208394 To understand the impact of screening for violent or coercive sexual “behaviors” rather than value driven terms like “sexual abuse”

Monday, November 9, 2009

Laura Wyatt , Dept of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY
Leslie L. Davidson, MD, MSc , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
Catherine Stayton, DrPH, MPH , Division of Epidemiology, NYC Department of Health and Mental Hygiene, New York, NY
Vaughn I. Rickert, PsyD , Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY
Vicki Breitbart, MSW, EdD , Dept of Planning, Research and Evaluation, Planned Parenthood New York City, New York, NY
Leslie Rottenberg, MSW , Planned Parenthood New York City, New York, NY
Background/Purpose

Little is known about what factors predict a young woman's perception of whether sexually violent behavior from a partner constitutes “abuse”. Dating violence scales are used to measure sexual violence that has occurred, but measurement of these behaviors may not agree with an individual's own perception about whether these violent behaviors signify “abuse”. According to social learning theory, the indirect experience of observing violent dating behaviors may shape the perception that an individual holds about acceptable forms of violence, including sexual violence. It is possible that adolescents who have witnessed violent acts within their family may not view violence by partners as inappropriate.

Methods

638 women aged 15-24 completed an anonymous computer survey on intimate partner violence at a reproductive health clinic in New York City. Two groups who had experienced sexually violent behaviors by a partner were compared: those who perceived they had and those who perceived they had not ever been “abused” sexually by a partner. Predictor variables examined included demographics, past pregnancy, recent condom use, parental violence, and childhood sexual abuse.

Results/Outcome

Preliminary analyses using chi-square show that the demographic and reproductive variables examined did not predict the perception of abuse. Witnessing father hitting mother was directly associated with a woman's perception that sexually coercive behaviors from her partner was “sexual abuse”.

Conclusion

It is likely that having witnessed violence plays a role in how sexual violence is perceived. Further research on the perception of violence is needed with additional predictor variables based on recent literature.

Learning Objectives:
To understand the impact of screening for violent or coercive sexual “behaviors” rather than value driven terms like “sexual abuse” To explore whether familial, social and demographic factors influence a woman’s perception of whether sexually violent behavior constitutes “abuse”.

Keywords: Sexual Assault, Youth Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an MPH candidate at an accreditated public health school. Since June of 2008 I have been working at the NYC Mayor's Office to Combat Domestic Violence with their youth partner violence prevention programs. I am writing my Master's thesis on the data to be presented in this talk or poster.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.