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Biomedical subjects

Jacquelyn C Campbell

Publications and source records attributed to Jacquelyn C Campbell.

At least 19 recordsLinked to original sources
PubMed2006

Postpartum mothers' disclosure of abuse, role, and conflict.

Experts evaluating evidence of the occurrence and effects of abuse before, during, and after pregnancy have called for research on the context within which violence occurs. This study elicited postpartum mothers' perceptions of roles and conflict in their abusive intimate relationships. Thirty newly delivered African-, Anglo-, and Hispanic-American abused mothers consented to be interviewed. While ethnicity, cultural norms, and economic issues framed their descriptions, more than half (57%) described their relationships as not abusive even though they reported experiencing behaviors defined as abuse on standardized abuse screening instruments. Several women found ways to take care of themselves within the abusive relationship. The concerns that these diverse abused postpartum mothers expressed can serve as a foundation for the development of culturally sensitive interventions.

Adult↗
PubMed2006

The distribution of and factors associated with intimate terrorism and situational couple violence among a population-based sample of urban women in the United States.

It has been proposed that two distinct forms of intimate partner violence exist: intimate terrorism and situational couple violence. This article describes the distribution of factors that characterize intimate terrorism and situational couple violence, including controlling behaviors, violence escalation, and injury, among a representative sample of 331 physically assaulted women living in 11 North American cities. In addition, respondent, partner, and relationship characteristics associated with each form of violence are identified. Most women who experienced physical assault also experienced controlling behavior by their male partner. In multivariate analyses, respondent's young age, violence escalation in the relationship, partner's access to guns, previous arrests for domestic violence offenses, poor mental health, and previous suicide attempts or threats were associated with intimate terrorism, defined as experiencing one or more controlling behaviors. These results suggest that situational couple violence is rare and that moderate and high levels of controlling behaviors are associated primarily with partner factors.

Adult↗
PubMed2006

Survey data sets pertinent to the study of intimate partner violence and health.

Knowledge regarding intimate partner violence has evolved from a somewhat fragmentary and incomplete understanding of the topic to a more cohesive, multifaceted body of research. Despite these accomplishments, there are still many critical knowledge gaps about this important problem. In this age of fiscal restraint, using existing information to address research questions is extremely appealing. This article describes some currently available survey data sets that contain information regarding women's experiences of intimate partner violence and health, identifies a number of the strengths and limitations of these data sets, and makes recommendations concerning the types of survey data that should be gathered in the future to help move the field forward.

Adolescent↗
PubMed2006

Intimate partner violence and health provider training and screening in the news.

Intimate partner violence is a significant women's health issue. Since the news media can play a role in policy development, it is important to understand how newspapers have portrayed training and screening. The purpose of this study was to describe the frequency and nature of print news coverage of health issues related to partner violence, specifically, provider training and screening by health providers. We conducted a content analysis on articles obtained from major city and state capital daily newspapers from 20 states. News articles and editorials mentioning intimate partner violence and provider training and screening were examined for the years 1994 through 2001 (N = 188). Results showed that print news coverage was limited and received low levels of attention, indicating little potential to influence either policy or individual behavior. However, when the issue was covered, little debate or controversy was present, and a broad discussion of the issue was generally provided. News coverage of training and screening could be improved by increasing dissemination of research results, illustrating the policy implications of these issues, and offering resource information to women experiencing violence.

Battered Women↗
PubMed2006

Risk factors for femicide-suicide in abusive relationships: results from a multisite case control study.

The killing of women by men who then take their own lives (femicide-suicide) is the most common form of homicide-suicide. This study identified femicide-suicide risk factors in an 11-city case-control study of femicide in the United States. Perpetrator, victim, relationship, and incident characteristics were analyzed for femicide-suicide cases (n = 67) and controls (n = 356, women living in the community with nonfatal physical abuse) using logistic regression modeling. Two risk factors emerged that were unique to femicide-suicides cases compared to overall femicide risk analyses: prior perpetrator suicide threats and victims having ever been married to the perpetrator.

Adult↗
PubMed2005

Domestic violence against women in Egypt--wife beating and health outcomes.

Research has consistently demonstrated that a woman is more likely to be abused by an intimate partner than by any other person. Many negative health consequences to the victims have been associated with domestic violence against women. Data from the 1995 Egyptian Demographic and Health Survey, a nationally representative household survey, were analyzed for 6566 currently married women age 15-49 who responded to both the main questionnaire and a special module on women's status. Multivariate logistic regressions were used to examine the association of ever-beating, beating in past year or frequency of beatings in past year with contraceptive use, pregnancy management, and report of health problems. Thirty-four percent of women in the sample were ever beaten by their current husband while 16% were beaten in the past year. Ever-beaten women were more likely to report health problems necessitating medical attention as were women beaten in the past year compared to never-beaten women. Regarding reproductive health, higher frequency of beating was associated with non-use of a female contraceptive method, while ante-natal care (ANC) by a health professional for the most recent baby born in the past year was less likely among ever-beaten women (OR = 0.17, p < 0.05). Unexpectedly, among professional ANC patients, those ever-abused were more likely to make four or more visits (OR = 36.54, p < 0.05). In Egypt as elsewhere around the world, wife beating is related to various negative health outcomes. Women's programmes must take domestic violence into account if they want to better address the needs of a non-negligible proportion of their target population.

Adolescent↗
PubMed2005

The mediation effect of posttraumatic stress disorder symptoms on the relationship of intimate partner violence and IFN-gamma levels.

BACKGROUND: Women who experience intimate partner violence (IPV) report greater stress and negative health consequences than nonabused women. Although an association between psychological stress and altered immune function has been shown, IPV studies have not investigated this relationship. OBJECTIVE: This study explored the association of IPV with mental health symptoms and an immune marker to determine if posttraumatic stress disorder (PTSD) symptoms mediate the effect of IPV on pro-inflammatory (IFN-gamma) cytokine levels. METHODS: A cross-sectional, comparative design was used to compare 62 women with IPV and 39 nonabused women. RESULTS: Mean IFN-gamma values were higher in abused women and in women with current PTSD symptoms. There were no significant relationships with potential confounding variables that could provide an alternative explanation for the increase in production of proinflammatory cytokines. CONCLUSIONS: PTSD symptoms mediate the association between IPV and IFN-gamma levels and may partially explain the association of mental health symptoms with physical health sequelae in IPV.

Adolescent↗
PubMed2005

Risk factors for intimate partner violence and associated injury among urban women.

The objective of this study was to identify risk factors for abuse and IPV related injury among an urban population. This study reports an additional analysis of a case-control study conducted from 1994 to 2000 in 11 USA metropolitan cities where of 4746 women, 3637 (76.6%) agreed to participate. Control group women (N = 845) were identified through random digit dialing. Significant risk factors for abuse included women's young age (adjusted odds ratio (AOR) 2.05 p = .011), being in fair or poor mental health (AOR 2.65 p < .001), and former partner (AOR 3.33 p < .001). Risk factors for partners perpetrating IPV included not being a high school graduate (AOR 2.06 p = .014), being in fair or poor mental health (AOR 6.61 p < .001), having a problem with drug (AOR 1.94 p = .020) or alcohol use (AOR 2.77 p = .001), or pet abuse (AOR 7.59 p = .011). College completion was observed to be protective (AOR 0.60, p < .001). Significant risk factors for injury included partner's fair or poor mental health (AOR 2.13, p = .008), suicidality (AOR 2.11, p =.020), controlling behavior (AOR 4.31, p < .001), prior domestic violence arrest (AOR 2.66, p = .004), and relationship with victim of more than 1 year (AOR 2.30, p = .026). Through integration of partner related risk factors into routine and/or targeted screening protocols, we may identify more abused women and those at greater risk of abuse and injury.

Adolescent↗
PubMed2005

What we know and what we still need to learn.

Research has changed the conceptualization of the causes and consequences of violence. Yet some questions remain unanswered. Infants and young children have largely been overlooked, and intraethnic and cultural group variations have not been addressed. There is still a need to address macro-level systematic discrimination in the health care system along with the intrapersonal physiological changes that result from exposure to violence. Fortunately, studies are beginning to show how longitudinal and intervention research can be safely conducted.

Battered Women↗
PubMed2005

Is intimate partner violence associated with unintended pregnancy? A review of the literature.

Although a substantial body of literature explores the adverse physical and mental health consequences associated with intimate partner violence, only a limited body of international research has explored the effect of intimate partner violence on women's fertility control. Yet a compelling argument can be made of the indirect mechanism through which the climate of fear and control surrounding abusive relationships could limit women's ability to control their fertility. Lack of fertility control can lead to unintended pregnancies, which are also associated with adverse outcomes for women's and infant health, especially in developing countries. The association between intimate partner violence and unintended pregnancy also suggests serious social effects spawned by a cycle of unintended childbearing in abusive households. Therefore, further investigation is warranted to explore the nature of the association as well as the mechanisms through which these phenomena operate in the United States and in developing countries.

Aggression↗
PubMed2004

Helping women understand their risk in situations of intimate partner violence.

Only approximately one-half of the 456 women who were killed or almost killed by a husband, boyfriend, or ex-husband or ex-boyfriend in a recent national study of homicide of women accurately perceived their risk of being killed by their abusive partner. Women are unlikely to overestimate their risk; however, many will underestimate the severity of the situation. From the same study, it was found that relatively few of the victims of actual or attempted intimate partner femicide were seen by domestic violence advocates during the year before they were killed; they were far more likely to be seen in the health care system. Implications are drawn as to innovative ways that women who are abused can be identified and with skilled assessment of the danger in their relationship helped make more informed plans for their safety.

Adult↗
PubMed2004

An integrative review of separation in the context of victimization: consequences and implications for women.

Given the number of divorces that occur each year as well as the high rates of intimate partner violence, it is critical that divorce/separation and victimization be considered in research and in clinical practice with women. However, the separation/divorce research and victimization research has often been conducted independently, with limited attention to integration. The integration of these two domains is critically important in facilitating the understanding of these issues for women. This article has 5 main purposes: (a) to review the research on the general consequences of separation; (b) to review the research on the consequences of separation when children are involved; (c) to review the research on the consequences of victimization; (d) to integrate the separation and victimization research to examine separation in the context of victimization; and (e) to discuss the implications of separation in the context of victimization for practice and research.

Battered Women↗
PubMed2003

Risk factors for femicide in abusive relationships: results from a multisite case control study.

OBJECTIVES: This 11-city study sought to identify risk factors for femicide in abusive relationships. METHODS: Proxies of 220 intimate partner femicide victims identified from police or medical examiner records were interviewed, along with 343 abused control women. RESULTS: Preincident risk factors associated in multivariate analyses with increased risk of intimate partner femicide included perpetrator's access to a gun and previous threat with a weapon, perpetrator's stepchild in the home, and estrangement, especially from a controlling partner. Never living together and prior domestic violence arrest were associated with lowered risks. Significant incident factors included the victim having left for another partner and the perpetrator's use of a gun. Other significant bivariate-level risks included stalking, forced sex, and abuse during pregnancy. CONCLUSIONS: There are identifiable risk factors for intimate partner femicides.

Adult↗
PubMed2002

Health consequences of intimate partner violence.

Intimate partner violence, which describes physical or sexual assault, or both, of a spouse or sexual intimate, is a common health-care issue. In this article, I have reviewed research on the mental and physical health sequelae of such violence. Increased health problems such as injury, chronic pain, gastrointestinal, and gynaecological signs including sexually-transmitted diseases, depression, and post-traumatic stress disorder are well documented by controlled research in abused women in various settings. Intimate partner violence has been noted in 3-13% of pregnancies in many studies from around the world, and is associated with detrimental outcomes to mothers and infants. I recommend increased assessment and interventions for intimate partner violence in health-care settings.

Battered Women↗
PubMed2002

Intimate partner stalking and femicide: urgent implications for women's safety.

This study describes the type and extent of intimate partner stalking and threatening behaviors that occurred within 12 months prior to a major assault or attempted or actual partner femicide and specifies which behaviors were associated with an increased risk of potential or actual lethality. The design was a ten-city case-control study of 821 women: 384 abuse victims and 437 attempted or actual femicide informants. Data were derived using a 16-item inventory. Logistic regressions, with adjustments for demographic variables, were used to identify the significant perpetrator behaviors associated with attempted/actual femicide. Women who reported the perpetrator followed or spied on them were more than twice as likely t o become attempted/actual femicide victims. Threats by the perpetrator to harm the children if the woman left or did not return to the relationship place the woman at a ninefold increase in the risk of attempted/actual femicide. Conclusions are that certain stalking and threatening behaviors are strong risk factors for lethality, and women must be so advised.

Adult↗
PubMed2002

Abuse during pregnancy and femicide: urgent implications for women's health.

OBJECTIVE: To describe the odds of femicide (homicide of females) for women abused during pregnancy. METHODS: A ten-city case-control design was used with attempted and completed femicides as cases (n = 437) and randomly identified abused women living in the same metropolitan area as controls (n = 384). The attempted and completed femicide cases were identified from police and medical examiner records. Interviews of attempted femicide victims and a proxy for the femicide victim were compared with data from abused controls, identified via random digit dialing in the same ten cities. RESULTS: Abuse during pregnancy was reported by 7.8% of the abused controls, 25.8% of the attempted femicides, and 22.7% of the completed femicides. Five percent of the femicide victims were murdered while pregnant. After adjusting for significant demographic factors, such as age, ethnicity, education, and relationship status, the risk of becoming an attempted/completed femicide victim was three-fold higher (adjusted odds ratio 3.08, 95% adjusted confidence interval 1.86, 5.10) for women abused during pregnancy. Black women had more than a three-fold increase in risk (adjusted odds ratio 3.6, 95% adjusted confidence interval 2.4, 5.5) as compared with white women. Compared with women not abused during pregnancy, controls and attempted/completed femicide victims abused during pregnancy reported significantly higher levels of violence. CONCLUSION: Femicide is an important, but often unreported, cause of maternal mortality. This is the first report of a definite link between abuse during pregnancy and attempted/completed femicide. This research documents the immediate need for universal abuse assessment of all pregnant women.

Adult↗
PubMed2002

Domestic violence across generations: findings from northern India.

BACKGROUND: Although one cannot underestimate the importance of macrosystem-level forces (such as cultural and social norms) in the aetiology of gender-based violence within any country, including India, individual-level variables (such as observing violence between one's parents while growing up) may also play important roles in the development of such violence. Therefore, this research studies men residing in northern India to: (1) estimate the prevalence of men's childhood experiences of witnessing parent-to-parent violence within their families of origin; (2) examine whether men raised in violent homes were more likely than men raised in non-violent homes to have attitudes supportive of husbands' control of their wives; (3) examine whether men raised in violent homes were more likely than men raised in non-violent homes to be abusive toward their own wives; and (4) estimate the extent to which wife abuse in this second generation could have been prevented had there not been parent-to-parent violence in the men's natal families. METHODS: Married men (n = 6902) were surveyed concerning: their childhood experiences of witnessing parent-to-parent violence in their families of origin; their attitudes regarding the appropriateness of husbands' control of their wives; their physically and sexually abusive behaviours toward their own wives; and sociodemographic variables. Descriptive statistics, multivariable modelling procedures, and estimation of a population attributable fraction were used to address the study questions. RESULTS: Approximately one-third of the men had witnessed parent-to-parent violence as a child. Compared to men raised in non-violent homes, men from violent homes were significantly more likely to believe in husbands' rights to control their wives, and to be physically/sexually abusive toward their own wives. Non-violence in the earlier generation was strongly predictive of non-violence in the second generation, with about a third of the wife abuse in the second generation being attributable to parent-to-parent violence in the first generation. CONCLUSIONS: These findings from northern India are congruent with those from other geographical/cultural settings in suggesting that witnessing violence between one's parents while growing up is an important risk factor for the perpetration of partner violence in adulthood.

Adult↗