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.     

Intimate partner violence and Hurricane Katrina: predictors and associated mental health outcomes

This study sought to establish the prevalence and correlates of intimate partner violence (IPV) victimization in the 6 months before and after Hurricane Katrina. Participants were 445 married or cohabiting persons who were living in the 23 southernmost counties of Mississippi at the time of Hurricane Katrina. Data for this study were collected as part of a larger, population-based, representative study. The percentage of women reporting psychological victimization increased from 33.6% prior to Hurricane Katrina to 45.2% following Hurricane Katrina (p < .001). The percentage of men reporting psychological victimization increased from 36.7% to 43.1% (p = .01). Reports of physical victimization increased from 4.2% to 8.3% for women (p = .01) but were unchanged for men. Significant predictors of post-Katrina victimization included pre-Katrina victimization, age, educational attainment, marital status, and hurricane-related stressors. Reports of IPV were associated with greater risk of post-Katrina depression and posttraumatic stress disorder. Data from the first population-based study to document IPV following a large-scale natural disaster suggest that IPV may be an important but often overlooked public health concern following disasters.     

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.     

Crime in Nonmetropolitan America: A National Accounting of Trends,Incidence Rates,and Idiosyncratic Vulnerabilities1

Abstract The prevalence and nature of crime in rural America have been given relatively little research attention. An overview of the trends, incidence rates, and particular vulnerabilities nonmetropolitan (nonmetro) residents have to criminal victimization compared with their metropolitan (metro) counterparts are provided through data from the National Crime Victimization Survey. Results indicate that victimization rates for all locations generally have been declining since the peak rates witnessed in the mid- 1970s, with residents of metro central cities being the most susceptible to victimization, followed by other metro and nonmetro residents, respectively. Certain subgroups of nonmetro residents, however, are as susceptible as their counterparts in metro areas who reside outside central cities to particular types of victimization. Implications for policy are discussed.     

The impact of childhood sexual abuse and intimate partner violence on sexually transmitted infections

Childhood sexual abuse (CSA) and adult intimate partner violence (IPV) have both been found to be associated with sexually transmitted infections (STIs) independently, but studies of STIs have rarely looked at victimization during both childhood and adulthood. This paper examines the relationship between CSA, IPV and STIs using data from a nested case-control study of 309 women recruited from multiple health care settings. Overall, 37.3% of women experienced no violence, 10.3% experienced CSA only, 27.3% experienced IPV only, and 25.0% experienced both CSA and IPV. Having ever been diagnosed with an STI was associated with violence (CSA only, odds ratios [OR] = 2.8, 95% confidence intervals [CI] = 1.0-7.5; IPV only, OR = 2.2, 95% CI = 1.0-4.9; CSA and IPV: OR = 4.0, 95% CI = 1.7-9.4), controlling for demographic characteristics. Women who experienced CSA were younger when they were first diagnosed. Understanding how both childhood and adult victimization are associated with diagnosis of STIs is important to reducing the incidence and prevalence of STIs, as well as the associated consequences of STIs.     

Indigenous Women and Professionals’ Proposed Solutions to Prevent Intimate Partner Violence in Tribal Communities

The purpose of this study was to unveil Indigenous women and professionals’ proposed solutions to prevent and ameliorate the disproportionate rates of intimate partner violence (IPV) experienced by U.S. Indigenous women. Reconstructive analysis of interview data from 29 adult Indigenous women who had experienced IPV and 20 professionals who work with those affected by IPV revealed the following themes: (a) increasing community engagement and awareness, (b) bolstering the existing service system, (c) enhancing competency and professional training, (d) child-focused prevention and education strategies, and (e) family-focused interventions. Recommendations provided alternative approaches to ameliorating and preventing IPV in Indigenous contexts.     

Child protection fathers' experiences of childhood,intimate partner violence and parenting

Research on mothers in child protection families has revealed that they often have a history of childhood abuse. Research has also shown that a considerable proportion of child maltreatment co-occurs with intimate partner violence (IPV) towards the mother. However, there is a dearth of research on the childhood histories and IPV victimization experiences of fathers in child protection families. To address these gaps in the literature this exploratory mixed method study of 35 men associated with a parenting program in Australia investigated fathers' childhood experiences, exposure to IPV and concern for their children's safety. Although this study was conducted with a specific group of fathers screened for serious personal problems, the findings suggest that, similar to mothers in child protection families, there are some fathers within typical child protection populations who have histories of childhood abuse and IPV victimization. In addition, many of the fathers in this study tried to protect their children from maltreatment related to the other parent. The main implication of the findings is that child protection fathers who have histories of abuse and IPV victimization should be afforded the same support and assistance as mothers in similar situations.     

Gender symmetry in dating intimate partner violence: does similar behavior imply similar constructs?

The present study examined the extent to which there is gender symmetry in the topography and experience of dating intimate partner violence (IPV). Self-report data were collected from 450 undergraduate men and women at a large Southeastern university. Perpetration and victimization rates were examined, as were context, function, and experience of fear. Results support the view that dating IPV is generally symmetrical at a topographical level, although significantly more women than men reported perpetration of severe physical assault. However, gender asymmetries were found in the context, function, and experience of fear. These findings suggest that gender-sensitive approaches are crucial to the understanding of dating IPV.     

Association between physical partner violence, posttraumatic stress, childhood trauma, and suicide attempts in a community sample of women

Our objective was to estimate the prevalence of intimate partner violence (IPV) and to explore its association with childhood maltreatment, substance misuse, posttraumatic stress, and suicidal behavior in a representative community sample of women. IPV was operationalized as a "physical attack or beating by a spouse, boyfriend, or live-in partner." We surveyed 637 women in Memphis, Tennessee, by telephone survey. Sixteen percent reported ever experiencing IPV by a male partner, and 75% endorsed multiple assaultive acts. Of abused women, 5.9% met current PTSD diagnostic criteria, and an additional 11.8% were assessed with subthreshold symptoms. Abused women were more likely than other women to be divorced, to have less than 13 years education, to endorse high levels of childhood victimization, to have abused drugs and alcohol, and to have attempted suicide. Twenty-three percent of IPV+ (abused) women reported a suicide attempt at some time in their lives compared with 3% of IPV- (nonabused) women (p < .0001). Further, multiple logistic regression analysis showed that childhood sexual and emotional abuse and low educational attainment were the only significant predictors of IPV. These results suggest that in women who endorse IPV, careful inquiry of past abuse, trauma-related symptoms, suicidal behavior, and drug use may be important, so that interventions can be both timely and appropriate.     

Understanding intimate partner violence against women in the rural South

Most U.S. intimate partner violence (IPV) research to date has been limited to women residing in urban areas, with the small body of research focusing on rural populations being primarily qualitative. In this case-control study of Southern rural women, while many factors are consistent with those found in urban settings, unlike findings elsewhere, IPV risk appears to increase with age, and race showed no increased risk. Furthermore, in rural areas where guns are more acceptable than in other parts of the United States, partners of IPV victims are considerably more likely to carry weapons than partners of nonabused women. Given the geographic limitations to police and medical response to severe IPV in a rural setting, an improved understanding of IPV risk among this population can aid health care providers in ascertaining risk before it escalates further.     

Urban “slums” and social mobility

Informal urban settlements determine the wellbeing of a large section of global humanity. Yet there has been little research on their role in facilitating social mobility. In theory such settlements may foster human progress by linking rural–urban migrants to the services, contacts and livelihoods concentrated in cities. The article uses longitudinal data for South Africa to explore the magnitude of social progression among people living within informal settlements compared with rural areas and formal urban areas. It finds that there may be some advantage from living in an informal settlement compared with a rural area, but the effect is not strong. The impact may be larger in the more prosperous Gauteng city‐region than in other urban regions.     

The contribution of childhood family violence on later intimate partner violence among robbery victims

This study examined the relative contributions of the three forms of childhood family violence exposure on physical intimate partner violence (IPV) victimization among recent robbery victims and tested a gender-matching modeling prediction for IPV risk. Data from a sample of 103 male and 93 female victims of a robbery were analyzed to investigate the effects of exposure to childhood physical abuse (CPA), childhood sexual abuse (CSA), and witnessing parental violence on the likelihood of IPV in adulthood. As expected, witnessing parental violence was associated with a 2.4-fold increase in IPV for both men and women. Neither CPA nor CSA was significantly associated with IPV after accounting for the effect of witnessing parental violence. There was support for the gender-matching hypothesis with men more likely to report IPV if they had witnessed mother-to-father violence and women more likely to report IPV if they had witnessed father-to-mother violence. Witnessing parental violence is strongly associated with risk for IPV victimization, particularly when the victim is the same-gender parent. Future directions and clinical implications are discussed.     

Patterns of Intimate Partner Violence and Sexual Risk Behavior among Young Heterosexually Active Men

Intimate partner violence (IPV) victimization is linked to sexual risk exposure among women. However, less is known about the intersection of IPV perpetration and sexual risk behavior among men. This study used data from a diverse, community sample of 334 heterosexually active young men, aged 18 to 25, across the United States to examine whether and how men with distinct IPV-related behavior patterns differed in sexual risk–related behavior and attitudes. Participants were recruited and surveyed online, and grouped conceptually based on the types of IPV perpetration behavior(s) used in a current or recent romantic relationship. Groups were then compared on relevant sexual risk variables. Men reporting both physical abuse and sexual coercion against intimate partners reported significantly higher numbers of lifetime partners, higher rates of nonmonogamy, greater endorsement of nonmonogamy, and less frequent condom use relative to nonabusive men or those reporting controlling behavior only. This group also had higher sexually transmitted infection (STI) exposure compared to men who used controlling behavior only and men who used sexual coercion only. Findings suggest that interventions with men who use physical and sexual violence need to account for not only the physical and psychological harm of this behavior but also the sexual risk to which men may expose their partners.     

The Combined Effect of Women's Neighborhood Resources and Collective Efficacy on IPV

This study integrates gender stratification and social disorganization theories to examine neighborhood effects on intimate partner violence (IPV). Using data from the Project on Human Development in Chicago Neighborhoods, multilevel models assessed the influences of women's neighborhood‐level socioeconomic resources relative to men's and collective efficacy on a woman's risk of IPV victimization by her spouse or cohabiting partner. The findings indicate that women's relative neighborhood resources protect against IPV victimization only in neighborhoods with sufficiently high collective efficacy. Likewise, the results show that collective efficacy protects against IPV victimization only when women have at least a modicum of control over neighborhood resources compared to men. The findings emphasize the importance of considering group resources along with neighborhood social organization to better understand IPV. More broadly, this study demonstrates how a group's position in a neighborhood social hierarchy helps determine the extent to which its members benefit from neighborhood social control.     

The impact of emotional and physical violence during pregnancy on maternal and child health at one year post-partum

Intimate partner violence (IPV) during pregnancy is increasingly recognized as having a negative impact on both the mother and her unborn child. The current study extends previous work to examine the impact of both physical and emotional IPV separately and cumulatively on the mother and her child. Specifically, we used the Fragile Families dataset (N = 3961) to determine the effect of emotional and physical IPV on women and children at one year postpartum. Analyses revealed that both physical and emotional victimization have independent and negative impacts on mothers and their children. Emotional victimization was associated with poorer overall health for the mother, elevated maternal depression, poorer overall health for the child, and difficult child temperament. Experiencing a combination of physical and emotional victimization resulted in more problematic outcomes. Implications for practice and research are discussed.     

Relations Among Intimate Partner Violence,Maternal Depressive Symptoms,and Maternal Parenting Behaviors

The authors examined the relations among intimate partner violence (IPV), maternal depressive symptoms, and maternal harsh intrusive parenting. Using a cross‐lagged, autoregressive path model, they sought to clarify the directionality of the relations among these 3 variables over the first 2 years of the child's life. The results indicated that, in this diverse sample of families living in predominantly low‐income rural communities (N = 705), higher levels of early IPV were associated with increases in maternal depressive symptoms, which in turn were associated with increases in maternal harsh intrusive parenting behaviors. These findings suggest that interventions aimed at improving the parenting of women exposed to domestic violence may want to simultaneously target IPV and depressive symptomatology.     

Rural and urban women's perceptions of barriers to health, mental health, and criminal justice services: implications for victim services

The purpose of this study was to examine rural and urban women's perceptions of barriers to health and mental health services as well as barriers to criminal justice system services. Eight focus groups were conducted, two in a selected urban county (n = 30 women) and two in each of three selected rural counties (n = 98 women). Results were classified into a barrier framework developed in the health service utilization literature which suggests there are four main dimensions of barriers: affordability, availability, accessibility, and acceptability. Results indicate that: (1) women face many barriers to service use including affordability, availability, accessibility, and acceptability barriers; (2) it takes an inordinate level of effort to obtain all kinds of services; however, women with victimization histories may face additional barriers over and above women without victimization histories; (3) barriers to health and mental health service utilization overlap with barriers to utilizing the criminal justice system; and (4) there are many similarities in barriers to service use among rural and urban women; however, there are some important differences suggesting barriers are contextual. Future research is needed to further clarify barriers to service use for women with victimization histories in general, and specifically for rural and urban women. In addition, future research is needed to better understand how women cope with victimization in the context of the specific barriers they face in their communities.     

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.     

The role of alcohol use in intimate partner violence and non-intimate partner violence

Alcohol use is a risk factor for violent victimization in general, and intimate partner violence in particular. However, there has been limited empirical attention on whether alcohol use is more often associated with IPV or non-IPV offenses. Further, few studies on the association between alcohol use and victimization have assessed for incident-specific alcohol use, or examined both victim and perpetrator alcohol use. We used data from the National Violence Against Women Survey to determine if incident-specific alcohol use is more prevalent in IPV or non-IPV physical assaults, and to determine if the association varied by gender. Results indicated that among women, perpetrator alcohol use was twice as likely in IPV incidents than in non-IPV incidents, but among men, perpetrator alcohol use was four times less likely in IPV incidents than in non-IPV incidents. Our results highlight the important role of gender in understanding the association between alcohol use and victimization risk.     

Balancing global city with global village

The discourse on habitat and human settlements is increasingly dominated by that of the global, mega-city. If the aim of those of us in the human settlements field are to improve our understanding of and action on habitat and human settlements, this, often exclusive, focus is a mistake. Our habitat is better understood and acted upon as a network of interwoven settlements and surrounding countryside, large and small, themselves interwoven within our larger ecosystem. In this network the habitat of our smaller settlements (smaller cities, towns, villages) and rural areas and our global village also plays a critical role. The assumption can be challenged that urbanization and the mega-city are the critical issues of habitat and human settlements. Evidence suggests that with some rurbanization there is also counter urbanization, the ruralization of cities, and, perhaps most important, a growing urbanization as city-country interactions intensify. Habitat for all and habitat for a healthy, sustainable planet demands our openness to these new concepts and realities. It demands an integrated, balanced, approach which helps a wide range of living settlement nodes, large and small, to nurture each other. Global City and Global Village must go hand in hand. Our planetary and human health depends on it.