American Women’s Experiences With Intimate Partner Violence during the Start of the COVID-19 Pandemic: Risk Factors and Mental Health Implications

Abstract

In an online survey, women self-reported high prevalence of intimate partner violence during the early days of the pandemic. Risk factors for experiencing intimate partner violence (IPV) included having a child under the age of 18, being a sexual minority, living in a rural community, and stressors related to healthcare access, income/employment stress, and COVID-19 exposure or illness. Women who worked during the pandemic and were older were less likely to experience IPV. Women who reported IPV also reported increased anxiety and depression. The results are discussed in terms of clinical and policy implications for supporting women who are victims of IPV.

Keywords

COVID-19 pandemic intimate partner violence domestic violence women's mental health

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References

Adhia

Drolette

L. M.

Vander Stoep

Valencia

E. J.

Kernic

M. A.

(2019). The impact of exposure to parental intimate partner violence on adolescent precocious transitions to adulthood. Journal of Adolescence, 77, (1) 179–187. https://doi.org/10.1016/j.adolescence.2019.11.001

Aizer

(2010). The gender wage gap and domestic violence. American Economic Review, 100(4), 1847–1859. https://doi.org/10.1257/aer.100.4.1847

Anderson

K. L.

(1997). Gender, status and domestic violence: An integration of feminist and family violence approaches. Journal of Marriage and the Family, 59(3), 655–669. https://doi.org/10.2307/353952

Anurudran

Yared

Comrie

Harrison

Burke

(2020). Domestic violence amid COVID-19. International Journal of Gynecology and Obstetrics, 150(2), 255–256. https://doi.org/10.1002/ijgo.13247

Bettinger-Lopez

Bro

(2020). A double pandemic: Domestic violence in the age of COVID-19. Domestic Violence Report, 25(50), 85–100.

Boserup

McKenney

Elkbuli

(2020). Alarming trends in US domestic violence during the COVID-19 pandemic. American Journal of Emergency Medicine, 38(12), 2753–2755. https://doi.org/10.1016/j.ajem.2020.04.077

Bouillon-Minois

J. B.

Clinchamps

Dutheil

(2020). Coronavirus and quarantine: Catalyst of domestic violence. Violence Against Women, Advance online publication. https://doi.org/10.1177/1077801220935194

Bradbury-Jones

Isham

(2020). The pandemic paradox: The consequences of COVID-19 on domestic violence. Journal of Clinical Nursing, 29(13-14), 2047–2049. https://doi.org/10.1111/jocn.15296

Brown

S. M.

Doom

J. R.

Lechuga-Peña

Watamura

S. E.

Koppels

(2020). Stress and parenting during the global COVID-19 pandemic. Child Abuse & Neglect, 110(2), 104699. https://doi.org/10.1016/j.chiabu.2020.104699

10.

Browne

Salomon

Bassuk

S. S.

(1999). The impact of recent partner violence on poor women’s capacity to maintain work. Violence Against Women, 5(4), 393–426. https://doi.org/10.1177/10778019922181284

11.

Caetano

Vaeth

P. A. C.

Ramisetty-Mikler

(2008). Intimate partner violence and perpetrator characteristics among couples in the United States. Journal of Family Violence, 23(6), 507–518. https://doi.org/10.1007/s10896-008-9178-3

12.

Campbell

(2020). An increasing risk of family violence during the COVID-19 pandemic: Strengthening community collaborations to save lives. Forensic Science International Reports, 2, Article 100089. https://doi.org/10.1016/j.fsir.2020.100089

13.

Campbell

J. C.

(2002). Health consequences of intimate partner violence. The Lancet, 359(9314), 1331–1336. https://doi.org/10.1016/S0140-6736(02)08336-8

14.

Centers for Disease Control and Prevention. (2021). Anxiety and depression: Household pulse survey. Retrieved February 2, 2021, from https://www.cdc.gov/nchs/covid19/pulse/mental-health.htm

15.

Centers for Disease Control and Prevention (CDC). (2020). COVID-19 racial and ethnic health disparities. https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/racial-ethnic-disparities/increased-risk-illness.html

16.

Chandan

J. S.

Taylor

Bradbury-Jones

Nirantharakumar

(2020). COVID-19: A public health approach to manage domestic violence is needed. Lancet Public Health, 5(6), E309. https://doi.org/10.1016/S2468-2667(20)30112-2

17.

Chen

Walters

M. L.

Gilbert

L. K.

Patel

(2020). Sexual violence, stalking and intimate partner violence by sexual orientation, United States. Psychology of Violence, 10(1), 110–119. https://doi.org/10.1037/vio0000252

18.

Costa

Barros

(2016). Instruments to assess intimate partner violence: A scoping review of the literature. Violence and Victims, 31(4), 591–621. https://doi.org/10.1891/0886-6708.VV-D-14-00122

19.

Crowne

S. S.

Juon

Ensminger

Burrell

McFarlane

Duggan

(2011). Concurrent and long-term impact of intimate partner violence on employment stability. Journal of Interpersonal Violence, 26(6), 1282–1304. https://doi.org/10.1177/0886260510368160

20.

Danzi

B. A.

Strobel

Puumala

S. E.

Kenyon

D. B.

Curry O’Connell

VanNess

Wesner

(2022). Stressors, concerns, and mental health in the early pandemic in South Dakota. Journal of Rural Mental Health, 46(1), 28–39. https://doi.org/10.1037/rmh0000194.

21.

DeMaris

Benson

M. L.

Fox

G. L.

Hill

Wyk

J. V.

(2003). Distal and proximal factors in domestic violence: A test of an integrated model. Journal of Marriage and Family, 65(3), 652–667. https://doi.org/10.1111/j.1741-3737.2003.00652.x

22.

Devries

K. M.

Mak

J. Y.

Bacchus

L. J.

Child

J. C.

Falder

, Petzold

., Astbury, J., & Watts, C. H. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: A systematic review of longitudinal studies. PLoS Medicine, 10(5), Article e1001439. https://doi.org/10.1371/journal.pmed.1001439

23.

Dutton

M. A.

Green

B. L.

Roeschy

D. M.

Zeffiro

T. A.

Krause

E. D.

(2006). Intimate partner violence, PTSD, and adverse health outcomes. Journal of Interpersonal Violence, 21(7), 955–968. https://doi.org/10.1177/0886260506289178

24.

Edwards

K. M.

Sylaska

K. M.

Barry

J. E.

Moynihan

M. M.

Banyard

V. L.

Cohn

E. S.

Walsh

W. A.

Ward

S. K.

(2015). Physical dating violence, sexual violence, and unwanted pursuit victimization: A comparison of incidence rates among sexual-minority and heterosexual college students. Journal of Interpersonal Violence, 30(4), 580–600. https://doi.org/10.1177.0886260514535260

25.

Emezue

(2020). Digital of digitally delivered responses to domestic and intimate partner violence during COVID-19. JMIR Public Health Surveillance, 6(3), Article e19831. https://doi.org/10.2196/19831

26.

Enarson

(1999). Violence against women in disasters: A study of domestic violence programs in the United States and Canada. Violence Against Women, 5(7), 742–768. https://doi.org/10.1177/10778019922181464

27.

Ertan

El-Hage

Thierree

Javelot

Hingray

(2020). COVID-19: Urgency for distancing from domestic violence. European Journal of Psychotraumatology, 11(1), Article 1800245. https://doi.org/10.1080/20008198.2020.1800245

28.

Evans

D. P.

Hawk

S. R.

Ripkey

C. E.

(2021). Domestic violence in Atlanta, Georgia before and during COVID-19. Violence and Gender, 8(3), 140–148. https://doi.org/10.1089/vio.2020.0061

29.

Evans

M. L.

Lindauer

Farrell

M. E.

(2020). A pandemic within a pandemic – Intimate partner violence during COVID-19. The New England Journal of Medicine, 383, 2302–2304. https://doi.org/10.1056/NEJMp2024046

30.

Finlay

Gilmore

(2020). COVID-19 and alcohol- A dangerous cocktail. BMJ, 369 (M1987), 1–2. https://doi.org/10.1136/bmj.m1987

31.

Follingstad

D. R.

Rogers

M. J.

(2013). Validity concerns in the measurement of women’s and men’s reports of intimate partner violence. Sex Roles, 69(3-4), 149–167. https://doi.org/10.1007/s11199-013-0264-5

32.

Fullen

M. C.

Brossoie

Dolbin-MacNab

M. L.

Lawson

Wiley

J. D.

(2020). The impact of the Medicare mental health coverage gap on rural mental health care access. Journal of Rural Mental Health, 44(4), 243–351. https://doi.org/10.1037/rmh0000161

33.

Garcia-Moreno

Jansen

H. A. F. M.

Ellsberg

Heise

Watts

(2005). WHO multi-country study on women’s health and domestic violence against women: Initial results on prevalence, health outcomes and women’s responses. World Health Organization.

34.

Goh

K. K.

M. L.

Jou

(2020). Impact of COVID-19 pandemic: Social distancing and the vulnerability to domestic violence. Psychiatry and Clinical Neuroscience, 74(11), 612–613. https://doi.org/10.1111/pcn.13130

35.

Hornung

C. A.

McCullough

B. C.

Sugimoto

(1981). Status relationships in marriage: Risk factors in spouse abuse. Journal of Marriage and the Family, 43(3), 675–692. https://doi.org/10.2307/351768

36.

Howell

K. H.

Barnes

S. E.

Miller

L. E.

Graham-Bermann

S. A.

(2016). Developmental variations in the impact of intimate partner violence exposure during childhood. Journal of International Violence Research, 8(1), 43–57. https://doi.org/10.5249/jivr.v8i1.633

37.

Huang

J. L.

Curran

P. G.

Keeney

Poposki

E. M.

Deshon

R. P.

(2011). Detecting and deterring insufficient effort responding to surveys. Journal of Business Psychology, 27, 99–114. https://doi.org/10.1007/s10869-011-9231-8

38.

Jarnecke

A. M.

Flanagan

J. C.

(2020). Staying safe during COVID-19: How a pandemic can escalate risk for intimate partner violence and what can be done to provide individuals with resources and support. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S202–S204. http://doi.org/10.1037/tra0000688

39.

Jenkins

Phillips

(2008). Battered women, catastrophe, and the context of safety after Hurricane Katrina. NWSA Journal, 20(3), 49–68.

40.

Kaugars

A. S.

Holly

L. E.

Tait

Oswald

D. L.

(2022). Exploring American parents’ lived experiences during the COVID-19 pandemic: Ramifications for well-being. Journal of Pediatric Psychology, 47(2), 135–147. https://doi.org/10.1093/jpepsy/jsab120

41.

Kazak

A. E.

Alderfer

Enlow

P. T.

Lewis

A. M.

Vega

Barakt

Kassam-Adams

Pai

McDonnell

G. A.

Price

Schultz

Sood

Phan

T.-L.

(2021). COVID-19 exposure and family impact scales: Factor structure and initial psychometrics. Journal of Pediatric Psychology, 46(5), 504–513. https://doi.org/10.1093/jpepsy/jsab026

42.

Kimerling

Alvarez

Pavao

Mack

K. P.

Smith

M. W.

Baumrind

(2009). Unemployment among women: Examining the relationship of physical and psychological intimate partner violence and posttraumatic stress disorder. Journal of Interpersonal Violence, 24(3), 450–463. https://doi.org/10.1177/0886260508317191.

43.

Kluger

(2021, February 3). Domestic violence is a pandemic within the COVID-19 pandemic. TIME. https://time.com/5928539/domestic-violence-covid-19/

44.

Kofman

Y. B.

Garfin

D. R.

(2020). Home is not always a haven: The domestic violence crisis amid the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice and Policy, 12(S1), S199–S201. https://doi.org/10.1037/tra0000866

45.

Kroenke

Spitzer

R. L.

Williams

J. B. W.

(2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

46.

Langer

Lawrence

Barry

R. A.

(2008). Using a vulnerability-stress-adaptation framework to predict physical aggression trajectories in newlywed marriage. Journal of Consulting and Clinical Psychology, 76(5), 756–768. https://doi.org/10.1037/a0013254

47.

Lee

S. J.

Ward

K. P.

(2020). Research brief: Stress and parenting during the coronavirus pandemic. University of Michigan Parenting in Context Research Lab. Retrieved February 28, 2021, from https://www.parentingincontext.org/uploads/8/1/3/1/81318622/research_brief_stress_and_parenting_during_the_coronavirus_pandemic_final.pdf

48.

Logan

T. K.

Walker

Cole

Ratliff

Leukefeld

(2003). Qualitative differences among rural and urban intimate violence experiences and consequences: A pilot study. Journal of Family Violence, 18(2), 83–92. https://doi.org/10.1023/A:1022837114205

49.

Long

Van Dam

(2020, May 8). Unemployment rate soars to 14.7 percent, the worst since the Depression era. The Washington Post. www.washingtonpost.com/business/2020/05/08/april-2020-jobs-report/

50.

McDonald

Jouriles

E. N.

Ramisetty-Mikler

Caetano

Green

C. E.

(2006). Estimating the number of American children living in partner-violent families. Journal of Family Psychology, 20(1), 137–142. https://doi.org/10.1037/0893-3200.20.1.137

51.

McFarlane

J. M.

Groff

J. Y.

O’Brien

J. A.

Watson

(2003). Behaviors of children who are exposed and not exposed to intimate partner violence: An analysis of 330 black, white, and Hispanic children. Pediatrics, 112(3), 202–207. https://doi.org/10.1542/peds.112.3.e202

52.

McKnight-Eily

L. R.

Okoro

C. A.

Strine

T. W.

Verlenden

Hollis

N. D.

Njai

Mitchell

E. W.

Board

Puddy

Thomas

(2021). Racial and ethnic disparities in the prevalence of stress and worry, mental health conditions, and increased substance use among adults during the COVID-19 pandemic - United States, April and May 2020. MMWR Morbidity and Mortality Weekly Report, (70), 162–166. http://doi.org/10.15585/mmwr.mm7005a3

53.

Mein

S. A.

(2020). COVID-19 and health disparities: The reality of the “great equalizer”. Journal of General Internal Medicine, 25(8), 2439–2440. https://doi.org/10.1007/s11606-020-05880-5

54.

Mlambo-Ngcuka

(2020, April 6). Violence against women and girls: The shadow pandemic . UN Women. https://www.unwomen.org/en/news/stories/2020/4/statement-ed-phumzile-violence-against-women-during-pandemic

55.

Parkinson

(2019). Investigating the increase in domestic violence post disaster: An Australian case study. Journal of Interpersonal Violence, 34(11), 2333–2362. https://doi.org/10.1177/0886260517696876

56.

Pierce

B. S.

Perrin

P. B.

McDonald

S. D.

(2020). Demographic, organizational, and clinical practice predictors of U.S. psychologists’ use of telepsychology. Professional Psychology: Research and Practie, 51(2), 184–193. https://doi.org/10.1037/pro0000267

57.

Pierce

B. S.

Perrin

P. B.

Tyler

C. M.

McKee

G. B.

Watson

J. D.

(2021). The COVID-19 telepsychology revolution: A national study of pandemic-based changes in U.S. Mental health care delivery. American Psychologist, 76(1), 14–25. https://doi.org/10.1037/amp0000722

58.

Pollard

M. S.

Tucker

J. S.

Green

H. D.

(2020). Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US. JAMA Network Open, 3(9), Article e2022942. https://doi.org/10.1001/jamanetworkopen.2020.22942

59.

Ragavan

M. I.

Garcian

Berger

R. P.

Miller

(2020). Supporting intimate partner violence survivors and their children during the COVID-19 pandemic. Pediatric Perspectives, 146(3), Article e20201276. https://doi.org/10.1542/peds.2020-1276

60.

Rho

H. J.

Brown

Fremstad

(2020). A basic demographic profile of workers in frontline industries. Center for Economic and Policy Research. Retrieved January 10, 2021, from https://cepr.net/wp-content/uploads/2020/04/2020-04-Frontline-Workers.pdf

61.

Roberts

A. L.

McLaughlin

K. A.

Conron

K. J.

Koenen

K. C.

(2011). Adulthood stressors, history of childhood adversity and risk of perpetration of intimate partner violence. American Journal of Prevention Medicine, 40(2), 128–138. https://doi.org/10.1016/j.amepre.2010.10.016

62.

Schokkenbroek

J. M.

Anrijs

Ponnet

Hardyns

(2021). Locked down together: Determinants of verbal partner violence during the COVID-19 pandemic. Violence and Gender, 8(3), 148–153. https://doi.org/10.1089/vio.2020.0064

63.

Schreiber

Salivar

E. G.

(2021). Using a vulnerability-stress-adaptation framework to model intimate partner violence risk factors in late life: A systemic review. Aggression and Violent Behavior, 57(2), 101493. https://doi.org/10.1016/j.avb.2020.101493

64.

Schumacher

J. A.

Coffey

S. F.

Norris

F. H.

Tracy

Clements

Galea

(2010). Intimate partner violence and Hurricane Katrina: Predictors and associated mental health outcomes. Violence and Victims, 25(5), 588–603. https://doi.org/10.1891/0886-6708.25.5.588

65.

Schumacher

J. A.

Feldbau-Kohn

Smith Slep

A. M.

Heyman

R. E.

(2001). Risk factors for male-to-female partner psychological abuse. Aggression and Violent Behavior, 6(2–3), 255–268. https://doi.org/10.1016/S1359-1789(00)00025-2

66.

Sharma

Borah

S. B.

(2022). COVID-19 and domestic violence: An indirect path to social and economic crisis. Journal of Family Violence, 37(5), 759–765. https://doi.org/10.1007/s10896-020-00188-8

67.

Showalter

(2016). Women’s employment and domestic violence: A review of the literature. Aggression and Violent Behavior, 31(1), 37–47. https://doi.org/10.1016/j.avb.2016.06.017

68.

Smith

S. G.

Zhang

Basile

K. C.

Merrick

M. T.

Wang

Kresnow

Chen

(2018). The national intimate partner and sexual violence survey: 2015 data brief- updated release. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. www.cdc.gov/violenceprevention/pdf/2015data-brief508.pdf

69.

Spitzer

R. L.

Kroenke

Williams

J. B. W.

Lowe

(2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte. 166.10.1092

70.

Stockman

J. K.

Hayashi

Campbell

J. C.

(2015). Intimate Partner Violence and Its Health Impact on Ethnic Minority Women. Journal of Women’s Health, 24(1), 62–79. https://doi.org/10.1089/jwh.2014.4879

71.

McDonnell

Roth

Šegalo

Shi

Wagers

(2021). Mental health solutions for domestic violence victims amid COVID-19: A review of the literature. Globalization and Health, 17, article 67. https://doi.org/10.1186/s12992-021-00710-7

72.

Tadesse

Tarekegn

Wagaw

S. M.

Muluneh

G. B.

& Kassa

M. D.

(2022). Prevalence and associated factors of intimate partner violence among married women during COVID-19 pandemic restrictions: A community-based study. Journal of Interpersonal Violence, 37(11-12), NP8632–NP8650. https://doi.org/10.1177/0886260520976222

73.

United Nations Entity for Gender Equality and the Empowerment of Women (UN Women). (2021). COVID-19 and ending violence against women and girls . Retrieved from www.unwomen.org/sites/default/files/Headquarters/Attachments/Sections/Library/Publications/2020/Issue-brief-COVID-19-and-ending-violence-against-women-and-girls-en.pdf

74.

Usta

Murr

El-Jarrah

(2021). COVID-19 lockdown and the increased violence against women: Understanding domestic violence during a pandemic. Violence and Gender, 8(3), 133–139. https://doi.org/10.1089/vio.2020.0069

75.

Vaeza

M.-N.

(2020, November). Addressing the impact of the COVID-19 pandemic on violence against women and girls. UN Chronicle. Retrieved from https://www.un.org/en/addressing-impact-covid-19-pandemic-violence-against-women-and-girls