208786 Neighborhood factors and risk of intimate partner violence victimization and perpetration in a major urban area

Monday, November 9, 2009: 4:50 PM

Victoria A. Frye, DrPH , Laboratory of Social and Behavioral SciencesProgram, New York Blood Center, New York, NY
Danielle C. Ompad, PhD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Shannon Blaney, MPH , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Sandro Galea, MD, DrPH , Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY
David Vlahov, PhD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Background:

Increasingly, social epidemiological analyses are identifying neighborhood-level socio-environmental characteristics associated with intimate partner violence (IPV) victimization. Less attention has been paid to perpetration; analyses that simultaneously assess the role of neighborhood factors in risk of perpetration and victimization are missing.

Methods:

Using data from structured interviews with 585 men and 330 women recruited via systematic street-intercept methods between 2005 and 2008 in 36 New York City neighborhoods, relations among select neighborhood characteristics and risk of IPV victimization and perpetration, while controlling for median neighborhood income and relevant individual-level factors, were assessed. Informed by social disorganization theory and prior research on lethal IPV outcomes, we assessed a range of individual factors, such as sociodemographic, drug use and relationship, and neighborhood factors, such as collective efficacy, immigrant concentration and items designed to tap informal social control of IPV, using multi-level (GEE) models.

Results:

Results differed by victimization/perpetration and severity. Among women, in fully adjusted models, no neighborhood factors were associated with moderate IPV victimization; neighborhood collective efficacy was associated with decreased risk of severe IPV victimization. Among men, immigrant concentration/isolation is associated with decreased risk of moderate IPV perpetration; lower neighborhood education level was associated with decreased risk of IPV perpetration.

Conclusions:

Identifying the differential impact of neighborhood factors on risk of IPV victimization vs. perpetration is important to informing primary IPV prevention strategies. These results suggest that neighborhood factors may work differently to prevent men from perpetrating and protect women from experiencing IPV.

Learning Objectives:
Describe a social epidemiological approach to the epidemiology of IPV. Evaluate the differential role that neighborhood factors might play in victimization vs. perpetration. Identify the unique contribution of both individual- and neighborhood-level factors to risk of victimization and perpetration.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the research and have published on this topic previously.
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.

See more of: Violence Epidemiology
See more of: Epidemiology