Moderate Intimate Partner Violence Research Articles

Discrepancies in Mother-Child Reports of Child's Exposure to Intimate Partner Violence: Associations With Externalizing Symptoms.

The type and frequency of children's exposure to intimate partner violence (IPV) are considered as key variables in understanding children's heightened risk of externalizing symptoms. Notably, children's exposure to IPV has been primarily measured using mothers' reports of their own victimization. However, mothers and children might differently perceive children's exposure to physical IPV. To date, no research has investigated multi-rater reporting discrepancies in child's exposure to physical IPV and whether such discrepancies would be linked to externalizing symptoms. This study aimed to identify patterns of mother-child discrepancies in child's exposure to physical IPV and examine whether those patterns would be associated with children's externalizing symptoms. Participants were mothers who have experienced police-reported male-perpetrated IPV and their children (n = 153; 4-10 years). Latent profile analysis identified three profiles of mother-child discrepancies: a concordant group reporting high IPV exposure; a discordant group with mothers and children reporting high and low child's IPV exposure, respectively; a second discordant group with mothers and children reporting low and moderate IPV exposure, respectively. Profiles of mother-child discrepancies were differentially associated with children's externalizing symptoms. Findings suggest that discrepancies among informants' ratings of children's IPV exposure might have important implications for measurement, assessment, and treatment.

Drug overdose among women in intimate relationships: The role of partner violence, adversity and relationship dependencies.

This study examines the relationship between experiencing intimate partner violence (IPV), exposure to prior childhood adversity, lifetime adverse experiences, drug-related relationship dependencies with intimate partners and overdose, hospitalization for drug use, friends and family members who overdosed and witnessing overdose. This paper included a sample of 201 women who use drugs in heterosexual relationships with criminal justice-involved men in New York City. We included measures of experiencing overdose, hospitalization for drug use, witnessing overdose, and having friends and family who overdosed. Intimate partner violence consisted of either 1) none/verbal only, 2) moderate and 3) severe abuse. Dichotomous indicators of drug-related relationship dependencies included financial support, drug procurement, splitting and pooling drugs. A scale measured cumulative exposure to childhood adversity and lifetime exposures to adverse events. This paper hypothesized that experiencing moderate and severe IPV, drug-related dependencies and exposure to prior childhood and lifetime adversity would be associated with a greater risk of experiencing overdose, hospitalization for drug use, witnessing overdose and having friends and family members who overdosed. Generalized linear modeling with robust variance estimated relative risk ratios that accounted for potential bias in confidence intervals and adjusted for race, ethnicity, education and marital status. We found experiencing moderate or severe IPV was associated with ever being hospitalized for drug use and having a family member who experienced overdose. Experiencing moderate IPV was associated with increased risk of witnessing overdose, Partner drug dependencies were associated with overdose, ever being hospitalized for drug use, witnessing overdose, and having a family member or friend who experienced overdose. Childhood and lifetime adversity exposures were significantly associated with increased risk of overdose, ever being hospitalized for drug use, ever witnessing overdose and having a friend and family member who overdosed. Findings underscore the intersection of experiencing IPV and drug-related relationship dependencies, childhood adversity and lifetime adversity in shaping experiences of and witnessing overdose among women who use drugs. They highlight the urgent need to address IPV, adversity experiences and drug-related relationship dependencies in overdose prevention for women who use drugs.

Associations between intimate partner violence, violence-related policies, and HIV diagnosis rate among women in the United States

PurposeTo assess the association between state-level intimate partner violence (IPV) prevalence and HIV diagnosis rates among women in the United States and investigate the modifying effect of state IPV health care policies. MethodsData on HIV diagnosis rates were collected from HIV surveillance data from 2010 to 2015, and IPV prevalence data were collected from the National Intimate Partner and Sexual Violence Survey from 2010 to 2012. States were coded for IPV health care policies on training, screening, reporting, and insurance discrimination. ResultsStates with higher IPV prevalence was associated with higher HIV diagnoses among women (B = 0.02; 95% confidence interval [CI] = 0.003, 0.04; P = .02). State policies were a significant effect modifier (B = −0.05; 95% CI = −0.07, −0.02; P < .001). Simple slopes revealed that the association between IPV and HIV diagnosis rates was stronger in states with low IPV protective health care policies (B = 0.09; CI = 0.06, 0.13; P < .001) and moderate IPV protective policies (B = 0.05; 95% CI = 0.02, 0.07, P < .001), but not in states with high IPV protective policies (B = −0.009; 95% CI = −0.04, 0.02; P = .59). ConclusionsHIV prevention programs should target IPV and link to community resources. IPV-related policies in the health care system may protect the sexual health of women experiencing IPV.

Patterns of Intimate Partner Violence Victimization Among South African Women and Their Relation to Emotional Distress During Pregnancy and Postpartum.

Although numerous studies have established a link between intimate partner violence (IPV) victimization and maternal mental health, extant research examining this association has not considered heterogeneity in the forms of IPV that women experience. This is an important gap given that typological perspectives suggest that mental health consequences of IPV victimization may depend on the particular pattern of IPV that is experienced. The current study used latent class analysis to (a) identify and characterize distinct patterns of physical, psychological, and sexual IPV and male controlling behavior in a sample of pregnant South African women (n = 1,480) and (b) examine associations between IPV patterns and emotional distress during pregnancy (baseline) and 9 months postpartum (follow-up). Latent class analysis identified a three-class solution wherein the largest class demonstrated a low probability of IPV victimization across all indicators (nonvictims; 72% of the sample) and the smallest class demonstrated high probabilities of having experienced moderate and severe forms of IPV victimization as well as male controlling behavior (multiform severe controlling IPV; 4% of the sample). A third class (moderate IPV) was identified for which there was a high probability of experiencing moderate, but not severe, physical and psychological IPV (24% of the sample). Age, education, cohabitation status, experience of childhood abuse, and forced first sex were associated with class membership. Multiform severe controlling IPV victims reported significantly greater emotional distress than moderate IPV victims and nonvictims at baseline and follow-up. The results contribute to understanding heterogeneity in the patterns of IPV that women experience that may reflect distinct etiological processes and warrant distinct prevention and treatment approaches.

Personality correlates of intimate partner violence subtypes: A latent class analysis.

Perpetrators of intimate partner violence (IPV) represent a heterogeneous group who engage in a variety of aggressive acts which often co-occur. However, few studies take this co-occurrence into consideration. Failure to consider overlapping forms of IPV confounds understanding of risk factors for physical IPV, which in turn undermines identification, prevention, and intervention efforts. Though rarely studied in emerging adults, personality variables have recently been identified as important correlates of IPV. The primary aims of the current studies are to identify distinct subgroups of moderate and severe psychological and physical IPV and personality covariates of class membership. Two studies were conducted at different public regional universities in the northeast (n = 500; n = 497). Both samples were about two-thirds female, approximately one-half White, one-fifth Black, and one-quarter Latino, of any race. Latent Class Analysis identified three subgroups in both studies: low, moderate, and severe IPV. The severe and moderate IPV groups included those who reported threats and moderate physical IPV while the severe IPV group also included those who engaged in severe and injurious forms of physical IPV. Multinomial regression analysis showed that impulsive aggression discriminated moderate and severe from low IPV (Study 1), and more frequent emotionally abusive and controlling behavior, a hostile-dominant interpersonal style and trait aggression discriminated among all three groups, with severe IPV having the greatest likelihood of controlling behavior and aggression (Study 2). IPV is represented by distinct subgroups that vary by severity of IPV with different personality covariates. General aggressive and domineering tendencies in relationships characterize those engaging in severe IPV.

Influence of Perceived Femininity, Masculinity, Race/Ethnicity, and Socioeconomic Status on Intimate Partner Violence Among Sexual-Minority Women.

Sexual-minority women (SMW) are believed to experience comparable or higher rates of intimate partner violence (IPV) than heterosexual women. In this study, we expand upon existing research by examining the intersectional relationships among self-perceptions of femininity and masculinity, race/ethnicity, socioeconomic status (SES), and IPV. Data are obtained from the most recent wave of the longitudinal Chicago Health and Life Experiences of Women study that included a diverse sample of SMW (N = 608). We use multivariate generalized linear models to investigate self-perceptions of femininity and masculinity, race/ethnicity, and SES differences in multiple types of IPV, including moderate IPV, severe IPV, and a sexual-minority-specific measure of IPV, threat of "outing" one's partner. Results suggest no differences across self-perceptions of femininity and masculinity in SMW's reporting of victimization but clear differences based on race/ethnicity and SES. Implications for providing support to SMW who experience IPV and suggestions for future research are discussed.

Intimate Partner Violence in the First 2 Years of Life: Implications for Toddlers' Behavior Regulation.

Intimate partner violence (IPV) is prevalent in families with young children and challenges their healthy development. This study examined characteristics of IPV (e.g., mother- vs. partner-perpetrated, types and severity) and investigated potential effects of IPV on toddlers' behavioral regulation in a sample of families at risk for IPV. We also examined whether maternal depression and child-rearing attitudes and behavior would moderate IPV-child behavior links. These questions were addressed in a sample ( N = 400) of first-time adolescent mothers and their toddlers (1-2 years of age). Families were visited in their homes; data were collected via maternal report and observations. Partner- and self-perpetrated IPV was assessed using the Conflict Tactics Scale questionnaire; child behavior regulation was measured using the Brief Infant-Toddler Social and Emotional Assessment questionnaire. Approximately 80% of families experienced psychological aggression; almost one third reported physical assault in the past year. Both physical and psychological IPV were associated with greater toddler behavior problems. Neither maternal depression, mothers' attitudes about corporal punishment, nor nonhostile interaction moderated IPV-behavior problem links, though mothers' reports of maltreating behavior did. Among children whose mothers did not use corporal punishment/physical violence, IPV did not differentially affect behavior problems. Children whose mothers used corporal punishment/physical violence with them showed behavior problems in the context of IPV (severe psychological aggression). Results underscore the importance of exposure to IPV during the first year of life, and the prevalence of IPV perpetrated by both mothers and their partners in families with adolescent mothers.

Trajectories of intimate partner violence victimization.

IntroductionThe purposes of this study were to assess the extent to which latent trajectories of female intimate partner violence (IPV) victimization exist; and, if so, use negative childhood experiences to predict trajectory membership.MethodsWe collected data from 1,575 women at 5 time-points regarding experiences during adolescence and their 4 years of college. We used latent class growth analysis to fit a series of person-centered, longitudinal models ranging from 1 to 5 trajectories. Once the best-fitting model was selected, we used negative childhood experience variables—sexual abuse, physical abuse, and witnessing domestic violence—to predict most-likely trajectory membership via multinomial logistic regression.ResultsA 5-trajectory model best fit the data both statistically and in terms of interpretability. The trajectories across time were interpreted as low or no IPV, low to moderate IPV, moderate to low IPV, high to moderate IPV, and high and increasing IPV, respectively. Negative childhood experiences differentiated trajectory membership, somewhat, with childhood sexual abuse as a consistent predictor of membership in elevated IPV trajectories.ConclusionOur analyses show how IPV risk changes over time and in different ways. These differential patterns of IPV suggest the need for prevention strategies tailored for women that consider victimization experiences in childhood and early adulthood.

Heterosexual Intimate Partner Violence among Navy Personnel: Gender Differences in Incidence and Consequences

This study examined the incidence and consequences of receipt of intimate partner violence (IPV) as reported by 1,035 (576 female and 459 male) Navy personnel during their second year of service. Overall, 21.1% of respondents reported that they had been victims of some form of IPV during their second year of service, of which 10.5% of respondents experienced moderate IPV only and 10.6% experienced severe (with or without moderate) IPV. Women reported experiencing higher rates of moderate IPV only (12.2 vs. 8.2% of men), whereas men reported higher rates of severe IPV (16.7 vs. 6.2% of women). With regard to injury, slightly more female (54%) than male (45%) IPV victims reported one or more forms of injury. Male victims, compared with female victims, were more likely to report that they were restraining their partner or had touched their partner in a sexual way prior to their partners' violence. After controlling for pre-military levels of trauma symptoms, women with past-year experiences of IPV, compared with those with no past-year IPV, had significantly higher levels of all 10 types of trauma symptoms assessed; for men, IPV was associated with significantly higher scores on all trauma symptom scales except for those related to sexual concerns/behaviors.

Intimate partner violence as a risk factor for children's use of the emergency room and injuries

This study examined the associations between intimate partner violence (IPV) and children's use of the emergency room (ER) for an illness or injury, and care of the child by a doctor or nurse for a serious injury, accident or poisoning. We hypothesized that a mother's mental health (depression, alcohol abuse and drug abuse) and a child's lack of supervision would mediate these associations. Data were from the National Survey of Children and Adolescent Well-Being (NSCAW), a national probability study of children investigated for abuse and neglect. The analysis was limited to 2929 female caregivers who were the biological, adoptive, or stepmothers of the children. Exposure of the mother to current severe intimate partner violence was positively associated with children's use of the ER. There was no association between maternal current or past exposure to IPV and children's injuries. Current moderate IPV, current severe IPV and past severe IPV were significantly and positively associated with maternal depression. Maternal depression was not associated with child's lack of supervision. However, maternal alcohol abuse and drug abuse were positively associated with child's lack of supervision. The relationship between IPV and children's use of the ER was mediated by maternal depression. Maternal depression and lack of supervision of the children were positively associated with children's injuries. Identification of maternal IPV and depression during children's ER visits can help guide services to prevent future use of the ER and injuries to children.