Actions Taken by Women in Response to Intimate Partner Violence and Intimate Partner Violence Status at 1-Year Follow-Up |
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| Institution: | 1. Vanderbilt University Medical Center, Department of Orthopaedics, 2200 Children’s Way, Nashville, TN 37232-9565 United States;2. Vanderbilt University Medical Center, Department of Center for Bone Biology, 2200 Children’s Way, Nashville, TN 37232-9565 United States;3. Vanderbilt University Medical Center, Department of Pathology, Microbiology and Immunology, 2200 Children’s Way, Nashville, TN 37232-9565 United States;4. Vanderbilt University Medical Center, Department of Pharmacology, 2200 Children’s Way, Nashville, TN 37232-9565 United States;5. Vanderbilt University Medical Center, Department of Pediatrics, 2200 Children’s Way, Nashville, TN 37232-9565 United States;6. Vanderbilt University, Mass Spectrometry Research Center, Proteomics Laboratory, Nashville, TN 37232 United States;1. Indiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202, USA;2. College of Nursing, University of Cincinnati, PO Box 210038, Cincinnati, OH 45221-0038, USA;1. Department of Primary and Community Care, Radboud Institute for Health Sciences (RIHS), Radboud University Medical Center, Geert Grooteplein 21 (route 117), 6500HB Nijmegen, the Netherlands;2. Department of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, USA;3. Social and Economic Policy Unit, UNICEF Office of Research—Innocenti, Florence, Italy;4. The Global Women''s Institute at the George Washington University, Washington, DC, USA;5. Center for Global Development, Washington, DC, USA;6. Independent Consultant, NJ, USA;7. United States Agency for International Development, Washington, DC, USA;8. Institute of Legal and Forensic Medicine, Charité – Universitätsmedizin, Berlin, Germany |
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| Abstract: | BackgroundIntimate partner violence (IPV) is a pervasive public health issue with significant physical and mental health sequelae. A longer duration and greater severity of abuse are associated with adverse health outcomes and increased risk of revictimization. Current research has identified a variety of strategies used by women in response to abuse, but has not established whether the use of these strategies is associated with decreased IPV over time. For this study, we analyzed the associations between the use of specific actions in response to abuse—placating, resistance, informal or formal network help-seeking, safety planning, and substance use—and IPV victimization at the 1-year follow-up.MethodsNinety-five women with past-year IPV at baseline participated in a 1-year follow-up survey measuring their use of specific actions in response to IPV and subsequent IPV status. IPV victimization at the 1-year follow-up was analyzed as a function of types of actions taken and sociodemographic variables.ResultsAmong women with past-year IPV at baseline (N = 95), 53% reported no further IPV victimization at the 1-year follow-up. In bivariate analysis, social support was associated with decreased risk of IPV victimization (odds ratio, 0.43; 95% confidence interval CI], 0.18–0.99). In multivariable analyses, high use of placating (adjusted odds ratio, 9.40; 95% CI, 2.53–34.9), formal network help-seeking (adjusted odds ratio, 7.26; 95% CI, 1.97–26.74), and safety planning (adjusted odds ratio, 2.98; 95% CI, 1.02–8.69) strategies were associated with an increased risk of IPV victimization at the 1-year follow-up.ConclusionsOur data demonstrate that IPV exposure can change over time and that the use of specific actions in response to IPV can be indicators of risk of subsequent victimization. Abuse severity is an important potential confounder of action efficacy. |
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