Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study

Abstract Background International research shows the significance and impact of intimate partner violence and abuse (IPVA) as a public health issue for young adults. There is a lack of qualitative research exploring pathways to IPVA. Methods The current mixed-methods study used qualitative interview...

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Main Authors: Maria Barnes, Eszter Szilassy, Annie Herbert, Jon Heron, Gene Feder, Abigail Fraser, Laura D. Howe, Christine Barter
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-13990-4
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author Maria Barnes
Eszter Szilassy
Annie Herbert
Jon Heron
Gene Feder
Abigail Fraser
Laura D. Howe
Christine Barter
author_facet Maria Barnes
Eszter Szilassy
Annie Herbert
Jon Heron
Gene Feder
Abigail Fraser
Laura D. Howe
Christine Barter
author_sort Maria Barnes
collection DOAJ
description Abstract Background International research shows the significance and impact of intimate partner violence and abuse (IPVA) as a public health issue for young adults. There is a lack of qualitative research exploring pathways to IPVA. Methods The current mixed-methods study used qualitative interviews and analysis of longitudinal cohort data, to explore experiences of pathways to IPVA. Semi-structured Interviews alongside Life History Calendars were undertaken to explore 17 young women’s (19–25 years) experiences and perceptions of pathways to IPVA in their relationships. Thematic analysis was undertaken. Based on themes identified in the qualitative analysis, quantitative analysis was conducted in data from 2127 female and 1145 male participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort study. We fitted regression models to assess the association of child maltreatment, parental domestic violence, and peer-to-peer victimisation, by age 12, with loneliness during adolescence (ages 13–14), and the association of loneliness during adolescence with IPVA (age 18–21). Mediation analysis estimated the direct effects of maltreatment on IPVA, and indirect effects through loneliness. Findings All women interviewed experienced at least one type of maltreatment, parental domestic violence, or bullying during childhood. Nearly all experienced IPVA and most had been multi-victimised. Findings indicated a circular pathway: early trauma led to isolation and loneliness, negative labelling and being silenced through negative responses to help seeking, leading to increased experiences of loneliness and intensifying vulnerability to further violence and abuse in young adulthood. The pathway was compounded by intersectionality. Potential ways to break this cycle of loneliness included being heard and supported, especially by teachers. Quantitative analysis confirmed an association between child maltreatment and loneliness in adolescence, and an association between loneliness in adolescence and experience of IPVA in young adult relationships. Conclusion It is likely that negative labelling and loneliness mediate pathways to IPVA, especially among more disadvantaged young women. The impact of early maltreatment on young people’s wellbeing and own relationships is compounded by disadvantage, disability and ethnicity. Participants’ resilience was enabled by support in the community.
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spelling doaj.art-57e6c976588e491d9d365c5e8a9980722022-12-22T01:37:17ZengBMCBMC Public Health1471-24582022-08-0122111710.1186/s12889-022-13990-4Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods studyMaria Barnes0Eszter Szilassy1Annie Herbert2Jon Heron3Gene Feder4Abigail Fraser5Laura D. Howe6Christine Barter7Department of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolDepartment of Population Health Sciences, University of BristolUniversity of Central LancashireAbstract Background International research shows the significance and impact of intimate partner violence and abuse (IPVA) as a public health issue for young adults. There is a lack of qualitative research exploring pathways to IPVA. Methods The current mixed-methods study used qualitative interviews and analysis of longitudinal cohort data, to explore experiences of pathways to IPVA. Semi-structured Interviews alongside Life History Calendars were undertaken to explore 17 young women’s (19–25 years) experiences and perceptions of pathways to IPVA in their relationships. Thematic analysis was undertaken. Based on themes identified in the qualitative analysis, quantitative analysis was conducted in data from 2127 female and 1145 male participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort study. We fitted regression models to assess the association of child maltreatment, parental domestic violence, and peer-to-peer victimisation, by age 12, with loneliness during adolescence (ages 13–14), and the association of loneliness during adolescence with IPVA (age 18–21). Mediation analysis estimated the direct effects of maltreatment on IPVA, and indirect effects through loneliness. Findings All women interviewed experienced at least one type of maltreatment, parental domestic violence, or bullying during childhood. Nearly all experienced IPVA and most had been multi-victimised. Findings indicated a circular pathway: early trauma led to isolation and loneliness, negative labelling and being silenced through negative responses to help seeking, leading to increased experiences of loneliness and intensifying vulnerability to further violence and abuse in young adulthood. The pathway was compounded by intersectionality. Potential ways to break this cycle of loneliness included being heard and supported, especially by teachers. Quantitative analysis confirmed an association between child maltreatment and loneliness in adolescence, and an association between loneliness in adolescence and experience of IPVA in young adult relationships. Conclusion It is likely that negative labelling and loneliness mediate pathways to IPVA, especially among more disadvantaged young women. The impact of early maltreatment on young people’s wellbeing and own relationships is compounded by disadvantage, disability and ethnicity. Participants’ resilience was enabled by support in the community.https://doi.org/10.1186/s12889-022-13990-4RiskLonelinessVulnerabilitiesIntimate partner violenceYoung adultQualitative
spellingShingle Maria Barnes
Eszter Szilassy
Annie Herbert
Jon Heron
Gene Feder
Abigail Fraser
Laura D. Howe
Christine Barter
Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
BMC Public Health
Risk
Loneliness
Vulnerabilities
Intimate partner violence
Young adult
Qualitative
title Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
title_full Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
title_fullStr Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
title_full_unstemmed Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
title_short Being silenced, loneliness and being heard: understanding pathways to intimate partner violence & abuse in young adults. a mixed-methods study
title_sort being silenced loneliness and being heard understanding pathways to intimate partner violence abuse in young adults a mixed methods study
topic Risk
Loneliness
Vulnerabilities
Intimate partner violence
Young adult
Qualitative
url https://doi.org/10.1186/s12889-022-13990-4
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