Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics

Miller, Elizabeth; Decker, Michele R.; Raj, Anita; Reed, Elizabeth; Marable, Danelle; Silverman, Jay G.

doi:10.1007/s10995-009-0520-z

Cited by 100 publications

(96 citation statements)

References 38 publications

(43 reference statements)

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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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“…[25][26][27][28] However, one criticism of this definition is that the underlying construct it represents is what the adult partner violence literature refers to as "common couple violence," as opposed to "intimate partner terrorism." 56 Common couple violence is generally used to describe less severe partner abuse, which does not escalate over time and does not result in one partner dominating the other.…”

Section: Limitationsmentioning

confidence: 99%

Neighborhood-Level Factors Associated with Physical Dating Violence Perpetration: Results of a Representative Survey Conducted in Boston, MA

et al. 2011

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Neighborhood-level characteristics have been found to be associated with different forms of interpersonal violence, but studies of the relationship between these characteristics and adolescent dating violence are limited. We examined 6 neighborhood-level factors in relation to adolescent physical dating violence perpetration using both adolescent and adult assessments of neighborhood characteristics, each of which was aggregated across respondents to the neighborhood level. Data came from an in-school survey of 1,530 public high school students and a random-digit-dial telephone survey of 1,710 adult residents of 38 neighborhoods in Boston. Approximately 14.3% of the youth sample reported one or more acts of physical aggression toward a dating partner in the month preceding the survey. We calculated the odds of past-month physical dating violence by each neighborhood-level factor, adjusting for school clustering, gender, race, and nativity. In our first 6 models, we used the adolescent assessment of neighborhood factors and then repeated our procedures using the adult assessment data. Using the adolescent assessment data, lower collective efficacy (AOR=1.95, 95% CI= 1.09-3.52), lower social control (AOR=1.92, 95% CI=1.07-3.43), and neighborhood disorder (AOR=1.19, 95% CI=1.05-1.35) were each associated with increased likelihood of physical dating violence perpetration. However, when we used the adult version of the neighborhood assessment data, no neighborhood factor predicted dating violence. The implications and limitations of these findings are discussed.

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“…[20][21][22][23] No studies to date have examined cyber dating abuse and the associations with other forms of ARA and sexual risk behaviors among a clinic-based sample of adolescents.…”

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confidence: 99%

Cyber Dating Abuse Among Teens Using School-Based Health Centers

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Cyber dating abuse victimization has been correlated with physical, sexual, and psychological adolescent relationship abuse. WHAT THIS STUDY ADDS:This is the first clinic-based study of cyber dating abuse. Forty-one percent of youth reported cyber dating abuse victimization, female more than male respondents. Compared with nonexposed youth, abuse victims reported more sexual assault; female victims reported more contraceptive nonuse and reproductive coercion. abstract OBJECTIVE: To estimate the prevalence of cyber dating abuse among youth aged 14 to 19 years seeking care at school-based health centers and associations with other forms of adolescent relationship abuse (ARA), sexual violence, and reproductive and sexual health indicators. METHODS:A cross-sectional survey was conducted during the 2012-2013 school year (participant n = 1008). Associations between cyber dating abuse and study outcomes were assessed via logistic regression models for clustered survey data. RESULTS:Past 3-month cyber dating abuse was reported by 41.4% of this clinic-based sample. More female than male participants reported cyber dating abuse victimization (44.6% vs 31.0%). Compared with no exposure, low-("a few times") and high-frequency ("once or twice a month" or more) cyber dating abuse were significantly associated with physical or sexual ARA (low: adjusted odds ratio [aOR] 2.8, 95% confidence interval [CI] 1.8-4.4; high: aOR 5.4, 95% CI 4.0-7.5) and nonpartner sexual assault (low: aOR 2.7, 95% CI 1.3-5.5; high: aOR 4.1, 95% CI 2.8-5.9). Analysis with female participants found an association between cyber dating abuse exposure and contraceptive nonuse (low: aOR 1.8, 95% CI 1.2-2.7; high: aOR 4.1, 95% CI 2.0-8.4) and reproductive coercion (low: aOR 3.0, 95% CI 1.4-6.2; high: aOR 5.7, 95% CI 2.8-11.6).CONCLUSIONS: Cyber dating abuse is common and associated with ARA and sexual assault in an adolescent clinic-based sample. The associations of cyber dating abuse with sexual behavior and pregnancy risk behaviors suggest a need to integrate ARA education and harm reduction counseling into sexual health assessments in clinical settings.

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Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics

Cited by 100 publications

References 38 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

Neighborhood-Level Factors Associated with Physical Dating Violence Perpetration: Results of a Representative Survey Conducted in Boston, MA

Cyber Dating Abuse Among Teens Using School-Based Health Centers

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