Attitudes About Intimate Partner Violence Screening Among an Ethnically Diverse Sample of Young Women

Zeitler, Michelle S.; Paine, Abigail D.; Breitbart, Vicki; Rickert, Vaughn I.; Olson, Carolyn; Stevens, Lynne; Rottenberg, Leslie; Davidson, Leslie L.

doi:10.1016/j.jadohealth.2005.09.004

Cited by 60 publications

(68 citation statements)

References 24 publications

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“…3,5 ARA is not uncommon among adolescents seeking care in confidential settings such as family planning and school health centers (SHCs; comprehensive clinics located within high schools) with lifetime prevalence estimates ranging from 40% to 53%. [8][9][10][11] No evidencebased interventions target ARA in the SHC setting.…”

Section: What This Study Addsmentioning

confidence: 99%

A School Health Center Intervention for Abusive Adolescent Relationships: A Cluster RCT

et al. 2015

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BACKGROUND AND OBJECTIVES: Few evidence-based interventions address adolescent relationship abuse in clinical settings. This cluster randomized controlled trial tested the effectiveness of a brief relationship abuse education and counseling intervention in school health centers (SHCs). METHODS:In 2012-2013, 11 SHCs (10 clusters) were randomized to intervention (SHC providers received training to implement) or standard-of-care control condition. Among 1062 eligible students ages 14 to 19 years at 8 SHCs who continued participation after randomization, 1011 completed computer-assisted surveys before a clinic visit; 939 completed surveys 3 months later (93% retention).RESULTS: Intervention versus control adjusted mean differences (95% confidence interval) on changes in primary outcomes were not statistically significant: recognition of abuse = 0.10 (20.02 to 0.22); intentions to intervene = 0.03 (20.09 to 0.15); and knowledge of resources = 0.18 (20.06 to 0.42). Intervention participants had improved recognition of sexual coercion compared with controls (adjusted mean difference = 0.10 [0.01 to 0.18]). In exploratory analyses adjusting for intensity of intervention uptake, intervention effects were significant for increased knowledge of relationship abuse resources and self-efficacy to use harm reduction behaviors. Among participants reporting relationship abuse at baseline, intervention participants were less likely to report such abuse at follow-up (mean risk difference = 20.17 [20.21 to 20.12]). Adolescents in intervention clinics who reported ever being in an unhealthy relationship were more likely to report disclosing this during the SHC visit (adjusted odds ratio = 2.77 [1.29 to 5.95]).CONCLUSIONS: This is the first evidence of the potential benefit of a SHC intervention to address abusive relationships among adolescents.WHAT'S KNOWN ON THIS SUBJECT: Adolescent relationship abuse (ARA) is prevalent in confidential clinic settings such as school health centers (SHCs) and is associated with poor health outcomes. No evidence-based interventions target reduction of ARA in the SHC setting.

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Section: What This Study Addsmentioning

confidence: 99%

A School Health Center Intervention for Abusive Adolescent Relationships: A Cluster RCT

et al. 2015

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“…Zeitler and colleagues 115 recruited women aged between 15 and 24 years who presented for family planning services to a US clinic. Almost 90% of those surveyed felt that universal screening by health-care providers is a 'very good' or 'somewhat good' idea.…”

Section: Sethi and Colleaguesmentioning

confidence: 99%

“…102,107,115 Friedman and colleagues found that older patients were more in favor of routine physical abuse enquiry. 110 Age, however, did not influence the acceptability of routine enquiry for sexual abuse, although most surveys did not collect data on that issue.…”

Section: Agementioning

confidence: 99%

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Feder

Ramsay²,

Dunne³

et al. 2009

Health Technol Assess

287

269

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“…Thus, it is possible that many of the same cultural, language, and stigma-related barriers that deter minority and immigrant victims from seeking help may also hinder peers from these demographic groups from providing their friends with a wide array of support options. Lastly, it is well-known that there are significant barriers to help-seeking for sexual assault survivors and that those who do decide to seek help face both positive and negative responses, 31,32,42 no work to date has been conducted on whether a history of child sexual abuse or relationship violence is associated with the likelihood of providing support and help to a peer who discloses relationship violence.…”

Section: Adolescent Help-giving Behaviorsmentioning

confidence: 99%

Adolescent Relationship Violence: Help-Seeking and Help-Giving Behaviors among Peers

et al. 2013

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Young people tend to disclose relationship violence experiences to their peers, if they disclose at all, yet little is known about the nature and frequency of adolescent helpseeking and help-giving behaviors. Conducted within a sample of 1,312 young people from four New York City high schools, this is the first paper to ask adolescent help-givers about the various forms of help they provide and among the first to examine how ethnicity and nativity impact help-seeking behaviors. Relationship violence victims who had ever disclosed (61 %) were more likely to choose their friends for informal support. Ethnicity was predictive of adolescent disclosure outlets, whereas gender and nativity were not. Latinos were significantly less likely than non-Latinos to ever disclose to only friends, as compared to disclosing to at least one adult. The likelihood of a young person giving help to their friend in a violent relationship is associated with gender, ethnicity, and nativity, with males being significantly less likely than females to give all forms of help to their friends (talking to their friends about the violence, suggesting options, and taking action). Foreign-born adolescents are less likely to talk or suggest options to friends in violent relationships. This study also found that Latinos were significantly more likely than non-Latinos to report taking action with or on behalf of a friend in a violent relationship. This research shows that adolescents often rely on each other to address relationship violence, underlining the importance of adolescents' receipt of training and education on how to support their friends, including when to seek help from more formal services. To further understand the valuable role played by adolescent peers of victims, future research should explore both which forms of help are perceived by the victim to be most helpful and which are associated with more positive outcomes.KEYWORDS Dating violence, Relationship violence, Help-giving, Help-seeking, Adolescents, Peer support Adolescent relationship violence-sexual, physical, or psychological abuse between adolescent romantic partners-is prevalent 1,2 with estimates suggesting that approximately one in 10 adolescents are victims of relationship violence. 3,4 The health consequences of adolescent relationship violence are varied and can include increased

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Attitudes About Intimate Partner Violence Screening Among an Ethnically Diverse Sample of Young Women

Cited by 60 publications

References 24 publications

A School Health Center Intervention for Abusive Adolescent Relationships: A Cluster RCT

A School Health Center Intervention for Abusive Adolescent Relationships: A Cluster RCT

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Adolescent Relationship Violence: Help-Seeking and Help-Giving Behaviors among Peers

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