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Stemming intimate partner violence among adults demands earlier education and skill-building supportive of healthy youth and young adult dating relationships. The current U.S.-based study examines a spectrum of youth and young adult relationship dynamics (RDs), inclusive of abusive interactions. In a nationally representative cohort of youth aged 10–18 at baseline and one parent or caregiver, survey responses regarding RDs from 618 participants ages 15–23 at wave 5 follow-up were analyzed. Latent class analysis of four positive dynamics, six problematic dynamics, and three scales of adolescent relationship abuse (ARA) were estimated, yielding four latent profiles of dating RDs. Relationships characterized by Unhealthy and Intense RDs both exhibited high probability of ARA but differed from each other in terms of other positive and problematic dynamics. Relationships characterized by Disengaged RDs had lower probability of ARA but elevated probability of awkward communications, negative feelings, social liability, and other challenging dynamics. Several baseline covariates were significantly associated with profiles of dating RDs approximately 5 years later. Younger participants were more likely to subsequently fall in an Intense or Disengaged RDs profile, as were participants with baseline emotional health problems. Further, classification in the Unhealthy RDs profile was less likely for participants reporting a better baseline relationship with their parents and more likely for those exposed to violence in childhood. These findings suggest that in addition to developmental maturity, youth and young adults would benefit from closer investigation and processing of past emotional and relational issues and traumas to foster healthier dating relationships.

This study addresses the dearth of research in the victim–offender (V-O) overlap literature regarding the context in which incident-level abuse occurs. With a national sample of 589 young adults (age 18–32), 9.2% reported 2,015 daily conflicts (73% involving abuse) through digital diaries over a 6-week period. Using individual conflicts as our unit of analysis, we estimated multilevel models to explore both the nature of the individual conflicts and the characteristics of the parties in the conflict. We explored what distinguishes routine nonabusive conflicts from conflicts that involve abuse. We also examined the predictors of abusive conflicts and the V-O overlap. The nature of the incidents and proximities of the parties to the conflict were associated with the presence of abuse in conflicts and the V-O overlap. How young adults manage conflicts played a role in whether the dispute escalated to include abusive behaviors, especially mutual abuse.

The COVID-19 pandemic has had profound impacts on mental health. We examined whether mental health differed based on sociodemographic and background characteristics, political party affiliation, and concerns about COVID-19.A cross-sectional, national sample of 1095 U.S. adults were surveyed October 22-26, 2020. The survey collected information on demographics, risk and protective behaviors for COVID-19, and mental health using the Mental Health Inventory-5 (MHI-5) scale. Independent samples t-tests, one-way Analysis of Variance tests, and a multivariable linear regression model were conducted.Regression results showed respondents with criminal justice (B = -6.56, 95% CI = -10.05, -3.06) or opioid misuse (B = -9.98, 95% CI = -14.74, -5.23) histories reported poorer mental health than those without. Those who took protective behaviors (e.g., wearing masks) reported poorer mental health compared to those who indicated protective behaviors were unnecessary (B = 7.00, 95% CI = 1.61, 12.38) while those who took at least one risk behavior (e.g., eating in a restaurant) reported better mental health than those who did not.Our study shows that certain groups have experienced poorer mental health during the COVID-19 pandemic, suggesting that mental health should continue to be monitored so that public health interventions and messaging help prevent the spread of COVID-19 without increasing poor mental health outcomes.

The purpose of this study is to understand the availability of employee wellness programs within law enforcement agencies (LEAs) across the United States, including physical fitness, resilience/wellness, coping skills, nutrition, mental health treatment, and substance use treatment. The research team investigated whether patterns of LEA wellness programming are identifiable and, if so, what characteristics describe these patterns. We assess using latent class analysis whether there are distinct profiles of agencies with similar patterns offering different types of wellness programs and explore what characteristics distinguish agencies with certain profiles of wellness programming. Data were from a nationally representative sample of 1135 LEAs: 80.1% municipal, 18.6% county and 1.3% other agencies (state-level and Bureau of Indian Affairs LEAs). We found that many agencies (62%) offer no wellness programming. We also found that 23% have comprehensive wellness programming, and that another group of agencies specialize in specific wellness programming. About 14% of the agencies have a high probability of providing resilience coping skill education, mental health and/or substance use treatment services programming. About 1% of the agencies in the United States limit their programming to fitness and nutrition, indicating that fitness and nutrition programs are more likely to be offered in concert with other types of wellness programs. The analyses revealed that agencies offering broad program support are more likely to be large, municipal LEAs located in either the West, Midwest or Northeast (compared with the southern United States), and not experiencing a recent budget cut that impacted wellness programming.

Introduction There are burgeoning bodies of research on cyberbullying and online sexual harassment. Yet existing work often fails to distinguish between these two unique forms of online victimization, is largely cross sectional, and based on convenience or specialized samples. We examined the prevalence, predictors, and mental health and behavioral consequences of cyberbullying and online sexual harassment using a large, representative sample of adolescents. We also considered the potential compounding effects of multiple forms of victimization, as well as gender differences in the effects of online victimization. Methods We used nationally representative, longitudinal data from the National Survey on Teen Relationships and Intimate Violence (STRiV) (n = 1,152), a US-based sample of adolescents 10-18 years old. Results Approximately 37% of participants reported being victims of cyberbullying, and nearly 15% reported online sexual harassment experiences. Despite cyberbullying being relatively more common, the risk factors for these two forms of online victimization were similar. In addition, cyberbullying and online sexual harassment victimization were independently associated with the full range of mental health and behavioral problems examined in this investigation. Nevertheless, our findings also provided some evidence of conditional effects, such that female adolescents, and adolescents who experienced both forms of online victimization, suffered greater deleterious outcomes. Conclusions Online sexual harassment and cyberbullying victimization have similar risk profiles, and both contribute to heightened risk of mental health and behavioral problems. Yet the prevalence and gendered nature of these experiences underscore the importance of making distinctions. We provide recommendations for future research and programmatic efforts.

We examined partner-seeking and sexual behaviors among a representative sample of U.S. adults (N = 1,161) during the first year of the COVID-19 pandemic. Approximately 10% of survey respondents sought a new partner, with age and sexual identity being associated with partner seeking behavior. Approximately 7% of respondents had sex with a new partner, which marks a decrease as compared to a pre-pandemic estimate from 2015 - 2016 in which 16% of U.S. adults reported having sex with a new partner during the past year. Among respondents who had in-person sex with a new partner during the first year of the pandemic, public health guidelines for in-person sexual activity were infrequently followed.

This randomized controlled trial (RCT) assessed the effectiveness of a community-infused problem-oriented policing (CPOP) intervention on reducing property/violent crime.In two mid-Atlantic cities, a total of 102 crime hot spots were randomly assigned to receive CPOP or standard patrol. Analyses examine changes in crime the year before, during, and one year after the intervention. We used hierarchical Poisson regression models.We found no main effects for the CPOP intervention on property and violent crimes in either site. In site B, the violent crime count in low treatment hot spots was 200% higher than controls post-intervention but this likely reflected officers paying less attention to treatment locations with lower levels of crime.Our results suggest that CPOP was not effective in the unusual context of the COVID-19 pandemic and post-George Floyd killing. Given the challenges of implementing CPOP during this unique time, caution is needed in interpreting these findings.

Across the United States, 20% of women ages 18 and over are victims of penetrative sexual assault, with the highest rates occurring in early adulthood (i.e., ages 18-24). Despite the high prevalence and severe mental and physical health problems resulting from sexual assault, with few exceptions, little is known about how victims of sexual assault attribute subsequent academic and career outcomes. Approximately 901 adult participants were recruited from a probability-based nationally representative sample to examine the prevalence of and outcomes attributed to sexual assault victimization experienced during early adulthood. Of the 36% of female participants who reported sexual assault perpetrated against them between the ages of 18 and 24, 69.5% attributed at least one negative academic or career outcome to the sexual assault. Participants who identified as White and who were over the age of 30 at the time of the survey were more likely to attribute negative academic and career outcomes as a result of a sexual assault perpetrated against them during early adulthood than women of color and younger women (i.e., ages 25-29). Our findings expand the knowledge on negative outcomes attributed to sexual assault and yields more questions about the larger societal impacts. More research is needed to understand the intersection between an assault during young adulthood and the demographic characteristics of survivors.

This study is the first attempt to systematically examine the impact of prior military service and childhood adversity on physical and psychological health outcomes during subsequent law enforcement employment. Given that at least one in five US law enforcement officers (LEOs) is a military veteran, and many law enforcement agencies provide preferential status for veterans in the hiring process, understanding the effects of prior military service on LEO physical and psychological well-being is important for supporting officer safety and wellness. Using nationally representative data, we examine the interrelationships between prior military service, combat deployments, childhood adversity, and three health outcomes during subsequent LE employment—PTSD, sleep problems, and suicidality. Contrary to prior research and our hypotheses, we found that prior military service and combat experience were not associated with an increased risk of PTSD, sleep problems, or suicidality. Furthermore, while greater exposure to adverse childhood experiences (ACEs) among non-veteran LEOs was linked with increased odds of PTSD, among veteran LEOs, greater ACE exposure was significantly linked with reduced odds of PTSD. We offer several possible explanations to account for these findings.

Scant research exists on COVID-19 vaccine hesitancy among law enforcement officers, hindering health messaging development for officers and, by extension, the communities they serve. This paper’s goal was to address this gap by providing the necessary data to better under hesitancy to guide training and policy interventions for officers. The objective was to conduct the first nationally representative survey of officers on COVID-19 vaccine hesitancy and its correlates. We collected data from February 2021 to March 2022 on officer COVID-19 vaccine hesitancy and examined their responses in terms of sociodemographic factors, health status, and job characteristics. We found that 40% of officers were COVID-19 vaccine hesitant. We found that officers with higher education, older officers, officers with more law enforcement experience, officers who received recent health checkups, and commanders (compared to line officers) were less likely to be COVID-19 vaccine hesitant. Critically, officers working in law enforcement agencies that provided masks for COVID-19 protection were less likely to be COVID-19 vaccine hesitant (compared to agencies not providing masks). Ongoing research is needed to understand how evolving attitudes and barriers toward vaccination change over time for officers and to test messaging to better align officers with health guidelines.

Law enforcement officers’ health and wellness is important at the individual and community levels in terms of maintaining a fit workforce to uphold the mission of public safety. The current study was designed to assess officer wellness across the U.S. From a nationally representative random sample of 1,135 local and state agencies, a random, probability-based sample of officers was selected, oversampling for female officers. Latent class analyses were conducted to assess wellness profiles based on a set of eleven physical, psychological, and behavioral health indicators for 2,232 officers. Personal and professional characteristics were included as auxiliary variables in models of the resulting classes. Results from this sample indicated that over two-thirds of officers fit a healthy profile, whereas one in four officers presents with moderate health concerns and nearly 6% are classified in a profile of broad health concerns. In this sample, sexual assault in childhood, greater exposure to critical incidents, working a current rotation schedule, and being female were characteristics associated with broad health concerns. Emotional and/or physical assault in childhood, greater exposure to critical incidents, and being female were characteristics associated with moderate health concerns, whereas older age and being Hispanic were protective factors. In sum, full-time sworn law enforcement officers across the U.S. are reasonably healthy but their exposures to stressful situations put them at increased risk particularly in terms of post-traumatic stress, risky drinking, and suicidality. These results are important for agency administrators and policymakers to consider in terms of wellness programs, prevention efforts and budget allocations.

The purpose of this study was to estimate the effect of past and current rotating shift assignments on U.S. law enforcement officers' health outcomes. In a nationally representative sample of 2,867 officers, with an oversample of female officers, we estimated models of sleep quality and fatigue, physical health outcomes, and psychological health outcomes. Further, we examined individual and agency-level factors associated with officers who reported currently working a rotating shift, to investigate what patterns there may be in shift assignments. A history of rotating shift assignments was positively associated with lower sleep quality, and with hypertension, diabetes, and high cholesterol, but not with gastrointestinal disorders, perceived stress, emotional well-being, or suicidality. The associations of shiftwork with health outcomes did not vary by gender. Demographic characteristics did not predict current rotating shift assignments, but a longer history of shiftwork and more working hours did predict a current shift assignment. Attention to mitigating shift system designs as well as the effect of cumulative years of working a rotating shift for the benefit of officer health outcomes is warranted.

OBJECTIVE To assess comorbidity across five common health conditions. METHODS Surveys were collected from a probability-based sample of US law enforcement officers, and latent class models estimated for hypertension (HTN), high blood cholesterol (LDL), diabetes (DM), a gastrointestinal disorder (GI), and sleep apnea (SA). RESULTS The majority of officers (69.4%) were classified in a Healthy profile. One in four officers (23.7%) were classified in a LDL-HTN-DM profile. About 7% of officers were classified in a GI-SA-HTN profile. Age, sex, body mass index (BMI), exercise, and working a rotating shift assignment distinguished class membership. CONCLUSION Most officers reported good health. Law enforcement administrative or clinical assessments using readily accessible measures might be informative in identifying risk categories of need for more targeted prevention and treatment support.

Young adults are at high risk for sexual harassment and sexual assault. Although attention has been given to prevention on college campuses, the need for prevention may be at least as high for young adults who do not attend college as for young adults who do. In October 2019, we administered a nationally representative survey of 893 adults to measure sexual harassment and sexual assault victimization during a recall period defined as “during college years” for respondents who had enrolled in college at any time or “ages 18-24” for respondents not in college. Reported rates of sexual harassment (32.7%) and sexual assault (24.6%) during early adulthood were similar for respondents who reported having ever enrolled in college and for respondents who reported never attending college. Women were more likely than men to report both sexual harassment (37.4% vs 22.4%) and sexual assault (36.0% vs 16.0%) during early adulthood. Compared with respondents aged ≥30, respondents aged 18-29 were 105% more likely to report sexual harassment and 65% more likely to report sexual assault. Moreover, sexual harassment experiences predicted sexual assault victimization (adjusted odds ratio = 18.1). This study highlights the importance of attending to sexual harassment and sexual assault risks for young adults through research, policy, and criminal justice structures beyond institutions of higher education. Evidence that sexual harassment is strongly associated with sexual assault victimization of young adults highlights the importance of naming and stemming early behavioral transgressions across the US population.

Addressing the widespread problem of sexual assault in college environments requires both prevention programming and policies addressing sexual misconduct in institutions of higher education. Through the Campus Sexual Assault Policy and Prevention Initiative, nine programs funded by the Office on Women’s Health approached this problem within a network of eight to 13 campuses apiece, supported by national organizations and local task forces. Near the close of the 3-year project period (June 2016–June 2019), key informant interviews were conducted with project directors and campus representatives. Contextual factors elucidating the project approaches, challenges, and successes were investigated through 31 interviews (nine grantee interviews and 22 campus representative interviews). Analyses across all interview content contributed to the development of several key themes related to staffing efforts to strengthen campus policies and prevention programs, working within institutions of varying structural characteristics, infusing efforts with trauma-informed perspectives, attending to cultural differences across campuses, and seeking to follow recommended guidelines in the context of campus-specific factors. Overall, the interviewees reported specific progress toward the program goals.

© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Adolescent dating and relationship violence is associated with health harms and is an important topic for sex education. School-based interventions addressing this have been effective in the USA, but schools in England confront pressures that might hinder implementation. We assessed the feasibility of, and contextual enablers/barriers to implementing Project Respect, a whole-school intervention. We conducted a pilot trial with process evaluation in six English secondary schools. Intervention comprised: training; policy-review; mapping and patrolling ‘hotspots’; parent information; help-seeking app; and a curriculum (including student-led campaigns) targeting dating violence. Process evaluation included assessments of fidelity and interviews with the trainer and school staff. Schools delivered training and lessons partially or completely and made parent and app information available. Two schools conducted policy reviews; none patrolled hotspots or implemented campaigns. Implementation was strengthened where staff saw dating violence as a priority. Delivery was undermined where staff were insufficiently involved, lacked time for planning or struggled to timetable lessons, and where new school challenges undermined engagement. School-based health interventions must work to build staff buy-in and ensure they do not overburden schools. Dating and relationship violence might best be addressed in this context as a broader aspect of sex education.

Interpersonal conflicts are inevitable, but the probability that conflicts involve aggressive behavior varies. Prior research that has tended to focus on victimization in intimate partnerships reported through retrospective designs. Addressing these limitations, the current study examines daily reports of behaving aggressively in any conflict across relationships in a sample of 512 young adults drawn from the nationally representative iCOR cohort. Respondent attitudes and affective measures were collected at the end of the daily data collection period. Regression methods were applied to examine the probability and frequency of aggression, investigating early and recent exposure to adversities, attitudes, self-control, affect and emotional states, and alcohol use behavior. Recent adversities and the propensity to endorse a defensive honor code attitude, consistent with theory and retrospective studies of aggression, predicted both prevalence and frequency of aggressive behavior. The associations of childhood maltreatment and self-control with the prevalence of behaving aggressively were as expected, but these constructs were significantly associated with the frequency of aggression with unexpected, inverse directionality. Moreover, respondents’ affect and other emotional states were only associated with the frequency, not the prevalence, of aggressive behavior. Overall, this daily data collection constructively distinguished risk and protective factors for behaving aggressively more often. Further research is needed to disentangle the extent to which affective states drive or is a consequence of frequent aggressive behavior.

The US Department of Justice has extensively funded second responder programs. In England and Wales, funding of follow‐up with victims is largely funded by local Police and Crime Commissioners. While these programs rapidly gained popularity in the United States and are gaining popularity in other countries as well, the evidence regarding their effectiveness is mixed. Although some research has indicated that second responder programs can prevent repeat victimization, several experimental studies have suggested that these programs may actually increase the odds of abuse recurring. The purpose of the review is to compile and synthesize published and unpublished empirical studies of the effects of second responder programs on repeat incidents of family violence, including those studies completed after the original review. The Global Police Database (http://www.gpd.uq.edu.au/) provides a resource unavailable at the time of the initial review that will ensure that a comprehensive set of qualifying studies is identified. In the updated review, we will address the following questions: 1. What impact do second responder programs have on the number of subsequent calls to the police? 2. What impact do second responder programs have on abuse as measured on victim surveys? 3. Does the impact of second responder programs differ between experimental and quasi‐experimental studies or studies that employ different methods of drawing samples? Building on the original review, we also aim to expand our examination of effect size heterogeneity given sufficient data to do so. For instance, given the proposition that there may be only a small window of opportunity to intervene into the lives of family violence victims after an incident, the amount of time that elapses between a family violence call and the second response may be an important moderator of programmatic effects. Additional factors that could impact the effect of the intervention include the length of the follow‐up data collection period, the type of family violence complaint (e.g., intimate partner violence vs. elder abuse), and the sociodemographic characteristics of the victim and the offender (see generally Sherman, 2018). Ultimately, this review seeks not only to update the results of the prior review with additional research, but also to explore the mechanisms behind the observed effects in a way that provides utility for future policy creation.

Background: This study seeks to understand the general adult population's knowledge, attitudes, and stigma towards opioid use disorder (OUD), people with histories of opioid misuse, and policies related to OUD. Methods: We conducted a cross-sectional national survey of the U.S. adult population, using AmeriSpeak's® web, probability-based panel. The number of participants were 947 (493 females and 454 males) general population adults ages 19 -89 years old who completed a self-report survey covering: social stigma of OUD, opioid policy attitudes, perceptions of OUD as a crime, knowledge and beliefs about opioids and treatment, personal experience with opioids and the criminal justice (CJ) system, and demographics. Results: Thirteen percent self-reported ever misusing opioids, 3% reported an opioid overdose, and 14% reported personal experience with the CJ system. On average, the general adult population moderately endorses stigmatizing behaviors, agrees that OUD is a medical condition, agrees with policies to increase access to OUD treatment, and is less likely to endorse OUD as a crime. Having a disregard for OUD as a medical condition was most associated with higher levels of stigma, endorsing OUD as a crime, and disagreeing with policies to help people access OUD treatment. Conclusions: Our data provide guidance to policymakers concerning individuals with certain characteristics to target for public education efforts to reduce stigma and draw more support for public heath interventions for OUD. Our data also suggest that the content of this education should include improving understanding of OUD as a medical condition.

Research has shown that neighborhoods play a role in the etiology of violence. However, few adolescent relationship aggression (ARA) studies have objective measures of violent neighborhoods. Drawing on a nationally representative sample of youth, this study examines the association between ARA and local levels of violent crime (measured using geocoded Uniform Crime Report data from each of the youths' residential neighborhoods). Study analyses are based on survey data from 723 youth (ages 10-18) in current or recent dating relationships (351 males and 372 females) in the Survey on Teen Relationships and Intimate Violence (STRiV), a national representative household panel survey exploring interpersonal violence and related aggression among adolescents. About 19% of the sample reported ARA victimization in their most recent dating relationship (ARA perpetration was 17%). Neighborhood violent crime in the study (males living in 86.9 and females 99.8) was slightly lower than the national average of 100. With a broad national sample, 40% non-Whites, hypotheses guided by theories of neighborhood influence were tested. The study did not find an association between neighborhood violent crime and ARA victimization and perpetration, controlling for key demographic factors. The results, for a broad range of high- and low-crime neighborhoods, suggest that neighborhood violence does not seem to affect individual rates of ARA. The results suggest the ARA victimization and perpetration are perhaps ubiquitous and found both in low and high violent crime neighborhoods, suggesting that addressing local violent crime rates alone does not seem to be a path to also reducing ARA.

To determine optimal methods of patrol with license plate readers (LPRs) for maximizing detection and apprehension. Data from two randomized experiments were jointly analyzed. In the first, a four-officer squad conducted short daily operations to detect stolen and other vehicles of interest at randomly selected road segments (averaging 0.6 miles) at varying times of day for 2 weeks per location. Based on random assignment, the unit operated with LPRs on some routes and conducted extensive manual checks of license plates on others. In the second experiment, the squad conducted similar operations focused on larger hot spot areas (averaging 1 mile2) using the same research design. The first experiment emphasized longer surveillance on primary hot routes, while the second emphasized shorter visits to the main hot routes and more roving surveillance around these routes. Officer log data were used to examine the likelihood that the patrols resulted in detection of wanted vehicles, arrests, or recoveries of stolen vehicles. Chi-square tests and multivariate logistic regressions were used to examine LPR performance across experiments. LPRs increased the likelihood of all outcomes (which were generally rare) in both experiments, though only the effects on detections were statistically significant. Differences across the experiments were not statistically significant, but LPR performance was generally better during the second experiment, particularly with regard to how much LPR use improved performance over manual plate checks. Results suggest LPR patrols emphasizing roaming operations within larger hot spot areas may be most optimal, but the effects of LPR patrols may not be substantial without large-scale deployment.

Despite extensive research regarding patterns and outcomes of victimization in dating relationships, there has been limited investigation of the developmental profiles of the perpetration of adolescent dating abuse (ADA). We estimated longitudinal latent growth models of ADA perpetration in a sample of 2,269 U.S. adolescents/young adults ages 12-18 at baseline, drawing on four waves (2013-2017) of data from the nationally representative Survey of Teen Relationships and Intimate Violence. Model results revealed three classes representing "nondaters," respondents showing "increasing dating/ADA," and respondents with "high/stable dating/ADA." Results support prior research finding heightened patterns of ADA perpetration by older youth, and distinguish individual and family characteristics associated with adolescent/young adults' ADA perpetration for the purpose of informing individual and programmatic prevention efforts.

Using correctional officer data from the National Law Enforcement Officers Memorial (NLEOMF) database, we describe the characteristics of U.S. correctional officers killed in line of duty in the past decade, and explore how the hazard probability changed over the life span and factors related to these changes. Survival analysis results show that several demographic characteristics were significantly related to changes in hazard probabilities. Study results provided the most recent statistics on profiles of U.S. correctional officers killed in line of duty. Findings have implications for prevention programs aimed at increasing correctional officer safety.

Purpose A small fraction of people with opioid use disorder (OUD) receives appropriate care. Public opinion about addiction contributes to the availability and accessibility of effective treatment services. Little is known about such attitudes toward OUD among young adults, a population at heightened risk for OUD onset. The current study examined endorsement of social stigma, discrimination, and policy attitudes about OUD and hypothesized correlates of such attitudes (familiarity with OUD, criminal justice involvement, respondent demographic characteristics). Methods A national sample of 190 young adults (weighted n = 408; 69% female, 42% White, non-Hispanic) aged 19–29 years completed web and telephone surveys covering opioid social stigma, discrimination, policy attitudes, personal experience with opioids, and criminal justice, and participant characteristics (age, sex, race, education, employment, income). Linear regressions were performed to examine associations between respondent characteristics and attitudes. Results Young adults, on average, endorsed moderate levels of stigma and discrimination toward people with OUD and support for treatment-oriented policies. Stigma was positively associated with discrimination and negatively associated with support for policies favorable to people with OUD. Regression results revealed that more negative attitudes toward OUD were endorsed as a function of older age and less personal experience or familiarity with OUD. Conclusions Heterogeneity in young adults’ attitudes about OUD may be explained, in part, by personal characteristics and familiarity with OUD. Adolescence may be an opportune developmental period to prevent or reduce public stigma related to OUD and MOUD and increase public attitudes in support of expanded access to effective OUD treatments.

This article describes a new instrument that assesses adolescent dating abuse (ADA) victimization and perpetration. The Measure of Adolescent Relationship Harassment and Abuse (MARSHA) is a comprehensive instrument that includes items on physical, sexual, and psychological ADA, as well as cyber dating abuse, social control, and invasion of privacy. Data for this study came from a population-based, nationally representative sample of adolescents ages 11 to 21 years old ( N = 1,257). Exploratory factor analysis was conducted for the victimization and perpetration versions of the MARSHA, and convergent and divergent validity were assessed using the Conflict in Adolescent Dating Relationships Inventory (CADRI) and the juvenile victimization questionnaire (JVQ), respectively. Results suggest that the MARSHA has good reliability and validity, and that each subscale had good internal consistency. The authors propose that the MARSHA may be a strong alternative to the CADRI or the conflict tactics scale (CTS) because it reflects contemporary forms of abuse, such as online harassment and pressure to send nude selfies, and the nonconsensual dissemination of sexually explicit images.

Little is known about the role of conflict management in explaining the victim–offender overlap. This article assesses the victim–offender overlap for adults (18-32) in intimate and nonintimate relationships, covering their relationship with their partner and with friends and acquaintances/strangers. Controlling for conceptually important variables, we explore whether different conflict management styles are associated with a respondent being in the victim-only, offender-only, both, or neither group (separately for verbal aggression, physical abuse for intimate and nonintimate relationships, and sexual abuse for intimate relationships). Data are from a nationally representative panel of U.S. households ( N = 2,284 respondents of whom 871 women and 690 men report being in an intimate partnership). We observed a high degree of overlap between victimization and offending across our abuse measures. We found a range of modestly consistent set of risk factors, for example, conflict management styles and self-control, for the victim–offender overlap for partner and nonpartner abuse experiences.

This study aims to identify homogeneous groups of individuals based on self-reported victimization and perpetration of three subtypes of adolescent relationship abuse (ARA; physical, psychological, and sexual) and sexual harassment (SH). Study sample consists of 645 current or past-year daters aged 12–21, drawn from the National Survey on Teen Relationships and Intimate Violence (STRiV). Latent class analysis was used to classify individuals, and a three-class model was selected (Low ARA-Low SH, High ARA-High SH, and Psychological ARA-Medium SH). Results provide evidence for three latent classes with varying patterns of ARA and SH. A number of exogenous variables were significantly associated with these patterns, e.g., youth who were previously exposed to any general violence were three times as likely to be in the High ARA-High SH class as those not previously exposed to violence. Adolescent relationship abuse prevention efforts should include activities to address sexual harassment, and vice versa. Results call for universal preventive intervention programs targeting adolescent relationship abuse and sexual harassment to start as early as adolescence, and the existence of the High ARA-High SH group supports the need for more targeted effort to interrupt such patterns.

Prior research with the Shifting Boundaries (SB) prevention program suggests that it can prevent adolescent relationship abuse and sexual harassment. We assessed the relative impact of a combined set of SB classroom (SBC) and SB building (school-wide; SBS) interventions on adolescent relationship abuse and sexual harassment outcomes when the program is delivered to all three grades in a middle school (full saturation) compared to when only two or one of the three grades receive it. We randomly assigned 23 middle schools (1,764 students) in New York City to varying saturation levels of SB: 6th grade only, 6th and 7th grade, or 6th, 7th, and 8th grade. Providing SB to only one grade level does just as well at preventing peer violence and adolescent relationship abuse as treating multiple grades. However, there was evidence that additional saturation led to sexual harassment reductions. Schools that delivered SB to 6th and 7th graders (compared to just 6th graders) reduced sexual harassment victimization 6 months post-treatment. The results largely support a minimalist approach, in that SB may be effective in preventing peer violence and adolescent relationship abuse outcomes by delivery to one grade level. However, there is a need for more research to continue exploring the potential benefits of a saturated delivery of SB across all grades, building on our finding that 6th and 7th grade implementation of SB was more effective at reducing sexual harassment than 6th grade only implementation.

This study examines whether online sexual harassment (SH) is a unique form of behavior, separate and apart from in-person SH. Data were drawn from the National Survey on Teen Relationships and Intimate Violence (STRiV), a national representative household survey focused on youth interpersonal aggression. A weighted sample of 1,184 youth (12-21 years old) completed a baseline and a follow-up survey 1 year later. Through latent class analysis (LCA), we investigate our first research question of whether there are distinct classes/profiles of mutually exclusive online or in-person SH victims or whether they mostly overlap. Second, does there exist a high-rate group of SH victims who experience most of the SH behaviors both in-person and online? Third, what individual characteristics and behaviors, based on past research, are associated with these identified profiles of SH? LCA did not reveal an in-person-only or online-only SH class. The majority of the sample (78.5%) were represented in a Low/Near Zero SH class; 15.3% in a Sexual Orientation Harassment class suffering sexual orientation–related verbal harassment online and in-person; 4.2% in a Verbal SH class suffering verbal sexual comments, being forced to talk about sex, and being shown sexual pictures in-person and online; and 1.9% in a High SH class featured by a high probability of experiencing all online and in-person forms of SH. Biological sex, attitudes, anger, previous violence exposure, and gender stereotyping each predicted at least one latent class. The findings can help inform the design of more effective interventions to prevent SH, highlighting the overlapping nature of in-person and online SH. Prevention efforts designed to address in-person SH need to also consider online SH and vice versa. Clinicians should also consider the risk factors of SH identified in this study in their work identifying at-risk youth.

Introduction Teen dating violence is a serious public health problem with few effective prevention strategies. This study examines whether the Dating Matters comprehensive prevention model, compared with a standard of care intervention, prevented negative relationship behaviors and promoted positive relationship behaviors. Study design This longitudinal, cluster-RCT compared the effectiveness of Dating Matters with standard of care across middle school. Standard of care was an evidence-based teen dating violence prevention curriculum (Safe Dates) implemented in eighth grade. Setting/participants Forty-six middle schools in high-risk urban neighborhoods in four U.S. cities were randomized. Schools lost to follow-up were replaced with new schools, which were independently randomized (71% school retention). Students were surveyed in fall and spring of sixth, seventh, and eighth grades (2012–2016). The analysis sample includes students from schools implementing Dating Matters or standard of care for >2 years who started sixth grade in the fall of 2012 or 2013 and had dated (N=2,349 students, mean age 12 years, 49% female, and 55% black, non-Hispanic, 28% Hispanic, 17% other). Intervention Dating Matters is a comprehensive, multicomponent prevention model including classroom-delivered programs for sixth to eighth graders, training for parents of sixth to eighth graders, educator training, a youth communications program, and local health department activities to assess capacity and track teen dating violence–related policy and data. Main outcome measures Self-reported teen dating violence perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills were examined as outcomes. Imputation and analyses were conducted in 2017. Results Latent panel models demonstrated significant program effects for three of four outcomes; Dating Matters students reported 8.43% lower teen dating violence perpetration, 9.78% lower teen dating violence victimization, and 5.52% lower use of negative conflict resolution strategies, on average across time points and cohorts, than standard of care students. There were no significant effects on positive relationship behaviors. Conclusions Dating Matters demonstrates comparative effectiveness, through middle school, for reducing unhealthy relationship behaviors, such as teen dating violence and use of negative conflict resolution strategies, relative to the standard of care intervention. Trial registration This study is registered at www.clinicaltrials.gov NCT01672541.

Financial disagreements have been identified as a severe source of discord in adult relationships, yet limited work has considered whether financial considerations contribute to conflict among younger samples. Drawing on longitudinal data from a nationally representative sample of adolescents, the current investigation examined the extent to which money lending practices, feelings of financial resentment, and exposure to economic control contribute to couple-level interactions, and in turn, to conflict that escalates to the point of violence. Findings provide evidence of an association between adolescent financial behaviors and concurrent conflict due to economic considerations. Moreover, conflict due to economic considerations was an important predictor of future adolescent relationship abuse perpetration. We discuss the implications of our findings for intervention/prevention efforts.

Objective This paper describes the multisite, longitudinal cluster randomized controlled trial (RCT) design of the evaluation of the Dating Matters: Strategies to Promote Healthy Relationships initiative, and discusses challenges faced in conducting this evaluation. Method Health departments in 4 communities are partnering with middle schools in high-risk, urban communities to implement 2 models of teen dating violence (TDV) prevention over 4 years. Schools were randomized to receive either the Dating Matters comprehensive strategy or the "standard of care" strategy (an existing, evidence-based TDV prevention curriculum). Our design permits comparison of the relative effectiveness of the comprehensive and standard of care strategies. Multiple cohorts of students from 46 middle schools are surveyed in middle school and high school, and parents and educators from participating schools are also surveyed. Results Challenges discussed in conducting a multisite RCT include site variability, separation of implementation and evaluation responsibilities, school retention, parent engagement in research activities, and working within the context of high-risk urban schools and communities. We discuss the strengths and weaknesses of our approaches to these challenges in the hopes of informing future research. Conclusions Despite multiple challenges, the design of the Dating Matters evaluation remains strong. We hope this paper provides researchers who are conducting complex evaluations of behavioral interventions with thoughtful discussion of the challenges we have faced and potential solutions to such challenges.

Research on adult intimate partner violence has demonstrated that economic considerations and financial decision-making are associated with the use of violence in marital and cohabiting relationships. Yet limited work has examined whether financial behaviors influence the use of violence in adolescent dating relationships. We use data from the National Survey on Teen Relationships and Intimate Violence (STRiV) (n = 728), a comprehensive national household survey dedicated specifically to the topic of adolescent relationship abuse, to examine associations between requests for money lending, economic control/influence, financial socialization and adolescent relationship abuse among a large, diverse sample of male and female adolescents [48 % female; 30 % non-White, including Black (10 %), Hispanic (2 %), and other (18 %)]. Findings suggest that requests for money lending are associated with heightened risk of moderate and serious threats/physical violence perpetration and victimization, net of traditional predictors. We discuss the implications of our findings for intervention and prevention efforts.

Objective The current study assesses the effect of adverse childhood experiences on later aggression and violence across young adult relationships contexts, including intimate partners, friends, or strangers. Method Surveys were conducted with a nationally representative sample of young adults ages 18-32, drawn from the AmeriSpeak panel, a probability-based panel with coverage of 97% of U.S. households. The weighted study sample is 2284 young adult respondents, of whom 1561 reported being in an intimate partnership. Results Rates of verbal aggression perpetrated by young adults declined with the intimacy of the relationship, such that aggression against a partner (72%) exceeded aggression directed at friends (43%) and strangers (34%). Similar rates of physical violence (about 9%) were reportedly perpetrated against partners, friends, and strangers. Adjusting for a range of personal characteristics, both adverse childhood experiences and recent stressors in these young adult lives exhibited direct associations with verbal and physically aggressive outcomes. Conclusions In models of verbal and physical aggression across relationship contexts, childhood adversity exhibits lasting effects unaccounted for by important proximal life circumstances, including recent life stressors, mental health, and substance use behaviors. These results provide empirical insights for clinical treatment of young adults prone to aggressive conflicts as well as input to positive youth development programming to foster healthy approaches to conflict.

The purpose of this study was to assess the longitudinal association between adolescent dating relationship dynamics (measures of intimacy and problem dynamics), mental health, and physical and/or sexual victimization by a dating partner. Gender-stratified analyses were conducted in a sample of 261 adolescents, ages 10-18 at baseline, interviewed in three annual waves (2013-2015) of the nationally representative Survey on Teen Relationships and Intimate Violence (STRiV). Among male daters, better mental health at baseline was negatively associated with problem dynamics at follow-up, and aspects of problem dynamics at baseline predicted worse mental health at follow-up. However, unexpectedly, aspects of relationship intimacy at baseline were also negatively associated with mental health at follow-up. Male daters' victimization did not mediate longitudinal measures of mental health or of relationship dynamics, but did predict worse mental health at follow-up. Among female daters, we found no longitudinal associations between mental health and intimacy or problem relationship dynamics, in either direction. However, victimization mediated aspects of female daters' reported relationship dynamics. Dating violence prevention efforts should reflect that adolescent females reporting controlling behaviors and feelings of passionate love may be at increased risk for victimization. Positive youth development efforts should attend to the bidirectional associations of mental health and dating relationship dynamics over time, particularly for male adolescents.

Depression is a particularly prevalent form of psychopathology affecting millions of individuals worldwide. It is associated with a variety of adverse social and behavioral outcomes. Numerous observational studies have found that depressed individuals have significantly elevated rates of interpersonal violence. As of now, the social mechanisms that explain the association between depression and violence remain understudied and not well understood. Drawing on the aggression and social psychology literatures, we argue that depressed actors suffer skills deficits and exhibit hostile communication styles that provoke grievances and disputes. We suggest that, because of these interpersonal tendencies, depression increases involvement in verbal disputes, and that frequent participation in verbal disputes foments social contexts where interpersonal violence is more common. Findings from a series of regression models based on a nationally representative sample of 2171 respondents offer support for our assumptions. The study suggests a consideration of interpersonal dynamics, particularly verbal disputes, might unlock clues about the association between depression and violence involvement.

Research has pointed to the salience of friendships in predicting abuse in adolescent dating relationships. The current study investigates the perpetration of physical and sexual dating abuse as predicted by individual conditional tolerance for dating abuse within the context of friendship behaviors and group characteristics. Using two waves of the National Survey of Teen Relationships and Intimate Violence (STRiV; N = 511 daters aged 12-18 years), we investigated the effects of baseline individual tolerance for hitting dating partners and friendship factors on perpetration of physical and sexual adolescent dating abuse (ADA) approximately 1 year later. Conditional tolerance for hitting boyfriends was associated with ADA perpetration in the absence of friendship characteristics. Daters who reported recent discussion of a problem with friends and female daters who named all-girl friendship groups were more likely to report ADA perpetration. Close friendships are an avenue for preventing ADA perpetration. Furthermore, ADA perpetration may be reduced by targeting conditional tolerance for violence particularly against male partners within female friendship groups.

This study examines the longitudinal association between baseline adolescent romantic relationship characteristics and later adolescent relationship abuse (ARA). Data are from the first two waves of the National Survey on Teen Relationships and Intimate Violence (STRiV). Girls and boys ages 10 to 18 were recruited randomly from the children of adults participating in a larger national household probability sample panel. About three quarters of the sample identified as White, non-Hispanic. Controlling behavior by a romantic partner consistently predicted later ARA. Higher levels of controlling behavior in the relationship was associated with higher rates of sexual and/or physical ARA victimization and higher rates for similar acts of perpetration. More controlling behavior by the partner was also associated with higher rates of psychological ARA victimization (and higher rates for psychological ARA perpetration). Our results suggest that ARA prevention programs should have explicit discussions of the deleterious effects of controlling behavior with adolescents. Respondents reporting higher feelings of passionate love were also at higher risk of experiencing sexual and/or physical ARA victimization. This finding will need to be considered by clinicians and prevention specialist in their work with youth as a potential risk marker for ARA. Baseline reports of at least one form of ARA were predictive of 1-year follow-up rates of ARA in all of our models, underscoring a long line of research that past aggressive or violent behavior is one of the strongest predictors of current aggressive or violent behavior. We also observed that female respondents were twice as likely to be perpetrators of physical and/or sexual ARA as male respondents. Prevention messaging often is focused on girls as ARA victims and our results imply that messaging should also be directed toward girls as perpetrators.

Purpose We examine whether the Shifting Boundaries (SB) intervention, a primary intervention to prevent youth dating violence and sexual harassment (DV/H), is differentially effective for girls compared with boys or for youth with a history of DV/H experiences. Methods We randomly assigned SB to 30 public middle schools in New York City, enrolling 117 sixth and seventh grade classes to receive a classroom, building, combined, or neither intervention. The SB classroom intervention included six sessions emphasizing the laws/consequences of DV/H, establishing boundaries and safe relationships. The SB schoolwide/building intervention included the use of school-based restraining orders, greater faculty/security presence in unsafe "hot spots" mapped by students, and posters to increase DV/H awareness and reporting. Student surveys were implemented at baseline, immediately after intervention, and 6 months after intervention. Results At 6 months after intervention, the SB building-level intervention was associated with significant reductions in the frequency of sexual harassment (SH) perpetration and victimization; the prevalence and frequency of sexual dating violence victimization; and the frequency of total dating violence victimization and perpetration. We also had one anomalous finding that the interventions were associated with an increase in the prevalence of SH victimization. These results were consistent for girls and boys, and those with or without a history of DV/H, with the one exception for those exposed to the SB building condition who had earlier reported perpetrating SH had a significantly lower frequency of perpetrating SH at the follow-up than those without such a history. Conclusions SB can provide effective universal prevention of middle school DV/H experiences, regardless of students' prior exposure histories, and for boys and girls.

Purpose This study describes the lifetime prevalence of teen dating violence (TDV) perpetration in a sample of middle school students from high-risk urban communities and examines the relation between TDV and related cognitive and behavioral risk factors. Methods Surveys were administered to 2,895 middle school students in four U.S. cities; 1,673 students (58%) reported having dated and were included in analyses. The sample was 52.3% female, 48.2% non-Hispanic black/African-American, 38.2% Hispanic, 4.8% non-Hispanic white, and 7.6% other race. Six types of TDV perpetration were assessed: threatening behaviors, verbal/emotional abuse, relational abuse, physical abuse, sexual abuse, and stalking. Results Of the students who had dated, 77% reported perpetrating verbal/emotional abuse, 32% reported perpetrating physical abuse, 20% reported threatening a partner, 15% reported perpetrating sexual abuse, 13% reported perpetrating relational abuse, and 6% reported stalking. Girls were more likely than boys to report perpetrating threatening behaviors, verbal/emotional abuse, and physical abuse, and boys were more likely to report perpetrating sexual abuse. Involvement in bullying positively predicted perpetration of TDV, albeit, in different ways for boys and girls. Other risk factors differed by sex. For instance, alcohol use and sex initiation predicted multiple forms of TDV perpetration for boys, whereas weapon carrying and emotional symptoms predicted several forms of TDV perpetration for girls. Conclusions The prevalence of TDV was high in our sample. Important sex differences in rates of perpetration and risk factors emerged. Comprehensive prevention programs that target TDV and related risk factors, such as bullying and other risk factors, seem warranted.

The life-saving benefits of body armor have been well-documented, and law enforcement agency (LEA) body armor wear requirements have been cited by police officers as one of the most important reasons for them to wear body armor. However, research on LEAs' policies and practices regarding body armor is scarce. This study examined whether there are different agency-level profiles of various body armor-related policies, and related these body armor policy profiles to agency characteristics, size, location, etc. U.S. LEAs fell into four distinct profiles based on their body armor policies. Close to half of the LEAs had comprehensive coverage of body armor policies in all aspects. However, nearly one in five LEAs had very weak body armor policies in all aspects. The rest of the LEAs split into two groups, each with different strengths and weaknesses on selection, training, fitting, wearing, and inspection policies. Sheriff's offices and smaller LEAs were found to have weaker policies. In contrast, LEAs with a community policing emphasis and those with body armor grants were found to have stronger body armor polices, especially when it comes to mandatory wearing polices. Findings from the study provide a portrait of the current state of LEA body armor policies, and provide guidance for improving LEAs' body armor policies and practices.

Witnessing inter-parental intimate partner violence has been found to be associated with adolescents' own relationship abuse. This study investigates the relationship between patterns of inter-parental intimate partner verbal and physical violence victimization reported by parents and their children's reports of dating abuse experiences and behavior. Latent class analysis was performed on a sample of 610 parents (42% male and 67% white) and their dating adolescent children (ages 12-21 years; 52% male). Parents reported five types of victimization by their partners in the past year, while youth concurrently reported their own victimization and perpetration within their dating relationships. Three profiles of parents' intimate partner victimization were related to youth relationship abuse experiences and behaviors. Children of parents who experienced verbal abuse were more likely to experience similar patterns in their own relationships, whereas children of parents who report physical and verbal abuse were more likely to report psychological, physical and sexual abusive encounters in their partnerships. Findings indicate that parents' relationship quality and abusive behaviors may have a long lasting effect on their children as they enter mid and late adolescence. Parents should pay attention to their own relationship quality and behavior even as their teen-age children gain independence.