The relationship between emotional intimate partner violence and other forms of violence: A metaanalytic review.

The present study aimed to explore the relationship between emotional intimate partner violence (IPV) and different forms of violence (e.g., stalking perpetration and victimization, physical IPV perpetration and victimization, sexual IPV perpetration and victimization, and controlling behaviors) using a meta-analysis. Data from 188 studies, yielding 382 effect sizes, were used to compare the strength of correlates for IPV victimization versus perpetration, as well as gendered results. This meta-analysis found, in order of strength, controlling behaviors victimization, physical IPV victimization, physical IPV perpetration, sexual IPV victimization, stalking victimization, and sexual IPV perpetration were significantly associated with emotional IPV victimization. The meta-analysis also found, in order of strength, emotional IPV perpetration was positively associated with stalking perpetration, physical IPV perpetration, causing injury to a partner, controlling behaviors victimization, sexual IPV perpetration, physical IPV victimization, controlling behaviors perpetration, and sexual IPV victimization. This study found limited significant differences around gender, with physical IPV victimization approaching significance for emotional IPV perpetration for women. The current study highlights the implications associated with early assessment and intervention in cases of IPV.

Resources and Support for Sexual Assault Survivors Receiving Services From the U.S. Air Force: What Survivors Say They Need for Recovery.

Sexual assault (SA) is a serious challenge faced by the U.S. military. Participants in this study included men and women who volunteered in response to a call for survivors of SA. Participants included active duty and reserve U.S. Air Force (USAF) members, spouses of service members, or civilian employees for the USAF (beneficiaries). The primary research question was, "if you could design the perfect response system to support survivors, what would be included in this system?" The research team conducted in-depth interviews with nine survivors. Next, 82 survivors completed a survey agreeing or disagreeing with strategies identified by interview participants to improve services for survivors and offered additional suggestions. Analysis revealed survivor recommendations to improve SA services.

Is separate the new equal? A meta-analytic review of correlates of intimate partner violence victimization for Black and White women in the United States.

Black women experience intimate partner violence (IPV) at higher rates than White women, and are more likely to experience more serious injuries, serious mental health diagnoses, or even death as consequences of IPV. Most research on factors associated with physical IPV does not primarily focus on Black women experiencing IPV. To be able to offer targeted intervention and prevention services, understanding unique correlates is critical. To address these discrepancies and better conceptualize factors associated with IPV for Black women, a meta-analysis was conducted to examine correlates for male physical IPV perpetration/female IPV victimization among predominantly Black samples. Next, strengths of correlates for male IPV perpetration/female IPV victimization were compared between Black and White samples. From an original pool of 759 articles examining correlates for IPV perpetration and victimization, 21 articles were usable that had a sufficient percentage (at least 75%) of Black participants and 80 articles that had a sufficient percentage (at least 75%) of White participants. Five significant correlates for male perpetration and seven significant correlates for female victimization in predominantly Black samples were identified. Comparisons for male perpetration/female victimization between predominantly White and Black samples were conducted for nine correlates, and one-third of these correlates (male emotional abuse perpetration, female post-traumatic stress symptoms, and female alcohol use) were significantly stronger correlates in Black populations compared to White populations. Research and clinical implications are discussed.

The Association between Attachment Styles and Physical Intimate Partner Violence Perpetration and Victimization: A Meta-Analysis.

In this meta-analysis, we examine attachment styles-something commonly incorporated into couples therapy-and their association with physical intimate partner violence (IPV) perpetration and victimization among men and women. This meta-analysis incorporated 33 studies that looked at the association between four different attachment styles and IPV. This study examined the strength of the correlation among different attachment styles and IPV perpetration and victimization, examined gender differences in the strength of the association among attachment styles and IPV, and compared the strength of the association with IPV among different attachment styles. We found that anxious attachment, avoidant attachment, and disorganized attachment styles were all significantly associated with physical IPV perpetration and victimization. Secure attachment was significantly negatively related to IPV perpetration and victimization. There was a significantly stronger association between avoidant attachment and IPV victimization for women compared to men. Clinical implications related to the importance of fostering secure attachments when working with couples or individuals who have experienced IPV are addressed.

En este metaanálisis, analizamos los estilos de apego─ algo comúnmente incorporado en la terapia de pareja─ y su asociación con la perpetración de violencia física de pareja y la victimización entre los hombres y las mujeres. Este metaanálisis incorporó 33 estudios que analizaron la asociación entre cuatro estilos de apego diferentes y la violencia de pareja. Este estudio examinó la intensidad de la correlación entre los diferentes estilos de apego y la perpetración de violencia de pareja y la victimización, estudió las diferencias de género en la intensidad de la asociación entre los estilos de apego y la violencia de pareja, y comparó la intensidad de la asociación con la violencia de pareja entre los diferentes estilos de apego. Descubrimos que los estilos de apego ansioso, apego evitativo y apego desorganizado estuvieron todos considerablemente asociados con la perpetración de violencia física de pareja y la victimización. El apego seguro estuvo relacionado de forma considerablemente negativa con la perpetración de violencia de pareja y la victimización. Hubo una asociación considerablemente más intensa entre el apego evitativo y la violencia de pareja, y la victimización en las mujeres en comparación con los hombres. Se abordan las implicancias clínicas relacionadas con la importancia de fomentar vínculos seguros a la hora de trabajar con parejas o personas que han sufrido violencia de pareja.

Risk Markers for Physical Teen Dating Violence Victimization in the United States: A Meta-Analysis.

Teen dating violence is a serious health concern in the United States. The goal of this study was to synthesize the current knowledge of risk markers for physical teen dating violence victimization through the use of a meta-analysis. A total of 50 studies, yielding 221 unique effect sizes, met the inclusion criteria for the analysis. Using Dutton's nested ecological model as a framework, a total of 29 risk markers for physical teen dating violence victimization were examined. There were enough effect sizes found to be able to examine 18 risk markers in the ontogenetic system, nine risk markers in the microsystem, and two risk markers in the exosystem. The results indicated that the strongest risk markers located in the ontogenetic system were substance use, risky sexual behaviors, having carried a weapon, suicide attempts, and disordered eating. The strongest risk markers found in the adolescents' microsystem were related to other forms of teen dating violence perpetration and victimization (i.e., physical dating violence perpetration, sexual dating violence victimization, emotional dating violence victimization). The two risk markers found in the exosystem (neighborhood disorganization and low socioeconomic status) were significant but small in magnitude. This study also compared the strength of 10 risk markers for teen dating violence victimization between male and female adolescents and did not find any significant differences related to gender. Examining which risk markers for physical teen dating violence are the strongest in magnitude can highlight various markers that might help identify adolescents who are being victimized in their romantic relationships and need additional resources.

Examining Attempted and Completed Intimate Partner Homicide: A Qualitative Synthesis.

Intimate Partner Homicide (IPH) is one of the leading causes of death for women in the United States. Recent research has identified the strongest risk markers for IPH from quantitative studies, but there is still a need to synthesize what is known about IPH from qualitative studies. Additionally, few studies have examined perpetrator-reported motivations for IPH, along with victim's and co-victims' experiences of attempted or completed IPH. In order to synthesize the current qualitative literature surrounding motivations and risk factors for IPH, a thematic qualitative synthesis was conducted. This qualitative synthesis included 20 studies that examined IPH risk factors, motivations, and other pertinent themes related to IPH. Some of the most prevalent reported motivations for committing IPH were loss of control, jealousy, relationship termination, and a history of intimate partner violence (IPV) victimization (i.e., self-defense). A few of the most common risk factors for IPH found in the qualitative literature included previous IPV, coercive control, and the victim underestimating danger/lethality. It is important for both clinicians and law enforcement to know more about IPH so that that they are able to assess situations effectively.

Military/Civilian Risk Markers for Physical Intimate Partner Violence: A Meta-Analysis.

This meta-analysis compared risk markers for perpetration of physical intimate partner violence (IPV) among military and civilian males. We also examined strength of risk markers among male and female service members. In total, 36 military studies and 334 civilian studies, which reported 883 effect sizes, were included in the analyses. Results revealed more similarities than differences in risk markers for IPV among military and civilian males and among military males and females. Of the risk markers examined, relationship satisfaction and alcohol problems were significantly stronger risk markers for IPV among civilian males compared to military males. Perpetrating emotional abuse was a significantly stronger risk marker for IPV perpetration among military females compared to military males. Recommendations for IPV prevention and intervention are discussed.

Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) at ambient freshwater beaches.

Methicillin-resistant Staphylococcus aureus (MRSA) are a threat to human health worldwide, and although detected at marine beaches, they have been largely unstudied at freshwater beaches. Genes indicating S. aureus (SA; femA) and methicillin resistance (mecA) were detected at 11 and 12 of 13 US Great Lakes beaches and in 18% or 27% of 287 recreational water samples, respectively. Eight beaches had mecA+femA (potential MRSA) detections. During an intensive study, higher bather numbers, staphylococci concentrations, and femA detections were found in samples collected after noon than before noon. Local population density, beach cloud cover, and beach wave height were significantly correlated with SA or MRSA detection frequency. The Panton-Valentine leukocidin gene, associated with community-acquired MRSA, was detected in 12 out of 27 potential MRSA samples. The femA gene was detected less frequently at beaches that met US enterococci criteria or EU enterococci 'excellent' recreational water quality, but was not related to Escherichia coli-defined criteria. Escherichia coli is often the only indicator used to determine water quality at US beaches, given the economic and healthcare burden that can be associated with infections caused by SA and MRSA, monitoring of recreational waters for non-fecal bacteria such as staphylococci and/or SA may be warranted.

A new bioassay identifies proliferation ratios of fibroblasts and myofibroblasts.

Myofibroblasts are resident cells of wound healing, contractures and fibroses; these tissues are often referred to as fibroproliferative. Whether myofibroblasts themselves proliferate is of interest. Since many in vitro cultures are heterogeneous, staining in situ is required to identify the myofibroblast. We have tested a newly available fluorescent staining kit using ethynyl deoxyuridine (EdU) and click chemistry to identify EdU incorporation into the replicated DNA of proliferative cells. The proliferation stain was combined with the definitive myofibroblast immunostain for alpha smooth muscle actin (α-sma). Fibroblasts were grown on coverslips and within attached collagen lattices. Cultures were pulsed with EdU 4 h prior to fixation. Different standard methods of fixation and permeabilization were used to test the effects of these variables on EdU and α-sma labeling. Images of the stained samples were quantified as the total percentage of proliferative cells, as well as the proportion of fibroblasts and myofibroblasts that were proliferating. Proliferative myofibroblasts were identified in both culture conditions and with all preparation methods tested. Proliferation within the fibroblast population was greater than within the myofibroblast population in both culture conditions. Fixation and permeabilization had little effect on EdU or α-sma labeling. This method of identifying proliferative myofibroblasts will be useful in future studies of myofibroblast proliferation within heterogeneous populations.

Intimate Partner Violence and Attachment Styles as Factors Associated with Coping Stress Styles Among Iranian Women.

The current study sought to examine attachment styles as mediators between intimate partner violence (IPV) and stress coping styles among Iranian women. Data were collected from September to December 2020. The study population was composed of 102 women who were referred to Social Emergency Centers in Isfahan and affected by domestic violence. They were given self-report questionnaires to measure IPV (the Haj-Yahia Violence Questionnaire), Stress Coping Styles (CISS), and Attachment Styles (AAQ). Structural Equation Modeling was used to test the hypothesized relationships. Sexual IPV victimization was related to both avoidant attachment (ß = .229, p = .015) and anxious attachment (ß = .245, p = .008). Anxious attachment style was related to emotion-oriented coping (ß = .437, p = .000). There was a negative relationship between avoidant attachment and anxious attachment (ß = -.237, p = .032) with avoidance-oriented coping. Sexual IPV victimization and economic IPV victimization were associated with avoidance-oriented coping (ß = -.225, t = 0.816, p = .015; ß = .188, t = 0.816, p = .044). Women who had experienced IPV and had an insecure attachment style were more likely to utilize avoidance and emotional coping strategies. For women who had a secure attachment style, there was no association was found between IPV victimization and coping styles. Attachment styles may influence the relationship between IPV and coping strategies in Iranian women who have experienced violence.

Understanding Help-Seeking Behavior Among Intimate Partner Violence Victims in Nigeria.

This study sought to examine help-seeking behaviors among Nigerian women who had experienced intimate partner violence (IPV). Out of 3,802 women who reported that they had experienced IPV in the past year, two-thirds (67%) of the women did not seek any help, 31% sought informal help, and only 1.9% sought formal help. A multinomial regression was run in order to examine factors associated with seeking formal help or informal help, with seeking no help used as the reference group. Higher education, witnessing their father hit their mother, husband's controlling behaviors, experiencing physical IPV, and having a physical injury were all related to informal help-seeking compared to seeking no help. Witnessing their father hit their mother, experiencing physical IPV, and physical injury were associated with formal help-seeking. The results of this study can potentially be used to reduce barriers to help-seeking among women who have experienced IPV in Nigeria. Implications are discussed.

Mental and Physical Health Correlates for Emotional Intimate Partner Violence Perpetration and Victimization: A Meta-Analysis.

Approximately 50% of both men and women will experience emotional intimate partner violence (IPV) in their lifetime-a form of violence highly associated with other forms of IPV-making it important to develop further understanding of for assessment and treatment purposes. The bio-psycho-social model was used to guide the study. Utilizing data from 181 studies, yielding 348 effect sizes, we conducted a meta-analysis examining mental and physical health correlates with emotional IPV perpetration and victimization. We also examined if mental and physical health correlates were significantly stronger for emotional IPV perpetration or victimization, as well as if correlates were stronger for men or women. Suicidal ideation, post-traumatic stress, anxiety, depressive symptoms, borderline personality disorder (PD), psychological distress, physical pain, trauma, anger, shame, poor physical health, antisocial PD, and somatic symptoms were significantly associated with emotional IPV victimization. Borderline PD, narcissism, emotional dysregulation, anger, post-traumatic stress, antisocial PD, psychopathy, depressive symptoms, anxiety symptoms, and trauma were significantly associated with emotional IPV perpetration. Anger, emotional dysregulation, and psychopathology were stronger correlates for emotional IPV perpetration compared to victimization, and post-traumatic stress disorder (PTSD) and psychological distress were stronger correlates for victimization. PTSD and suicidal ideation were stronger correlates of IPV victimization for women than men, and anger was a significantly stronger correlate of IPV perpetration for women than men. This study highlights the importance of a holistic approach when working with victims and perpetrators of IPV, focusing on the importance of taking all aspects of the bio-psycho-social model into account.

Factors Correlated With Sexual Assault Victimization Among College Students in the United States: A Meta-Analysis.

Sexual assault (SA) continues to be a serious problem on college campuses in the United States. This meta-analysis sought to identify correlates for SA victimization on college campuses, as well as examine if there were any differences in correlates for men and women. Database searches utilizing Boolean search terms were used to identify studies to be included in the meta-analysis. Studies were included if they provided quantitative data on correlates for SA victimization among college students. A total of 118 studies yielding 405 unique effect sizes were included in this study. The strongest correlates for SA victimization among college students were physical intimate partner violence (IPV) perpetration, physical IPV victimization, emotional IPV victimization, and prior SA victimization. Other significant correlates were related to mental health (e.g., hopelessness, suicidal ideation, trauma symptoms, anxiety symptoms, depressive symptoms), and factors related to a campus party culture (e.g., binge drinking, alcohol use, drug use, Greek membership). We were able to compare seven correlates between men and women. Results of the meta-analysis also highlight the need for future research to examine additional correlates for SA victimization, as well as examine race/ethnicity and gender as separate categories when trying to further understand correlates for SA victimization.

Improved Casualty Depiction System for Simulated Mass Casualty Exercises.

INTRODUCTION: Assessing military medical teams' ability to respond to large-scale mass casualty (MASCAL) events has become a priority in preparing for future conflicts. MASCAL exercises rely on large numbers of simulated patients with limited medical training. Role-players must be appropriately prepared to ensure that medical exercises adequately assess the expected capabilities of military medical units. The Uniformed Services University of the Health Sciences (USUHS) has evaluated future military providers for decades using a large-scale, multiday, immersive simulation called Bushmaster. Despite a robust casualty training system, the fidelity of the portrayals remained limited. MATERIALS AND METHODS: Through collaboration with national military medical experts, a comprehensive casualty depiction system was developed. This system relied on structured casualty cards linked to time-based illness scripts. Structured casualty cards included an appropriate balance of disease non-battle injuries and trauma, included multipatient presentations based on shared events (i.e., multiple injured personnel due to an aircraft crash), normal and pathologic combat stress, population/unit considerations, requirements for different roles within the medical unit, and expected clinical outcomes. Illness scripts, supplemented by video guides, included time-based courses of illness/injury and prescribed responses to different typical treatments. This system was piloted during an annual MASCAL exercise (Operation Bushmaster) at USUHS. Clinical faculty were queried on the fidelity of this new system while role-players were evaluated on feasibility. RESULTS: Three hundred casualty cards linked to 49 illness scripts were created, peer-reviewed, and piloted at Bushmaster. A total of 170 military members with limited medical training portrayed simulated patients utilizing the new casualty depiction system. Clinical faculty members strongly agreed that the improved casualty depiction system improved the realism of individual patient presentations (96%). Eighty-three percent of role-players strongly agreed that the casualty depiction system was easy to understand. CONCLUSIONS: This improved casualty depiction system was a feasible approach to enhance the fidelity of a MASCAL exercise. It has since been shared with military medical units around the globe to assist with their MASCAL exercises, making future multisite evaluations of this casualty depiction system possible.

COVID-19-Related Stress and Its Association with Intimate Partner Violence Perpetration and Victimization.

Intimate partner violence (IPV) is a pervasive issue, and during the COVID-19 pandemic, it has been speculated that the prevalence rates of IPV increased. This paper aims to understand how pandemic-specific distress was related to experiencing and perpetrating IPV. Using self-reported survey data from 371 individuals living in the United States, this study used multiple logistic regressions to examine how reports of distress related to working from home, working outside the home, isolation, stay-at-home orders, mask mandates, physical and mental health, finances, interpersonal relationships, taking care of children, and online learning for children, as well as reports of partner conflict regarding COVID-19, were associated with physical, psychological, and sexual IPV perpetration and victimization. Our results indicated that distress related to family relationships, taking care of children, and COVID-19 as a source of conflict were all associated with an increased risk of IPV victimization, while distress related to mask mandates and friendships was associated with a decreased risk. Distress related to physical health, family relationships, taking care of children, and COVID-19 being a source of conflict were associated with an increased risk of IPV perpetration, while distress related to mental health and friendships was associated with a decreased risk. Implications for researchers and clinicians are discussed.

Men as Victims of Intimate Partner Violence in Cameroon and Sierra Leone.

There is a lack of research on how global intimate partner violence (IPV) has impacted men, especially in patriarchal societies of sub-Saharan Africa (SSA). This study used data from Demographic and Health Surveys (DHS) conducted in Cameroon and Sierra Leone after 2010 to examine the prevalence and predictors of IPV victimization among married or cohabiting men aged 15 to 59 years. We chose to examine factors related to IPV victimization separately in each country to highlight the importance of not generalizing results from one SSA country to another or to SSA as a whole. Logistic regression analysis was used to examine factors associated with physical, psychological, and sexual IPV victimization. In Cameroon, 26.5% of men reported psychological victimization, 24.4% reported physical victimization, and 2.3% reported sexual victimization in the year before the survey. The corresponding proportions of male victims in Sierra Leone were 23.4%, 14.9%, and 2.7% respectively. Men in both countries experienced more psychological violence than physical or sexual violence. The prevalence of IPV varied by age, education, ethnicity, witnessed father beating his mother, wife's alcohol consumption, and approval of wife-beating. In both countries, reporting IPV victimization was related to exposure to father beating mother, alcohol consumption, ethnicity, and approval of wife-beating. Implications of these findings suggest that it is important to consider the influence of contextual and structural factors in understanding the vulnerability of men to IPV victimization. The inconsistent patterns and socio-cultural variation within countries suggest that a multilayer approach should be used to prevent and respond to IPV against men.

Effectiveness of Compassion-Based Acceptance Therapy and Schema Therapy on Intimate Partner Violence Victims' Psychological Health.

The aim of this study was to examine the effectiveness of group Compassion-Based Acceptance and Commitment Therapy (ACT) and group Schema Therapy on depression, stress, psychological well-being, and resiliency in female intimate partner violence (IPV) victims in Iran. For this purpose, a sample of 60 women who reported ongoing experiences of IPV were selected. Out of these 60 women, 20 were randomly assigned to the ACT treatment group, 20 to the Schema Therapy group, and 20 to the no-treatment control group. Five participants withdrew from each group. For both the ACT and Schema groups, depression and stress decreased, and overall well-being and resiliency scores significantly increased between pre-test and post-test, and there was not a significant difference in depression levels between post-test and the follow-up for either group. For the control group, depression and resiliency scores did not significantly change between pre-test and post-test or between the post-test and follow-up. Stress scores significantly decreased between pre-test and post-test, but stress scores significantly increased between the post-test and the follow-up. Well-being scores significantly increased between pre-test and post-test and did not significantly change between post-test and follow-up. One-way analyses of variance examining change scores of depression, stress, overall well-being, and resiliency between the pre-test and the follow-up found that the ACT and Schema group's depression and stress levels lowered, and resiliency levels increased significantly more than the control group. There was no significant difference in depression and resiliency change score for the ACT and Schema group. The ACT group's overall well-being increased significantly more than the control group.

Relationship dynamics associated with emotional IPV perpetration and victimization: A meta-analysis.

Emotional intimate partner violence (IPV) is the most common form of IPV and frequently co-occurs with other forms of IPV. Risk factors of IPV can give insight to potential pathways and consequences associated with IPV, enhancing treatment efforts. This meta-analysis examined relationship dynamics associated with IPV perpetration and victimization. Our study found victimization of controlling behavior, demand/withdrawal relationship pattern, perpetration of controlling behavior, jealousy, relationship distress, perpetrator's power in the relationship, anxious attachment, and traditional gender roles were all significantly associated with IPV perpetration. For IPV victimization, victimization of controlling behaviors, fear of the perpetrator, relationship distress, anxious and avoidant attachment, and traditional gender roles were all found to be significantly associated. Relationship satisfaction was found to be negatively associated with emotional IPV perpetration and victimization. Implications for clinicians are discussed.

A Meta-Analysis and Systematic Review of Community-Based Intimate Partner Violence Interventions in India.

Intimate partner violence (IPV) in India remains an entrenched and prevalent public health issue. Despite ample evidence of the widespread problem of IPV in India and associated mental and physical morbidities, far less is known about intervention models to reduce IPV in India. The aims of this meta-analysis and systematic review are to assess the effectiveness of community-based interventions to reduce IPV in India and to provide a narrative synthesis of these intervention approaches. A total of 9 databases were searched to identify peer-reviewed, English-language articles published between January 2000 and September 2022. The search identified 10 studies that met study inclusion criteria, including 3 randomized control trials, 4 quasi-experimental, 2 pre/post, and 1 time-series evaluation. Eight studies were included in the meta-analysis. There was notable variation in the interventions and approaches employed to reduce IPV and varying measurement of IPV outcomes. The results of the meta-analysis show that participating in community-based IPV interventions produced a significant reduction in IPV among women. When considering different types of IPV, study participants were less likely to report physical and psychological IPV victimization. In addition, participants were also less likely to report approving of IPV after participating in community-based IPV interventions. Community-based interventions and research addressing IPV are still evolving in India. Missing descriptions of theoretical frameworks, sampling, intervention design, and inadequately reported effectiveness of intervention (both quantitative and qualitative reporting) need to be addressed. Moreover, long-term evaluations of the pilot interventions are needed to provide a clear picture of the long-term effectiveness, sustainability, and replicability of the community-based IPV interventions. The findings have implications for researchers, practitioners (community health workers, clinicians, and social workers), and policymakers keen on IPV reduction in India and globally.

Factors Associated with Non-Fatal Strangulation Victimization in Intimate Relationships: A Meta-Analysis.

Intimate partner violence (IPV) is a public health crisis across the globe, and one particular act of IPV, non-fatal strangulation, warrants serious attention. Non-fatal strangulation is a risk factor for intimate partner homicide (IPH) and can create long-term negative mental and physical health consequences. In this meta-analysis, we sought to examine factors associated with non-fatal strangulation victimization among women to help inform education and assessment efforts. Using database searches and Boolean search terms, a total of 16 studies met the inclusion criteria. A total of 16 factors that were found in at least two unique studies were examined. The strongest associated factors included physical IPV victimization, physical injury, IPH, and sexual IPV victimization. Other significant associated factors included lower education, anxiety symptoms, perceived risk of harm, post-traumatic stress symptoms, depressive symptoms, stalking victimization, and identifying as a Black woman. Experiencing childhood trauma, the length of the relationship, age, substance use, and identifying as Hispanic were not significantly related to strangulation victimization by an intimate partner. Education and assessment implications are discussed.