Abstract MP048: Partner Violence is Associated with Higher Blood Pressure in Men and Women

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Cari J Clark ◽  
Susan A Everson-Rose ◽  
Resnick Michael ◽  
Iris Borowsky ◽  
Sonya S Brady ◽  
...  

Introduction: Women are more likely to experience distress and injury from intimate partner violence (IPV), and may also be at greater risk of higher blood pressure than male victims. However, most prior epidemiologic research has not included men and has not examined perpetation, despite the predominance of mutually violent relationships. Therefore, this study investigates sex differences in the relationship between exposure to IPV victimization and perpetration and systolic blood pressure (SB). Methods: The study included 3447 (52% female; mean(sd) age=22(3)) participants of Waves 3 (2001–2002) and 4 (2007) of the publically-available subset of the National Longitudinal Study of Adolescent Health. Frequency of psychological, physical, sexual IPV and IPV-related injury were ascertained with the Revised Conflict Tactics Scales at Wave 3. Exposure to IPV was categorized as no IPV victimization or perpetration (ref), only low victimization and / or perpetration, high victimization and low/no perpetration, high perpetration and low/no victimization, and both high victimization and perpetration. SBP was measured at Wave 4 using standard procedures. Potential confounders (age, educational attainment, race, history of child abuse) and mediators (depressive symptoms, breakfast consumption, moderate physical exercise, BMI, smoking, alcohol consumption) were recorded at Wave 3. Multivariable weighted linear regression was used to test the relationship between SBP and IPV by adjusting for confounders then by adjusting for the proposed mediators. Analyses were stratified by sex and a multiplicative term was tested. Results: Approximately 30% of the sample reported IPV exposure (n=2050), of which 23% (n=831) experienced low victimization and or perpetration, 5% (n=157) high victimization, 6% (N=203) high perpetration, 6% (n=206) both high victimization and perpetration. Women were slightly more likely to report high perpetration and both high victimization and high perpetration (p<0.01). In separate models controlling for confounders, experiencing both high victimization and perpetration was associated with 4.02 mmHg SBP higher in men (95% CI: 0.32, 7.72) and 2.51 mmHg SBP higher in women (95% CI: 0.18, 4.84) compared to those with no IPV. In addition, reporting high perpetration was associated with 3.83 mmHg higher SBP in men (95% CI: –0.72, 8.38), while high victimization was associated with 2.94 mmHg higher SBP for women (95% CI: –0.61, 6.49). Further adjustment for the hypothesized mediators slightly attenuated the findings. The multiplicative term (IPV X sex) was marginally significant (p=0.09). Conclusions: Exposure to high levels of victimization and perpetration is associated with higher levels of SBP for men and women. High victimization alone is related to higher SBP for women while high perpetration is related to higher SBP for men.

2011 ◽  
Vol 26 (2) ◽  
pp. 208-217 ◽  
Author(s):  
Kirsten Robertson ◽  
Tamar Murachver

This study examined the relationship between coercive control and intimate partner violence (IPV) for men and women and for targets and perpetrators. One hundred and seventy-two participants (85 men, 87 women) recruited from three samples reported on their own and their partner’s behavior. IPV was measured using the Revised Conflict Tactics Scale (CTS2). Coercive control was measured using modified items from the Psychological Maltreatment of Women Inventory (PMWI). Coercive control was associated with IPV, and this relationship was similar for men and women across the three samples. In fact, coercive control was predominantly reciprocal in nature, with women and men reporting both receiving and perpetrating controlling behaviors. Overall, coercive controlling behaviors were characteristic of individuals within violent relationships, regardless of their physical abuse status. The experience of violence, rather than gender, was the best predictor of coercive control.


2017 ◽  
Vol 70 (6) ◽  
pp. 1259-1267 ◽  
Author(s):  
Ricardo de Mattos Russo Rafael ◽  
Anna Tereza Miranda Soares de Moura ◽  
Jeane Marques Cunha Tavares ◽  
Renata Evelin Moreno Ferreira ◽  
Glauce Gomes da Silva Camilo ◽  
...  

ABSTRACT Objective: To estimate the profile of intimate partner violence involving women in a scenario of Family Health Strategy in the municipality of Nova Iguaçu (Rio de Janeiro). Method: A transversal study was conducted in four units with a sample of 640 women between the ages of 25 to 64. The phenomena of violence was determined using the tool Revised Conflict Tactics Scales, validated for Brazil. Statistical analysis took into consideration an estimation of prevalence in the calculation of the p values. Results: The situations of violence and the sociodemographic profiles demonstrated a statistically significant relationship with the variables of educational level and housing conditions. Age, ethnicity and economic class demonstrated an association with certain types of violence, varying in type and severity. Conclusion: The study investigated the profile of these situations of violence and enabled reflection regarding the approaches adopted by the Family Health Strategy teams.


2012 ◽  
Vol 1 (3) ◽  
pp. 26-27
Author(s):  
Joshua D. Wright ◽  
Rosemary Cogan ◽  
Nathanael Taylor

We assessed differences in relationship functioning in physically and in sexually aggressive student men and women. Forty-seven university students in beginning psychology classes completed the Bornstein Relationship Profile Test (RPT) and the Revised Conflict Tactics Scales (CTS2) for partners and for others. The RPT categorizes people on dependency-detachment and yields three subscales: Destructive Overdependence, Dysfunctional Detachment, and Healthy Dependency. The CTS2 measures both the extent of to-partner and to-other aggression and the use of physical and sexual aggression in dealing with conflict. Students who were sexually aggressive toward partners and/or others had lower scores on Bornstein’s Healthy Dependence scale than those who were not sexually aggressive, F(1,43) = 6.57, p = .01.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Yangmei Li ◽  
Xinxue Liu ◽  
Robert N Luben ◽  
Amanda I Adler ◽  
Nicholas J Wareham ◽  
...  

Background and Objectives: An elevated white blood cell (WBC) count has been reported to be associated with all-cause mortality and risk of cardiovascular diseases. While the relationship between leukocyte count and coronary heart disease has been well documented, evidence on the association with risk of stroke has been less consistent. The aim of this study was to investigate the relationship between WBC count and incidence of stroke in a large cohort of disease-free men and women, and to assess how far any associations might be explained by traditional risk factors for stroke. Methods: We examined the prospective association between full blood WBC count and incident stroke in 7,392 men and 9,049 women from the general population participating in the European Prospective Investigation into Cancer-Norfolk Study. Participants were aged 39-79 years, without known heart attack, stroke, and cancer at the baseline examination in 1993-1997 and were followed up for incident stroke till March 2008. Results: During the median follow-up of 12 years, 542 incident stroke cases were observed. The age- and sex- adjusted risk of incident stroke increased with the increase of WBC count. Compared to the lowest quartile of WBC count, the age- and sex- adjusted hazard ratios (HRs) and 95% CIs for stroke were 1.11 (0.86-1.45), 1.40 (1.10-1.79), and 1.65 (1.29-2.09) in the second, third, and fourth quartile, respectively. Adjusting for smoking attenuated the results, while further adjustment for socioeconomic and lifestyle risk factors changed the association very little. The association was further attenuated after adjustment for biological risk factors such as systolic blood pressure and a history of diabetes at baseline, but people with the highest quartile of WBC count still had a higher risk of stroke than those in the lowest quartile (HR 1.32, 95% CI 1.02-1.71). Every 2*10 9 /L increase in WBC count was associated with a hazard ratio of 1.14 (95% CI 1.02-1.26) for stroke in the fully-adjusted model which included age, sex, smoking status, BMI, social class, educational level, alcohol intake, physical activity, systolic blood pressure, a history of diabetes at baseline, and total serum cholesterol. Conclusions: A positive association between WBC count and stroke was observed in these middle-aged and older men and women. Adjustment for smoking attenuated the association while multivariate adjustment for other risk factors did not further change the results.


2018 ◽  
Vol 33 (1) ◽  
pp. 157-175 ◽  
Author(s):  
Andreia Machado ◽  
Denise Hines ◽  
Marlene Matos

International research has established that men can be victims of intimate partner violence (IPV). In Portugal, this phenomenon has not yet received scientific or social attention, although since the 1990s, IPV has been acknowledged as a notable problem. An online cross-sectional study was conducted with 89 heterosexual men who, after completing the Revised Conflict Tactics Scales, identified themselves as victims of IPV. We examined the prevalence of IPV, its context, its perceived impact, men’s reactions after an episode of violence, men’s perceived motives for the partner’s aggressive behavior, and reasons that prevented men from leaving the abusive relationship. The results revealed many similarities to the findings in the literature on female victims and are discussed in terms of their practical implications. Increased knowledge of this underreported phenomenon is vital to the development of suitable policies and support services.


2006 ◽  
Vol 21 (4) ◽  
pp. 507-518 ◽  
Author(s):  
Sherry Hamby ◽  
David B. Sugarman ◽  
Sue Boney-McCoy

Researchers assess partner violence using numerous formats, but whether questionnaire format affects obtained rates has rarely been examined. We compared paper-and-pencil versus computer administrations, and standard Revised Conflict Tactics Scales (CTS2) categories versus dichotomous (yes/no) response categories, in a 2 &times 2 experiment with 160 undergraduate students. Differential validity was also examined for gender. Results provide some support for the use of all formats, although sexual coercion rates showed more measurement variability than reports of psychological aggression, physical assault, or injury. Sexual coercion effects also differed by gender. The standard CTS2 categories resulted in more disclosures than dichotomous categories for some variables. Differences between computer and paper-and-pencil formats were generally minimal. More attention to the effects of questionnaire design on disclosures of violence is urgently needed.


2017 ◽  
Vol 6 (3) ◽  
pp. 65
Author(s):  
Ariane Gomes dos Santos ◽  
Caique Veloso ◽  
Larissa Alves de Araújo Lima ◽  
Claudete Ferreira de Souza Monteiro ◽  
Márcia Astrês Fernandes ◽  
...  

Objetivo: analisar a literatura científica sobre o uso do instrumento “Revised Conflict Tactics Scales” como um recurso de identificação da violência por parceiro íntimo contra mulheres. Metodologia: revisão integrativa, realizada nas bases de dados PubMed/MEDLINE, CINAHL, LILACS e Web of Science, com recorte temporal de 2012 a 2016. Foram identificadas 878 produções primárias e, após a aplicação dos critérios de inclusão e exclusão, 17 artigos constituíram a amostra final. A análise crítica e a síntese qualitativa foram realizadas de forma descritiva. Resultados: a maioria dos estudos foi transversal e publicado em periódicos internacionais, com destaque para ano de 2013. Evidenciou-se vasta utilização do instrumento para identificação da violência por parceiro íntimo contra a mulher. Os tipos de violência contra a mulher mais identificados foram as de natureza psicológica e física. Conclusão: as escalas são amplamente utilizadas no mundo e possibilitam a avaliação específica da ocorrência de violência por parceiro íntimo contra mulheres.


2011 ◽  
Vol 28 (7) ◽  
pp. 915-942 ◽  
Author(s):  
Katherine Péloquin ◽  
Marie-France Lafontaine ◽  
Audrey Brassard

This study examined the intrapersonal, dyadic, and mediational relationships underlying romantic attachment (Experiences in Close Relationships), dyadic empathy (Interpersonal Reactivity Index for Couples), and psychological partner aggression (Revised Conflict Tactics Scales) in 193 community-based couples. In women, attachment insecurity predicted lower dyadic empathy and greater psychological aggression. In men, attachment insecurity predicted lower perspective taking, higher empathic concern, and greater psychological aggression. Partner effects were found for men, with their attachment predicting their female partner’s dyadic empathy and psychological aggression. In women, low perspective taking mediated the relationship between: (1) their anxiety over abandonment and their psychological aggression; and (2) their avoidance of intimacy and their psychological aggression. Findings are consistent with the attachment theory and clinical implications are discussed.


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