North Carolina LGBTQ Domestic Violence Response Initiative: Building Capacity to Provide Safe, Affirming Services.

Intimate partner violence (IPV) is as prevalent or more so as reported by lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals compared with non-LGBTQ individuals. Yet largely due to prior harmful and nonaffirming experiences with service providers, they are reluctant to seek services from domestic violence service providers (DVSP). These factors, combined with the reality that those who do seek services may not be provided with safe, affirming, and effective responses, exacerbate the impact of IPV on LGBTQ health and recovery. The North Carolina (NC) LGBTQ Domestic Violence Response Initiative (NC Initiative) was developed to increase DVSP capacity to serve LGBTQ survivors. This article describes the first four phases of the Initiative's development: (1) formative focus group research with DVSPs statewide, identifying agencies' interest in improving their responses to LGBTQ survivors; (2) Initiative launch, including funding and identification of partners; (3) development of capacity assessment tools; and (4) review of baseline capacity assessment findings. The development of tools, specifically designed to assess capacity of DVSPs to serve LGBTQ survivors, is a unique contribution as no tools existed to do so. The common capacity-building needs and data-informed recommendations identified provide a starting point for agencies expanding into LGBTQ-focused work, who may not have the benefit of grant funding, tools, or evaluators to assist. Our findings, lessons learned, and tools may be used by agencies to evaluate and inform their own practices, thereby creating safer, more affirming agencies that are capable provide effective care to meet unique needs of LGBTQ survivors.

Envisioning Future Directions: Conversations With Leaders in Domestic and Sexual Assault Advocacy, Policy, Service, and Research.

This article delves into the views of 72 leaders in domestic violence and sexual assault advocacy, policy, service, and research to determine their vision for the future direction of the field. Through discussions with experts, we identified numerous strategies necessary to best meet the needs of domestic violence and sexual assault victims. Common themes focused on the need to (a) examine the context of victims' and offenders' experiences; (b) increase cultural competence to adequately provide appropriate victim services and criminal justice responses for underserved, marginalized, and culturally specific populations; (c) increase reliance on victims' voices; (d) continue to develop partnerships at both the community and the state levels and ensure the role of local communities; (e) expand the concept of successful outcomes that can be reliably and validly assessed; (f) emphasize mixed-methods approaches to address these questions, in recognition that various methods complement each other; and (g) be open to novel or emerging approaches to intervention.

Quality of life as a mediator of leisure activity and perceived health among older women.

Despite consistent evidence to suggest that participating in leisure is associated with perceived health status among older adults, there have been few attempts to determine the possible underlying mechanisms in this relationship, including the role of quality of life (QoL). This study examined the role of perceived quality of life in the relationship between leisure and perceived health in older women. Correlations, regression, and mediation analysis were conducted on data from the Woman's College Alumnae Women's Health Study. Results indicate that QoL partially mediates the relationship between leisure and perceived health in older women. Findings further establish the link between leisure and perceived health with QoL playing an important role in the relationship.

Measuring campus sexual misconduct and its context: The Administrator-Researcher Campus Climate Consortium (ARC3) survey.

OBJECTIVE: In response to The White House Task Force to Protect Students from Sexual Assault's recommendations, the Administrator-Researcher Campus Climate Collaborative (ARC3) has curated an empirically sound, no-cost campus climate survey for U.S. institutions of higher education. The ARC3 survey contains 19 modules that assess a range of Title IX violations, including sexual harassment, dating violence, and sexual misconduct victimization and perpetration; sexual misconduct prevention efforts, resources, and responses; and key predictors and possible outcomes of sexual misconduct. This article describes the ARC3 survey development and pilot test psychometric data. METHOD: A total of 909 students attending one of three U.S. universities responded to the survey; 85% of students who began the survey completed it. Students completed the ARC3 survey in slightly less than 30 min, on average. RESULTS: The majority of measures produced evidence for at least acceptable internal consistency levels (α > .70), with only two short item sets having marginal reliability (α = .65-.70). Correlations among scales matched expectations set by the research literature. Students generally did not find the survey distressing; in fact, students viewed the climate assessment as important and personally meaningful. CONCLUSION: The survey performed sufficiently well in pilot testing to recommend its use with U.S. college populations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Social Justice at the Core of Breastfeeding Protection, Promotion and Support: A Conceptualization.

Despite widespread awareness of the health benefits for both mothers and babies we are far from achieving universal breastfeeding. Breastfeeding rates globally are lower than recommended levels and there are concerns that some global breastfeeding efforts have stalled (1, 2). In addition, we see persistent disparities in breastfeeding rates by race, ethnicity, class and status (3). A growing literature documents how a range of injustices, including gender inequality (7), racism (8), poverty (9), and violence (10, 11) shape whether, how exclusive, and for how long mothers and others will be able to breastfeed or feed their infants human milk. These social injustices and inequities work to privilege breastfeeding even as the health message becomes more mainstreamed and human milk more desirable. A social justice approach could help us address the gender, race, and sexuality-based inequities and injustices in opportunities, resources, status, and power that are influencing the patterns of breastfeeding we see today. The 12th Breastfeeding and Feminism International Conference held in 2017 took as its theme Breastfeeding as Social Justice: From Crucial Conversation to Inspired Action. The planning team for that conference identified seven core domains that could help us conceptualize a framework for placing social justice at the core of our work. This paper presents this framework and suggestions for policy and practice that follow.

Early breastfeeding experiences of adolescent mothers: a qualitative prospective study.

BACKGROUND: Teen mothers face many challenges to successful breastfeeding and are less likely to breastfeed than any other population group in the U.S. Few studies have investigated this population; all prior studies are cross-sectional and collect breastfeeding data retrospectively. The purpose of our qualitative prospective study was to understand the factors that contribute to the breastfeeding decisions and practices of teen mothers. METHODS: This prospective study took place from January through December 2009 in Greensboro, North Carolina in the U.S. We followed the cohort from pregnancy until two weeks after they ceased all breastfeeding and milk expression. We conducted semi-structured interviews at baseline and follow-up, and tracked infant feeding weekly by phone. We analyzed the data to create individual life and breastfeeding journeys and then identified themes that cut across the individual journeys. RESULTS: Four of the five teenagers breastfed at the breast for nine days: in contrast, one teen breastfed exclusively for five months. Milk expression by pumping was associated with significantly longer provision of human milk. Breastfeeding practices and cessation were closely connected with their experiences as new mothers in the context of ongoing multiple roles, complex living situations, youth and dependency, and poor knowledge of the fundamentals of breastfeeding and infant development. Breastfeeding cessation was influenced by inadequate breastfeeding skill, physically unpleasant and painful early experiences they were unprepared to manage, and inadequate health care response to real problems. CONCLUSIONS: Continued breastfeeding depends on a complex interplay of multiple factors, including having made an informed choice and having the skills, support and experiences needed to sustain the belief that breastfeeding is the best choice for them and their baby given their life situation. Teenagers in the US context need to have a positive early breastfeeding experience, be able to identify and claim a reliable support system supportive of breastfeeding, and gain through their experience, a belief in their own agency and competency as mothers.

The Coping Window: a contextual understanding of the methods women use to cope with battering.

This study aimed to develop a conceptual framework for understanding the coping strategies used by women who are battered, drawing from the existing literature and qualitative interviews with 10 women seeking services in shelters for women who have been battered. This conceptual framework is needed to reflect the unique complexity of the nature of the chronic and acute stressors associated with battering. The results of the data analyses were integrated with the existing literature to form a model, The Coping Window. This model includes an external frame of contextual influences, as well as a Focus Axis (including emotion-focused and problem-focused coping strategies) and a Resource Axis (including intrapersonal and interpersonal coping strategies). The Coping Window model could be used in individual or group counseling and educational programs, and additional research is needed to refine this model.

Covariation in the use of physical and sexual intimate partner aggression among adolescent and college-age men: a longitudinal analysis.

A longitudinal examination of male perpetration of physical aggression toward a romantic partner and its covariation with sexual aggression reveals a decline from adolescence through 4 years of college. Witnessing domestic violence and experiencing parental physical punishment increased the likelihood of physical aggression in adolescence, but not thereafter. Prior perpetration best predicted subsequent perpetration. Although adolescence was the time of greatest risk, the 2nd year in college was an additional time of increased risk. Furthermore, physical and sexual aggression covaried with each other in the sample at rates significantly greater than chance, indicating that covariation may be a unique form of perpetration. Witnessing domestic violence and experiencing parental physical punishment were associated with an increased likelihood of men committing both forms of intimate partner aggression in adolescence.

Breastfeeding and feminism: a focus on reproductive health, rights and justice.

The annual Breastfeeding and Feminism Symposia aim to reposition breastfeeding as a valued part of women's (re)productive lives and rights. The symposia are designed to raise the profile of breastfeeding within the women's advocacy and feminist studies' communities, and to increase recognition among breastfeeding supporters that breastfeeding promotion could receive more socio-political support by partnering with those concerned with women's reproductive health, rights and justice, women's economic advancement, and the elimination of social, economic and health inequities. The third symposium (2007) sought to build dialogue and increase communications between and among these diverse communities. The nine articles presented in this thematic series were selected by the journal editors, and represent the core discussions at the symposium. This editorial presents the areas of synergy and strategies for action that emerged from the discussions. These strategies and this thematic issue are intended to reassert the momentum that evolved among participants, and to stimulate involvement among individuals and organizations not in attendance in promoting breastfeeding as a women's reproductive health, rights and justice concern.

"Is it just so my right?" Women repossessing breastfeeding.

Infant feeding occurs in the context of continued gender inequities and in the context of a feminist movement that left women vulnerable to a system that defined the male body and mind as the norm. This paper draws from a qualitative analysis of interviews conducted with women artists at the 2005 Mamapalooza music festival in New York City, and conference participants at the 2005 La Leche League International and International Lactation Consultant Association Conferences and at the 2007 Reproductive Freedom Conference to understand our collective alienation from breastfeeding and to outline a process for how we might repossess breastfeeding as a positive function in women's lives. These women find power in honoring and validating their own experiences, in claiming those experiences as legitimate feminist actions, and then drawing on these experiences to seek new meanings, customs and norms that similarly honor, value and support their rights to those experiences. They argue that we need a feminist movement that fully incorporates women's needs as biological and reproductive social beings, alongside their needs as productive beings, and a movement that defines the female body and mind as the norm.

A longitudinal perspective on dating violence among adolescent and college-age women.

OBJECTIVES: We investigated physical assault in dating relationships and its co-occurrence with sexual assault from high school through college. METHODS: Two classes of university women (n = 1569) completed 5 surveys during their 4 years in college. RESULTS: Women who were physically assaulted as adolescents were at greater risk for revictimization during their freshman year (relative risk = 2.96); each subsequent year, women who have experienced violence remained at greater risk for revictimization than those who have not. Across all years, women who were physically assaulted in any year were significantly more likely to be sexually assaulted that same year. Adolescent victimization was a better predictor of college victimization than was childhood victimization. CONCLUSIONS: There is a need for dating violence prevention/intervention programs in high school and college and for research on factors that reduce revictimization.

Intimate partner aggression--what have we learned? Comment on Archer (2000)

This commentary on J. Archer (2000) identifies limitations at the level of the primary data, the formal meta-analysis, and the interpretations of the results. Highlighted are concerns with the conceptual dichotomy that is the foundation of the analysis, how aggression was conceptualized and defined, and the methodological problems in the studies included in the database that were not neutralized by the meta-analysis. These include inadequate measurement of contextual factors and injury outcomes, scaling issues, and sampling concerns. The authors question the degree to which the field is advanced by this meta-analysis when the results are placed in the context of these limitations. Following American Association for the Advancement of Science directives (I. Lerch, 1999), the authors believe that inadequate attention was paid to the policy implications of the conclusions raising the potential to undermine societal efforts to eradicate violence against women.