208847 Neighborhood factors and risk of intimate partner sexual violence victimization and perpetration

Sunday, November 8, 2009

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
David Vlahov, PhD , 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
Background:

Socio-environmental characteristics are important to women's risk of experiencing intimate partner violence, but few studies focus on sexual violence.

Objective:

The objective of this analysis is to evaluate the impact of select neighborhood-level factors on risk of sexual intimate partner violence (SIPV) victimization and perpetration.

Methods:

Using data from structured interviews with 585 men and 330 women recruited via street-intercept methods between 2005 and 2008 in 36 New York City neighborhoods, relations between select neighborhood characteristics and risk of SIPV victimization and perpetration, while controlling for neighborhood income and individual-level factors, were assessed. Using multi-level (GEE) models and informed by social disorganization theory, we assessed a range of individual factors, such as sociodemographic and relationship, and neighborhood factors, such as collective efficacy, immigrant concentration and physical disorder.

Results:

In unadjusted models of victimization, neighborhood social cohesion was negatively and physical disorder was positively associated with risk of SIPV; after controlling for neighborhood income and individual-level factors, neighborhood physical disorder was associated with SIPV victimization. In models of perpetration, only neighborhood willingness to intervene in partner violence is positively associated with risk of SIPV perpetration; in fully adjusted models, no neighborhood factors are important to perpetration risk. Several individual-level factors, including cocaine dependence and childhood abuse, are associated with perpetration risk.

Conclusions:

Identifying neighborhood factors associated with SIPV victimization and perpetration are crucial to informing primary SIPV prevention strategies. These results suggest that the neighborhood factors may work differently to prevent men from perpetrating and protect women from experiencing SIPV.

Learning Objectives:
1. Demonstrate an understanding of how the social environment might affect SIPV; 2. Evaluate the differential role that neighborhood factors might play in SIPV victimization vs. perpetration; 3. Identify the unique contribution of both individual- and neighborhood-level factors to risk of SIPV 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.