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Overview of Findings from the 2010 National Intimate Partner and Sexual Violence Survey

Overview of Findings from the 2010 National Intimate Partner and Sexual Violence Survey. Amy Martinez Garcie, DNP, APRN, ACNP-BC, CPNP, CEN, SANE-A, CFN. National Intimate Partner and Sexual Violence Survey. CDC’s National Center for Injury Prevention and Control

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Overview of Findings from the 2010 National Intimate Partner and Sexual Violence Survey

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  1. Overview of Findings from the 2010 National Intimate Partner and Sexual Violence Survey Amy Martinez Garcie, DNP, APRN, ACNP-BC, CPNP, CEN, SANE-A, CFN

  2. National Intimate Partner and Sexual Violence Survey • CDC’s National Center for Injury Prevention and Control • National Institute of Justice • Department of Defense

  3. Objectives • Describe • Prevalence and characteristics of sexual violence, stalking, and IPV • Who is most likely to experience these types of violence • The patterns and impact of the violence experienced by specific perpetrators • The health consequences of these forms of violence

  4. National Intimate Partner and Sexual Violence Survey • Ongoing • Nationally-representative telephone survey • 16,507 adults • 9,086 women • 7,421 men • Sexual violence • Stalking • Intimate Partner Violence (IPV) • 2010-first year, baseline

  5. Sexual Violence

  6. Sexual Violence • 1.3 million women raped during the year preceding the survey • 1:5 (18.3%) women raped in their lifetime • 1:71 (1.4%) men raped in their lifetime • Completed forced penetration, attempted forced penetration, or alcohol/drug facilitated completed penetration

  7. Sexual Violence • 51.1% of female victims raped by intimate partner • 40% by an acquaintance • 52.4% of male victims raped by intimate partner • 15.1% by a stranger

  8. Sexual Violence • 1:21 (4.8%) men • Made to penetrate someone else during their lifetime • Perpetrator was either an intimate partner (44.8%) or an acquaintance (44.7%)

  9. Sexual Violence • Sexual coercion (unwanted sexual penetration after being pressured in a nonphysical way) in their lifetime • ~13% women • 6% men • Unwanted sexual contact • 27.2% women • 11.7% men

  10. Sexual Violence • Most female victims of completed rape (79.6%) experienced first rape before 25 yo • 42.2% experienced first completed rape before 18 yo • Almost half of these before age 18 • 30% between 11-17 • 12% < 10 yo

  11. Sexual Violence • 27.8% of male victims of completed rape experienced before 10 yo

  12. Stalking

  13. Stalking • 1:6 (16.2%) women stalking victimization • 1:19 (5.2%) men stalking victimization • Felt very fearful or believed that they or someone close to them would be harmed or killed

  14. Stalking • 66.2% female victims stalked by current or former intimate partner • 41.4% men stalked by an intimate partner • 40.0% men stalked by an acquaintance

  15. Stalking • 78.8% women • 75.9% men • Repeatedly receiving unwanted telephone calls, voice, or text messages

  16. Stalking • Stalked before age 25 • >1/2 female victims • >1/3 male victims • Stalked between ages of 11 and 17 • 1:5 female victims • 1:14 male victims

  17. Intimate Partner Violence

  18. Intimate Partner Violence • Rape, physical violence, and/or stalking by intimate partner in their lifetime • >1:3 (35.6%) women • >1:4 (28.5%) men

  19. Intimate Partner Violence • 1:3 women experience multiple forms of rape, stalking, or physical violence • 92% men experienced physical violence alone • 6.3% men experienced physical violence and stalking

  20. Intimate Partner Violence • 1:10 (9.4%) women in US raped by intimate partner in lifetime • Estimated 16.9% of women and 8.0% men experienced sexual violence other than rape by an intimate partner at some point in their lifetime

  21. Intimate Partner Violence • 1:4 (24.3%) women • 1:7 (13.8%) men • Severe physical violence by an intimate partner • Hit with a fist or something hard • Beaten • Slammed against something

  22. Intimate Partner Violence • 10.7% women • 2.1% men • Stalked by an intimate partner during their lifetime

  23. Intimate Partner Violence • 48.4% women • 48.8% men • Experienced psychological aggression by an intimate partner in their lifetime

  24. Intimate Partner Violence • 69% women • 53% men • Experienced some form of IPV for first time before 25 yrs of age

  25. Impact of IPV • 3:10 women • 1:10 men • Being fearful • Concerned for safety • Post traumatic stress disorder (PTSD) • Need for health care • Injury • Contacting a crisis hotline • Need for housing services • Need for victim’s advocate services • Need for legal services • Missed at least 1 day of work or school

  26. Data 12 Months Prior to Survey

  27. ~1% (1.3 million) women reported being raped by any perpetrator in the 12 months prior to taking the survey • 1:20 (5.6%) women (5.3%) men • Sexual violence victimization other than rape in 12 months prior to taking the survey

  28. 4% women • 1.3% men • Stalked in the 12 months prior to survey

  29. 1:17 (5.9%) women • 1:20 (5.0%) men • Experienced rape, physical violence, and/or stalking by an intimate partner in the 12 months prior to taking survey

  30. Health Consequences

  31. Men and Women • Frequent headaches • Chronic pain • Difficulty with sleeping • Activity limitations • Poor physical health • Poor mental health

  32. Women • Asthma • Irritable bowel syndrome • Diabetes

  33. Lifetime Prevalence of Rape by Any Perpetrator, Women • United States 18.3% • Louisiana 15.9% (280,000)

  34. Lifetime Prevalence of Sexual Violence Other Than Rape by Any Perpetrator, Women • United States 44.6% • Louisiana 28.9% (509,000)

  35. Lifetime Prevalence of Sexual Violence Other Than Rape By Any Perpetrator, Men • United States 22.2% • Louisiana 32.4% (523,000)

  36. Lifetime Prevalence Stalking Victimization By Any Perpetrator, Women • United States 16.2% • Louisiana 13.5% (237,000)

  37. Lifetime Prevalence Stalking Victimization By Any Perpetrator, Men • United States 28.5% • Louisiana 28.4% (457,000)

  38. Implications

  39. Violence begins at early age • Commonly leads to negative health consequences across the lifetime

  40. Prevention Efforts • Start early • Promote healthy, respectful relationships in families • Address the beliefs, attitudes and messages that are deeply embedded in our social structures • Norms change • Changing policies • Enforcing existing policies against violence • Promoting bystander approaches

  41. For victims • Coordinated services to ensure healing and prevent recurrence of victimization • Strengthen and better coordinate healthcare system’s response • Ensure that legal, housing, mental health, and other services and resources are available and accessible

  42. Hold perpetrators accountable • Consistently enforce laws • Enhance training efforts within the criminal justice system

  43. Implement strong data systems for monitoring and evaluating to understand trends, provide information to base development and evaluation of prevention and intervention programs, and to monitor and measure effectiveness of efforts

  44. Establish cost-efficient and timely systems for all states by using consistent definitions and uniform survey methods

  45. Ongoing data collection and monitoring through NISVS and other data sources at the local, state, and national level will further drive research to develop and evaluate strategies of prevention and monitor effectiveness

  46. Forensic Nursing

  47. Forensic Nursing • Forensic aspects of healthcare combined with the bio/psycho/social/spiritual education of the registered nurse • Scientific investigation and treatment of trauma and/or death of victims and perpetrators of violence, criminal activity and traumatic accidents.

  48. Forensic Nursing • Provides direct services to individual clients • Consultation services to nursing, medical and law-related agencies • Providing expert court testimony in areas dealing with questioned death investigative processes, adequacy of services delivery and specialized diagnoses of specific conditions as related to nursing (Lynch, 1991).

  49. Forensic Nursing • 1990s • Forensic Specialist in Nursing • Forensic—pertaining to the law • Focuses on areas where medicine, nursing, and human behavior intersect with the law and entails both living and deceased patients

  50. All victims of violence Patients in police custody Sexual assault Drug and alcohol abuse Child maltreatment Domestic violence Elder abuse Survivors of attempted suicide Automobile trauma Workers’ compensation Medical malpractice Food and drug tampering Environmental hazards Illegal abortion Occult-related injury/death Cults or religion abuses Forensic Nursing

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