Abstract

BackgroundAlmost one-half of U.S. women will experience intimate partner violence (IPV), defined as physical, sexual, or psychological harm by a current or former partner. IPV is associated with an increased risk of homicide, with firearms as the most commonly used weapon. We designed this study to better understand the correlation of interpersonal trauma exposures and demographic factors on firearm perceptions among a cohort of IPV-exposed women.MethodsTwo hundred sixty-seven women in central Pennsylvania with exposure to IPV were surveyed about perceptions of gun access, safety, and gun presence in the home. Trauma variables included IPV type, IPV recency, unwanted sexual exposure, and adverse childhood experiences (ACEs). Multivariable analyses examined three questions examining firearm perceptions controlling for trauma exposures and demographics.ResultsEase of firearm acquisition: Women who were older (mean 44.92 years +/− SD 12.05), compared to women who were younger (40.91 +/− SD 11.81 years) were more likely to describe it as easy or very easy to acquire a gun (aOR 1.05, 95%CI 1.004, 1.10).Perceived safety in the proximity of a gun: Women with the highest ACE score were less likely to feel safe with a gun nearby (aOR 0.31, 95%CI 0.14, 0.67).Odds of guns in the home: Women who were divorced or separated (aOR 0.22, 95%CI 0.09, 0.54), women were widowed or single (aOR0.23, 95%CI 0.08, 0.67), and women who were partnered (aOR 0.45 95%CI 0.20, 0.97) had lower odds of having a gun in the home, compared to married women. There was no significant effect of the trauma variables on the odds of having a gun at home.ConclusionsWomen with more severe childhood trauma felt less safe around firearms, but trauma exposures did not predict the perception of gun prevalence in the local community or gun ownership. Instead, demographic factors of marriage predicted presence of a gun in the home.

Highlights

  • Almost one-half of U.S women will experience intimate partner violence (IPV), defined as physical, sexual, or psychological harm by a current or former partner

  • Women with more severe childhood trauma felt less safe around firearms, but trauma exposures did not predict the perception of gun prevalence in the local community or gun ownership

  • To augment the cohort drawn from the healthcare setting, posters were displayed at 26 domestic violence shelters in Central Pennsylvania, inviting women to participate in the survey online, by phone, or by mail

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Summary

Introduction

Almost one-half of U.S women will experience intimate partner violence (IPV), defined as physical, sexual, or psychological harm by a current or former partner. In the US context, gun prevalence in a community correlates to higher rates of IPV, this association is confounded by regional and state variability. Many states have IPV-related firearm laws, most of which aim to prevent perpetrators of domestic violence from purchasing firearms; other states allow or require the removal of already owned firearms by police. States with laws removing guns from IPV perpetrators have lower rates of intimate partner related homicide [10]. These data are difficult to interpret given state level variability in both the laws themselves and their enforcement. Laws which prevent individuals who have a restraining order filed against them from owning or purchasing a firearm have been correlated with decrease in intimate partner homicide [12]

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