Gender and Time Differences in the Associations Between Sexual Violence Victimization, Health Outcomes, and Risk Behaviors

2008 ◽  
Vol 2 (3) ◽  
pp. 254-259 ◽  
Author(s):  
Ekta Choudhary ◽  
Jeffrey H. Coben ◽  
Robert M. Bossarte

An estimated 1 out of 6 women and 1 out of 33 men has been a victim of sexual assault at some point in their lifetime. The objective of this study was to quantify the associations between sexual assault and negative health outcomes among males and females who reported being sexually assaulted in the past 12 months or at some point before the past 12 months. Data were obtained from the 2005 Behavioral Risk Factor Surveillance System core and sexual violence modules. A series of logistic regression models, including all respondents and stratified by gender, was used to identify differences associated with victimization. Among women, victimization before the past 12 months was significantly associated with poor health status, poor mental health, lower life satisfaction, activity limitations, smoking, and binge drinking. Women who reported victimization in the past 12 months were also significantly more likely to report poor mental health, lower life satisfaction, activity limitations, and binge drinking. Among males, significant associations were found with smoking (past 12 months), poor life satisfaction (before the past 12 months) and activity limitations (before the past 12 months). Results of this study suggest that poor mental and physical health associated with victimization are more prevalent in women and that these relationships persist over time. The broad range of outcomes associated with victimization suggests that further research is needed to better understand the consequences associated with sexual violence across the lifespan.

Author(s):  
Reagan Fitzke ◽  
Jordan Davis ◽  
Eric Pedersen

While tobacco and cannabis use rates remain high in the general U.S. population, veterans from the conflicts in Iraq and Afghanistan (i.e., OEF/OIF veterans) are at particularly high risk of high rates of cannabis and tobacco use. Co-use of tobacco/nicotine and cannabis (i.e., using both substances within a specified period of time or combining the drugs within the same device for use) is of growing prevalence in the United States. Tobacco/nicotine and cannabis use is often associated with poor mental health outcomes such as stress, anxiety, and depression. However, little is understood about the prevalence rates of tobacco/nicotine and cannabis co-use among U.S. veterans as well as associations with mental health symptomology. The current study aimed to investigate types of tobacco/nicotine and cannabis co-use among veterans, as well as associations between co-use and mental health outcomes of stress, depression, anxiety, and posttraumatic stress disorder. Participants (N= 1,548) were recruited through social media websites and completed an online survey as part of a larger study. The majority (80%) endorsed tobacco/nicotine and/or cannabis use in the past 30 days. Descriptive analyses were run to assess prevalence of use within the sample. Mean comparisons were conducted to assess differences in past 30-day frequency of use and for mental health outcomes between co-users and single users of either substance. Among the larger sample, 90% endorsed lifetime use of tobacco/nicotine, 23% endorsed lifetime use of cannabis, and 21% endorsed any lifetime co-use of both substances. These participants also endorsed past 30 day use of tobacco/nicotine (77%), cannabis (10%), and co-use (7%). Among the past 30-day cannabis users, 66% reported also using tobacco/nicotine, while 9% of past 30-day tobacco/nicotine users also reported cannabis use. When comparing cannabis-only users to co-users of cannabis and tobacco/nicotine, anxiety symptoms were reported as significantly higher among co-users. Tobacco/nicotine-only users endorsed higher past 30-day frequency of cigarettes and e-cigarettes compared to co-users; however, co-users endorsed significantly higher levels of stress and symptoms of PTSD, depression, and anxiety compared to tobacco/nicotine-only users. Results suggest that the addition of cannabis use in conjunction with tobacco/nicotine use may be associated with greater mental health symptoms among veterans. Findings have implications for future veteran mental health care and substance use treatment among tobacco/nicotine and cannabis co-users.


2016 ◽  
Vol 61 (12) ◽  
pp. 776-788 ◽  
Author(s):  
Tracie O. Afifi ◽  
Harriet L. MacMillan ◽  
Tamara Taillieu ◽  
Sarah Turner ◽  
Kristene Cheung ◽  
...  

Objective: Child abuse can have devastating mental health consequences. Fortunately, not all individuals exposed to child abuse will suffer from poor mental health. Understanding what factors are related to good mental health following child abuse can provide evidence to inform prevention of impairment. Our objectives were to 1) describe the prevalence of good, moderate, and poor mental health among respondents with and without a child abuse history; 2) examine the relationships between child abuse and good, moderate, and poor mental health outcomes; 3) examine the relationships between individual- and relationship-level factors and better mental health outcomes; and 4) determine if individual- and relationship-level factors moderate the relationship between child abuse and mental health. Method: Data were from the nationally representative 2012 Canadian Community Health Survey: Mental Health ( n = 23,395; household response rate = 79.8%; 18 years and older). Good, moderate, and poor mental health was assessed using current functioning and well-being, past-year mental disorders, and past-year suicidal ideation. Results: Only 56.3% of respondents with a child abuse history report good mental health compared to 72.4% of those without a child abuse history. Individual- and relationship-level factors associated with better mental health included higher education and income, physical activity, good coping skills to handle problems and daily demands, and supportive relationships that foster attachment, guidance, reliable alliance, social integration, and reassurance of worth. Conclusions: This study identifies several individual- and relationship-level factors that could be targeted for intervention strategies aimed at improving mental health outcomes following child abuse.


2008 ◽  
Vol 45 (5) ◽  
pp. 369-376 ◽  
Author(s):  
Kelly B. Haskard ◽  
Jim E. Banta ◽  
Summer L. Williams ◽  
Mark G. Haviland ◽  
M. Robin DiMatteo ◽  
...  

Author(s):  
Aideen Maguire ◽  
Anne Kouvonen ◽  
Dermot O'Reilly ◽  
Hanna Remes ◽  
Joonas Pitkänen ◽  
...  

BackgroundResearch has highlighted the poor mental health of looked after children compared to those never in care. However, little is known on what becomes of these children and their mental health trajectories after they leave the care of social services. In addition, previous studies are limited in their ability to differentiate between type of social care intervention received; kinship care, foster care or residential care. AimTo utilise nationwide social services data from two countries (Northern Ireland (NI) and Finland), with similar populations but different intervention policies, linked to a range of demographic and health datasets to examine the mental health outcomes of young adults in the years following leaving care. MethodsData from both countries on children born 1991-2000 were linked to social services data, hospital admissions, prescribed medication data and death records. Mental health outcomes were defined after the age of 18years (when statutory care provision ends) examined by care intervention and included admissions to psychiatric hospital, for self-harm and death by suicide. ResultsThe gender split in care in Finland is reflective of the population but more males are in care in NI. Initial results from Finnish data suggest those exposed to care in childhood have an increased risk of self-harm, psychiatric hospital admission and suicide after the age of 18years compared to those never in care. After adjusting for gender, age of entry to care and deprivation at birth those exposed to any care intervention had 3 times the risk of suicide (HR=3.06, 95% CI 1.18,7.98). Risk increased with duration in care but was equivalent across care intervention types. Analysis on the NI data is underway. ConclusionFull results will be available December 2019 and will explore which care pathways are most associated with poor mental health outcomes informing discussion around intervention opportunities and policy.


2010 ◽  
Vol 80 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Thema Bryant-Davis ◽  
Sarah E. Ullman ◽  
Yuying Tsong ◽  
Shaquita Tillman ◽  
Kimberly Smith

2018 ◽  
Vol 83 (9) ◽  
pp. S359 ◽  
Author(s):  
Kristen Witkemper ◽  
Jenyth Sullivan ◽  
Nathan Markiewitz ◽  
Heather Swain ◽  
Teresa D'Anza ◽  
...  

2020 ◽  
Vol 31 (2) ◽  
pp. 287-297
Author(s):  
Laura Tarzia

Intimate partner sexual violence (IPSV) sits within the intersection of intimate partner violence and sexual violence. It is prevalent, yet poorly understood. Research consistently shows that IPSV is associated with many mental and physical health issues although the mental health aspects are often the most damaging. Despite this, there is poor understanding of the mechanisms through which IPSV causes trauma and poor mental health. To address this gap, I used interpretative phenomenological analysis of n = 38 in-depth interviews with women in Australia to explore their lived experiences of IPSV. The essence of IPSV was described as “Being attacked from the inside out” and comprised four themes. The first, “Shaken foundations,” described devastating betrayal and loss of trust. The second, “A different kind of damage,” suggested that sexual violence impacts women differently from physical or psychological violence in a relationship. The third theme, “It kills something inside you,” addressed the dehumanizing aspects of IPSV. The final theme, “Lingering scar tissue,” focused on the long-term impacts of IPSV on women’s sexuality and relationships. The findings of this study highlight the “invisible impacts” of IPSV, which may be the pathways through which it causes trauma.


2013 ◽  
Vol 35 (4) ◽  
pp. 342-359 ◽  
Author(s):  
Joanne Cacciatore ◽  
J. Frøen ◽  
Michael Killian

Every year around the globe there are more than two million stillbirths, yet stillbirth is generally treated as a non-event, considered less impactful than the death of a live-born child. In up to 60 percent of third-trimester stillbirths, the causes of death were attributed to maternal conditions or were "undetermined." As a result, mothers blame themselves or specific others. This analysis set out to determine how the attitudes of 2,232 bereaved mothers predict their mental health outcomes measuring depressive and anxious symptoms with the Hopkins Symptom Checklist (HSCL). Of the women sampled, 24.6% reported blaming themselves, and 42.3% reported elevated HSCL mean scores. Self-blame in particular is correlated with symptoms of anxiety and depression. Multivariate analyses predicting elevated HSCL scores demonstrated the importance of time after death, level of education, and reported abuse during pregnancy in the models, as did self-blame and blaming others. Controlling for other demographic and pregnancy-related variables, self-blame was the strongest predictor of poor mental health outcomes. Implications for mental health counselors are discussed.


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