Subsequent Experience Research Articles

Cannot wait to share? An exploration of tourists’ sharing behavior during the ‘traveling to the site’ stage

ABSTRACT Although tourists’ social media sharing behavior has been well documented in existing literature, few studies have examined tourists’ early-stage sharing behaviors and their impact on the sharers. As one of the earliest stages of the tourism experience, tourists’ sharing behavior during the ‘traveling to the site’ stage undoubtedly affects their subsequent travel experience. Therefore, a thorough understanding of tourists’ social media sharing motivations while ‘traveling to the site’ is necessary, as is the impact of such sharing behavior on the sharers’ subsequent tourism stages. This study identified two categories of motivations for sharing behavior and three ways in which sharing behavior affects the sharer's subsequent travel experience using qualitative research methods and the interaction ritual chain theory.

Comparison of pregnant women’s anxiety, depression and birth satisfaction based, on their traumatic childbirth perceptions

This study was conducted to identify and compare pregnant women’s anxiety, depression, and birth satisfaction levels based on their traumatic childbirth perceptions. This study used a cross-sectional design. The data were collected at two stages, namely, the prenatal and postpartum stages. First, the Traumatic Childbirth Perception Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were applied to the pregnant women. Next, in the postpartum period, the Childbirth Information Form and the Birth Satisfaction Scale-Revised were applied. It was found that the participants with high levels of traumatic childbirth perception had higher mean anxiety and depressive symptom scores (26.13 ± 11.30 and 16.16 ± 9.02, respectively), whereas the participants with low levels of traumatic childbirth perception had a higher mean birth satisfaction score (17.50 ± 4.91). The findings indicated that high levels of traumatic childbirth perception may lead to have anxiety and depression, while low levels of traumatic childbirth perception may enhance their birth satisfaction. IMPACT STATEMENT What is already known on this subject? In the literature, it is stated that the perception of a traumatic birth can lead to permanent or long-term negative consequences in women's lives, negatively affecting their future health, subsequent birth experiences, and family relationships. What do the results of this study add? In this study, 37.7% of the participants were found to have high levels of traumatic childbirth perception. It was determined that the anxiety and depression levels of the participants with high levels of perception of traumatic birth were higher, and the levels of birth satisfaction were higher in the pregnant women with low levels of perception of traumatic birth. The results indicated that severe depressive symptoms, severe anxiety, and low levels of birth satisfaction were likely to raise traumatic childbirth perception levels in pregnant women. What are the implications of these findings for clinical practice and/or further research? The care to be given under the leadership of midwifery professionals is important in terms of reducing pregnant women’s perceptions of a traumatic birth, anxiety, and depression levels and increasing their levels of birth satisfaction.

Not Just for Show: How Aesthetics Underpins Work Within and Around Organizations

Organizational aesthetics is a way of understanding organizational life based on sensory reactions to its material components, such as objects and settings (Baldessarelli, Stigliani, & Elsbach, 2022; Strati, 1992). Following the recent material and spatial turn in organization studies (Boxenbaum et al., 2018; Jones et al., 2017; van Marrewijk & Yanow, 2010), scholars have begun to acknowledge and document the role of aesthetics in organizations and institutions. However, the topic remains relatively unexplored, and substantial opportunities exist in management research for further analysis and theorization. This symposium brings together scholars who empirically study aesthetics in relation to key organizational topics (i.e., coordination, creative collaboration, institutionalization, stigmatization) to provide novel insights into how aesthetics contributes to organizational and institutional processes. In particular, the symposium extends management scholarship by emphasizing how aesthetics influences the construction and disruption of meanings across a variety of research settings. The four empirical papers highlight how material and visual artifacts and the subsequent experiences emerging from their use and manipulation support organizational and institutional work by forming or challenging collective understandings. In doing so, the studies point to novel research directions concerning (1) the role of interactions with artifacts that trigger sensory reactions leading to collective achievements, and (2) the use and manipulation of artifacts to strengthen cognitive and symbolic processes that challenge dominant meanings. Inducing Artifactual and Aesthetic Experience to Enable Coordination Presenter: Mercedes McBride; Case Western Reserve U. Presenter: John Paul Stephens; Case Western Reserve U. Clients as Feedback Providers: A Study of Creative Projects Presenter: Giada Baldessarelli; Imperial College Business School Presenter: Ileana Stigliani; Imperial College Business School The Role of Multimodality in the Anti-Vaccination Rhetoric Presenter: Elena Bruni; Luiss Guido Carli U. Presenter: Dennis Clemens Jancsary; WU Vienna Presenter: Renate Elisabeth Meyer; WU Vienna & Copenhagen Business School The Symbolic Manipulability of Market Offerings: Strategies for Mitigating Consumer Resistance Presenter: Anders Dahl Krabbe; King's Business School

Learning from women who trade sex in Kenya about the antiblackness of Global Health

Sex work and violence have become co-constituted, routinized, and even sanitized in Global Health journals dispassionately advocating for intervention. This paper situates ethnographically shared experiences of Kenyan sex working women within the global condition of antiblackness. By grounding our conceptual analytic in Black Feminist scholarship, we illustrate how antiblackness subtends the conditions of possibility for women's entry into sex work, their subsequent experiences with interpersonal and institutional forms of predatory violence, and lack of recourse for their material needs and suffering. This analysis requires a meditation on the relationships between the types of violence conditioning Kenyan women's lives and the limitations of Global Health's conceptual logics and disciplinary practice. Our discussion reflects on the ways Global Health practice can neglect conceptual foundations in antiblackness, thus complicit in upholding violence against the very groups it purports to assist. In charging Global Health “as usual” as methodologically violent and sustaining global antiblackness, we call for disciplinary transformations beginning from a shared consciousness regarding the ways global antiblackness structures health inequities. Beyond critique, our meditation is an invitation for all committed to dignified Global Health to contribute creative, non-hierarchically collaborative work engaged with those in material, structural, and immaterial need.

The influence of childhood abuse and prenatal intimate partner violence on childbirth experiences and breastfeeding outcomes

BackgroundDespite the detrimental effects and life-course health consequences of violence exposure, relatively few studies have adequate capacity to investigate the evolution of violence from childhood to motherhood. ObjectiveThis study aims to examine the cyclical nature of childhood abuse and prenatal inter-partner violent victimization (p-IPV) and its adverse impact on childbirth trauma and exclusive breastfeeding (EBF) practice in Vietnam. MethodUsing a prospective birth cohort, 150 pregnant women were recruited in the third trimester of pregnancy in Hue city in central Vietnam (Wave 1-Baseline) and re-interviewed approximately three months after delivery (Wave 2-Follow-up). The direct and indirect effects of violent victimization on subsequent childbirth experience (measured by Birth Memories and Recall Questionnaire) and EBF practice were estimated by using augmented-inverse-probability-weighted models, sensitivity analysis, and structural equation model. ResultsDetrimental and prolonged effects of the inter-generational cycle of violence transverse childhood to motherhood. Women who experienced either childhood abuse or p-IPV violence were more likely to experience negative emotional childbirth memories [ARR 1.21, 95 % CI (1.04, 1.39)]. Evidence also suggested that not continuing to exclusively breastfeed at 3 months post-partum was strongly associated with prenatal depression, young age, and perceived low social status during pregnancy. Perceived strong connectedness among extended family members and social networks (i.e. nexus among family, friends, and neighborhood) provided a buffering effect by preventing EBF termination. ConclusionThis research provides insights into the protective role of social connectedness in improving breastfeeding practice. It is vital to establish wholistic antenatal care and social service system to offer specialized support and response for victims of violence and mitigate the long-term sequelae of traumatic events.

Cultural Challenges of ERP Implementation in Middle-Eastern Oil & Gas Sector: An Action Research Approach.

The purpose of this paper was to examine the cultural barriers that existed at various stages of the Enterprise Resource Planning (ERP) implementation process, using the Middle-Eastern oil and gas sector as a case study. Due to a variety of cultural implications, ERP implementation rates in the oil and gas sector in Middle-Eastern developing countries are extremely low. Although the literature highlighted numerous ERP implementation theories that attempted to overcome the cultural complexities of ERP systems, there are few studies that have framed these complexities using action research theory in order to provide potential solutions to these challenges, particularly in Middle-Eastern developing countries where cultural settings are distinct from those in Western developed countries. Action research AR, in conjunction with documentation, observations, and interviews, aided in the exploration of the culturally complex barriers encountered during the pre-implementation (plan and propose), implementation (do), and post-implementation (assess and improve) stages of ERP projects conducted within a Middle-Eastern oil and gas organisation. This article confirms numerous cultural implications at each stage of the ERP implementation process, including team conflict, managerial authority, and a lack of an IT culture, all of which contributed to the project's delay. Other impediments, such as a lack of commitment to training and technophobia, persisted throughout the post-implementation phase and the subsequent follow-up experience under the recent COVID-19 pandemic. This article contributes to theory and practise by highlighting the culturally complex barriers that underpin many ERP implementations in the Middle Eastern oil and gas sector. This information can assist practitioners and researchers in developing future research and ideas to mitigate future ERP implementation challenges in this region.

0114 Evolution of brain circuits supporting spatial navigational memory across sleep

Abstract Introduction Systems consolidation is one of the major theories of sleep’s function in memory. Sleep is thought to be important in integrating and distributing hippocampal information to cortical structures such that there is less hippocampal activation, while at the same time increasing striatal activation, upon subsequent experience in the same environment that co-occurs with improved performance. Here we sought to examine the evidence supporting systems consolidation across sleep in spatial navigational memory. Methods 15 subjects (28±5 yrs., 8 female) with no prior videogame experience and no sleep disorders were recruited to undergo spatial navigational memory testing before and after a night of sleep. Spatial navigational memory was tested across two functional MR (fMRI) sessions (approx. 7PM and 8AM) separated by in-lab nocturnal polysomnography (NPSG) measured sleep using a virtual 3D Maze. Each fMRI session consisted of six runs: three maze trials interleaved with three control trials. During maze trials participants were instructed to reach a prespecified goal as quickly as possible, whereas during the control trials, participants were instructed to navigate a Z-shaped corridor with no prespecified goal. fMRI data was analyzed in 2-step procedure using Analysis of Functional Neuroimages (AFNI) software package. To estimate hippocampal activity during fMRI, parameter estimates of the %change in blood-oxygen-level-dependent (BOLD) signal using the contrast maze-control were used as the primary metric. Regions of interest were limited to the bilateral hippocampus, parahippocampal gyrus, caudate, and putamen using the Eickhoff-Zilles macro labels from the MNI-N27 template. Results During in-lab NPSG, participants experienced a total sleep time of 6.1±1.1 hrs (8.7±2.9%stage1, 51.2±7.6%stage2, 21.8±8.5%stage3, 18.1±6%REM). Within subjects, compared to pre-sleep, a significantly lower activation of the bilateral hippocampus and parahippocampal gyrus was observed post-sleep (evening-morning %change=0.26±0.11, p<0.05). Compared to pre-sleep, caudate and putamen activity was not significantly different post-sleep (evening-morning %change=-0.02±0.04,p=0.5). Greater evening hippocampal activity was associated with greater change in maze completion times across sleep (rho=0.54, p=0.04). Conclusion In young healthy adults, a night of uninterrupted sleep supports redistribution of hippocampal contribution toward spatial navigation. Greater initial pre-sleep hippocampal contribution was associated with improved recall of spatial navigational memory after a night of sleep. Support (If Any) NIH R21AG059179, R01AG056682, K25HL151912

Heart rate variability in 2014 predicted delayed onset of internalizing problems in 2015 among children affected by the 2011 Great East Japan Earthquake

Experience of natural disaster was related to an increased risk of long-term child internalizing problems. Initial traumatic experiences are hypothesized to work as disaster-related stresses and sensitize neural circuitry, leading to heightened reactivity to subsequent stressful experiences, which in turn results in delayed onset of internalizing problems. However, empirical evidence is lacking. Thus, we aimed to examine the association between heart rate variability (HRV) and internalizing problems among children exposed to the disaster. The Great East Japan Earthquake Follow-up for Children (GEJE-FC) study followed children aged 4–6 years old and their siblings and parents from three affected prefectures (Miyagi, Fukushima, and Iwate) and one unaffected prefecture (Mie) in Japan over four periods: from August 2012 to June 2013 (= T1), August 2013 to April 2014 (= T2), July 2014 to December 2014 (= T3), and August 2015 to December 2015 (= T4) (n = 155). HRV was assessed at T2 and T3 as a biomarker of autonomic nervous system activity. Child internalizing problems were assessed by caregivers at T3 and T4, using the Child Behavior Checklist. HRV measurements at T2 were not associated with child internalizing problems at T3. However, HRV in low frequency domains at T3 showed an inverse association with child internalizing problems at T4 (B = −1.72, 95% CI = −3.12 to −0.31). The findings indicated that later exacerbation of internalizing problems could be predicted by dysfunction of autonomic nervous system measured by HRV.

The relationship between stigma and mental health in a population of individuals with COVID-19.

Illness stigma has been observed across previous outbreaks including Ebola, SARS, HIV/AIDS, and now COVID-19. Although both the stigma of having COVID-19 as well as mental health impacts of COVID-19 have been studied, limited research exists regarding the relationship of stigma and mental health in this population. Thus, the primary purpose of the present study was to examine the relationship between stigma and mental health in adults with COVID-19. Adult respondents with a diagnosis of COVID-19 (N = 632) completed an online questionnaire distributed between April 17, 2020, and April 18, 2021. The study measures included the Patient Health Questionnaire 8 (PHQ-8), the Generalized Anxiety Disorder 7-item (GAD-7), and the 8-Item Stigma Scale for Chronic Illness (SSCI-8) tailored to measure perceived stigmatization from a COVID-19 diagnosis. Participants (mean age = 51) were mostly female (71%), White (73%), married (70%), obese (56%), and had a chronic health condition (56%). Female sex, education status, working from home or not working owing to COVID-19, previous mental health diagnosis, history of chronic illness, and being a current/former smoker were associated with higher stigma scores, whereas older age and Black race were associated with lower stigma scores. Greater stigma and psychological distress was observed in females with a previously diagnosed psychiatric illness and/or chronic health condition. Our findings suggest a disproportionate burden of mental health/psychiatric symptoms/sequelae, including stigma and PTSD, among COVID-19 survivors with a history of mental illness. Further studies are needed to fully characterize COVID-19 related stigma and subsequent mental health experiences. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Margex (margin re-excision experience): The impact of margin re-excision. Study protocol

Background: Breast conserving surgery provides equivalent oncologic outcomes to mastectomy for early breast cancer. In 2016, the National Margins Audit prospectively audited margin re-excision rates in 2858 patients undergoing breast conservation in the UK and Ireland. The margin re-excision rate was 17.2%. Minimalising adverse outcomes, their sequela of events and subsequent negative patient experience is paramount. The NHS Cancer Strategy has emphasised the need to equally prioritise improving cancer patient experience with improving clinical outcomes.

Erasmus students’ motivations in motion: understanding super-mobility in higher education

This paper looks at youth mobility as an ongoing, dynamic, processual experience in the making of an educational trajectory. By exploring the experiences of students who have undertaken more than one mobility experience under the Erasmus + program, we reflect on how underlying motivations change over the course of subsequent mobility experiences. In contrast to existing research, where the focus has been on reported motivations for one-off mobility experience, we discuss the latent motivations driving super-mobile educational trajectories. In doing so, we observe the ongoing reconfiguration of these trajectories through the concept of spatial reflexivity, which results in articulated and augmentative dynamics over time. Methodologically, the paper is based on qualitative material collected in person and online with such mobile young people across Europe.

How Homeland Experiences Shape Refugee Belonging: Rethinking Exile, Home, and Integration in the Syrian Case

Studies of refugee belonging, as a key facet of integration, primarily focus on post-flight processes. Adopting an approach to integration that is temporally and spatially broader, this article argues that refugees’ varied experiences of belonging or estrangement in origin countries fundamentally condition their subsequent experiences of belonging or estrangement in settlement countries. To explore this argument, the article develops a framework that distinguishes between the psychosocial and locational aspects of home, identifying five distinct categories of experience: home in the homeland, exile in the homeland, exile outside the homeland, home outside the homeland, or overlaps of exile and home across borders. The article illustrates these categories in the Syrian case, using original interviews with displaced Syrians and a range of texts by Syrian writers. In doing so, it demonstrates how knowing whether or how refugees found belonging inside their homelands before displacement enriches understandings of who refugees are, what they seek, and what home or exile means to them. While these pre-flight experiences cannot precisely predict integration outcomes, they shape the frame of reference that refugees carry into homemaking in refuge and, thus, the experiences of belonging that they develop there.

Relevance to the higher order structure may govern auditory statistical learning in neonates

Hearing is one of the earliest senses to develop and is quite mature by birth. Contemporary theories assume that regularities in sound are exploited by the brain to create internal models of the environment. Through statistical learning, internal models extrapolate from patterns to predictions about subsequent experience. In adults, altered brain responses to sound enable us to infer the existence and properties of these models. In this study, brain potentials were used to determine whether newborns exhibit context-dependent modulations of a brain response that can be used to infer the existence and properties of internal models. Results are indicative of significant context-dependence in the responsivity to sound in newborns. When common and rare sounds continue in stable probabilities over a very long period, neonates respond to all sounds equivalently (no differentiation). However, when the same common and rare sounds at the same probabilities alternate over time, the neonate responses show clear differentiations. The context-dependence is consistent with the possibility that the neonate brain produces more precise internal models that discriminate between contexts when there is an emergent structure to be discovered but appears to adopt broader models when discrimination delivers little or no additional information about the environment.

Education matters: longitudinal pathways to mid-life heavy drinking in a national cohort of black Americans.

To estimate longitudinal pathways from childhood socio-economic position (SEP) to educational attainment and mid-life heavy drinking in black Americans in order to identify potential points of early intervention to reduce risk for alcohol-related problems in adulthood. Data are from 1299 black Americans in the US National Longitudinal Survey of Youth, followed from 1979 (aged 15-19 years) to 2012. Given gender differences in factors related to education and alcohol outcomes, gender-stratified path models were analyzed. Youth socio-economic indicators included parental education (approximating childhood SEP) and adolescent poverty duration. Education-related measures included high-poverty school, perceived school safety, academic problems, suspension from school, educational expectations and educational attainment. Adulthood measures included repeated unemployment, poverty duration and mean frequency of heavy drinking (six or more drinks/day) in young adulthood and mid-life. Covariates included age, dual-parent household, marital status, early drinking onset and family history of alcohol problems. For both genders, two main pathways originating from low childhood SEP flowed to educational attainment through (1) educational expectations and (2) suspension and from educational attainment to mid-life heavy drinking [total indirect effect = 0.131, 95% confidence interval (CI) = 0.072-0.197 for women and 0.080, 95% CI = 0.035-0.139 for men]. For both genders, adolescent poverty (standardized βs ≥ 0.139), academic problems (βs ≥ 0.221) and school suspension (βs ≥ 0.166) were significantly (Ps < 0.05) related to lower educational expectations. In adulthood, educational attainment was indirectly protective against mid-life heavy drinking through its significant effects (Ps < 0.05) on young adult heavy drinking for both genders (βs ≤ -0.204) and economic hardships for women (βs ≤ -0.372). Low childhood socio-economic position among black Americans appears to be associated with subsequent, adverse socio-economic and school experiences that lead to lower educational attainment and, ultimately, greater heavy drinking at mid-life. Interventions that mitigate these earlier, adverse experiences might have indirect effects on mid-life heavy drinking.

The Impact of Simulation Based Experiences on Clinical Education: Physical Therapist Student Perspective

Purpose: Simulation based experiences (SBE) have been described as a means of preparing physical therapist students for clinical practice. The literature, however, largely represents student perceptions while still in the academic setting. The aim of this study was to explore student perceptions of how SBE threaded throughout the Doctor of Physical Therapy (DPT) program impacted subsequent clinical education experiences. Method: Purposeful sampling was used to recruit eleven participants who had completed coursework, three clinical education affiliations, and earned DPT degrees. Two semi-structured focus group interviews were conducted and transcribed by the authors. Data analysis was performed using inductive conventional content analysis. Results: Participants reported that roles, procedures, interactions, and predictability in SBE impacted preparedness for clinical education. Findings support previous literature that debriefing fosters development of communication and self-reflection, and that self-efficacy for patient care is promoted through SBE. Conclusions: SBE requires variability and complexity to adequately prepare DPT students for clinical education experiences. Further research on the impact of learner roles within the simulation on preparedness is recommended.

Leveraging personalization and customization affordances of virtual try-on apps for a new model in apparel m-shopping

PurposeVirtual try-on apps (VTOs) hold great potential to transform online apparel shopping, yet their acceptance by consumers has been lukewarm. By drawing on two theories – Sirgy’s theory of the self and Sundar’s theory of interactive media effects (TIME) – the study tests a PLS model with two new constructs: Photo Satisfaction and Consumer Inspiration, and their impact on Adoption Intention.Design/methodology/approachThis mixed methods study examines the effects from personalization and customization affordances in the latest generation of apparel VTOs. The proposed model was tested in a quasi-experimental within-subjects design, as 61 female participants completed a goal-directed and an exploratory apparel shopping task using two VTO apps available on the market.FindingsInspiration induced from the customization affordance in the exploratory task influenced Adoption Intention as strongly as Fit Confidence did. For both conditions, users’ satisfaction with their avatar picture had a stronger effect on Perceived Augmentation than the individual trait of Body Esteem. The study also demonstrates how TIME’s Sense of Agency component could help theorize positive consumer responses to mobile marketing technology, which in our study were induced via the app’s Mix and Match feature. Also demonstrated was that Perceived Augmentation could be influenced by body-image affective judgments made during the pre-task VTO avatar creation phase.Practical implicationsVTO’s customization feature “Mix and Match” appears vital for the adoption of such apps for exploratory m-shopping of apparel. Also important is the satisfaction with one's photograph during the avatar-creation phase. We further suggest that apparel retailers work with Augmented Reality developers to include dynamic avatar capability as well as social sharing affordances in VTOs.Social implications60 billion USD worth of returns occur annually in the online apparel retail industry, mostly related to fitting problems, not to mention the larger carbon footprint from the increased transportation. A more wide-spread adoption of VTOs can not only help with these problems but also lighten the traffic in brick and mortar fitting rooms, a potential hazard at this time of pandemic.Originality/valueThis is the first study to examine Consumer Inspiration in the context of online apparel retailing and to demonstrate the importance of Photo Satisfaction during the avatar-creation phase in influencing the subsequent user experience in apparel VTOs.

The WTO at the Crossroads: How to Avoid the China Syndrome?

AbstractThe commonplace narrative regarding China's participation in the WTO is that the original expectations have not been matched in subsequent experience. China has not behaved in accordance with the spirit (and sometimes the letter) of its commitments. Reactions by trading partners have been from critical to hostile, and some have even called for a WTO without China, ignoring the boost to international trade that China's accession has provoked. Yet, China's participation in the WTO cannot remain un-addressed. The US almost brought the WTO to its knees largely because of China, and the EU has enacted laws to counteract China's trade expansion. In this short paper, we argue that the solution to the China-issue passes through an addition and re-invigoration of the multilateral trade rules.

Association of affective state with the assimilation of daily pain expectancy and pain experience.

Expectancies for pain and pain relief are central to experimental models of placebo analgesia and nocebo hyperalgesia and are a promising target for clinical intervention in patients with chronic pain. Affective states may play an important role in modulating the degree to which expectancies influence pain, broadening the opportunities for intervention targets. However, findings to date have been mixed and mostly limited to laboratory designs. Few studies have examined the interplay of naturally occurring affective states, pain expectancies, and pain experiences in the course of daily life with chronic pain. In this study, patients with temporomandibular disorder reported their daily pain expectancies and affective states each morning and their daily pain experience each evening, over a 2-week period. Multilevel modeling analyses revealed the association of morning pain expectancies with subsequent pain experiences was moderated by morning positive affective state ( B = 0.04, SE = 0.02, t = 2.00, P = 0.046) such that the congruent assimilation of a low pain expectancy with a low pain experience was starkest when morning positive affect was higher than usual. Relatedly, higher morning positive affect predicted greater odds of experiencing a match between pain expectancies and pain experience when the expectation was for low, but not high, pain levels (odds ratio = 1.19, confidence interval: 1.01-1.41, P = 0.03). Negative affect, in contrast, did not significantly influence the assimilation of high pain expectancies with high pain experiences. These findings extend previous experimental studies by showing that the association of daily pain expectancies with pain experience varies as a function of affective state.

Cycles of Violence Among Young Women in Namibia: Exploring the Links Between Childhood Violence and Adult Intimate Partner Violence From the Violence Against Children and Youth Survey.

Background: Violence against children is a global public health crisis and is associated with poor mental and physical health outcomes. Childhood violence may also increase the risk of subsequent violence revictimization by an intimate partner. We aimed to understand cycles of violence among adolescent girls and young women in Namibia to inform violence prevention and treatment interventions. Methods: The 2019 Namibia Violence Against Children and Youth Survey (VACS) examined the prevalence of childhood violence and intimate partner violence among 18-24year old adolescent girls and young women (N = 2434). Using the data, we assessed the prevalence of childhood violence, defined as any physical, sexual, or emotional violence victimization prior to age 18, and estimated the prevalence of intimate partner violence (IPV) after age 18. We used a weighted logistic regression to assess whether childhood violence exposure was associated with subsequent experience of IPV after age 18. Results: Adolescent girls and young women in Namibia had a statistically significant higher odds of experiencing IPV if they had experienced any childhood violence including physical, sexual, and/or emotional violence (adjusted odds ratio [aOR]: 2.93; 95% Confidence Interval [95% CI: 1.64-5.23). IPV was also significantly associated with childhood physical (aOR: 1.81; 95% CI: 1.07-3.05), sexual (aOR: 3.79; 95% CI: 2.54-5.67), or emotional (aOR: 2.39; 95% CI: 1.18-4.86) violence when each were considered separately. We also observed a dose-response relationship between the number of types of childhood violence and IPV experience as a young adult. Conclusions: Childhood violence is a significant predictor of subsequent violence revictimization by an intimate partner. This analysis provides unique insights on cycles of violence among adolescent girls and young women in Namibia and points to the need for interventions during childhood to prevent violence against children and break this cycle among young women in sub-Saharan Africa.

The Association Between Polyvictimization in Childhood and Intimate Partner Violence and Child Abuse in Adulthood.

The main purpose of this study was to examine the association of family polyvictimization in childhood with the victimization or perpetration of spousal abuse and the perpetration of child abuse in adulthood. While associations between maltreatment in childhood and subsequent perpetration or victimization in adulthood are well documented, their association with polyvictimization in childhood (i.e., experiencing multiple types of victimization) has received less attention. This research aims to empirically investigate 1) whether early experiences of family polyvictimization are predictive of subsequent experience or spousal abuse or perpetration of child abuse and 2) whether there are gender differences in those associations. Through conducting Chi-square analysis and logistic regression analysis with South Korea's National Domestic Violence Survey 2019, the study found significant empirical evidence that polyvictimization is predictive of perpetration or experience of spousal abuse and perpetration of child abuse. Particularly, adults who experienced polyvictimization in childhood were more likely to perpetrate child abuse regardless of the type of abuse (p < .001). Polyvictimization in childhood was also significantly associated with perpetration and victimization of spousal abuse (p < .001). In regard to gender differences, this study found that males were more likely to be polyvictimized by family in childhood (15.11%) than females (10.23%), and polyvictimization was found to increase the likelihood of females being revictimized in adulthood. More attention should be paid to victimization by multiple types of violence within the family and its influence on intergenerational transmission of violence.