Dating Violence Among Adolescents Presenting to a Pediatric Emergency Department

Bronwen C. Carroll

32 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Intimate Partner and Family Violence Child Abuse and Trauma Gun Ownership and Violence Research

Abstract

OBJECTIVES: To determine the prevalence and characteristics of dating violence experienced by adolescents seeking care in a pediatric emergency department and how often adolescents reporting victimization follow up with suggested resources. DESIGN: Cross-sectional survey. SETTING: An urban pediatric emergency department. PARTICIPANTS: Of 327 participants, 235 (71.9%) were female and 92 (28.1%) were male, with a mean (SE) age of 18.7 (0.10) years. INTERVENTIONS: Adolescents aged 13 to 21 years completed a survey including demographic characteristics and a validated measure of dating violence. Those reporting victimization received information about local resources and were contacted 1 month later by telephone to determine their use of local resources. MAIN OUTCOME MEASURES: Dating violence exposure and subsequent use of resources. RESULTS: Among the adolescents, 54.8% reported physical and/or sexual victimization (54.0% of girls vs 56.7% of boys; odds ratio = 0.9; 95% CI, 0.6-1.5), and 59.4% reported perpetration of physical and/or sexual violence (62.1% of girls vs 52.3% of boys; odds ratio = 1.4; 95% CI, 0.9-2.4). Girls were more likely than boys to perpetrate physical violence (52.2% vs 36.1%, respectively; odds ratio = 1.9; 95% CI, 1.2-3.2) but were also more than 5 times as likely to report fear of sustaining serious injury from a partner (16.2% vs 3.1%, respectively; odds ratio = 6.0; 95% CI, 1.4- 26.2). Young age, more intimate partners, and a history of a recent physical fight were independently associated with both dating violence victimization and perpetration. Only 4 of the 127 participants with follow-up interviews (3.1%) used any resources provided. CONCLUSION: Dating violence perpetration and victimization rates for both boys and girls who had at least 1 dating relationship are high in this pediatric emergency department population.

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References

1996The Revised Conflict Tactics Scales (CTS2)2006Intimate Partner Violence 2001Dating Violence Against Adolescent Girls and Associated Substance Use, Unhealthy Weight Control, Sexual Risk Behavior, Pregnancy, and Suicidality 2000Extent, Nature, and Consequences of Intimate Partner Violence: Findings from the National Violence Against Women Survey 2004Adolescent Dating Violence 1996Gender differences in adolescent dating abuse prevalence, types and injuries 2004Dating Violence among Adolescents 1998Gender and Contextual Factors in Adolescent Dating Violence

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