Disparities in Adolescent Dating Violence and Associated Internalizing and Externalizing Mental Health Symptoms by Gender,Race/Ethnicity,and Sexual Orientation

Abstract

The current study examined the prevalence and mental health associated with physical and sexual dating violence among adolescents using an intersectional analysis. Data were obtained from 88,219 adolescents in the Youth Risk Behavior Surveillance Survey. Gender, race/ethnicity, sexual orientation, and experiences with teen dating violence were measured for each youth. Tested two- and three-way interactions demonstrate varied outcomes by social identification and emphasize the need for an intersectional approach in dating violence research. Adolescent dating violence was most prevalent among girls (10% physical, 13% sexual); adolescents were racially identified as Native North American (13% physical, 10% sexual), Hawaiian/Pacific Islander (12% physical, 14% sexual), or multiracial (11% physical, 12% sexual), and lesbian, gay, bisexual, or questioning their sexual orientation (LGBQ) adolescents (19% physical, 20% sexual). The intersectional groups with the highest rates of physical and sexual dating violence included Latinx GBQ boys (26% physical, 26% sexual) and Hawaiian/Pacific Islander GBQ boys (29% physical, 32% sexual). Among girls, highest rates were observed among Hawaiian/Pacific Islander LBQ (24% physical, 23% sexual). Externalizing symptoms associated with physical dating violence were most robust for risky sexual behavior (OR = 4.0), followed by physical fighting (OR = 3.0), and weapon carrying (OR = 2.5); they were also associated with sexual dating violence (ORs = 1.9-2.2). Internalizing symptoms were comparably associated with both types of dating violence (ORs = 2.6-2.9 physical and ORs = 2.4-2.8 sexual). Findings suggest first that an intersectional approach is especially informative in teen dating violence prevention and intervention and second that teen dating violence interventions and prevention programming should use a trauma-informed, gender-responsive, culturally sensitive, and LGBQ inclusive approach.

Keywords

cultural contexts dating violence domestic violence LGBT mental health and violence

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References

Ackard

D. M.

Neumark-Sztainer

Hannan

(2003). Dating violence among a nationally representative sample of adolescent girls and boys: Associations with behavioral and mental health. The Journal of Gender-Specific Medicine , 6(3), 39–48.

Boothe

M. A.

Wilson

R. M.

Lassiter

T. E.

Holland

(2014). Differences in sexual behaviors and teen dating violence among Black, Hispanic, and White female adolescents. Journal of Aggression, Maltreatment & Trauma , 23(10), 1072–1089.

Bowleg

(2012). The problem with the phrase women and minorities: Intersectionality—an important theoretical framework for public health. American Journal of Public Health , 102(7), 1267–1273.

Breiding

Basile

K. C.

Smith

S. G.

Black

M. C.

Mahendra

R. R.

(2015). Intimate partner violence surveillance: Uniform definitions and recommended data elements (Version 2.0). Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. https://www.cdc.gov/violenceprevention/pdf/ipv/intimatepartnerviolence.pdf

Cha

Ihongbe

T. O.

Masho

S. W.

(2016). Racial and gender differences in dating violence victimization and disordered eating among US high schools. Journal of Women’s Health , 25(8), 791–800.

Crenshaw

K. W.

(1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum , 139, Article 8.

Crenshaw

K. W.

(1993). Beyond racism and misogyny: Black feminism and 2 Live Crew. In Matsuda

M. J.

, Lawrence

C. R.

, Delgado

, & Crenshaw

K. W.

(Eds.), Words that Wound (pp. 111–132). Routledge.

Dank

Lachman

Zweig

J. M.

Yahner

(2014). Dating violence experiences of lesbian, gay, bisexual, and transgender youth. Journal of Youth and Adolescence , 43(5), 846–857.

East

P. L.

Hokoda

(2015). Risk and protective factors for sexual and dating violence victimization: A longitudinal, prospective study of Latino and African American adolescents. Journal of Youth and Adolescence , 44(6), 1288–1300.

10.

Evans

S. E.

Davies

DiLillo

(2008). Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior , 13(2), 131–140.

11.

Exner-Cortens

Eckenrode

Rothman

(2013). Longitudinal associations between teen dating violence victimization and adverse health outcomes. Pediatrics , 131(1), 71–78.

12.

Fedina

Howard

D. E.

Wang

M. Q.

Murray

(2016). Teen dating violence victimization, perpetration, and sexual health correlates among urban, low-income, ethnic, and racial minority youth. International Quarterly of Community Health Education , 37(1), 3–12.

13.

Freedner

Freed

L. H.

Yang

Y. W.

Austin

S. B.

(2002). Dating violence among gay, lesbian, and bisexual adolescents: Results from a community survey. Journal of Adolescent Health , 31(6), 469–474.

14.

Gattamorta

K. A.

Salerno

J. P.

Castro

A. J.

(2019). Intersectionality and health behaviors among US high school students: Examining race/ethnicity, sexual identity, and sex. Journal of School Health , 89(10), 800–808.

15.

Gillum

T. L.

DiFulvio

(2012). “There’s So Much at Stake” sexual minority youth discuss dating violence. Violence Against Women , 18(7), 725–745.

16.

Havlicek

Lin

C.-H.

Braun

M. T.

(2016). Cultivating youth voice through participation in a foster youth advisory board: Perspectives of facilitators. Children and Youth Services Review , 69, 1–10.

17.

Henry

R. R.

Zeytinoglu

(2012). African Americans and teen dating violence. The American Journal of Family Therapy , 40(1), 20–32.

18.

Hipwell

Stepp

S. D.

Keenan

Allen

Hoffmann

Rottingen

McAloon

(2013). Examining links between sexual risk behaviors and dating violence involvement as a function of sexual orientation. Journal of Pediatric and Adolescent Gynecology , 26(4), 212–218.

19.

Holmes

Sher

(2013). Dating violence and suicidal behavior in adolescents. International Journal of Adolescent Medicine and Health , 25(3), 257–261.

20.

Kann

(2011). Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9-12: Youth risk behavior surveillance, selected sites, United States, 2001-2009 (Vol. 60). DIANE Publishing.

21.

Kann

McManus

Harris

Shanklin

Flint

Hawkins

Zaza

(2016). Youth risk behavior surveillance—United States, 2015. MMWR Surveillance Summaries , 65(6), 1–174.

22.

Lewis

R. J.

Milletich

R. J.

Kelley

M. L.

Woody

(2012). Minority stress, substance use, and intimate partner violence among sexual minority women. Aggression and Violent Behavior , 17(3), 247–256.

23.

Luo

Stone

D. M.

Tharp

A. T.

(2014). Physical dating violence victimization among sexual minority youth. American Journal of Public Health , 104(10), e66–e73.

24.

Malhotra

Gonzalez-Guarda

R. M.

Mitchell

E. M.

(2015). A review of teen dating violence prevention research: What about Hispanic youth? Trauma, Violence, & Abuse , 16(4), 444–465.

25.

Marshall

(2016). Focus: Sex and gender health: Suicide prevention interventions for sexual & gender minority youth: An unmet need. The Yale Journal of Biology and Medicine , 89(2), 205.

26.

Parker

E. M.

Bradshaw

C. P.

(2015). Teen dating violence victimization and patterns of substance use among high school students. Journal of Adolescent Health , 57(4), 441–447.

27.

Rothman

E. F.

Xuan

(2014). Trends in physical dating violence victimization among US high school students, 1999–2011. Journal of School Violence , 13(3), 277–290.

28.

Saewyc

Skay

Richens

Reis

Poon

Murphy

(2006). Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest. American Journal of Public Health , 96(6), 1104–1110.

29.

Saltzman

Fanslow

McMahon

Shelley

(2002). Violence by intimate partners. Intimate partner surveillance: Uniform definitions and recommended data elements (Version 1, pp. 89–104). Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.

30.

Serrata

J. V.

Macias

R. L.

Rosales

Hernandez-Martinez

Rodriguez

Perilla

J. L.

(2017). Expanding evidence-based practice models for domestic violence initiatives: A community-centered approach. Psychology of Violence , 7(1), 158.

31.

Seth

DiClemente

R. J.

Lovvorn

A. E.

(2013). State of the evidence: Intimate partner violence and HIV/STI risk among adolescents. Current HIV Research , 11(7), 528–535.

32.

Shorey

R. C.

Fite

P. J.

Choi

Cohen

J. R.

Stuart

G. L.

Temple

J. R.

(2015). Dating violence and substance use as longitudinal predictors of adolescents’ risky sexual behavior. Prevention Science , 16(6), 853–861.

33.

Silverman

J. G.

Raj

Mucci

L. A.

Hathaway

J. E.

(2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA , 286(5), 572–579.

34.

Silverstein

M. W.

Fix

R. L.

Alexander

A. A.

(2017). Risky sex: Testing moderated mediation among college students. Journal of Aggression, Conflict and Peace Research , 9(4), 246–256.

35.

Sokoloff

N. J.

Dupont

(2005). Domestic violence at the intersections of race, class, and gender: Challenges and contributions to understanding violence against marginalized women in diverse communities. Violence Against Women , 11(1), 38–64.

36.

Vagi

K. J.

Olsen

E. O. M.

Basile

K. C.

Vivolo-Kantor

A. M.

(2015). Teen dating violence (physical and sexual) among US high school students: Findings from the 2013 National Youth Risk Behavior Survey. JAMA Pediatrics , 169(5), 474–482.

37.

Vagi

K. J.

Rothman

E. F.

Latzman

N. E.

Tharp

A. T.

Hall

D. M.

Breiding

M. J.

(2013). Beyond correlates: A review of risk and protective factors for adolescent dating violence perpetration. Journal of Youth and Adolescence , 42(4), 633–649.

38.

Viruell-Fuentes

E. A.

Miranda

P. Y.

Abdulrahim

(2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science & Medicine , 75(12), 2099–2106.

39.

Wincentak

Connolly

Card

(2017). Teen dating violence: A meta-analytic review of prevalence rates. Psychology of Violence , 7(2), 224.

40.

Zweig

J. M.

Dank

Lachman

Yahner

(2013a). Technology, teen dating violence and abuse, and bullying . Urban Institute.

41.

Zweig

J. M.

Dank

Yahner

Lachman

(2013b). The rate of cyber dating abuse among teens and how it relates to other forms of teen dating violence. Journal of Youth and Adolescence , 42(7), 1063–1077.