Intimate partner violence and miscarriage: examination of the role of physical and psychological abuse and posttraumatic stress disorder

Despite research documenting high rates of violence during pregnancy, few studies have examined the impact of physical abuse, psychological abuse, and posttraumatic stress disorder (PTSD) on miscarriage. Secondary analysis of data collected by the Chicago Women's Health Risk Study permitted an exploration of the relationships among physical abuse, psychological abuse, PTSD, and miscarriage among 118 primarily ethnic minority women. The interaction between maximum severity of abuse and age provided the best multivariate predictor of miscarriage rate, accounting for 26.9% of the variance between live birth and miscarriage outcome. Mean scores of psychological abuse, physical violence, forced sex, and PTSD were significantly higher in the miscarriage group than in the live birth group. Women who experience physical violence and psychological abuse during pregnancy may be at greater risk for miscarriage. Prospective studies can confirm findings and determine underlying mechanisms. Routine screening for traumatic stress and PTSD may reduce rates of miscarriage.     

Theoretical issues and social indicators: A societal process approach

Well-being involves various levels: the individual, the institutional-distributive, and the societal. These levels are interrelated. Social indicators of well-being must be theoretically based so as to take into account these levels. A societal process model is proposed to describe the levels of society and the nature of well-being at each level. Social indicator types regarding the output and distribution of well-being, the effect of policy manipulatable and nonmanipulatable inputs, and the secondary consequences of inputs are suggested and examples are provided.The ideas presented herein have evolved from the authors' participation in a research project conducted for the U.S. Agency for International Development (AID/csd—3642), but do not necessarily reflect the views of that agency. Thanks are extended to J. Steven Picou, James Copp, Jon Alston, Bill Howard, and Ben Crouch, as well as to the then editor of this journal, Garry Brewer, and several anonymous reviewers who were kind enough to provide both cogent critique and encouragement. Journal Paper No. J-8808 of the Iowa Agriculture and Home Economics Experiment station, Ames, Iowa. Project No. 1837.     

Stray bullets and “mushrooms”: Random shootings of bystanders in four cities, 1977–1988

Bystanders killed by bullets not specifically intended for them have long been a very small part of the homicide problem. But the frequency of press accounts of such killings and woundings has apparently increased nationally in recent years. To test this impression, we compiled all shootings of bystanders hit at random and reported in the published indexes of theNew York Times, theLos Angeles Times, and theWashington Post for 1977–1988, as well as a key word computer search of stories in theBoston Globe. We found a rapid increase in both bystander woundings and killings since 1985 in all four cities. The base rate was quite low, and total bystander deaths appear to comprise less than 1% of all homicides in these cities. Nonetheless, the numbers were large enough to show that most bystanders reported shot in New York and Los Angeles are victims of random shootings into crowds, rather than single stray bullets striking a lone individual mushroom. The reverse was true in Boston and Washington, with the effect of much lower rates of bystanders reported shot in those cities.