Vijay Singh1, Maureen A Walton2, Lauren K Whiteside3, Sarah Stoddard4, Quyen Epstein-Ngo2, Stephen T Chermack2, Rebecca M Cunningham5. 1. Injury Center and Department of Emergency Medicine, University of Michigan, Ann Arbor, MI. Electronic address: vijaysin@umich.edu. 2. Addiction Research Center and Department of Psychiatry, University of Michigan, Ann Arbor, MI. 3. Division of Emergency Medicine, University of Washington, Seattle, WA. 4. Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI. 5. Injury Center and Department of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Abstract
STUDY OBJECTIVE: We determine prevalence and correlates of dating violence, dating victimization, and dating aggression among male and female patients aged 14 to 20 years seeking emergency department (ED) care. METHODS: This was a systematic sampling of subjects aged 14 to 20 years seeking care at a single large academic ED between September 2010 and March 2013. Participants completed a computerized, self-administered, cross-sectional survey of demographics, dating violence from physical abuse measures of the Conflict in Adolescent Dating Relationships Inventory, associated behaviors, and ED health service use. Separate analyses were conducted for male and female patients. RESULTS: Four thousand three hundred eighty-nine youths (86.1% participation rate) were screened, and 4,089 (mean age 17.5 years; 58% female patients) were eligible for analysis. Almost 1 in 5 female patients (n=215; 18.4%) and 1 in 8 male patients (n=212; 12.5%) reported past-year dating violence. Of female patients, 10.6% reported dating victimization and 14.6% dating aggression, whereas of male patients, 11.7% reported dating victimization and 4.9% reported dating aggression. Multivariate analyses showed that variables associated with any male dating violence were black race (adjusted odds ratio [AOR] 2.26; 95% CI 1.54 to 3.32), alcohol misuse (AOR 1.03; 95% CI 1.00 to 1.06), illicit drug use (AOR 2.38; 95% CI 1.68 to 3.38), and depression (AOR 2.13; 95% CI 1.46 to 3.10); any female dating violence was associated with black race (AOR 1.68; 95% CI 1.25 to 2.25), public assistance (AOR 1.64; 95% CI 1.28 to 2.09), grades D and below (AOR 1.62; 95% CI 1.07 to 2.43), alcohol misuse (AOR 1.04; 95% CI 1.02 to 1.07), illicit drug use (AOR 2.85; 95% CI 2.22 to 3.66), depression (AOR 1.86; 95% CI 1.42 to 2.44), and any past year ED visit for intentional injury (AOR 2.64; 95% CI 1.30 to 5.40). CONCLUSION: Nearly 1 of 6 male and female patients aged 14 to 20 years and seeking ED care report recent dating violence, and health disparities remain among this population. Dating violence was strongly associated with alcohol, illicit drug use, and depression and correlated with previous ED service use among female youths. ED interventions should consider addressing these associated health conditions, as well as improving screening protocols to address dating violence among male and female youths.
STUDY OBJECTIVE: We determine prevalence and correlates of dating violence, dating victimization, and dating aggression among male and female patients aged 14 to 20 years seeking emergency department (ED) care. METHODS: This was a systematic sampling of subjects aged 14 to 20 years seeking care at a single large academic ED between September 2010 and March 2013. Participants completed a computerized, self-administered, cross-sectional survey of demographics, dating violence from physical abuse measures of the Conflict in Adolescent Dating Relationships Inventory, associated behaviors, and ED health service use. Separate analyses were conducted for male and female patients. RESULTS: Four thousand three hundred eighty-nine youths (86.1% participation rate) were screened, and 4,089 (mean age 17.5 years; 58% female patients) were eligible for analysis. Almost 1 in 5 female patients (n=215; 18.4%) and 1 in 8 male patients (n=212; 12.5%) reported past-year dating violence. Of female patients, 10.6% reported dating victimization and 14.6% dating aggression, whereas of male patients, 11.7% reported dating victimization and 4.9% reported dating aggression. Multivariate analyses showed that variables associated with any male dating violence were black race (adjusted odds ratio [AOR] 2.26; 95% CI 1.54 to 3.32), alcohol misuse (AOR 1.03; 95% CI 1.00 to 1.06), illicit drug use (AOR 2.38; 95% CI 1.68 to 3.38), and depression (AOR 2.13; 95% CI 1.46 to 3.10); any female dating violence was associated with black race (AOR 1.68; 95% CI 1.25 to 2.25), public assistance (AOR 1.64; 95% CI 1.28 to 2.09), grades D and below (AOR 1.62; 95% CI 1.07 to 2.43), alcohol misuse (AOR 1.04; 95% CI 1.02 to 1.07), illicit drug use (AOR 2.85; 95% CI 2.22 to 3.66), depression (AOR 1.86; 95% CI 1.42 to 2.44), and any past year ED visit for intentional injury (AOR 2.64; 95% CI 1.30 to 5.40). CONCLUSION: Nearly 1 of 6 male and female patients aged 14 to 20 years and seeking ED care report recent dating violence, and health disparities remain among this population. Dating violence was strongly associated with alcohol, illicit drug use, and depression and correlated with previous ED service use among female youths. ED interventions should consider addressing these associated health conditions, as well as improving screening protocols to address dating violence among male and female youths.
Authors: Vangie A Foshee; Heath Luz McNaughton Reyes; Susan T Ennett; Chirayath Suchindran; Jasmine P Mathias; Katherine J Karriker-Jaffe; Karl E Bauman; Thad S Benefield Journal: J Adolesc Health Date: 2010-10-15 Impact factor: 5.012
Authors: Laura P Richardson; Carol Rockhill; Joan E Russo; David C Grossman; Julie Richards; Carolyn McCarty; Elizabeth McCauley; Wayne Katon Journal: Pediatrics Date: 2010-04-05 Impact factor: 7.124
Authors: Rebecca M Cunningham; Maureen A Walton; Abby Goldstein; Stephen T Chermack; Jean T Shope; C Raymond Bingham; Marc A Zimmerman; Frederic C Blow Journal: Acad Emerg Med Date: 2009-11 Impact factor: 3.451
Authors: Andra Teten Tharp; H Luz McNaughton Reyes; Vangie Foshee; Monica H Swahn; Jeffrey E Hall; Joseph Logan Journal: J Aggress Maltreat Trauma Date: 2017-04-24
Authors: Melissa K Miller; Lauren S Chernick; Monika K Goyal; Jennifer L Reed; Fahd A Ahmad; Erin F Hoehn; Michelle S Pickett; Kristin Stukus; Cynthia J Mollen Journal: Acad Emerg Med Date: 2019-07-26 Impact factor: 3.451
Authors: Vijay Singh; Quyen Epstein-Ngo; Rebecca M Cunningham; Sarah A Stoddard; Stephen T Chermack; Maureen A Walton Journal: Drug Alcohol Depend Date: 2015-05-14 Impact factor: 4.492
Authors: Laura Seewald; Tova B Walsh; Richard M Tolman; Shawna J Lee; Lauren A Reed; Quyen Ngo; Vijay Singh Journal: Ann Fam Med Date: 2022 Jan-Feb Impact factor: 5.166
Authors: Quyen M Ngo; Jessica I Ramirez; Sara F Stein; Rebecca M Cunningham; Stephen T Chermack; Vijay Singh; Maureen A Walton Journal: Violence Against Women Date: 2018-08
Authors: Olena Zhabenko; Elizabeth Austic; Deirdre A Conroy; Peter Ehrlich; Vijay Singh; Quyen Epstein-Ngo; Rebecca M Cunningham; Maureen A Walton Journal: J Addict Med Date: 2016 Sep-Oct Impact factor: 3.702