Youth with mental health and neurodevelopmental conditions may be at increased risk for interpersonal violence victimization and perpetration as compared to counterparts without these conditions. To investigate this possibility, we conducted an analysis using U.S. nationally representative data collected from youth ages 11 to 21 years old ( N = 846). We calculated the prevalence of any dating abuse victimization or perpetration, as well as four specific subtypes of dating abuse—physical, sexual, psychological, and cyber dating abuse—for youth with eight types of mental health and neurodevelopmental disorders (i.e., anxiety, depression, post-traumatic stress disorder [PTSD], oppositional defiant or other conduct disorder, bipolar disorder [BD], attention deficit disorder/attention deficit hyperactivity disorder [ADHD], autism, or learning disability). Nearly one-half (43%) of the sample reported that they had one or more of the eight mental health or neurodevelopmental conditions ( n = 337), 75% of those reported experiencing at least one act of dating abuse victimization in the past year, and 62% reported one or more acts of dating abuse perpetration. Ordinal regression model analyses demonstrated that youth with mental health and neurodevelopmental conditions had substantially elevated odds of more frequent physical, sexual, psychological, and cyber dating abuse victimization (adjusted odds ratios ranged from 1.2 to 7.4) and dating abuse perpetration (adjusted odds ratios ranged from 1.0 to 6.9) controlling for gender, sexual orientation, race, ethnicity, age, and household income. Compared to youth with no mental health or neurodevelopmental conditions, youth with BD were particularly likely to report more frequent experiences of all types of dating abuse victimization. Also, sexual dating abuse perpetration was elevated among youth with anxiety, depression, PTSD, BD, and ADHD. Funders are called upon to invest strategically in the development and rigorous testing of healthy relationships promotion programs and strategies that will benefit the millions of youth in U.S. schools who have these conditions.
Background: Recent research has identified risk factors for hazardous alcohol use among autistic individuals, but correlates of age at first alcohol use are unclear. Methods: This study analyzed 49 U.S.-based autistic youth (ages 16-20) who had ever consumed alcohol. Participants were categorized as being less than 16 years old (n=28) or 16 years or older (n=21) at first alcohol use. The analysis aimed to descriptively compare youth with younger versus older age at first alcohol use. Results: Younger age at first alcohol use was associated with hazardous alcohol use, higher levels of anxiety, and lower masking of autistic traits Conclusions: These findings demonstrate that autistic youth are at risk for underage alcohol use. More research is needed on alcohol and substance use in this population to develop tailored prevention and intervention programs.
We are a team of university-based researchers who have decades of experience collaborating with multiple community-based human trafficking (HT), domestic violence, and sexual violence programs on research projects. In this paper, we provide recommendations for HT agencies on routine data collection, storage, and use based on our insights from working closely with multiple community-based HT service provider agencies. In this opinion piece, we consider important questions that HT programs face related to data. We present our recommendations as they pertain to three main challenges: (1) Which data to collect, and how; (2) How to store data; and (3) How to analyze data. We include a list of nine routine data elements that HT service providers may prioritize for data collection, a table with eight actionable recommendations, and a short glossary of program monitoring and evaluation terms. The article makes a pragmatic contribution to best practices in HT provider operations and therefore has implications for administrators of HT programs, data personnel at HT programs, and policies related to data, information, technology, and safety for HT program service provision.
Dating violence victimization is a pervasive public health problem that affects individuals of all age groups, but it holds particular significance during adolescence due to the potential long-term consequences on an individual’s physical and psychological well-being, and potential influence on the health of adult relationships. Although there is now ample research on the topic of adolescent dating violence prevalence, risk factors, and consequences, to our knowledge, only four studies have assessed dating violence victimization among autistic youth. The current study was designed to investigate the prevalence of, and risk markers for, dating violence victimization among autistic youth. Specifically, the study had two aims: (a) to estimate the prevalence of dating violence victimization among autistic youth in a U.S.-based sample and (b) to identify correlates of dating violence for autistic youth, which include sociodemographic, mental health, and alcohol-related variables. We found that among participants who were in a romantic relationship in the past year, autistic participants were not any less likely to experience dating violence victimization compared to their non-autistic counterparts (40.7% for autistic youth vs. 38.0% for non-autistic youth). In addition, findings from the current study demonstrate the significant relationships between dating violence victimization and consequences of alcohol use, loneliness, and anxiety among autistic youth. Existing studies, in addition to the results of the current study, suggest the need for tailored dating violence prevention, support, and intervention to support the overall well-being of autistic youth.
Objective: Study uses qualitative data to examine help-seeking decisions as well as the drivers and barriers to utilization of university-based victim services through the accounts of survivors. Participants: The current study involves the analysis of 33 semi-structured interviews that were conducted with dating and sexual violence (DSV) survivors at a large, Mid-Atlantic University who both did and did not utilize university-based victim services. Methods: Data were analyzed using a thematic analysis approach. Results: Analysis shows that while survivors of DSV undergo a process of help-seeking that is similar to those described in previous help-seeking models, there are additional factors that contribute to a reluctancy to seek services at a university-based victim services center in particular that must be accounted for in the literature. Conclusions: The findings from the current study underscore the importance of understanding the specific drivers and barriers to utilization of university-based victim services.
The administration of campus climate surveys has proliferated across the United States at institutions of higher education to help respond to sexual misconduct. This study reviews existing state legislation related to campus climate surveys and compares it to the recent federal mandate outlined in the Violence Against Women Reauthorization Act of 2022. Just under one-third of all states in the US have state laws mandating the use of campus climate surveys to assess sexual misconduct, with wide variability in laws' scope, comprehensiveness and clarity and potential gaps in aligning with federal requirements. This has significant implications for what surveys IHE select regarding the type of research design, frequency, reporting, and cost. Keywords (3-10) campus climate, sexual misconduct, legislative mandates.
This cross-sectional study examined students' (Campus 1, n = 1,153; Campus 2, n = 1,113) experiences with four situations of direct confrontation of those at risk for sexual assault perpetration. The most reported opportunity was to confront those making false statements about sexual assault; many students reported more than one opportunity to intervene in the past year. Bystanders intervened most of the time across the four situations examined in this study. The most reported consequence of intervening was that no further harm was caused. More nuanced measures can offer practitioners further information to tailor sexual violence prevention programs.
Evidence suggests that resources to address campus sexual violence (CSV) are inconsistently offered across institutions of higher education (IHE), and thus there is a need for campuses to continually assess their provision of resources and services to improve the climate and well-being of students. Conducting a periodical scan of resources provided is one way for IHE to assess their adherence to best practices. The current study describes the development of the Services, Policies and Programs Audit (SPPA) tool, created to help IHE evaluate their adherence with best practices related to the provision of services, policies, and programs on campus. The tool was piloted with 18 individuals from 12 different IHE across the country. Exploratory evaluation of the SPPA indicates that it may be a useful tool for self-examination of campus policies, services, and prevention and education efforts. Participants from the 12 IHE who participated in the pilot generally reported that the SPPA was helpful to their efforts. Interrater reliability results indicated that the position of the person who completes the tool impacts the scoring, with those who are more familiar with CSV services scoring higher. This aligns with other research indicating that it is important not only to have resources on campus to address CSV but also to ensure that the campus community is aware of them. The SPPA can potentially serve as one part of a larger toolkit used by IHE to assess their efforts to address CSV.
Purpose Sexual harassment (SH) is a widespread problem in academia, with a disproportionate impact on female medical students and those who experience marginalization via multiple systems of oppression (e.g. racism, heterosexism). Bystander intervention education is a potential approach which frames violence as a community issue where all members have a role to play in response and prevention. This study assessed the presence and influence of bystanders in SH situations for students at two medical schools.Materials and methods Data came from a larger U.S. campus climate study administered online in 2019 and 2020. The sample included 584 students who responded to validated survey questions about sexual harassment experiences, bystander behavior, disclosure, perceptions of the university response to SH, and demographics.Results More than one-third of respondents experienced some form of SH by a faculty/staff member. Bystanders were present for more than half of these incidents, yet they rarely intervened. When bystanders intervened, people were more likely to disclose an incident than not.Conclusions The results indicate that there are many missed opportunities for intervention and given the profound impact that SH has on the well-being of medical students, continued work is needed to determine effective intervention and prevention methods.Practice pointsOne-third of the medical students surveyed in our sample reported experiencing SH; women and LGBT medical students are more likely to experience SH than their counterparts.Bystanders are frequently present during SH incidents; however, the percentage of situations where bystanders actually intervened was extremely low.Bystander intervention was correlated with an increased likelihood to disclose. Thus, the implementation of bystander intervention education programs may help facilitate disclosure and reporting.Bystander intervention education programs are needed within academic medicine but must account for the role of power differentials.
The purpose of the current study is to explore students' reasons for participating in a campus sexual assault climate survey to determine if patterns exist based on various identities and experiences. More specifically, we were interested in the most frequently reported reasons for participating, and whether they differed by key demographic variables. As part of a campus climate survey administration at two campuses, 4,020 students responded to survey questions asking why they participated in the survey (Sample 1, n = 2,937 and Sample 2, n = 1,083). To examine which demographic variables predicted reasons for taking the survey while controlling for other potential correlates, we conducted logistic regression analyses. The reasons provided by students as to why they completed the campus climate survey differed by identity characteristics, suggesting that researchers must consider the demographic makeup of their institutions when designing sampling and recruitment plans and tailoring them to their student populations. For example, while gender emerged as salient for differing reasons for participation (e.g., women more likely to participate because of the issue's importance and wanting their opinions heard more), intersectional analysis by race and gender indicates that White men (and Asian men, in Sample 1) most consistently indicated different reasons for participation, with significantly greater odds than their White and Asian women counterparts to participate for the cash incentives. This information could help improve the recruitment of representative samples for campus sexual assault surveys and therefore provide more accurate data that can be used to deliver effective intervention and prevention efforts.
Peers' attitudes toward survivors of sexual violence can impact their willingness to disclose. Students with minoritized identities may perceive and experience their campus environments as less supportive than peers with privileged identities. The purpose of this study was to examine perceptions of anticipated peer support for sexual violence survivors, using a cross-sectional study of 2,727 students. Linear regression modeling showed significant associations between students with minoritized identities and lower scores on perceptions of anticipated peer support for survivors. There were also several important interactions between specific overlapping student identities. The findings suggest that students with minoritized identities perceive anticipated peer support less favorably than those with privileged identities.
Sexual violence is well documented as a major problem on college campuses, and the delivery of service and programs at institutions of higher education (IHE) has proliferated over recent years. However, the implementation of these efforts has often outpaced the field's work in developing evaluation models. Many institutions depend on campus climate surveys for data to inform their efforts, yet there are multiple data points that can be accessed to provide a more holistic picture of efforts to address sexual violence on campus. The data ecosystem framework provided by Driver-Linn & Svenson (2017) offers a comprehensive approach for assessing efforts to address campus sexual violence (CSV), but implementation models are needed that connect evaluation and practice, take local context into account, and lead to changes on campus. This paper presents a case study from a multisite university to describe the process of implementing a "data ecosystem" to assess the institutions' efforts to effectively address CSV, and how the data was used by practitioners and administrators. The collaborative, utilization-driven model has provided valuable data to inform the delivery of services and programs across the university yet has limitations and requires a wide range of resources to sustain.
Climate surveys are common tools for assessing and improving the experience at institutions of higher education. However, methodological limitations currently exist as assessment tools tend to be siloed with climate surveys assessing sexual misconduct on campus generally failing to assess issues related to diversity, equity, and inclusion and vice versa. As a result of this siloing, institutions of higher education possess a limited ability to notice and address patterns of injustice and inequity that cut across campus climate domains. This review summarizes the limitations of siloing sexual misconduct and diversity and inclusion climate assessments and provides a theoretical framework that emphasizes the importance of utilizing a comprehensive approach to assessing campus climate. From this framework we derive theoretical and practical recommendations for researchers and practitioners to advance scholarship and guide institutional research, planning, and practice.
Advocates in the field of intimate partner violence (IPV) have started to more actively engage survivors around their own perceptions of their lethality risk, as well as assist them in developing strategies for reducing and managing risk related to reassault and intimate partner homicide (IPH). Although research has examined the risk factors most associated with risk and utilized this information in the development and validation of risk assessment tools to be used with survivors, less is known about which indicators survivors most associate with lethality risk. This study aims to fill this gap by examining which risk indicators IPV survivors associate with fatality risk. Classification and regression tree analyses were used to differentiate between women who believed their partners were capable of killing them and those who did not. Data on a sample of 213 survivors of IPV used in this analysis were collected as part of a larger study in which a risk assessment instrument was piloted across four counties within New Jersey in 2016. More than three fourths of participants believed that their abuser was capable of killing them. Alhough the majority of survivors in the study felt as though their abusers were capable of killing them, there was variation in how survivors prioritized risk indicators. Factors associated with fatality risk included: (a) prior homicide threats; (b) whether the abusers had control over survivors’ daily activities; (c) abusers’ access to a gun; and (d) abusers’ drug use. Findings suggest that IPV survivors need targeted intervention strategies around IPH, particularly those at higher perceived risk levels given the presence of risk indicators and their perceptions of lethality threat.
This study investigates college students' exposure to messages about campus dating and sexual violence (DSV) to discover classes of students based on the message source. Latent class analysis was performed with data assessing 5,284 students' exposure to 16 different sources of information regarding DSV, from having a professor discuss these topics to participating in related campus events. Several variables were included in the analysis to understand students' class membership in relation to pertinent student demographic factors. The best model indicated that there are five classes of students based on their exposure to messages, with some subgroups of students having high exposure to various sources of messages about DSV while others have low exposure. Still other subgroups are primarily exposed to messages through nonactive or noninstitutional sources of information. Subgroups of students, based on their exposure to DSV messaging, also differ regarding demographic makeup. The implications from these results include the need to tailor DSV programming on campus to subgroups of students based on their varying baseline levels of message exposure. As students are exposed to messaging through differing sources, including passive and noninstitutional, institutions can use this information when designing outreach efforts to better fit with the needs of various subgroups of students.
As a part of socio-ecological approaches to campus sexual violence prevention, there is a call for greater attention to the role of the environment. Despite this, physical space, an aspect of the built environment, is understudied. There is a lack of models for the ways physical space can help facilitate prevention efforts on campus. Disciplines such as criminology have put forth theories such as crime prevention through environmental design, which offer a foundation for application to college campuses but which require modification. The current model draws from reviews of research, theory, and critiques of work on the prevention and the physical environment to present a strengths-centered, social justice–based model for campuses to incorporate the consideration of physical spaces into sexual violence prevention planning.
Objective: Study explores the role of well-documented individual-level correlates of a range of types of sexual violence among undergraduates and examines both individual-level and incident-level correlates of disclosure patterns to formal and informal sources. Participants: The current study involves the analysis of campus climate data collected in 2018 from 2,271 undergraduate participants. Methods: Descriptive and bivariate analyses are conducted to examine correlates of sexual violence, and a logistic regression model is estimated to examine disclosure by both individual and incident-level correlates. Results: 19% of students experience at least one incident of sexual violence since coming to campus, with many reporting multiple victimizations which differs by race, gender, and sexual orientation. Significant differences found in disclosure based on gender and relationship to who committed the sexual violence. Conclusions: Overall, findings from this study highlight the importance of using a nuanced approach to examining college students' experiences of sexual violence.
The issue of dating and sexual violence (DSV) on college campuses has received increased attention nationwide as a criminal justice and public health issue. College and university employed social workers play a critical role in preventing and responding to campus DSV through direct clinical services to students as well as prevention through educational programming and training. COVID-19 has negative implications for DSV student victims, as well as service delivery and accessibility. This paper examines the innovative methods used by university employed social work clinicians and educators to meet evolving mental health care needs and continue violence prevention services during COVID-19.