Intimate partner violence among women veterans by sexual orientation

National estimates suggest intimate partner violence (IPV) rates are equal or higher among lesbian, bisexual, or questioning (LBQ)-identified women than heterosexual-identified women. Women veterans are a population at high risk for IPV, yet the occurrence of lifetime and past-year IPV experiences by sexual orientation have not been examined in this population. Lifetime and past-year IPV experiences and current IPV-related posttraumatic stress disorder (PTSD) symptoms were assessed with validated screening measures as part of a 2014 web-based national survey of women veterans. Among 403 respondents, 9.7% (n = 39) identified as LBQ, and 90.3% (n = 364) identified as heterosexual. When controlling for age, LBQ-identified women veterans were significantly more likely to report lifetime sexual and physical IPV and lifetime intimate partner stalking. In the past year, LBQ-identified veterans were twice as likely to endorse emotional mistreatment and physical IPV, and three times more likely to endorse sexual IPV, than were heterosexual-identified women veterans. However, sexual orientation was unrelated to IPV-related PTSD symptoms, when controlling for age, race, and number IPV forms experienced. IPV is prevalent among LBQ-identified women veterans, suggesting the need to understand the potentially unique contextual factors and health-care needs of this group.     

Changes in Substance Use-Related Health Risk Behaviors on the Timeline Follow-Back Interview as a Function of Length of Recall Period

The timeline follow-back (TLFB) interview was adopted to collect retrospective data on daily substance use and violence from 598 youth seeking care in an urban Emergency Department in Flint, Michigan during 2009–2011. Generalized linear mixed models with flexible smooth functions of time were employed to characterize the change in risk behaviors as a function of the length of recall period. Our results suggest that the 1-week recall period may be more effective for capturing atypical or variable patterns of risk behaviors, whereas a recall period longer than 2 weeks may result in a more stable estimation of a typical pattern.     

School Shootings,High School Size,and Neurobiological Considerations

SUMMARY

In the last decade 17 multiple-injury student school shootings have occurred in the United States, 13 at high schools and 4 at middle schools. Research suggests that high schools function best academically as well as socially at enrollments around 600 (150 students per grade), the natural group size of humans. Eleven of 13 high school shootings occurred in schools with enrollments over 600 students, and many with over 1,000 students. Violent and antisocial behavior is associated with deficits in social information processing, which is necessarily exacerbated by complex social environments. School shootings may be in part a response to the unprecedented social complexity of large schools. Median public high school enrollment now stands at 1,200 in suburbs and 1,600 in cities despite the fact that smaller schools are superior to large schools on nearly all academic and social measures of success including graduation rate, student satisfaction, conduct infractions, athletic participation, absenteeism, and dropout rate. Educational institutions should adapt to the neurobiological limitations of children instead of forcing children to adapt to the unnatural requirements of such institutions.     

The Predictive Validity of Risk Assessment Approaches for Young Australian Offenders

Validation literature on the predictive ability of North American youth violence risk assessment inventories is developing across international settings. Yet no information exists on the utility of the Structured Assessment of Violence Risk in Youth (SAVRY) and the Psychopathy Checklist: Youth Version (PCL:YV),]and little research has been conducted on the Youth Level of Service/Case Management Inventory (YLS/CMI) across Australian young offender populations. The current study investigated the validity of the risk instruments on 213 young people in detention in Victoria, Australia. Findings indicated moderate to strong predictive accuracy for re-offence outcomes across the three inventories for the total sample and for males. The SAVRY was also able to identify the strength of protective factors for young female offenders. The inventories appear to be suitable prediction aides in the Australian youth justice context although further research is required to ascertain their applicability to Australian young female offenders.     

Drugs,Violence, and Federal Funding: A Research Odyssey

Two decades of research activity focusing on drugs/violence relationships are described. Initial interest in this area was kindled by field experiences. Literature review revealed a dearth of concepts and data. A tripartite conceptual framework was formulated to define drug-related violence. A series of empirical studies were undertaken to verify and elaborate the conceptual framework. Findings from these studies debunked prevailing mythology about drugs/violence relationships. Findings also demonstrated the usefulness of a public health perspective and the critical importance of collecting qualitative data in order to achieve a deeper understanding of these phenomena. [Translations are provided in the International Abstracts Section of this issue.]     

Nonfinancial Barriers to Prenatal Care

No abstract available for this article.     

Violence prevention and municipal licensing of indoor sex work venues in the Greater Vancouver Area: narratives of migrant sex workers,managers and business owners

Using a socio-ecological, structural determinants framework, this study assesses the impact of municipal licensing policies and related policing practices across the Greater Vancouver Area (Canada) on the risk of violence within indoor sex work venues. Qualitative interviews were conducted with 46 migrant/immigrant sex workers, managers and owners of licensed indoor sex work establishments and micro-brothels. Findings indicate that policing practices and licensing requirements increase sex workers' risk of violence and conflict with clients and result in heightened stress, an inability to rely on police support, lost income and the displacement of sex workers to more hidden informal work venues. Prohibitive licensing and policing practices prevent sex workers, managers and owners from adopting safer workplace measures and exacerbate health and safety risks for sex workers. This study provides critical evidence of the negative public health implications of prohibitive municipal licensing in the context of a criminalised and enforcement-based approach to sex work. Workplace safety recommendations include the decriminalisation of sex work and the elimination of disproportionately high fees for licences, criminal record restrictions, door lock restrictions, employee registration requirements and the use of police as licensing inspectors.