The Impact of the COVID-19 Pandemic on Intimate Partner Violence Advocates and Agencies

Relatively few studies have considered the impact of the COVID-19 pandemic on intimate partner violence (IPV) advocates or the agencies where they work. In this study, based on United States IPV advocates’ experiences working with survivors during the COVID-19 pandemic, we conducted interviews to explore: 1) personal challenges and resilience working as IPV advocates during the COVID-19 pandemic; 2) how agencies adapted to the pandemic to support IPV survivors and advocates; and 3) specific needs and challenges of culturally-specific agencies. We conducted semi-structured interviews with 53 IPV advocates from June to November 2020. Participants were included if they worked directly with survivors, identified as an IPV advocate, worked at a US-based agency, and spoke and understood English. We created a sampling matrix to ensure adequate representation from IPV advocates serving survivors from communities which have been marginalized. Interviews were conducted through a virtual platform by a trained member of the research team. We used an inductive thematic analysis approach, with weekly coding meetings to resolve discrepancies in coding. Five themes emerged from the data: 1) IPV advocates described how working as an IPV advocate during the COVID-19 pandemic impacted them personally; 2) agencies developed new methods of addressing IPV advocates’ needs; 3) agencies developed new solutions to address pandemic-related client needs; 4) transitioning advocacy work to virtual formats created challenges but also opportunities and; 5) pandemic limitations and impacts compounded pre-pandemic challenges for culturally specific agencies. IPV advocates are frontline workers who have played essential roles in adjusting services to meet survivor needs during the COVID-19 pandemic while simultaneously coping with pandemic impacts on themselves and their agencies. Developing inter-agency collaborations and promoting advocates’ safety and wellbeing during future public health crises will help support IPV survivors.

     

Screening for intimate partner violence in orthopedic patients: a comparison of three screening tools

Accurately identifying victims of intimate partner violence (IPV) can be a challenge for clinicians and clinical researchers. Multiple instruments have been developed and validated to identify IPV in patients presenting to health care practitioners, including the Woman Abuse Screening Tool (WAST) and the Partner Violence Screen (PVS). The purpose of the current study is to determine if female patients attending an outpatient orthopaedic fracture clinic who screen positive for IPV using three direct questions (direct questioning) also screen positive on the WAST and PVS. We conducted a prevalence study at two Level I trauma centres to determine the prevalence of IPV in female patients presenting to orthopaedic fracture clinics for treatment of injuries. We used three methods to determine the prevalence of IPV; 1) direct questioning, 2) WAST, and 3) PVS. We compared the prevalence rates across the three screening tools. Ninety-four women screened positive for IPV using any method. The prevalence of IPV was 30.5% when a direct questioning approach was utilized, 12.4% using the WAST, and 9.2% using the PVS. The WAST identified 37.2% (35/94) of the IPV victims detected and the PVS identified 27.7% (53/94) of the IPV victims detected, whereas direct questioning identified 89.4% of the IPV victims. Identification of IPV may be under-estimated by the WAST and PVS screening tools. Our findings suggest direct questioning may increase the frequency of disclosure of IPV among women attending outpatient orthopaedic clinics.     

Prevalence and Correlates of Intimate Partner Violence Among a Sample of Construction Industry Workers

This study assessed the prevalence and correlates of intimate partner violence (IPV) among a sample of unionized construction industry workers, and tested the reliability of new measures of IPV normative beliefs. Study participants (n=100) voluntarily completed confidential and anonymous self-administered questionnaires that measured occupational factors, hazardous drinking, and normative beliefs. Measurement of past-year IPV was based on the Conflict Tactics Scale, Form R. Measures of IPV normative beliefs showed good reliability (Cronbach’s α 0.94–0.95). Past-year IPV prevalence was 26%. Logistic regression models were developed to assess the contribution of each factor to risk of past-year IPV perpetration. Perceived workplace racial/ethnic discrimination, job strain, interpersonal workplace conflict, normative beliefs, and hazardous drinking were positively associated with elevated IPV risk.Construction industry workers may have higher rates of IPV compared to general population samples that represent various occupations and social classes. Occupational factors appear to be significant correlates of IPV among these workers.     

Intimate Partner Violence Against Married Women in Uganda

This study utilized data from the 2006 Uganda Demographic and Health Survey to examine correlates of the lifetime experience of intimate partner violence (IPV) against married women in Uganda. Guided by an integrated theoretical framework that synthesizes resource and gender theories, five hypotheses are developed and tested concerning three major forms of IPV: (a) physical violence, (b) emotional or psychological violence, and (c) sexual violence. Results from multivariate statistical analyses indicate that although both the resource and gender factors are significant predictors of the lifetime experience of IPV among married Ugandan women, the gender factors appear to be more systematic and robust than the resource factors in predicting IPV in Uganda. Theoretical and policy implications are discussed.     

Shuttle and Online Mediation: A Review of Available Research and Implications for Separating Couples Reporting Intimate Partner Violence or Abuse

Whether family law cases with a history of severe intimate partner violence and/or abuse (IPV/A cases) should have the option of settling family‐related issues using mediation is the subject of significant debate. Recommendations for potentially safer ways to mediate IPV/A cases have been developed, including shuttle and online mediation. Given the current lack of research on these forms of mediation with IPV/A cases, we review the research on shuttle and online mediation in other contexts and theorize how the findings might apply to IPV/A cases. We argue that, although online and shuttle mediation may benefit IPV/A cases, aspects of these procedures require special considerations.     

Who is most at risk for intimate partner violence? A Canadian population-based study

Whole population studies on intimate partner violence (IPV) have given contradictory information about prevalence and risk factors, especially concerning gender. The authors examined the 1999 Canadian General Social Survey data for gender patterns of physical, sexual, emotional, or financial IPV from a current or ex-partner. More women (8.6%) than men (7.0%, p = .001) reported partner physical abuse in general, physical IPV causing physical injury (p < .0001), sexual abuse (1.7% vs. 0.2%, p < .0001), and financial abuse (4.1% vs. 1.6%, p < .0001). There were no gender differences for partner emotional abuse. Significant risk factors after multivariate modeling for physical/sexual IPV were younger age, being divorced/separated or single, having children in the household, and poor self-rated physical health. These findings from a large, randomly generated data set further refine our understanding of the risk profile for IPV in the developed world.     

Intimate Partner Violence Screening in a Women Veterans’ Health Clinic: Assessing Feasibility

Women presenting for care within a suburban Department of Veterans Affairs Hospital (VA) were screened for intimate partner violence (IPV). This study aimed to explore the feasibility of screening for IPV within a VA women’s health clinic, assess how well the screening measure captured women veterans’ experiences of IPV, and compare clinical correlates of IPV in women veterans who have and have not experienced IPV. Of 96 eligible women, 93 (97 %) answered a self-report question regarding experience of lifetime IPV and 72 (75 %) participated in a standardized screening. Among participants, 42 (47 %) reported experiencing past or current IPV, and of those, 11 (25 %) reported that they were currently experiencing IPV, and 31 (70 %) reported that they had experienced IPV in their past. Screening for IPV among women veterans in a women’s health clinic is feasible and identifies women who experience IPV, offering opportunities for referral and intervention.     

Using indirect questions to detect intimate partner violence: the SAFE-T questionnaire

A screening instrument for detecting intimate partner violence (IPV) was developed using indirect questions. The authors identified 5 of 18 items studied that clearly distinguished victims of IPV from a random group of health conference attendees with a sensitivity of 85% and a specificity of 87%. This 5-item instrument (SAFE-T) was then tested on 435 women presenting to three emergency departments and the results compared to a direct question regarding current abuse. The SAFE-T questions detected only 54% of the women who admitted being abused and correctly classified 81% of the women who said they were not victims. The 1-year prevalence of IPV in this sample of women presenting to an emergency department was 11.6%. The authors conclude that indirect questioning of women appears to be more effective at ruling out IPV in an emergency department population and may be less useful for women "early" in an abusive relationship.     

Risk for Revictimization of Intimate Partner Violence by Multiple Partners: a Systematic Review

Are victims of intimate partner violence (IPV) by multiple partners (MP) different from victims of IPV by one partner? Are there different victim-related risk factors for IPV by MP? This systematic literature review identified seven empirical studies that related to these issues. The review findings indicated that (1) empirical research on IPV by MP appears to be scarce, with only limited recent development; (2) there were significant differences between women who had been subjected to IPV in a single relationship and women with IPV by MP; (3) IPV by MP was significantly associated with childhood domestic trauma, drug abuse, IPV characteristics, and attachment style; (4) regarding PTSD and personality disorders, the results were mixed and inconclusive; and (5) depression did not appear as a salient risk factor for IPV by MP. Interpretations must be made cautiously because of the wide diversity in measurement approaches. It is important that service personnel and researchers attend with increased awareness to women with IPV by MP.     

Predicting the Risk of Intimate Partner Violence: The Chinese Risk Assessment Tool for Victims

The present study reports the development and validation of the Chinese Risk Assessment Tool for Victims (CRAT-V), an actuarial instrument for the prediction of intimate partner violence (IPV) victimization in a Chinese population. Data were collected from a representative sample of 2,708 Chinese women who were married or cohabiting in Hong Kong. All participants were interviewed with a questionnaire assessing their experience of IPV victimization and personal or family factors related to IPV. As measured by the Revised Conflict Tactics Scale (CTS 2), the base rates of preceding-year physical and sexual IPV victimization were 4.6 % and 3.6 %, respectively. Using a cross-validation procedure, the present study developed a 5-factor instrument with one half of the randomly split sample and validated the resulting tool with the other half. The CRAT-V had a sensitivity of 74.0 %, a specificity of 68.3 %, an overall accuracy of 68.7 %, and an area under the receiver operating characteristic (ROC) curve of 0.75 when administered on the second half of sample. Overall, the CRAT-V may serve as a straightforward, systematic, and easy-to-administer instrument tailor-made for Chinese populations for the assessment of risk of IPV victimization against women.     

Does Separation or Divorce Make any Difference? An Interactional Perspective on Intimate Partner Violence with Focus on Marital Status

This article reports a study of the impact of marital status on interactional aspects of intimate partner violence (IPV) among help-seeking women. Are there differences among marital status groups concerning (a) other sociodemographic variables, (b) IPV categories, (c) interactional IPV variables, and (d) perception and interpretation of IPV? A representative sample of 157 women recruited from family counseling, the police, and shelters were interviewed. There was no significant sociodemographic difference among the marital status groups. There were no significant differences pertaining to IPV categories, neither for IPV severity, injury, duration, frequency, mortal danger, and regularity, nor for physical, psychological, or sexual IPV. However, multivariate logistic regression showed that post-separation women were significantly more likely to have (a) had longer duration since the last psychological and sexual IPV episode, (2) reported the physical IPV to be more predictable, and (3) used more active coping strategies against physical IPV. However, our research was not able to determine if perception and interpretation predict actual leaving behavior, or vice versa, or how the victim’s subjective perception and interpretation of the IPV changes over time.     

“Strength at Home” Group Intervention for Military Populations Engaging in Intimate Partner Violence: Pilot Findings

In this brief report, we present information on the Strength at Home intervention to treat male active duty or military veteran perpetrators of intimate partner violence (IPV) as well as preliminary pilot study findings. Strength at Home is a 12-session cognitive-behavioral group intervention developed by the authors that is based on a social information processing model of IPV perpetration. Six men referred to two intervention groups and five collateral female partners participated in this pilot study. Findings indicated large reductions for most indices of physical and psychological IPV from pre-treatment to 6-month follow-up. These initial results are promising though the small sample size and other study limitations preclude our ability to draw firm conclusions.     

An Interactional Perspective of Intimate Partner Violence: An In-depth Semi-structured Interview of a Representative Sample of Help-seeking Women

This article reports a study of women victimized by intimate partner violence (IPV). We describe three interactional aspects of IPV: (1) responses and conduct before, during, and after IPV episodes, (2) impact of alcohol and drug intoxication, and (3) Predictors of risk for IPV victimization in more than one partnership. A representative sample of 157 help-seeking women, recruited from family counseling offices, the police and shelters, were interviewed about physical, psychological and sexual IPV. The nature and characteristics of the IPV interactions were complex and heterogeneous. There were significant interactional differences between the IPV categories concerning the women’s responses and conduct before, during and after the IPV. The impact of alcohol and drug intoxication was relatively small on the occurrence of IPV. About 75% reported that neither the perpetrator nor the female victim had consumed alcohol or drugs before the index IPV exposure. Only 23% of the women had experienced IPV by previous partners. Women who had been subjected to sexual abuse in their family of origin were at almost 25 times increased risk of IPV victimization in more than one partnership. Childhood exposure to physical IPV between parents increased the risk of IPV victimization in more than one partnership significantly more than if the woman had been subject to childhood physical victimization.     

Intimate Partner Violence Related Stress and the Coping Experiences of Survivors: “There’s Only So Much a Person Can Handle”

Intimate partner violence (IPV) is a prevalent problem associated with multiple negative outcomes for survivors’ well-being. Coping has emerged as an important construct in understanding the association between IPV and survivors’ well-being. Research is needed to better understand the contextual complexity of IPV as a stressor, determine if IPV is a unique stressor, and document survivors’ coping experiences. This article reports findings of a qualitative study with 25 female survivors and 6 service providers. Analysis of interview data shows 3 key themes: (a) coping strategies used by survivors; (b) challenges and barriers to coping with IPV; and (c) IPV as a unique stressor. Despite multiple challenges and barriers to coping with IPV, survivors use multiple, varied strategies to cope with their experiences of abuse. However, given the context and nature of IPV, violent victimization is a distinct stressor with unique barriers that often require IPV-specific coping strategies.     

An Evaluation of a Parent Group for Survivors of Intimate Partner Violence

Researchers continue to demonstrate the significant physical and mental health consequences to women who experience intimate partner violence (IPV) and children exposed to IPV. However, more research is needed to examine group interventions that support mothers, their children, and the parent-child relationship in the aftermath of IPV. We analyzed data provided by women who participated in a 12-week parent group. The objectives of the parent group were for mothers to better understand their children’s developmental experience of IPV and to break the secret of domestic violence in their family. The sample included 15 women who completed the group and the baseline, midpoint, and endpoint surveys. Eleven of these women also completed a semi-structured interview three months following the group. Survey items and interview topics focused on group process and outcomes. Women reported the group helped them feel less alone in their experience of IPV and they valued having a space to learn and discuss new concepts that related to their experiences and their children’s experiences of IPV. They reported more confidence in identifying their child’s feelings and being a safe person to whom their children could express their anger. Women also reported they developed greater coping and communication tools, and a strengthened mother-child bond, through group participation. Group interventions are an important format for learning and sharing for some mothers who have experienced IPV, though more evaluation is needed on what components of these group interventions are the most supportive of mothers’ healing and growth.

     

Detection of intimate partner violence in a general medicine practice

In this study, an assessment phase is undertaken to determine intimate partner violence (IPV) prevalence. An anonymous survey is followed by a chart review documenting identification of IPV. Two methods are attempted to increase assessment/documentation of IPV: a physician educational intervention and a nursing routine inquiry intervention in one quadrant of the practice. The IPV physician educational intervention includes didactic sessions, an IPV counselor, and resource information. The routine inquiry intervention involves nurses screening female patients for IPV at check-in. IPV is found to be prevalent in a general medicine clinic. An enhanced educational intervention does not increase IPV documentation. A routine inquiry intervention significantly increases documentation of lifetime IPV but does not impact current IPV identification.     

Agreement on intimate partner violence among a sample of blue-collar couples

This study assessed agreement level about the occurrence of past-year male-to-female partner violence (MFPV) and female-to-male partner violence (FMPV) among a sample of 897 blue-collar couples. Intimate partner violence (IPV) was measured with the Physical Assault subscale of the revised Conflict Tactics Scales (CTS2). Agreement level was assessed with Cohen's kappa statistic. Lower-bound estimates (based on couple agreement that an IPV event occurred) and upper-bound estimates (based on uncorroborated reports from either partner that an IPV event occurred) were calculated. Results indicated low agreement for most IPV behaviors (kappa < .40). Estimated lower- and upper-bound rates for MFPV were 6.7% and 21.2%, for FMPV, 7.1% and 24.2%, and for any IPV, 10.1% and 30.2%. Findings suggest that single-point IPV prevalence estimates are biased; lower- and upper-bound estimates using collateral reports should be calculated when possible. In addition, findings underscore the importance of conducting IPV research among understudied populations, such as working-class couples, that may be at elevated IPV risk.     

Predictors of being unsafe: participation in the Behavioral Risk Factor Surveillance System 2006 intimate partner violence module

A common reason for not participating in intimate partner violence (IPV) research is thought to be fear for one's safety. However, little is known about those who do not participate due to safety fears. To better characterize this population, we investigated correlates of being "not safe" to answer the optional IPV module in the 2006 Behavioral Risk Factor Surveillance Survey (BRFSS), a yearly cross-sectional telephone survey in the United States. We compared those who said they were not safe to complete the module with those who were safe and reported (+IPV) or denied (-IPV) IPV. Forward stepwise multivariate logistic regression was performed to identify significant correlates of being not-safe. Those who said they were not safe to answer IPV questions were found to have lower income, lower education levels, and were older than either +IPV or -IPV respondents. They were also more likely to be male than the +IPV group. The not-safe differ from those traditionally identified as being at greatest risk for IPV. However, the percentage of IPV victims in the not-safe group remains unknown. Greater efforts should be made to include this group in future IPV research, both to determine these groups' true IPV risk and to avoid missing potential IPV victims. The validity, reliability, and comprehensibility of safety questions should also be assessed.     

The IPV-WDA: Developing an Abusive Workplace Disruptions Assessment Using Item Response Theory

Intimate partner violence (IPV) is a pervasive public health problem impacting millions of women, families, and employers each year. Abusive partners purposively sabotage survivors’ employment to maintain control over them. While previous scales have been developed to measure the impact of IPV on work and economic stability, the current study creates and pilot tests a technology-inclusive measurement of workplace disruptions for survivors of IPV. It was hypothesized that statistical analysis would produce subscales of poor workplace performance and employment instability. The 34-item Intimate Partner Violence and Workplace Disruptions Assessment (IPV-WDA) developed for this study is based on individual interviews with IPV survivors, consultations with expert scholars and advocates, and comparisons of items with existing measurements. The current study used item response theory (IRT-Rasch model) to develop and pilot test the IPV-WDA with a sample of intimate partner violence survivors (N?=?41) who had been employed while experiencing abuse. The IPV-WDA showed unidimensionality, high reliability, and validity, as well as items that ranged from common to severe experiences. All items provided unique information on survivors’ experiences of workplace disruptions indicating they should be retained. Based on findings of overall reliable and valid performance, the technology inclusive and comprehensive IPV-WDA should be used in future research. Specifically, researchers should prioritize using it with larger samples so that individual item findings can shape the conceptualization of abusive workplace disruptions and be the target of future intervention research.

     

Interactional Aspects of Intimate Partner Violence Result in Different Help-Seeking Behaviors in a Representative Sample of Women

This article reports a study of the possible impact of sociodemographic and interactional aspects of intimate partner violence (IPV) on help-seeking behavior. Do different sociodemographic groups of IPV survivors use different professional supports and treatments? Do different professional support and treatment agencies come predominantly in contact with women who have been subjected to different characteristics of IPV? Do different interactional IPV variables predict whether IPV victims contact the police, a family doctor, or a psychologist or psychiatrist? A representative sample of 157 women recruited from family counseling, the police, and shelters in Norway was interviewed. Three of seven sociodemographic variables showed statistically significant differences among the recruitment groups. No significant differences in characteristics of IPV were found among the recruitment groups. However, there were significant differences between the main categories (physical, psychological, and sexual) of IPV and interactional IPV factors concerning help-seeking. Our findings indicate that the help-seeking of IPV survivors is differentiated and interaction-specific and that they respond adequately to the different interactional consequences of IPV.