Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas.

Using a statewide survey, this exploratory, cross-sectional study examined 78 domestic violence (DV) service organizations' service delivery practices and perceived challenges to serving Latinx survivors in the context of rurality. Findings showed that DV organizations in rural areas perceived more challenges to delivering culturally appropriate services for Latinx survivors compared to those in other geographic settings even after accounting for client characteristics, service provision characteristics, and community resources. The study finding offers critical insights to ensure and enhance the provision of linguistically and culturally accessible services for rural Latinx survivors of intimate partner violence.

Physical Health Problems Among People With Severe Mental Illnesses: Race, Gender, and Implications for Practice.

BACKGROUND: Individuals with severe mental illnesses experience high rates of chronic health conditions; however, the extent to which risk of chronic physical health problems varies by race and gender among these individuals is understudied. AIMS: This study examines variations in health problems by race and gender among individuals with severe mental illnesses. METHOD: Administrative data, which included blood pressure, body mass index (BMI), and glycated hemoglobin (HbA1c) values, were obtained from 603 individuals with serious mental illnesses who received integrated health and behavioral health services from a large mental health agency in the Midwest. Bivariate and multivariate statistical models were used to examine variation in physical health problems by race and gender. RESULTS: Compared with men, women with severe mental illnesses were more likely to have BMI levels indicating obesity or morbid obesity (p < .001). Compared with White participants, Black participants were less likely to have high HbA1c levels (p < .001) but were more likely to have high blood pressure (p < .001). Among race and gender groups, Black women were more likely to have high BMI (p < .05), Black men were more likely to have high blood pressure (p < .001), and White men were more likely to have high HbA1c levels (p < .01) when holding constant all other variables. CONCLUSIONS: There is evidence that types and severity of physical health problems among individuals with severe mental illnesses varies by race and gender. Replication of these results and more research is needed to ensure that health-related education and integrated health and behavioral health interventions meet the needs of individuals with serious mental illnesses.

Intimate Partner Violence Among Same-Sex Couples in College: A Propensity Score Analysis.

Intimate partner violence (IPV) is a pervasive social issue with numerous detrimental effects on individuals, families, and society. Existing research and a social-ecological minority stress framework suggest, as compared with mixed-sex couples, those in same-sex relationships may be at heightened risk for perpetrating and experiencing IPV. Using a U.S. sample of college students ( N = 4,081), this secondary data analysis contrasted the prevalence of five forms of IPV (i.e., physical, sexual, psychological, injury, any type) between those in mixed-sex ( n = 3,960) and those in same-sex ( n = 121) intimate partnerships. Comparative analyses were supplemented with propensity score weighting to help balance members of mixed-sex and same-sex relationships across eight potentially confounding variables (e.g., biological sex, age). Prior to the application of propensity score weighting, results suggested those in same-sex relationships are significantly more likely to perpetrate and/or experience IPV resulting in physical injury. Results from post-weighting analyses retained the significance and magnitude of model estimates. Taken together, results suggest, as compared with mixed-sex couples, U.S. college students in same-sex couples have greater odds of experiencing IPV perpetration and victimization resulting in physical injury, even after accounting for the influence of several potentially confounding variables. Findings support the utility and future application of propensity score analytic techniques in this type of research as well as the importance of recognizing the unique IPV risk and service needs of people in same-sex relationships.