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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Format: | Article |
Language: | English |
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BMC
2022-08-01
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Series: | BMC Public Health |
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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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institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-12-10T18:51:42Z |
publishDate | 2022-08-01 |
publisher | BMC |
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series | BMC Public Health |
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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