Sexual Intimate Partner Violence Research Articles

Substance Use and Mental Health as Mediators of the Association Between Intimate Partner Violence Victimization and Condomless Sex with Serodiscordant Partners Among Black Sexual Minority Men Living with HIV.

Black sexual minority men (SMM) are disproportionately impacted by HIV in the United States. Intimate partner violence (IPV), substance use, and depression are associated with HIV risk behavior such as condomless sex. In this study, we assessed cross-sectional associations between multiple types of IPV victimization and condomless sex with serodiscordant partners. We then evaluated the mediating roles of mental health and substance use, in a sample of 213 Black SMM living with HIV. We used validated scales to assess IPV victimization, depression, post-traumatic stress symptoms, general mental health, and substance use. All independent variables (IPV type) that had at least a marginal (p < .10) association with the dependent variable (condomless sex with a serodiscordant partner) and any potential mediator were included in mediation models. Mediator role was determined based on a statistically significant outcome (p < .05) in the mediation model. Physical assault, injury-inducing IPV, and sexual coercion were each positively correlated with condomless sex. Depression, overall mental health, and substance use were associated with physical assault and injury-inducing IPV, and depression was associated with sexual coercion IPV. Both physical assault and injury-inducing IPV were associated with overall mental health, but none of the mental health and substance use measures mediated the associations between IPV and condomless sex. Findings suggest that HIV prevention efforts for Black SMM may need to incorporate IPV screening and prevention services. Further research is needed to understand the psychosocial pathways by which physical forms of IPV relate to condom use.

An analysis of the risk factors for intimate partner sexual violence against women and girls in Mexico

The goal of this study is to identify the extent to which a set of risk factors from the ecological model are associated with intimate partner sexual violence victimisation in Mexico. To achieve this goal, a structured additive probit model is applied to a dataset of 35,004 observations and 42 correlates. Findings indicate that age at sexual initiation, women’s sexual and professional autonomy, and social connectedness are associated with their victimisation risks. The findings provide evidence of factors that were previously unknown in Mexico or were solely based on theory but lacking empirical analysis. There are four key contributions. First, findings indicate that factors closer to the individual, such as personal experiences and interpersonal relationships, are more influential in explaining the women’s risks of IPSV victimisation. Second, significant factors were identified, including age at first sexual intercourse, autonomy in sexual and professional decision-making, and social networks. Third, it was possible to identify high-risk population subgroups that are often overlooked, such as women who had their sexual initiation during childhood. Finally, the introduction of some emerging indicators allowed for the examination of the experiences faced by women in various aspects of life, such as decision-making power and social networks.

Help-Seeking After Intimate Partner or Sexual Violence: Exploring the Experiences of International Student Women in Australia.

Research suggests that many international students experience intimate partner violence (IPV) or sexual violence (SV) whilst attending tertiary institutions. Yet, little is known about how they engage in help-seeking and what types of support they need following IPV/SV. In this paper, we present findings from a qualitative analysis of 30 in-depth interviews with international student women who experienced SV/IPV while studying in Australia. The findings highlight how isolation and structural factors can create significant barriers to help-seeking for international student women. Yet, the findings also highlight the agency and resourcefulness of international student women in overcoming challenges. The provision of culturally and linguistically appropriate and tailored support for international students is crucial in order to help reduce the harms of SV/IPV.

Intimate Partner Sexual Violence: A Phenomenological Interpretative Analysis Among Female Survivors in France.

Despite its prevalence, intimate partner sexual violence (IPSV) remains a concealed and poorly understood form of violence against women. Although it is associated with numerous detrimental effects on mental health, very little is known about the subjective meaning of IPSV for survivors. This study addresses this gap by exploring IPSV from the perspective of female survivors within the context of their relationship with a male partner, using interpretative phenomenological analysis. This study seeks to provide a detailed examination of the personal experience of IPSV and to illuminate its meaning from a personal standpoint. We conducted in-depth interviews with seven IPSV survivors who were recruited after filing a complaint for intimate partner violence (IPV) in France. In total, five superordinate themes were identified: (a) "Setting the stage" describes how the complex dynamics preceding IPSV influence self-representation; (b) "Feeling like I'm nothing" describes the emotional experience of IPSV; (c) "Trying to get it, not getting it" describes how IPSV generates intense cognitive load; (d) "Looking back, developing a theory" describes how IPSV is interpreted retrospectively after breaking up with a violent partner; and (e) "Today: living with it" describes how IPSV affects the present. This study highlights how emotional distress and cognitive uncertainty are present on the way to IPSV, through IPSV, and even after filing charges and separating from the violent partner. Additionally, it shows that survivors attribute IPSV to a sense of individual vulnerability related to romantic love, hope, and traumatic childhood history. This study presents unique findings as it is the first one to explore the lived experience of IPSV among a sample of French IPV survivors.

Intimate partner violence in the time of COVID‐19: An investigation into housing density and number of rooms as contributing factors

AbstractCOVID‐19 lockdowns have resulted in significant societal disruptions, intensifying family stress and escalating instances of intimate partner violence (IPV). Lockdowns necessitated prolonged proximity to abusers, magnifying home's significance as a space of victimization. The current study conducted in Korea (n = 813) examined the impact of housing density and room count on COVID‐19‐related IPV. Analyzing data from Seongnam City, Korea, the study examined a couple of pre‐/postpandemic, factors covariates like gender, age, employment, education, and income. Using STATA 13.0, the study conducted multiple logistic regression to examine the association between housing conditions and IPV during and prior to COVID‐19, with all covariates included. Housing density was associated with emotional IPV victimization before COVID‐19, while the number of rooms was associated with physical and sexual IPV victimization before COVID‐19 and sexual IPV victimization after COVID‐19. Time spent with partners was significantly associated with emotional IPV victimization, and the association between the number of rooms and sexual IPV victimization remained significant after adjusting for COVID‐19‐related variables. Practical implications and recommendations are discussed to address this issue and protect vulnerable populations from harm. Although poor housing conditions have been linked to increased stress levels and comprised mental health, scant attention has been paid to those relationships.

Examining strength at home couples to prevent intimate partner violence on a military installation: A randomized controlled trial.

In this study, the effectiveness of a couples-based group intervention to prevent intimate partner violence (IPV), Strength at Home Couples (SAH-C), was examined on a military installation relative to a comparison intervention, Supportive Prevention (SP). It was expected that greater reductions in use of physical, psychological, and sexual IPV behaviors, as well as reduced suicidality, would be found among service members and their partners in SAH-C relative to SP. Participants included 138 couples randomized to SAH-C and SP through a clinical controlled trial embedded in a hybrid effectiveness implementation study which took place on a military installation. The Revised Conflict Tactics Scales and Multidimensional Measure of Emotional Abuse were used to measure IPV, and 13 Military Suicide Research Consortium common data elements were used to assess suicidality. Service members randomized to SAH-C evidenced greater reductions based on effect sizes across the assessment time points for all IPV variables, including use of overall physical IPV, severe physical IPV, sexual IPV, psychological IPV, and coercive control IPV relative to those randomized to SP. Partners of service members demonstrated a similar general pattern for reductions in use of IPV, but findings were not as robust as for service members. Both service members and partners demonstrated greater reductions in suicidality based on effect sizes when randomized to SAH-C relative to SP. Findings extend prior work demonstrating the promising effects of SAH-C delivered in the military context and highlight the possible benefits of SAH-C in preventing self-harm thoughts and behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Profiles of Intimate Partner Violence and Their Differential Association With Gender Hostility Among Men Seeking Help

Intimate partner violence (IPV) perpetrated by men has been associated with men’s hostility toward women (HTW). However, no study that has examined HTW has considered every main form of IPV as well as the severity of the acts perpetrated. The purpose of the present study was to identify distinct profiles of IPV perpetration based on the severity of physical, psychological, and sexual IPV and coercive control acts and to examine potential differences in HTW between the resulting profiles in a sample of 969 men seeking help for anger management or domestic violence. In addition, given the association previously found between HTW and IPV perpetration in women, we also investigated whether hostility toward men (HTM) could also be linked to men’s profiles of IPV perpetration. The results of the latent profile analysis suggested four profiles of IPV perpetrators: minor psychological IPV and severe control, severe IPV and control, minor IPV and control, and no/minor psychological IPV. Results also indicated significant differences between the profiles in terms of both HTW and HTM. Specifically, greater HTW was observed among the profiles characterized by the highest proportion of physical IPV perpetration, whereas greater HTM was observed among the profiles characterized by the highest proportions of severe coercive IPV. Findings will contribute to guide intervention strategies tailored to these different subgroups of men.

Violence in the Family of Origin, Mentalization, and Intimate Partner Violence Perpetration

Intimate partner violence (IPV) is a serious social issue that has impact on the physical and psychological well-being of victims. Exploring the mechanisms that intervene in the intergenerational transmission of violence from family of origin (VFO) to couple relationships can provide theoretical and clinical data. Drawing on the attachment theory and Fonagy’s mentalizing model, this article aims to explore the relationship between VFO and IPV perpetration and the mediating role of mentalization. A total of 531 Italian participants who were in a relationship (68.7% females; mean age = 28.1, standard deviation = 9.0) participated anonymously in the study by completing an online questionnaire. A direct association emerged between VFO and mentalization and between VFO and IPV. Furthermore, mentalization demonstrated a direct association with IPV. An indirect effect was also found between VFO and IPV with the mediation of mentalization. However, the indirect effect of VFO on IPV through mentalization was significant only in relation to psychological IPV, whereas it was not supported in relation to physical and sexual IPV. Although further research is needed across different populations, forms, and typologies of IPV, the preliminary results found the role of mentalization in psychological IPV, providing theoretical and clinical insights.

Male Intimate Partner Violence Victims’ Experiences With Seeking Help From Legal System Services Over Time and Across Countries

Fifty years of evidence documents that men represent a substantial portion of victims of intimate partner violence (IPV). However, studies show that there are few services available to them, and qualitative studies from Western countries worldwide show that male IPV victims report uniformly negative experiences when seeking help from various legal professionals, including police, judges, lawyers, other court personnel, and victim advocates. The current study is a quantitative investigation of male IPV victims’ experiences with legal service systems across several English-speaking countries and over time. Using cross-sectional data from two samples—594 self-identified male IPV victims and 1,380 men from a crowdsourcing platform (Prolific) who reported at least one act of physical and/or sexual IPV victimization from a romantic partner—we found that men from the United States were significantly less likely to seek help from the police or legal support personnel than men from other countries, but they rated these resources’ helpfulness significantly higher. Moreover, the helpfulness of these resources increased over time. On average, across countries and time periods, ratings were consistent with unhelpfulness, with the majority of men reporting that they were not provided with appropriate resources or support. Discussion focuses on explanations for these findings, implications for practice, and suggestions for future research.

Intimate partner violence and associated factors among married adolescent girls and young women in the pastoralist community of South Ethiopia: is intimate partner violence associated with cultural phenomena?

Violence against women is a major public health problem that affects the physical, sexual, mental, and social wellbeing of more than one-third of all women worldwide. Hence the purpose of this study was to determine the prevalence of physical and sexual intimate partner violence (IPV) and associated factors among married adolescent girls and young women (AGYW) belonging to the pastoralist community of Dassenech district, South Omo Zone, South Ethiopia. A community-based cross-sectional survey was conducted among married AGYW in the Dassenech district from March 1, 2022, to April 1, 2022. A multi-stage sampling technique was adopted to select 545 participants. The data were collected using pre-tested and standardized WHO multi-country study tools. A binary logistic regression model was fitted to identify the independent predictors of physical and sexual intimate partner violence. The adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to measure the effect size, and finally, a p-value<0.05 was considered statistically significant. The prevalence of physical IPV among AGYW belonging to the pastoralist community of Dassenech district was 44.1% (95% confidence interval (CI): 40%, 48%) and that of sexual IPV was 39.3% (95% CI: 35%, 43%). The husband only deciding for the household (AOR = 11.36; 95% CI: 6.97, 18.53), the father performing the Dimi cultural ceremony (AOR = 3.70; 95% CI: 2.22, 6.14), and frequent quarrels (AOR = 2.06; 95% CI: 1.07, 3.99) are significantly associated with physical IPV. Both partners drinking alcohol (AOR = 3.47; 95% CI: 1.94, 6.20), the husband only deciding for the household (AOR = 11.23; 95% CI: 6.91, 18.27), and frequent quarrels (AOR = 2.29; 95% CI: 1.15, 4.56) were factors significantly associated with sexual IPV. Physical and sexual intimate partner violence is a significant public health problem in the study area. Therefore, interventional measures to change the attitude of cultural leaders, providing education to married men and women on risky sexual behavior, and empowering women need to be prioritized to prevent the occurrence of this problem.

Prevalence, correlates, and trends of intimate partner violence against women in Pakistan: Results from Pakistan Demographic and Health surveys 2012-13 and 2017-18.

Intimate partner violence (IPV) is a global public health problem. The objectives of this study were to analyze the prevalence and correlates of IPV perpetrated by men against women from the recent nationally representative Pakistan Demographic and Health Survey (PDHS) 2017-18, and to analyze levels and trends of IPV perpetrated by current/former husbands from PDHS conducted in 2012-13, in the four provinces and the capital city. Association of having ever experienced IPV, defined as either emotional, physical and/or sexual violence, by ever married women aged 15-49, with 12 explanatory socio-demographic, attitudinal, and experiences were analyzed using simple and multiple logistic regression models. The prevalence of having ever experienced IPV was 33.48% (95% CI: 30.76-36.32). In the final multivariable model, number of living children, having knowledge of parental physical IPV, husband's use of alcohol, and marital control were statistically significantly associated with IPV. Proportions and trend analysis of emotional and physical IPV between the PDHS 2017-18 and PDHS 2012-13, showed that in general, rural areas of provinces reported higher prevalence of emotional and physical IPV, compared with urban areas, and in general, emotional, and physical IPV prevalence declined from PDHS2012-13 to PDHS2017-18. The prevalence of having experienced physical and/or sexual intimate partner violence in Pakistan was lower than the prevalence for the WHO Eastern Mediterranean region. However, IPV burden at the provincial urban-rural residency status underscore the need for location specific strategies to effectively address IPV in Pakistan.

The relationship between emotional intimate partner violence and other forms of violence: A metaanalytic review.

The present study aimed to explore the relationship between emotional intimate partner violence (IPV) and different forms of violence (e.g., stalking perpetration and victimization, physical IPV perpetration and victimization, sexual IPV perpetration and victimization, and controlling behaviors) using a meta-analysis. Data from 188 studies, yielding 382 effect sizes, were used to compare the strength of correlates for IPV victimization versus perpetration, as well as gendered results. This meta-analysis found, in order of strength, controlling behaviors victimization, physical IPV victimization, physical IPV perpetration, sexual IPV victimization, stalking victimization, and sexual IPV perpetration were significantly associated with emotional IPV victimization. The meta-analysis also found, in order of strength, emotional IPV perpetration was positively associated with stalking perpetration, physical IPV perpetration, causing injury to a partner, controlling behaviors victimization, sexual IPV perpetration, physical IPV victimization, controlling behaviors perpetration, and sexual IPV victimization. This study found limited significant differences around gender, with physical IPV victimization approaching significance for emotional IPV perpetration for women. The current study highlights the implications associated with early assessment and intervention in cases of IPV.

American Indian and Alaska Native violence prevention efforts: a systematic review, 1980 to 2018

BackgroundViolence is a serious public health concern disproportionately experienced by American Indian and Alaska Native (AIAN) people. While the burden and impact of violence may be explained by the presence of risk factors among this group, AIAN communities benefit from unique protective factors and universal strategies which may be tailored with tribal adaptations. We sought to identify and explore violence prevention strategies specific to AIAN populations.MethodsA review was conducted to systematically identify violence prevention programs, policies, and practices implemented in AIAN communities. We searched nine electronic databases and relevant gray literature released between January 1980 and June 2018. We included intervention-focused records targeting at least one violence topic area (child abuse/neglect, elder abuse, intimate partner violence, sexual violence, youth violence, and suicide) in a majority (> 50%) AIAN population.ResultsA total of 5220 non-duplicate records were screened, yielding 318 full-text records. After applying exclusion criteria, 57 records describing 60 program, policy, or practice implementations of 43 unique interventions were identified. All six violence types were represented, although more than half (58%; n = 25/43) focused on suicide prevention. Among suicide prevention programs, the most common strategies were identifying and supporting people at risk (80%; n = 20), teaching coping and problem-solving skills (56%; n = 14), and promoting connectedness (48%; n = 12). Two-thirds of the implementations (67%; n = 40/60) were in fully (100%) AIAN communities. Programs were implemented across many settings, though schools were the most common (35%, n = 21/60) setting. Of the 60 total implementations, a majority (80%; n = 48) were new approaches developed by and for AIAN communities, while the remainder were AIAN adaptations of programs previously created for non-AIAN populations. Most implementations (60%; n = 36/60) provided some evaluation data although less than half (45%; n = 27/60) reported evaluation results.ConclusionsThis review identified many violence prevention strategies specific to AIAN populations. While programs developed in one tribe may not be completely generalizable to others, shared tribal risk and protective factors suggest programs could be successful across diverse communities. Findings indicate there is a need to develop and evaluate violence prevention programs, policies and practices for AIAN populations.

Psychosocial interventions for migrants with experiences of sexual violence and intimate partner violence (CINAHL).

Abstract Psychosocial interventions for sexual violence and intimate partner violence are defined as interpersonal or informational activities, techniques, or strategies be offered to survivors of sexual violence and intimate partner violence with the aim of improving mental health and well-being.

Intimate Partner Sexual Violence: An Exploratory Study on Sexual Victimization Profiles Among Survivors of Intimate Partner Violence in France.

Intimate partner sexual violence (IPSV) is a common form of intimate partner violence (IPV). This study aimed to (a) identify a typology of intimate partner sexual victimization among French women victims of IPV on the basis of the frequency of various forms of sexual violence and (b) evaluate whether these profiles differ in several clinical characteristics. A total of 93 women consulting a specialized hospital service were recruited. Cluster analyses suggested four profiles: highly frequent rapes (5.4%), predominant sexual coercion (20.4%), medium frequency of all forms (20.4%), and low frequency of all forms (19.4%). Further person-centered research focusing on IPSV is warranted.

Psychosocial interventions for migrants with experiences of sexual violence and intimate partner violence (PubMed).

Abstract Psychosocial interventions for sexual violence and intimate partner violence are defined as interpersonal or informational activities, techniques, or strategies be offered to survivors of sexual violence and intimate partner violence with the aim of improving mental health and well-being.

Examining the Intersection of Disability Status, Sexual Identity, Gender Identity, and Victimization Among College Students

ABSTRACT Research often finds persons with a disability, persons who are transgender non-conforming (TGNC), or who are sexual minorities experience increased victimization risk. Less research has examined how these identities intersect to impact victimization risk. Thus, our study adds to the literature by examining how these identities intersect to influence risk of violent, sexual, and intimate partner violence (IPV) victimization among a national-level sample of college students. In doing so, we explore the interactions between having any disability and being TGNC and being a sexual minority on victimization risk. In addition, specific disability types are explored for their potential interactive effects. Findings show increased risk of sexual victimization and IPV victimization among those who identify as TGNC and have a disability. Specific disability types, speech and mobility, interacted with gender identity to impact risk. Our findings suggest the need for universities to implement inclusive and culturally competent prevention and intervention efforts.

Water and food insecurity and linkages with physical and sexual intimate partner violence among urban refugee youth in Kampala, Uganda: cross-sectional survey findings

Abstract Water insecurity (WI) and food insecurity (FI), each associated with violence exposure, are understudied in urban humanitarian settings. We conducted a cross-sectional survey with urban refugee youth in Kampala, Uganda to examine: (a) social-ecological correlates of WI, FI, and concurrent FI and WI; (b) associations between WI and FI with recent sexual and physical intimate partner violence (IPV); and (c) associations between an Index of Vulnerability (IoV) comprised of social-ecological stressors (e.g., FI, WI) and recent physical/sexual IPV. Among participants (n = 340; mean age: 21.1 years, standard deviation: 2.6) almost half (47.8%) reported WI and two-thirds (65.0%) FI. In adjusted analyses, time in Uganda, age, and insecure housing were associated with increased odds of WI and concurrent FI and WI; household toilet sharing and insecure housing were associated with increased odds of FI. In adjusted analyses, WI, concurrent FI and WI, housing insecurity, and parenthood were associated with higher sexual IPV odds. FI and parenthood were associated with increased odds of physical IPV. IoV scores were associated with physical/sexual IPV, and IoV scores accounted for more variance in physical/sexual IPV than any individual indicator. Future research can address WI and co-occurring resource insecurities to reduce gender-based water-related violence risks.

Prevalence of sexual abuse and intimate partner violence in adults with spina bifida

BackgroundPeople with disabilities and chronic medical conditions are known to be at higher risk of sexual abuse (SA) and intimate partner violence (IPV). People with spina bifida (SB) are vulnerable, but little is known about the prevalence of abuse in this population. ObjectiveTo evaluate the prevalence and risk factors of SA and IPV in adults with SB. MethodsAn anonymous international cross-sectional online survey of adults with SB asked about history of SA (“sexual contact that you did not want”) and IPV (“hit, slapped, kicked, punched or hurt physically by a partner”). ResultsMedian age of the 405 participants (61% female) was 35 years. Most self-identified as heterosexual (85%) and were in a romantic relationship (66%). A total of 19% reported a history of SA (78% no SA, 3% preferred not to answer). SA was more frequently reported by women compared to men (27% vs. 5%, p < 0.001) and non-heterosexual adults compared to heterosexuals (41% vs. 15%, p < 0.001). Twelve percent reported a history of IPV (86% no IPV, 2% preferred not to answer). IPV was more frequently reported by women compared to men (14% vs. 9%, p = 0.02), non-heterosexuals compared to heterosexuals (26% vs. 10%, p = 0.002), and adults with a history of sexual activity versus those without (14% vs. 2%, p = 0.01). ConclusionPeople with SB are subjected to SA and IPV. Women and non-heterosexuals are at higher risk of both.

On the Overlap of Commercial Sexual Exploitation and Intimate Partner Violence: An Exploratory Examination of Trauma-Related Shame.

Every year, millions of people experience intimate partner violence (IPV) and commercial sexual exploitation (CSE), with researchers increasingly discussing the overlap between these two forms of interpersonal violence. However, researchers have not yet used quantitative methods to examine the link between IPV and CSE or to explore potential mechanisms underlying the overlap, including child maltreatment risk factors and psychological mechanisms. One potential mechanism is trauma-related shame, a symptom of post-traumatic stress disorder commonly experienced by both victims of CSE and IPV. The current study explores trauma-related shame, childhood maltreatment, and IPV and their associations with CSE using a sample of 174 primarily Black women. Binomial logistic regression is used to analyze the impact of IPV, child abuse and neglect, and trauma-related shame on CSE. Results indicate that IPV and trauma-related shame are both significant predictors of CSE. Implications for future research and the incorporation of shame in trauma-related treatment are discussed.