Connect with us

NEWSMAKERS

Effects of head trauma from intimate partner violence largely unrecognized

One in three women will experience intimate partner violence (IPV) in her lifetime, and studies suggest that anywhere between 30% to 90% of women who experience physical abuse at the hands of an intimate partner experience head trauma.

Published

on

Photo by Joanne Adela Low from Pexels.com

Fact: The World Health Organization (WHO) estimates that one in three women will experience intimate partner violence (IPV) in her lifetime, and studies suggest that anywhere between 30% to 90% of women who experience physical abuse at the hands of an intimate partner experience head trauma. Yet not enough data is being collected to understand how this head trauma affects cognitive and psychological functioning as well as the underlying neural effects.

This is why Carrie Esopenko, assistant professor in the Department of Rehabilitation and Movement Sciences in the Rutgers School of Health Professions, looked into this as part of an Intimate Partner Violence Working Group studying intimate partner violence-related head trauma as part of the Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA) Consortium, an international, multidisciplinary group that seeks to provide a collaborative framework for large-scale analysis and neuroimaging and genetic studies in patient groups. The data was published in the journal Brain Imaging and Behavior.

What is the risk for traumatic brain injury in those who suffer abuse?

Although IPV occurs at any age, it is most prevalent in the 18- to 24-year-old age group, and older adults are also vulnerable. Males and females experience IPV, but violence against women tends to result in more severe and chronic injuries. Due to the high degree of physical aggression associated with this type of abuse, there is a significant risk for traumatic brain injury caused by blunt force trauma, being violently shaken or pushed.

Another significant concern is anoxic brain injury, which can occur due strangulation or attempts to impede normal breathing. The prevalence of head injuries in women who have sustained IPV is estimated to be between 30% and 92%, with a high proportion of these women reporting injuries as a result of strangulation. It is estimated that more than 50% of women exposed to IPV suffer multiple brain injuries due to abuse-related head trauma.

What are the consequences of such injuries?

Past research suggests that IPV can impact cognitive and psychological functioning as well as have neurological effects. These seem to be compounded in those who suffer a brain injury as a result of trauma to the head, face, neck or body due to physical and/or sexual violence. However, the understanding of the neurobehavioral and neurobiological effects of head trauma is limited.

Studies suggest that women who experience IPV report cognitive dysfunction, including impaired reaction time, response inhibition, working memory, attention and a range of other cognitive, behavioral and emotional difficulties. They often report a high degree of mental health disorders, such as depression, anxiety, substance use disorders, suicidal ideation and PTSD. There is evidence that IPV-related brain injury also alters brain function and structure.

What is unknown about traumatic brain injury in victims of domestic violence?

While research on traumatic brain injury in other populations, like athletes and the military, has dramatically increased over the past two decades, research on intimate partner-related brain injury is vastly understudied.

“We need to know more about the effect of sex, socioeconomic status, race and/or ethnicity, age at first exposure – including childhood trauma, duration and severity of IPV exposure, and psychiatric disorders on the neural, cognitive and psychological outcomes associated with IPV-related brain injuries. Knowing this can help us to predict outcomes and help personalize treatment and intervention strategies,” Esopenko said.

IPV is an issue that also affects members of the LGBTQIA community.

In the Philippines in December 2020, Atty. Clara Rita Padilla, who helms EnGendeRights, Inc., recalled helping remove LGBTQIA people from the abusive situations. And so for her, LGBTQIA people in GBV/IPV/FV ought to know that their situation can be managed; they just need to – first – not fear seeking for help.

NEWSMAKERS

Gay men who ‘sound gay’ encounter more stigma, discrimination from heterosexual peers

Gay men are more likely than lesbian women to face stigma and avoidant prejudice from their heterosexual peers due to the sound of their voice.

Published

on

Photo by Miguel Á. Padriñán from Pexels.com

Gay men are more likely than lesbian women to face stigma and avoidant prejudice from their heterosexual peers due to the sound of their voice, a new study in the British Journal of Social Psychology reports. Researchers also found that gay men who believe they sound gay anticipate stigma and are more vigilant regarding the reactions of others.

The study – “Stigmatization of ‘gay-sounding’ voices: The role of heterosexual, lesbian, and gay individuals’ essentialist beliefs” by Fabio Fasoli, Peter Hegarty and David Frost – appeared in the British Journal of Social Psychology.

During this study researchers from the University of Surrey investigated the role of essentialist beliefs — the view that every person has a set of attributes that provide an insight into their identity — of heterosexual, lesbian and gay individuals and whether these beliefs lead to prejudice and rejection towards others. Previous research in this area has shown that gay men’s and lesbian women’s experiences with stigma can lead to a higher likelihood of emotional distress, depression, and anxiety.

In the first part of the study, researchers surveyed 363 heterosexual participants to assess their essentialist beliefs regarding gay and lesbian individuals and asked a series of questions in regards to discreteness ( e.g. “When listening to a person it is possible to detect his/her sexual orientation from his/her voice very quickly”), immutability (e.g. “Gay/lesbian people sound gay/lesbian and there is not much they can do to really change that”) and controllability (e.g. “Gay/lesbian people can choose to sound gay or straight depending on the situation”).

Researchers also investigated whether participants held any prejudices (e.g. “I think male/female homosexuals are disgusting) and avoidant discrimination (e.g., “I would not interact with a man/woman who sounds gay/lesbian if I could avoid it”).

It was found that participants believed voice was a better cue to sexual orientation for men than for women, and their opinions on the discreteness, immutability and controllability of ‘gay-sounding’ voices was linked to higher avoidant discrimination towards gay-sounding men.

In the second part of the study researchers surveyed 147 gay and lesbian participants to examine their essentialist beliefs in relation to self-perception of sounding gay, and whether this led them to expect rejection and be more vigilant, e.g., trying to avoid certain social situations and persons who may ridicule them because of their voices.

Researchers found that gay men’s endorsement of beliefs that people can detect sexual orientation from voice (voice discreteness) and that speakers cannot change the way they sound (voice immutability) were associated with a stronger self-perception of sounding gay. Moreover, gay men who perceived their voices to sound more gay expected more acute rejection from heterosexuals and were more vigilant.

Dr. Fabio Fasoli, Lecturer in Social Psychology at the University of Surrey, said: “What we have found is that people have stronger beliefs about the voices of gay men than lesbian women. In particular, beliefs that gay men and straight men have different voices that allow people to detect their sexual orientation was linked to stigmatization, possibly explaining why some heterosexual individuals stigmatize gay-sounding men regardless of their sexuality. Understanding more about essentialist beliefs helps explain both the perpetration of stigma by heterosexuals and the experience of stigma by lesbians and gay men.

“It is clear from this study that voice and the perception of it are linked to stigma. This is important because it can have negative consequences for gay men’s wellbeing.”

Continue Reading

NEWSMAKERS

COVID-19 isolation linked to increased domestic violence, researchers suggest

The pandemic, like other kinds of disasters, exacerbates the social and livelihood stresses and circumstances that we know lead to intimate partner violence,.

Published

on

Photo by Anete Lusina from Pexels.com

While COVID-19-related lockdowns may have decreased the spread of a deadly virus, they appear to have created an ideal environment for increased domestic violence.

Data collected in surveys of nearly 400 adults for 10 weeks beginning in April 2020 suggest that more services and communication are needed so that even front-line health and food bank workers, for example — rather than only social workers, doctors and therapists — can spot the signs and ask clients questions about potential intimate partner violence. They could then help lead victims to resources, said Clare Cannon, assistant professor of social and environmental justice in the Department of Human Ecology and the lead author of the study.

The paper, “COVID-19, intimate partner violence, and communication ecologies,” was published in American Behavioral Scientist. Study co-authors include Regardt Ferreira and Frederick Buttell, both of Tulane University, and Jennifer First, of University of Tennessee-Knoxville.

“The pandemic, like other kinds of disasters, exacerbates the social and livelihood stresses and circumstances that we know lead to intimate partner violence,” said Cannon. She explained that increased social isolation during COVID-19 has created an environment where victims and aggressors, or potential aggressors in a relationship, cannot easily separate themselves from each other. The extra stress also can cause mental health issues, increasing individuals’ perceived stress and reactions to stress through violence and other means.

“Compounding these stressors, those fleeing abuse may not have a place to get away from abusive partners,” Cannon said.

Intimate partner violence is defined as physical, emotional, psychological or economic abuse and stalking or sexual harm by a current or former partner or spouse, according to the Centers for Disease Control and Prevention. Crime statistics indicate that 16 percent of homicides are perpetrated by a partner. Further, the CDC says, 25 percent of women and 10 percent of men experience some form of intimate partner violence in their lifetime.

As FYI, LGBTQIA people are also affected by intimate partner violence particularly at the time of COVID-19. In December 2020, in fact, Atty. Clara Rita Padilla, who helms EnGendeRights, Inc.,  said that LGBTQIA people in GBV/IPV/FV ought to know that their situation can be managed; they just need to – first – not fear seeking for help.

In this current study, participants completed an online survey asking about previous disaster experience, perceived stress, their current situation as it relates to COVID-19, if they experienced intimate partner violence, and what their personal and household demographics were. In all, 374 people completed the survey. Respondents, whose average age was 47, were asked about how COVID-19 had affected them financially and otherwise.

Of the respondents, 39 reported having experienced violence in their relationship, and 74% of those people were women.

Although only 10 percent of the sample reported experiencing intimate partner violence, the people that had experienced that violence reported more stress than the segment of the sample that had not experienced it. Furthermore, the results show that as perceived stress increased, participants were more likely to end up as victims of violence.

“Importantly,” Cannon said, “these data do not suggest causality and there is no way to determine if intimate partner violence was present in those relationships prior to the pandemic. What the data do suggest, however, is that experiencing such violence is related to reporting more exposure to stress.”

Researchers found that as people find themselves in a more tenuous financial situation due to COVID-19, “there are more things to worry about and subsequently argue about. In many instances, that type of situation leads to an occasion for intimate partner violence,” the researchers said.

“In our sample’s case, as people lost their jobs and suffered financial losses, they also likely increased their worry about eviction,” Cannon said. Notably, similar findings linking financial and job loss stresses with increased intimate partner violence were reported in the 2008 recession, Cannon said.

Researchers said their findings show a need for more communication resources for families — potentially coming from government and nongovernment sources of support and information. By increasing public awareness of resources available to the broader community, community members, trusted friends, neighbors, and family members may be better able to connect those affected by domestic violence with resources, such as shelters, treatment intervention programs and therapeutic professionals such as social workers, therapists and others, researchers said.

Continue Reading

NEWSMAKERS

Feelings of anxiety, loneliness widespread among gay, bi, other MSM amid isolation caused by COVID-19

The harm may be more severe among gay and bisexual men, who face disproportionate rates of poor mental health and sexual health outcomes. COVID-19 has exacerbated stress, anxiety and social isolation within our communities.

Published

on

Photo by Jonas Ferlin from Pexels.com

Sixty-three percent of gay and bisexual men, and other men who have sex with men (MSM) reported only leaving their home for essentials amid the COVID-19 pandemic, suggesting being in isolation has contributed to feelings of anxiety and loneliness, and dissatisfaction with their sex life.

This is according to a new UCLA-led study – “Associations Between Physical Distancing and Mental Health, Sexual Health and Technology Use Among Gay, Bisexual and Other Men Who Have Sex With Men During the COVID-19 Pandemic” by Ian W. Holloway, PhD, MPH, MSW; Alex Garner, BA; Diane Tan, MSPH; Ayako Miyashita Ochoa, JD; Glen Milo Santos, PhD, MPH; and Sean Howell, BS – that was published in the Journal of Homosexuality.

Due to COVID-19, physical distancing measures have been implemented globally. The researchers, nonetheless, recognize the LGBTQIA community – where the respondents for this study belong to – is historically already disproportionately affected by poor health outcomes. And so the COVID-19 restrictions may add to this.

For this study, 10,079 men in 20 countries were surveyed in April and May 2020 on Hornet, a social networking app, which also participated in the research.

Most of the participants were between the ages of 18 and 34 (55.5%), identified as gay (78.6%), were currently employed (67.7%) and had health care coverage (85.4%). In addition, most lived in a large urban center (69.8%) and were not in a relationship at the time of the survey (67.4%).

The study found:

  • Nearly two-thirds of participants (63%) reported only leaving their home for essentials
  • 37% more likely to feel anxious than those who haven’t stayed in
  • 36% more likely to feel lonely
  • 28% more likely to use text messaging to stay connected with others
  • 54% more likely to use video calls to connect with others
  • Risk reduction and telehealth opportunities may alleviate health challenges for GBMSM in the COVID-19 era

“We know that all people are affected by the isolation that can result from physical distancing,” said Holloway. But the concern is that “the harm may be more severe among gay and bisexual men, who face disproportionate rates of poor mental health and sexual health outcomes. COVID-19 has exacerbated stress, anxiety and social isolation within our communities.”

Social networking apps provide an opportunity for people around the world to connect with others, even cultivating a sense of community. As such, according to co-author Garner, “we must invest in interventions that include harm reduction approaches and leverage technology where possible to increase access to necessary health services and strengthen community connections.”

Continue Reading

Love Affairs

Transgender, gender non-conforming teens face unique challenges when dating

Young people who are transgender and gender nonconforming face a different set of challenges than peers during these developmental milestones, a new study suggests.

Published

on

Photo by Anna Shvets from Pexels.com

Experiencing transphobia and abuse, and struggling with the decision to divulge their gender identity throughout their transition. These are what transgender and gender non-conforming (TNGC) adolescents face when dating, according to a study – “Romantic Relationships in Transgender Adolescents: a Qualitative Study” by Adrian C. Araya, Rebecca Warwick, Daniel Shumer and Ellen Selkie – that appeared in Pediatrics.

According to the study, adolescence is a period of identity formation, a time of questioning one’s belonging and one’s role in society, and a shift from family relationship dependence to preference for friendship. It is also recognized as a time of exploration of love and intimacy, which is considered to be critical to development and adjustment.

But young people who are transgender and gender nonconforming face a different set of challenges than peers during these developmental milestones, the study suggests.

For this study, 30 adolescents (18 transmasculine and 12 transfeminine) between the ages of 15 and 20 years were interviewed. Themes included (1) engagement in romantic relationships, (2) disclosure of gender identity and romantic relationships, (3) experience with abusive relationships, and (4) perceived impact of gender-affirming hormone care on romantic experiences.

The study found that:

  • TGNC adolescents are engaged in romantic experiences before and during social and/or medical transitioning and are cultivating relationships through both proximal peers and online connections.
  • There is perceived benefit of gender-affirming hormone care on romantic experiences.
  • Risk of transphobia in romantic relationships impacts the approach that transgender adolescents take toward romance and influences decisions of identity disclosure.
  • TGNC adolescents have experience with relationship abuse in different forms.

The study also noted that romantic pursuit was hampered by transphobia perpetuated by both cisgender and transgender individuals. This transphobia may stem from adhering to gender binary and correlating sex assigned at birth to gender identity.

To deal with this situation, the researchers suggested that providers should incorporate changes in their approach to counseling and screening when caring for TGNC youth.

Continue Reading

NEWSMAKERS

Racism, anti-gay and HIV discrimination heighten risk for arrest and incarceration

Discrimination can occur at all stages of criminal justice involvement, from differential enforcement and/or threats of violence by police officers to court proceedings and sentencings.

Published

on

Photo by Rostyslav Savchyn from Unsplash.com

Racial discrimination, sexual orientation discrimination, and HIV-status discrimination are all associated with risk for criminal justice involvement.

This is according to new research done by Morgan Philbin, PhD, at Columbia University Mailman School of Public Health and colleagues, and which appears in the journal Stigma and Health.

As it is, there’s recognition that Black men are imprisoned at nearly seven times the rate of White men; sexual minority young adults are nearly three times more likely to report being criminally sanctioned compared to their heterosexual peers; and the rate of HIV among prisoners is multiple times higher than the general population. Discrimination can occur at all stages of criminal justice involvement, from differential enforcement and/or threats of violence by police officers to court proceedings and sentencings.

The researcher, therefore, wanted to look at why Black young men who have sex with men (YMSM) are disproportionately subject to high rates of arrest and incarceration. For this, 465 Black YMSM at risk for HIV in North Carolina were tapped. Participants completed four online surveys over the course of one year to assess the three predictors at baseline and criminal justice involvement at 3, 6, and 12-month follow-up (the study excluded men with criminal justice involvement at baseline). The researchers assessed discrimination through survey questions asking whether participants were, for example, treated with hostility/coldness by strangers, rejected by a potential sexual/romantic partner, denied a place to live, denied a job, and physically assaulted due to their race, sexual orientation; they also explored how individuals living with HIV were treated within their community.

The research found that perceived racism was the strongest predictor of subsequent criminal justice involvement (29% increased odds) followed by perceptions of sexual orientation discrimination (12% increased odds) and HIV discrimination (6% increased odds).

“Discrimination, in this instance related to race, sexual identity and HIV, is an important driver of health and life opportunities because it directly influences physical and mental health outcomes and can constrain access to education, jobs, and housing,” says Philbin. “Perceived discrimination – especially the experience of racism – placed the men in this study at an increased risk for arrest and incarceration.”

For the researchers, to better understand the lived realities of people burdened with overlapping forms of discrimination, “we must account for the compounding nature of these intersecting axes of social inequality,” says Philbin. “We find that experiences of racism and discrimination based on sexual orientation and HIV status combine to raise these young men’s risk for criminal justice involvement.”

Additional authors include Timothy W. Menza, Oregon Health Authority, Portland; Sara H. Legrand, Duke University, Durham, North Carolina; and Kathryn E. Muessig and Lisa Hightow-Weidman at the University of North Carolina at Chapel Hill, Chapel Hill.

Continue Reading

NEWSMAKERS

Lesbian, gay, bisexual medical students more likely to experience burnout – study

17% of LGB medical students reported high levels of burnout compared to 11.1% of heterosexual students.

Published

on

Photo by Ashkan Forouzani from Unsplash.com

Studies have shown that nearly half of all medical students – at least in the US – report symptoms of burnout, a long-term reaction to stress characterized by emotional exhaustion, cynicism and feelings of decreased personal accomplishment. Beyond the personal toll, the implications for aspiring and practicing physicians can be severe, from reduced quality of care to increased risk of patient safety incidents.

According to a study published in JAMA Network Open, students who identify as lesbian, gay or bisexual (LGB) are more likely than their heterosexual peers to experience burnout.

“The health and well-being of trainees is intimately linked to the quality of patient care, physician retention, and is key to reducing care inequities,” said lead author Dr. Elizabeth Samuels, an assistant professor of emergency medicine at the Warren Alpert Medical School of Brown University. “Understanding how the current medical training environment impacts lesbian, gay and bisexual medical students is critical for improving their training experience, building and retaining a workforce of LGB physicians, and also delivering optimal care to all patients — especially those who also identify as LGBTQI+.”

Samuels, who is a practicing emergency physician at Rhode Island Hospital and The Miriam Hospital, focused previous research on equity and diversity in the health care workforce and the care of transgender and gender non-conforming people. Data from Association of American Medical Colleges’ annual survey of graduating medical school served as the basis for this study.

The study, conducted in collaboration with researchers from Yale University, is based on data from the 2016 and 2017 AAMC Medical School Graduation Questionnaire, a national survey that includes questions on everything from medical education to financial costs to clinical experiences. In the survey are questions about negative experiences (mistreatment, burnout) and identity, including sexual orientation. Response options include “heterosexual or straight,” “gay or lesbian” and “bisexual.” The study combined the former into the category of LGB. Information about the gender identity of students who identify as transgender or genderqueer was not provided to the researchers for analysis.

In the study’s analysis of 26,123 total responses, 17% of LGB medical students reported high levels of burnout compared to 11.1% of heterosexual students.

Potential causes of burnout include the intensity of medical training, strained finances and unattainable expectations, the authors note in the study. Mistreatment is also a contributing factor, and there has been increased interest in examining its effects on trainees from racial and ethnic groups underrepresented in medicine. However, research has yet to focus specifically on LGB medical students.

In the study, LGB students also reported a higher frequency of perceived mistreatment. For example, 27% of LGB students reported being publicly humiliated, compared with 20.7% of heterosexual students; 23.3% reported perceived mistreatment specific to their sexual orientation at least once during medical school, compared with 1% of heterosexual students.

Samuels notes that mistreatment didn’t completely explain the emotional strain experienced by LGB medical students, who were 30% more likely to experience burnout even after adjusting for reported experiences of mistreatment.

The researchers found that LGB students reporting frequent experiences of mistreatment related to their sexual orientation had an 8 times higher likelihood of burnout compared to heterosexual students. This difference was dramatic when mistreatment occurred more frequently, Samuels said. But at lower levels of mistreatment, the differences weren’t as extreme.

“I think this shows people’s resiliency — up to a point,” Samuels said.

Samuels asserts that there are characteristics of medical training, separate from individual experiences of mistreatment, that leads to increased burnout among LGB trainees. After all, previous studies have shown that a high of LGB medical students report concealing their sexual identity during medical school for fear of discrimination. They also report more depression, anxiety, and low self-rated health compared with heterosexual students.

“Layering concerns about homophobia and discrimination on top of the general intensity of medical training can lead not just to burnout, but also to truly deleterious mental health effects,” Samuels said.

These findings underscore the need for continued, comprehensive support and mentorship for LGBTQ medical students, and the importance of institutional culture change to create healthy, diverse, inclusive medical school learning environments.

Continue Reading
Advertisement
Advertisement

LIKE US ON FACEBOOK

Most Popular