Intimate Partner Abuse among African American Lesbians: Prevalence, Risk Factors, Theory, and Resilience

The purpose of this article is to present an intersectionality-based model for conceptualizing the risk factors associated with intimate partner abuse (IPA) among African American lesbians. The available literature on prevalence and risk factors associated with IPA suggests that: (a) estimates of prevalence rates for African American lesbian IPA could range from 25?% to 40?%, with the higher end of the range representing the inclusion of nonphysical forms of abuse (i.e., verbal abuse, intimidation, and coercion); and (b) the risk factors most likely to be associated with IPA for this population include poverty, history of trauma and mental health symptoms (including substance abuse), in addition to distress caused by multiple and intersecting forms of oppression (i.e., racialized, classist sexism and heterosexism). The model demonstrates the manner in which all of these risk factors intersect to create disproportionately high risk for this underresearched and underserved population. A psychodynamically based model is also presented that illustrates the cycle of abuse within an African American lesbian relationship. Finally, a model depicting the most likely protective factors segues into a brief concluding discussion about the implications for intervention, prevention, policy, education, and future research.     

Interventions for Intimate Partner Violence: A Historical Review

Intimate partner violence (IPV), also known as domestic abuse or relationship violence, has generated a large research literature for the last half-century, particularly in the areas of criminal justice, psychology, and the social sciences. Interventions for victims and perpetrators of IPV have largely been sequestered to separately evolving efforts of law enforcement and the psychotherapeutic community (Chang et al. Women’s Health Issues, 15(1), 21–30, 2005; Dalton Journal of Aggression, Maltreatment & Trauma, 15(1), 59–75, 2007; Dobash and Dobash 2000; Feder et al. 2008; Gerbert et al. Journal of Family Practice, 49(10), 889–895, 2000; Wathen and MacMillan. Journal of the American Medical Association, 289(5), 589–600, 2003). This article presents a brief overview of the historical evolution and development of these discrete perspectives and identifies and assesses current collaborative interventions rooted in these historical precedents. In conclusion, the authors provide a summative discussion of the most current findings of research into IPV interventions, with a particular focus on the changing roles of race and gender in both the criminal prosecution of IPV and services provided to IPV perpetrators and victims.     

Intimate Partner Violence in Turkey: The Turkish Intimate Partner Violence Attitude Scale-Revised

This study documents psychometrics of the Turkish version of Intimate Partner Violence Attitude Scale-Revised (IPVAS-R; Fincham et al. in Psychological Assessment, 20, 260–269, 2008). Dating college students (n=280) from four universities completed Turkish versions of the IPVAS-R, Multidimensional Measure of Emotional Abuse, Physical Assault of Conflict Tactics Scale - Revised, and Ambivalent Sexism Inventory. Confirmatory factor analysis supported the three factor structure of the IPVAS-R, albeit with an item change from the Abuse to the Control factor, due to the cultural nuances. This factor structure was cross validated with a second independent sample of 205 dating college students. Convergent validity and satisfactory internal consistency were also reported. The IPVAS-R was found to be a psychometrically sound measure to gauge attitudes toward psychological and physical dating aggression among college students outside of North America.     

Intimate Partner Violence within the Chinese Community in San Francisco: Problem Gambling as a Risk Factor

A total of 31 Chinese community members (8 males and 23 females) were recruited from three social service agencies in San Francisco (Donaldina Cameron House, Richmond Area Multi-Services, and St. Mary’s Chinese Center) to participate in a study examining the relationship between problem gambling and intimate partner violence (IPV). A survey approach was taken which assessed the participants’ demographic characteristics including age, gender, country of birth, and employment, as well as factors relating to their intimate partners, including partner’s alcohol abuse and problem gambling. Younger participants and those whose partners were problem gamblers were more likely to experience IPV. However, partner’s problem gambling was a significant predictor only at the ten-point cutoff on the South Oaks Gambling Screen (SOGS) (Lesieur and Blume, American Journal of Psychiatry, 1987) and not at the five-point cutoff. Chinese participants whose partners were problem gamblers (SOGS ≥ 10) were 27.5 times more likely to experience IPV. Findings are discussed and social work practice, policy, and research implications are highlighted.

Intimate Partner Violence in the Occupied Palestinian Territory: Prevalence and Risk Factors

This paper presents results from a nationally representative cross-sectional survey of married women (N?=?3,500) in the West Bank and Gaza Strip. Interviews assessed the 12-month prevalence of participants’ exposure to psychological, physical, and sexual intimate partner violence (IPV) and risk factors including: demographic characteristics, several factors of marital relations, stressful life events, political violence, status inconsistency, family size, locality, region, help resources in the community, and locality-level acceptance of wife abuse. The prevalence estimates of IPV were: psychological aggression, 50 % minor and 12 % severe; physical assault, 17 % minor and 6 % severe; and sexual coercion, 4 % minor and 6 % severe. Results revealed that stressful life events, husbands’ controlling behavior, and marital conflicts were related to all forms of IPV (all p-values?<?0.05). Greater locality-level acceptance of wife abuse was statistically associated with greater odds of each type of violence except sexual violence. The limitations and implications of the study for future research are discussed.     

Intimate Partner Violence in Extremely Poor Women: Longitudinal Patterns and Risk Markers

Despite high revalence rates of intimate partner violence in the lives of extremely poor women with dependent children, few studies have investigated the patterns of violence that occur over time, and the characteristics of women that serve as risk markers for partner violence. This paper describes patterns of domestic violence longitudinally and uses multivariate analyses to delineate childhood and adult risk markers for recent intimate partner violence in this population of women. Analyses draw upon a sample of 436 homeless and extremely poor housed mothers receiving welfare, in a mid-sized city in Massachusetts with a large Hispanic population of Puerto Rican descent and relatively fewer Blacks. We found that among women with complete longitudinal data (N=280), almost two-thirds experienced intimate partner violence at some point during their adult life by the end of study follow-up, and that the abuse before and after the baseline interview was episodic and limited over time. To examine the role of individual women's factors, while controlling for partner characteristics, we used baseline data on women who had been partnered during the past year (N=336). Among childhood predictors, we found that sexual molestation contributed most significantly to adult intimate partner violence that occurred during the past year prior to the baseline interview. Adult risk markers included inadequate emotional support from non-professionals, poor self-esteem, and a partner with substance abuse problems. Having a partner with poor work history was another independent predictor of recent abuse. Ethnicity did not significantly predict whether women were abused or not during the past year, contrary to other findings reported in the literature.     

Modeling Risk for Intimate Partner Violence among Recent-Era Veteran-Partner Dyads

Using an actor-partner interdependence model, we examined whether veterans’ posttraumatic stress symptoms (PTSS) contributed to partners’ drug abuse symptoms, whether partners’ drug abuse symptoms contributed to intimate partner violence (IPV) perpetration, and whether drug abuse symptoms mediated PTSS-IPV perpetration associations. Participants were recent-era veterans who participated in the Mid-Atlantic Mental Illness Research, Education and Clinical Center Post-Deployment Mental Health study. Veterans who took part at one site and their partners (N = 49 couples) completed a follow-up study in which drug abuse symptoms and IPV perpetration were assessed. Veterans’ PTSS contributed to veterans’ drug abuse symptoms. Veterans’ drug abuse symptoms were associated with their IPV perpetration (i.e., an actor effect) and their partners’ IPV perpetration (i.e., a crossover effect). Drug abuse symptoms mediated the association between veterans’ PTSS and partners’ reports of IPV perpetration. Findings suggest complex relationships between PTSS, drug abuse problems and IPV perpetration among these dyads.     

Intimate Partner Violence in Interracial Relationships

Research from the U.S. suggests that interracial relationships tend to have an elevated risk of intimate partner violence (IPV). The purposes of this study were to examine IPV in interracial relationships in Canada and explore the extent to which indicators derived from potential explanations account for the elevated risk of IPV in interracial relationships. Data were from a nationally representative sample of more than 19,000 Canadians, of whom 399 were in an interracial relationship and 9,969 were in a non-interracial relationship. Results showed that individuals in interracial relationships faced a significantly elevated risk of IPV victimization. Logistic regression analyses suggested that the presence of children and short union duration were particularly important in accounting for 56 % of the elevated odds of IPV in interracial relationships. Interracial relationships are a vulnerable population and the implications of the elevated risk of IPV in these unions need to be considered in IPV prevention efforts.     

Alcohol and Violence Related Cognitive Risk Factors Associated with the Perpetration of Intimate Partner Violence

The primary aim of this study is to determine the association between alcohol, violence related cognitive risk factors, and impulsivity with the perpetration of partner violence among current drinkers. A probability sample (n = 1468) of White, Black, and Hispanic couples 18 years of age or older in the United States household population was interviewed in 1995 with a response rate of 85%. The risk factors of interest included the alcohol and violence related cognitions of approval of marital aggression, alcohol as an excuse for misbehavior, and aggressive expectations following alcohol consumption as well as impulsivity. In all, 15% (216/1468) of the respondents reported perpetration of domestic violence. In addition, 24% (7/29) of those who approved of marital violence, 11% (126/1163) of those who reported alcohol use as an excuse for misbehavior, 10% (128/1257) of those who reported aggressive expectations following alcohol consumption, and 14% (99/716) of those who reported impulsivity also reported perpetration of domestic violence. Bivariate analysis indicated that all of the cognitive risk factors were significantly more common in those who reported perpetration of intimate partner violence (IPV) (p < 0.05). However, multivariate analysis controlling for ethnicity, education, income, age, gender, and impulsivity indicated that those who reported strong or very strong expectations of aggressive behavior following alcohol consumption were 3.2 (95% CI = 1.3–7.9) times more likely to perpetrate IPV. Although all of the alcohol and violence related cognitive risk factors were associated with the perpetration of domestic violence, expectations of aggressive behavior following alcohol consumption appeared to be the strongest predictor of the perpetration of IPV among current drinkers. Therefore, alcohol expectancy may be an important factor to assess when attempting to identify and treat perpetrators of domestic violence who are also current drinkers.     

COVID-19 Specific Risk Markers for Intimate Partner Violence Perpetration

Intimate partner violence (IPV) rates have grown alongside the sweeping changes, challenges, and transitions necessitated by the onset of COVID-19. The goal of this exploratory study was to examine COVID-19 related risk markers for IPV perpetration. Data were collected from a national sample of 365 U.S. individuals who were in a relationship during August 2020, in the midst of the COVID-19 epidemic. Unadjusted odds ratios were calculated for 27 unique risk markers related to lifestyle changes due to COVID-19, mental health, isolation, financial impacts, and COVID-19 diagnoses. The strongest risk markers for IPV perpetration were feelings of loneliness, followed by anxiety symptoms, perceived stress, fear, boredom, substance use and lifestyle changes. Understanding risk markers associated with an increase in IPV perpetration can aid helping professionals identify individuals who may be at risk for IPV, or target these factors to aid in IPV prevention and intervention efforts.

     

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.     

Perceived Risk for Future Intimate Partner Violence among Women in a Domestic Violence Shelter

Research investigating women’s risk assessments for intimate partner violence (IPV) shows that women can predict future violence with relative accuracy. Limited research has investigated factors that are associated with perceived risk and the potential behavioral consequences of victim risk perception. Results from a survey of women in a domestic violence shelter (N = 56) indicated that women perceive lower risk of future violence if the abusive relationship were to end and higher risk of violence if it were to continue. Certain abuse experiences were related to elevated perceptions of personal risk for future violence. Further, perceived personal risk predicted the women’s intention to terminate their relationship upon leaving shelter. Results are discussed as they may inform interventions preventing IPV.

Current Controversies within Intimate Partner Violence: Overlooking Bidirectional Violence

There is a wealth of research that details the bidirectional nature of the majority of intimate partner violence (IPV; Langhinrichsen-Rohling et al. Partner Abuse, 3(2), 199–230, 2012). However, there is a tendency for interventions to treat perpetrators and victims unilaterally from a gendered standpoint. The current paper discusses the evidence to date that illustrates the extent of the problem, including frequency within several samples and the severity of outcomes. It further argues that the only way to develop effective interventions is to acknowledge that many perpetrators may also be victims, and the need to understand the context in which the violence occurs.     

Intimate Partner Violence and Risk for Child Neglect during Early Childhood in a Community Sample of Fragile Families

The current study explores the relationship between child neglect and intimate partner violence (IPV) in a longitudinal community sample of 1,740 families with young children, with a special focus on the association between specific typologies of both neglect behaviors and IPV. We focused on families followed across early childhood, because infants and toddlers are at the greatest risk of exposure to neglect (the most prevalent type of child maltreatment), and this period spanning the transition to parenthood presents heightened risk for IPV. We found evidence that coercive IPV is an important driver of the connections between IPV and subsequent neglect through affecting the mother’s well-being and ability to provide basic care and nurturance. Implications for intervention and future work addressing definitions and pathways to neglect are discussed.     

Changes in Intimate Partner Violence During Pregnancy

Women's experiences of partner violence, both before and during pregnancy, are described using a convenience sample of women recruited from prenatal clinics. Included were an index group of women who told their clinicians that they had been physically abused during pregnancy, and a comparison group of women who told their clinicians that they had not been physically abused during pregnancy (even though later more detailed assessment found that some of these comparison women had experienced such violence). The women averaged 27 years of age, with 83% being high school graduates, 26% being married, and 66% having had previous children. The Conflict Tactics Scales 2 assessed rates of partner violence victimization of the women and their male partners, including psychological aggression, physical assault, and sexual coercion. Injuries also were assessed. Results showed that comparison men were physically assaulted at significantly higher rates than were their female partners, both before and during pregnancy (even though these victimization rates were much lower than those seen among the index couples). Index women experienced higher rates of psychological aggression, physical assault, and sexual coercion than did their male partners, and these women were significantly more likely than their male partners to be injured. Pregnancy onset was associated with significant increases in the rates of psychological aggression among both the index and comparison couples. In addition, the index women experienced a significantly increased rate of sexual violence victimization during pregnancy. However, pregnancy was not associated with significant increases in the rates of physical assault or violence-related injuries among the index or comparison couples.     

Prevalence of Intimate Partner Violence in Thailand

There is no recent national data on the prevalence of intimate partner violence in Thailand. This study proposed to examine the prevalence of intimate partner violence in 4 regions of Thailand by using a standardized questionnaire from the WHO multi country study on women’s health and domestic violence. Two thousand four hundred and sixty-two married or cohabiting women aged 20–59 years were interviewed about their experiences of psychologically, physically, sexually violent, and/or controlling behaviors by their male partners. The study found that 15% of respondents had experienced psychological, physical, and/or sexual violence in their life time which suggests that 1 in 6 of Thai women have faced intimate partner violence. Of the 15% of women who reported intimate partner violence within the past 12 months, psychological violence was the most common (60–68%), followed by sexual violence (62–63%) and physical violence (52–65%). In addition, the percentage of women who faced various forms of controlling behaviors varied from 4.6% to 29.3%. Men who were more controlling were more likely to abuse their female partners. The results reveal that partner violence against women is a significant public health issue in Thai society that must be addressed.