse. However, there is no known research on adolescent exposure to EATs, or its relationship with other well-being indicators. This exploratory study examined the extent of witnessing EAT among adolescent girls involved in child welfare, along with relationships between witnessing EAT and exposure to physical violence, risk of mental health challenges, and current financial self-efficacy. Interviews were conducted with 105 girls ages 12–19. Results indicated that nearly half witnessed moderate to high EATs. Rates of EATs were significantly higher among girls who witnessed physical violence. At the bivariate level, witnessing EATs was correlated with increased rates of physical and emotional abuse, physical neglect, and number of types of trauma, as well as higher levels of depression and PTSD and decreased financial self-efficacy. Implications include the need for measurement refinement, screening, prevention, and intervention for child welfare-involved girls, and continued research regarding EAT exposure.     

Examining Identity Consolidation Processes Among Ethnic Minority Gay Men and Lesbians

Legal recourse is a vital avenue for many domestic violence victims. For lesbian, gay, and bisexual (LGB) people, these laws have historically been heterosexist. Considering the many states that are now inclusive of same-gender relationships, an existing data set was utilized to examine the influence of sociodemographic predictors on the perceptions of domestic violence law among LGB. Our findings illustrate that nonwhite LGB and those who have negative perceptions of law enforcement have the most negative perceptions of domestic violence legal protections as they apply to same-gender relationships. These findings have implications for service providers, advocacy and outreach organizations, and future research exploring the impact perceptions of legal avenues have on LGB victims.     

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.     

Youth violence in South Africa: exposure, attitudes, and resilience in Zulu adolescents

Exposure to violence is common in South Africa. Yet, few studies examine how violence exposure contributes to South African adolescents' participation in youth violence. The aims of this study were to examine effects of different violence exposures on violent attitudes and behavior, to test whether attitudes mediated effects of violence exposures on violent behavior, and to test whether adult involvement had protective or promotive effects. Questionnaires were administered to 424 Zulu adolescents in township high schools around Durban, South Africa. Structural equation modeling (SEM) was used to test associations among violence exposures and both violent attitudes and behavior. Victimization, witnessing violence, and friends' violent behavior contributed directly to violent behavior. Only family conflict and friends' violence influenced violent attitudes. Attitudes mediated effects of friends' violence on violent behavior. Multiple-group SEM indicated that adult involvement fit a protective model of resilience. These findings are discussed regarding their implications for prevention.     

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.     

Wage Differentials of Transportation Industries: Deregulation Versus Regulation

This article investigates the wage differentials of similar occupations in three for-hire transportation carrier industries, railroad, truck, and motor bus, under regulation and deregulation. The estimation results indicate that the union wage gaps among all occupations have widened under deregulation. Specifically, the union wages of railroad occupations have increased relative to those of truck drivers and the union wages of truck drivers have increased relative to those of motor bus drivers. Further, wage gaps for all occupations for this period are greater among nonunion than among union workers.     

The relationship between driver aggression,violence, and vengeance

A distinction is made between mild driver aggression and driver violence as unique constructs that differ mainly in frequency of occurrence and severity of outcome. Drivers completed questionnaires assessing the likelihood of engaging in mild driver aggression, the frequency of past driver violence, driving vengeance, and willful violations. Violence was predicted by the interaction of mild aggression and vengeance, such that violence was greater among aggressive drivers, but only for those with elevated levels of vengeance. Driver violence was also predicted by the interaction of mild aggression and violations. Specifically, violence was greater among aggressive drivers reporting traffic violations. The present findings suggest that mild driver aggression and driver violence are linked within a small group of drivers that hold other dangerous driving attitudes and behaviors as part of their typical driving repertoire.     

Worlds apart? Public,private and non-profit sector providers of domiciliary care for older persons in Ireland

Domiciliary care of older persons is changing rapidly in Ireland. The most significant recent changes are the emergence of private home care companies, the introduction of a new policy instrument (cash-for-care) and the professionalisation of the non-profit (formerly voluntary) sector providers. This research project set out to explore the central differences and commonalities between care work in the public, private and non-profit sectors. Sixty-three care workers across the three sectors participated in semi-structured interviews and focus groups. The content of these was analysed under six different themes. Separate interviews were conducted with middle managers involved in the recruitment, training and supervision of care workers. Several salient differences between the three sectors were discovered, most importantly with regard to social protection, composition of the care workforce, and flexibility in work tasks; all of these in turn have implications for the quality of employment and quality of care.     

Do laws restricting access to firearms by domestic violence offenders prevent intimate partner homicide?

Domestic violence imposes a large cost on society. The authors exploit state variation in timing to examine the impact of three types of law on intimate partner homicides. These laws restrict access to firearms by individuals who are subject to a restraining order or have been convicted of a domestic violence misdemeanor or allow law enforcement officers to confiscate firearms at a domestic violence scene. The authors find that female intimate partner homicide rates decline 7% after a state passes a restraining order law. They find no effect from the domestic violence misdemeanor or confiscation laws.