Skin-Tone Trauma: Historical and Contemporary Influences on the Health and Interpersonal Outcomes of African Americans.

Empirical evidence demonstrates that racism is a source of traumatic stress for racial/ethnic minorities, particularly African Americans. Like race and racism, skin tone and experiences of colorism-an often overlooked form of discrimination that privileges lighter skinned over darker skinned individuals, although not uniformly, may also result in traumatic stress. This article proposes a new conceptual model of skin-tone trauma. The model depicts how historical and contemporary underpinnings of colorism lead to colorist incidents that may directly and indirectly, by eliciting traumatic stress reactions, lead to negative effects on the health and interpersonal relationships of African Americans. Key tenets of critical race and intersectionality theories are used to highlight the complexities of skin-tone trauma as a result of intersectional identities on the basis of existing social hierarchies. Last, we present suggestions for researchers, as well as recommendations and strategies for practitioners, to unmask "skin-tone wounds" and promote healing for individuals, families, and communities that suffer from skin-tone trauma. Skin-tone trauma should be acknowledged by researchers, scholars, and practitioners to better understand and assess the widespread scope of trauma in the African American community.

Experiences with Dating Violence and Help Seeking Among Hispanic Females in Their Late Adolescence.

Hispanic females in their late adolescence appear to be disproportionately affected by dating violence, yet the majority of victims never seek out formal services. The purpose of this study was to explore the dating violence and help-seeking experiences of Hispanic females in their late adolescence. Participants were recruited from a social service agency providing wrap-around services to individuals and families affected by abuse in South Florida. Eleven in-depth qualitative interviews were conducted with Hispanic female victims of dating violence in their late adolescence (18 to 24 years of age) in English or Spanish. A thematic analysis of transcripts identified four major themes: (a) conflict, culture, and context influences Hispanic couples; (b) missed opportunities to accessing help; (c) pivotal moments are needed to access formal services; and (d) family matters. Participants of this study believed that dating violence was more normative in Hispanic relationships than "American" relationships. Although participants had opportunities to seek formal services early in their relationships, formal services were only sought after pivotal moments. Families played an important role in supporting or further victimizing the participants. Findings from this study can be used to inform interventions addressing both informal and formal sources of support for Hispanic female victims of dating violence in their late adolescence.

Racial and Gender Differences in Dating Violence Victimization and Disordered Eating Among U.S. High Schools.

BACKGROUND: In 2013, 1 in every 10 students who dated or went out with someone in the previous 12 months reported some form of dating violence (DV). Only a few studies have evaluated the relationship between DV and disordered eating (DE). This study aims to evaluate gender differences in the association between DV victimization and DE behaviors using a nationally representative sample of high school students in the United States. MATERIALS AND METHODS: Data came from the 2013 National Youth Risk Behavior Survey. Students who reported dating or going out with anyone in the previous 12 months and responded to DV and DE questions were included (N = 9,677). DV was categorized as physical DV, sexual DV, physical and sexual DV, and none. The outcome, or DE, was determined by questions about unhealthy weight control behaviors. Multiple logistic regression models provided odds ratios (ORs) and 95% confidence intervals. Race/ethnicity was an effect modifier; thus, stratified analyses assessed for gender and racial/ethnic differences. RESULTS: The prevalence of past-year physical DV, sexual DV, both physical and sexual DV, and any DV was 5.4%, 5.4%, 4.7%, and 15.5%, respectively. OR estimates were more robust in males than in females. Victims of physical and sexual DV were significantly more likely to report DE, namely among Hispanic and non-Hispanic White males and all female race/ethnic groups, with the exception of non-Hispanic Black females. CONCLUSIONS: Findings strengthen support for routine DV screening. Adolescent violence prevention programs should consider risky behaviors, such as DE. Interventions should account for gender and racial/ethnic differences.

A Review of Teen Dating Violence Prevention Research: What About Hispanic Youth?

The purpose of this article is to provide a critical review of the literature on evidence-based teen dating violence (TDV) prevention programs with a particular focus on highlighting gaps in the literature with regard to prevention efforts targeting Hispanic teens. The target populations, characteristics, designs, and results of TDV prevention studies reported in the scientific literature for the last 20 years were reviewed and analyzed according to cultural and contextual factors associated with TDV among Hispanic teens. To date, three studies have focused on a predominantly Hispanic population with only one study looking at the long-term effects of a TDV intervention. There is a growing need to develop and evaluate immediate and long-term effects of TDV prevention programs that address ethnic pride, acculturation and acculturative stress, familism, and gender norms within the context of Hispanic communities (e.g., machismo and marianismo). The authors discuss the implications for research, prevention practice, and policy regarding TDV prevention for Hispanic teens.

Heterosexual Seduction in the Urban Night Context: Behaviors and Meanings.

This article presents an anthropological analysis of heterosexual seduction behaviors of men and women (from 18 to 65 years old, with varying civil status) who attended nightclubs located in the movida areas of Lisbon, Portugal. These behaviors were analyzed according to structure versus communitas theories. Nighttime seduction behaviors were observed and recorded in a field diary, and in-depth semistructured interviews with 60 men and 60 women were conducted. Interviews were analyzed using the thematic content analysis model. Results suggested that the communitas domain was evinced in the various seduction strategies. These courtship behaviors tended to follow a specific pattern: nonverbal seduction, visual seduction, verbal seduction, and acting-consisting of caresses, touches, and kisses. When this escalation process evoked positive responses, it generally culminated in the complete synchrony of movements between the two bodies. The seduction process encompassed both masculine and feminine initiatives: Women engaged primarily in nonverbal and visual seduction, while men appeared to orchestrate verbal courtship and acting. However, sometimes men and women did not want to seduce or be seduced because they were married (especially women) or were with their partners (especially young men) and did not want to endanger the structure domain.

Is online better than offline for meeting partners? Depends: are you looking to marry or to date?

Previous studies that compared differences in the outcomes of relationships that begin online compared to traditional offline venues have primarily looked at marital relationships. The present study extends this investigation by including non-marital relationships in the comparison. It further investigates if the breakup rate of relationships (both marital and non-marital) varies as a result of meeting online versus offline, and if other factors outside of the meeting venue predict relationship dissolution. Data are used from Waves I, II, and III of a nationally representative survey of 4,002 respondents. Results suggest that couples who met their partners online were more likely to be involved in dating and romantic relationships than marital relationships compared to couples who met offline. Furthermore, the breakup rates for both marital and non-marital romantic relationships was found to be higher for couples who met online than couples who met through offline venues. In addition to meeting venue, relationship quality and duration of relationship were found to be significant factors that predicted if couples would stay together or break up. Evidence drawn from theory and previous research are used to explain these observed trends.

"If you don't have honesty in a relationship, then there is no relationship": African American girls' characterization of healthy dating relationships, a qualitative study.

The quality of dating relationships in adolescence can have long lasting effects on identity development, self-esteem, and interpersonal skills, and can shape values and behaviors related to future intimate relationships. The aims of this study were to: (1) investigate how African American adolescent girls characterize healthy relationships; and (2) describe the meanings of these characteristics in the context of the Centers for Disease Control and Prevention's (CDC) 12 healthy dating relationship qualities. We conducted semi-structured one-on-one in-depth interviews with 33 African American high school girls in the mid-Atlantic region. Trained staff transcribed interviews verbatim and entered the data into ATLAS.ti for coding and analysis. Participants' specified and vividly described eight healthy relationship characteristics: good communication, honesty, trust, respect, compromise, understanding, individuality, and self-confidence. Of these characteristics, three (good communication, compromise, and respect) were described in ways discordant with CDC's definitions. Findings highlight a need to better understand how girls develop values and ascribe characteristics of healthy relationships in order to reduce their risk for teen dating violence.

The application of group forgiveness intervention for courtship-hurt college students: a Chinese perspective.

Forgiveness intervention has been shown to be effective in dealing with problems caused by interpersonal hurt. Problems caused by courtship hurt could also be resolved by this approach. This paper describes the theoretical foundations and application of a group forgiveness treatment program which reflected some elements of collectivist Chinese culture positivity for individuals hurt in romantic relationships. Thirty-one female students from a Chinese university were randomly assigned to three groups (forgiveness group, general group, and control group). They completed a Scale of Courtship Forgiveness, the Beck Anxiety Inventory, the Beck Depression Inventory, and the Index of Well-Being & Index of General Affect at entry (baseline), at the end of treatment, and at a four-week follow-up. Compared with the control group, clients both from forgiveness and general groups showed significant improvement in anxiety, depression, and well-being at the end of treatment, but only the forgiveness group showed significant improvement in courtship forgiveness. Further, the effectiveness of treatment for the forgiveness group lasted longer than for the general group. The findings suggest that the forgiveness treatment can be beneficial for college students hurt in romantic relationship.

Psychological and physical dating violence perpetrated by pregnant and parenting Latina adolescents.

The purpose of this study was to examine predictors of psychological and physical dating violence perpetratedby 126 pregnant and parenting Latina adolescents. We found 85.7% had perpetrated at least one act of psychological abuse and 47.6% had perpetrated at least one act of physical abuse against the father of their child in the past 3 months. When examining predictors of psychological dating violence, we found that Latina adolescents who engaged in less positive communication patterns with their parents as well as those who were both the victim and perpetrator of physical abuse within their dating relationships were more likely to perpetrate psychological abuse. When examining predictors of physical dating violence, we found that Latina adolescents who perpetrated psychological abuse against the father of their child were also more likely to perpetrate physical abuse.

Romantic relationships and health among African American young adults: linking patterns of relationship quality over time to changes in physical and mental health.

With trends in delayed marriage, scholars have begun to explore how a wide range of romantic relationships contribute to health. Although a welcome shift, this largely cross-sectional work ignores potential (in)stability in relationship supports and stressors thought to affect health. Using Family and Community Health Study data on 634 African American young adults, we extend this work by demonstrating the value of a holistic, multidimensional assessment of relationship quality for understanding the link between relationships and health. In addition, however, we also show that there is substantial instability in both the presence and quality of romantic relationships during the transition to adulthood. Importantly, particular patterns of instability are uniquely associated with changes in mental and physical health. Given persistent racial inequalities across both relationships and health, such findings prove theoretically and practically important. In particular, they highlight the need for more contextualized, life course-sensitive approaches in future work.

Iraqi American refugee youths' exposure to violence: relationship to attitudes and peers' perpetration of dating violence.

This exploratory study examines the relationships between exposure to violence in the community, school, home and dating relationships among Iraqi American youth. As Iraqi American youth are traditionally not allowed to date, dating violence measures focused on attitudes about and perceptions of abuse occurring in the relationships of friends. The number of friends known who were secretly dating was the most significant predictor of acceptability of dating violence and perceived prevalence of abuse. Youth who experienced child abuse perceived higher rates of dating violence among their peers. Findings highlight the complexities of prevention and intervention of teen dating violence within secretive relationships.

DSM-IV 12-month and lifetime major depressive disorder and romantic relationships among African Americans.

BACKGROUND: This brief report examines the association between marital and relationship status and 12-month and lifetime prevalence of major depressive disorder (MDD) among African Americans. Previous work has found that adults with major depressive disorder are less likely to be married or in a cohabiting relationship. This report extends previous research by investigating whether unmarried, non-cohabiting African Americans with depression are also less likely to be involved in a romantic relationship. METHODS: Data are from the African American sub-sample (n=3570) of the National Survey of American Life (NSAL; 2001-2003). The DSM-IV World Mental Health Composite International Diagnostic Interview was used to assess 12-month and lifetime MDD. Weighted logistic regression was used. RESULTS: The findings indicate that for both 12-month and lifetime major depressive disorder, African Americans who are depressed are not only less likely to be married; they are also significantly less likely to be involved in a romantic relationship. This is particularly the case for 12-month depression. LIMITATIONS: Due to limitations in the number of cohabiting respondents, currently married and cohabiting respondents were combined into a single category. CONCLUSION: The findings of this brief report highlight the importance of changes in marital and relationship circumstances of the U.S. population for research and practice on depression and other psychiatric disorders. Our study provides evidence for a more nuanced approach in which examining marital and romantic relationship status together promotes a better understanding of the impact of major depression on romantic unions.

Mexican American female adolescents' perceptions of relationships and dating violence.

PURPOSE: This study fills a gap regarding the perspectives of Mexican American female adolescents on dating relationships and dating violence (DV). METHODS: This was a qualitative descriptive study. Focus groups included 20 Mexican American young women, primarily first and second generation, mean age 14.5 years (SD= 2.5). Data were analyzed with categorical analysis. FINDINGS: Participants described key components of DV and identified cultural aspects that may serve to promote healthy dating relationships. CONCLUSIONS: Family-based interventions to promote exploration of gender roles and parent-child communication may foster biculturalism as well as promote healthy dating relationships and prevent violence within this cultural group. CLINICAL RELEVANCE: In the United States, 10% to 40% of teens experience DV. Hispanic females experience more physical DV than their White peers.

Urban teens and young adults describe drama, disrespect, dating violence and help-seeking preferences.

Adolescent dating violence is increasingly recognized as a public health problem. Our qualitative investigation sought input from urban, African-American adolescents at risk for dating violence concerning (Tjaden and Thoennes in Full report of the prevelance, incidence, and consequences of violence against women: findings from the national violence against women survey. US Department of Justice, Washington, DC, 2000) dating violence descriptions, (WHO multi-country study on women's health and domestic violence against women: Summary report of initial results on prevalence, health outcomes and women's responses. World Health Organization, Geneva, 2005) preferences for help-seeking for dating violence, and (Intimate partner violence in the United States. Bureau of Justice Statistics, US Department of Justice, Office of Justice Programs, Washington, DC, 2007) recommendations for a teen dating violence resource center. Four focus groups were conducted with urban, African American adolescents (n = 32) aged 13-24 recruited from an urban adolescent clinic's community outreach partners. Qualitative analysis was conducted. Participants assigned a wide range of meanings for the term "relationship drama", and used dating violence using language not typically heard among adults, e.g., "disrespect". Participants described preferences for turning to family or friends before seeking formal services for dating violence, but reported barriers to their ability to rely on these informal sources. When asked to consider formal services, they described their preferred resource center as confidential and safe, with empathetic, non-judgmental staff. Teens also gave insight into preferred ways to outreach and publicize dating violence resources. Findings inform recommendations for youth-specific tailoring of violence screening and intervention efforts. Current evidence that slang terms, i.e., "drama", lack specificity suggests that they should not be integrated within screening protocols. These data highlight the value of formative research in understanding terminology and help-seeking priorities so as to develop and refine dating violence prevention and intervention efforts for those most affected.

Dating norms and dating violence among ninth graders in Northeast Georgia: reports from student surveys and focus groups.

This mixed-methods study describes the norms supporting male-to-female and female-to-male dating violence in a diverse sample of ninth graders. The quantitative study, based on student surveys (n = 624), compared norms supporting dating violence by sex, race/ethnicity, and dating status, and it examined the relation between dating violence norms and physical aggression and victimization. The qualitative study, based on 12 focus groups, explored participants' views of dating aggression. Findings revealed more support for female-to-male aggression, greater acceptance of norms supporting dating violence by non-White students, a strong association between norms and physical aggression but only in males, and a high correlation between victimization and perpetration. Participants rejected male-to-female dating aggression because of peer pressure not to hit girls, parents' beliefs that denounce dating violence, the superior physical advantage of boys over girls, and legal consequences. Results highlight the importance of culturally sensitive and gender-specific interventions.

"... To keep her in the station in which she was raised": spatial and social connections between class and companionate matrimony in the slave South.

Courtship choices and matrimonial partners remained highly limited and well defined in the late antebellum South but two categories encompassed the bulk of objectionable variables: community ("spatial") and class ("social"). As a general rule, white antebellum southerners seldom married anyone residing outside their own space and rarely married anyone identified outside their own social place. This article examines these socio-spatial boundaries in the rural plantation regions of western Tennessee. Based on a detailed database of 122 new marriages in Madison County (1851-1855), the conclusions of this article reinforce the strength of these geocultural borders. Nine of ten white southerners married within their own class. However, a few notable exceptions complicate efforts to craft a monolithic interpretation, and exceptions are always illuminating. This article encourages reexamination of the subtle interplay between space and place in the slave South -- as evidenced in the universal pursuit of matrimony.

Willingness to date across race: differences among gay and heterosexual men and women.

Willingness to date members of other races was examined among 200 men with same-sex dating preference (n = 100) and opposite-sex dating preference (n = 100), and 200 women with same-sex dating preference (n = 100) and opposite-sex dating preference (n = 100) who were randomly selected from an Internet dating web site. Overall, results indicated a greater willingness among gay participants than heterosexual participants to date people of other races. A 2 (Sex) x 2 (Sexual Orientation) analysis of variance showed an interaction, with lesbian women more willing to date other races than gay men, while among heterosexual participants men were more willing than women to date other races. The role of mate selection theory, and the importance of the status afforded various races in U.S. society, were applied to interpret people's willingness to date other races.

"Do you want somebody treating your sister like that?": qualitative exploration of how African American families discuss and promote healthy teen dating relationships.

The article discusses a study conducted between December 2007 and March 2008 that involved 19 gender-stratified focus groups with African American parents and adolescents from Allegheny County, Pennsylvania, to explore the process and content of parent-adolescent communication about sex. Discussions about intimate partner violence (IPV) and healthy relationships emerge inductively as critical topics in these conversations. The authors use a grounded theory approach to content analysis to identify and organize themes related to discussions on these topics. A total of 125 participants from 52 families are recruited for the study. Family history of child sexual abuse often motivates discussions. Mothers are described as the primary parent discussing sexual issues with children. Fathers primarily role model ideal male partnership behavior for sons and daughters. Parents seek to prevent daughters from experiencing sexual abuse or emotional manipulation by partners and focus on instilling a sense of responsibility to and respect for romantic partners in sons. Parents prioritize and express the need for tools to influence their adolescent's socialization as romantic partners. Mothers and fathers approach this process differently. Family-focused interventions to prevent unhealthy relationships can build on parent's efforts.

Dating violence and substance use among ethnically diverse adolescents.

Teen dating violence is a serious public health concern with numerous and long-lasting consequences. Although alcohol and drug use have been associated with dating violence, little is known about the role of specific substances, especially the use of club drugs and the nonmedical use of prescription drugs. Thus, the authors examined the association between dating violence victimization and the use of a variety of licit and illicit substances among 1,565 ethnically diverse and economically disadvantaged high school students in southeast Texas. Past year dating violence victimization was reported by 14.1% of boys and 11.3% of girls. Compared to their nonabused counterparts, youth who experienced dating violence were more likely to smoke cigarettes, drink alcohol, binge drink alcohol, sniff glue to get high, use marijuana, use ecstasy, use Vicodin, and use Xanax. However, with the exception of alcohol and cigarettes, all substances were reduced to nonsignificance in multivariate analyses. No differences were found in the rate of dating violence between African American, White, and Hispanic adolescents.

Immigration status, acculturation, and dating violence risk for Hispanic adolescent girls in New Mexico.

Little data exist on dating violence experienced by immigrant Hispanic adolescents. The present study examined the relationships between immigration status, language spoken at home, and dating violence experienced by Hispanic adolescent girls in New Mexico. Data from the 2007 New Mexico Youth Risk and Resiliency Surveys were analyzed. Adjusted logistic regression analyses were conducted among the full sample of Hispanic females (N = 3,412) and among strata based on immigration status. Immigrant Hispanic girls were as likely as non-immigrant Hispanic girls to have experienced dating violence in the prior year (P = 0.93). Among immigrant Hispanic girls, those who were Non-English-dominant were one-fourth as likely to have experienced dating violence as those immigrant girls who were English-dominant (aOR 0.27 [95% CI 0.08-0.87]). Among US-born Hispanic girls, those who were Non-English-dominant were less likely to have experienced dating violence; however, this value did not reach statistical significance (aOR 0.65 [95% CI 0.33-1.27]). Past sexual experience was a significant risk factor for dating violence for US-born Hispanic girls (aOR 4.99 [95% CI 3.18-7.83]) but not for immigrant Hispanic girls (aOR 1.66 [95% CI 0.63-4.43]). Immigrant status was not found to be protective against dating violence for New Mexico Hispanic girls. However, those immigrant girls who were less acculturated in terms of language used at home were found to have only a quarter of the risk of dating violence as those more acculturated. The use of heritage language by immigrant Hispanic girls may be a protective factor against dating violence. Further studies are indicated to confirm this finding.