271343 High expectations across multiple domains, peer norms and physical dating violence among California adolescents

Monday, October 29, 2012

Anna Loeb , School of Medicine, University of California, San Francisco, San Francisco, CA
Julie Deardorff, PhD , Community Health and Human Development Division, School of Public Health, University of California, Berkeley, Berkeley, CA
T. Kiku Annon , Cal_School Climate, Health & Learning Survey, WestEd, Los Alamitos, CA
Maureen Lahiff, PhD , School of Public Health, University of California, Berkeley, Berkeley, CA
To develop effective prevention programs, protective factors associated with dating violence must be determined. Purpose: To assess whether high expectation messages (from school, home and community), and peer norms, were associated with physical dating violence victimization among a representative sample of California middle and high school students. Secondarily, to assess whether these associations were mediated by self-efficacy. Significance: About 25% of adolescents report experiencing verbal, physical, emotional, or sexual abuse from a dating partner each year. Methodology: Data from 7th, 9th and 11th grade respondents of the 2008-2010 California Healthy Kids Survey (CHKS) were analyzed (N=85,198). CHKS is an anonymous, school-based cross-sectional survey. Logistic regression was used to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for expectations in each domain (school, community, and home), peer norms, and their cumulative effects on physical dating violence victimization. We tested the mediation effect of self-efficacy. Findings/Results: Ten percent of students reported experiencing physical dating violence victimization in the past year. Students who reported very low overall expectations had significantly higher odds of experiencing dating violence (OR=4.19, CI=3.58-4.90) compared to those who reported high expectations. This association held across all expectation domains and peer norms when tested in separate models, and also when tested together in a single model. Self-efficacy partially mediated the associations between high expectations and dating violence. Conclusions/Recommendations: Findings highlight the importance of high expectation messages across many aspects of adolescents' lives. Fostering adult mentors who communicate high expectations to youth may help to reduce dating violence.

Learning Areas:
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1.Assess the associations between high expectations, peer norms, and teen dating violence. 2.Analyze the role of self-efficacy to explain the associations between expectations, peer norms, and dating violence. 3.Discuss possible dating violence prevention strategies.

Keywords: Adolescents, Violence Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a 4th year medical student and currently completing a Master of Public Health in Maternal & Child Health. I have completed this secondary dataset analysis as my culminating project under the guidance of Professors Julie Deardorff and Maureen Lahiff.
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.