A Mixed-Methods Analysis of Coercive Control and COVID-19 Stress Among Black Women Experiencing Intimate Partner Violence During the COVID-19 Pandemic.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-03-22 DOI:10.1177/00333549241238895

Tiara C Willie, Laurel Sharpless, Marina Katague, Trace Kershaw

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Abstract

Objective: During times of crises, women are at elevated risk for intimate partner violence (IPV), but extant discourse fails to consider how this landscape amplifies disparities for Black women. This study examined the prevalence and associations of COVID-19 pandemic-specific coercive control and COVID-19-related stress among Black women experiencing IPV.

Methods: Fifty-five Black women reporting past-year IPV participated in a prospective cohort study in 2020 and completed surveys on pandemic-specific coercive control, COVID-19-related stress, and sociodemographic characteristics. A subset of 15 participants completed semi-structured interviews in 2021. We conducted multivariable regression analyses to examine associations between coercive control and stress. We used interpretive phenomenological analysis to contextualize women's experiences of coercive control and stress during the pandemic.

Results: In the past 3 months, 76% (42 of 55) of women had a partner blame them for exposing them to COVID-19, 74% (41 of 55) had a partner minimize their pandemic concerns, and 52% (29 of 55) had a partner prevent them from getting a COVID-19 test. A higher average of pandemic-specific coercive control was associated with greater severity of COVID-19-related traumatic stress (b [SE] = 0.033 [0.009]; P = .001) and socioeconomic consequences related to COVID-19 (b [SE] = 0.019 [0.008]; P = .03). We identified 3 superordinate themes that illustrated Black women's experiences: (1) coercive control, (2) pandemic-driven shifts in relational context, and (3) women's structural and psychosocial stressors.

Conclusions: Experiencing coercive control during the pandemic interfered with Black women's engagement in preventive behaviors, which exacerbated distress. Intersectional public health efforts should address sociostructural and relational factors to prevent coercive control and stress among Black women experiencing IPV.

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对 COVID-19 大流行期间遭受亲密伴侣暴力的黑人妇女的胁迫性控制和 COVID-19 压力的混合方法分析》（A Mixed-Methods Analysis of Coercive Control and COVID-19 Stress Among Black Women Experiating Intimate Partner Violence during the COVID-19 Pandemic）。

目的：在危机时期，女性遭受亲密伴侣暴力（IPV）的风险会升高，但现有的论述却没有考虑到这种情况如何扩大了黑人女性的差异。本研究调查了经历过 IPV 的黑人女性中 COVID-19 大流行病特异性胁迫控制和 COVID-19 相关压力的发生率和关联性：55 名报告过去一年遭受过 IPV 的黑人女性参与了 2020 年的一项前瞻性队列研究，并完成了关于大流行病特异性胁迫性控制、COVID-19 相关压力和社会人口特征的调查。15 名参与者的子集在 2021 年完成了半结构化访谈。我们进行了多变量回归分析，以研究强制控制与压力之间的关联。我们使用解释性现象学分析法对妇女在大流行病期间的胁迫性控制和压力体验进行了背景分析：在过去 3 个月中，76% 的妇女（55 人中有 42 人）的伴侣曾责怪她们让她们接触 COVID-19，74% 的妇女（55 人中有 41 人）的伴侣曾尽量减少她们对大流行病的担忧，52% 的妇女（55 人中有 29 人）的伴侣曾阻止她们接受 COVID-19 检测。大流行胁迫性控制的平均值越高，与 COVID-19 相关的创伤性压力（b [SE] = 0.033 [0.009]；P = .001）和 COVID-19 相关的社会经济后果（b [SE] = 0.019 [0.008]；P = .03）就越严重。我们确定了 3 个说明黑人妇女经历的超级主题：(1) 强制性控制，(2) 大流行病导致的关系环境变化，以及 (3) 妇女的结构性和社会心理压力：结论：大流行期间经历的胁迫性控制干扰了黑人妇女参与预防行为，从而加剧了她们的痛苦。跨部门公共卫生工作应解决社会结构和关系因素，以防止遭受 IPV 的黑人妇女遭受胁迫性控制和压力。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.