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AJPH First Look, published online ahead of print Apr 29, 2008
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AJPH.2007.117770v1
98/6/1021    most recent
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June 2008, Vol 98, No. 6 | American Journal of Public Health 1021-1027
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.117770


RESEARCH AND PRACTICE

Risk for Reassault in Abusive Female Same-Sex Relationships

Nancy Glass, PhD, MPH, RN, Nancy Perrin, PhD, Ginger Hanson, MS, Tina Bloom, MPH, RN, Emily Gardner, MA and Jacquelyn C. Campbell, PhD, RN, FAAN

Nancy Glass and Jacquelyn C. Campbell are with the Johns Hopkins University School of Nursing, Baltimore, MD. Nancy Perrin, Ginger Hanson, and Tina Bloom are with the Oregon Health and Science University School of Nursing, Portland. At the time of the study, Emily Gardner was with Bradley Angle House Domestic Violence Program, Portland.

Correspondence: Requests for reprints should be sent to Nancy Glass, Johns Hopkins University School of Nursing, 525 N Wolfe St, Rm 439, Baltimore, MD 21205.

Objectives. We revised the Danger Assessment to predict reassault in abusive female same-sex relationships.

Methods. We used focus groups and interviews to evaluate the assessment tool and identify new risk factors and telephone interviews at baseline and at 1-month follow-up to evaluate the revised assessment.

Results. The new assessment tool comprised 8 original and 10 new items. Predictors included increase in physical violence (relative risk ratio [RRR]=1.95; 95% confidence interval [CI]=0.84, 4.54), constant jealousy or possessiveness of abuser (RRR = 4.07; 95% CI = 0.61, 27.00), cohabitation (RRR = 1.96; 95% CI = 0.54, 7.12), threats or use of gun by abuser (RRR=1.93; 95% CI=0.79, 4.75), alcoholism or problem drinking of abuser (RRR=1.47; 95% CI=0.79, 2.71), illegal drug use or abuse of prescription medications by abuser (RRR = 1.33; 95% CI = 0.72, 2.46), stalking by abuser (RRR=1.39; 95% CI=0.70, 2.76), failure of individuals to take victim seriously when she sought help (RRR=1.66; 95% CI=0.90, 3.05), victim’s fear of reinforcing negative stereotypes (RRR=1.42; 95% CI=0.73, 2.77), and secrecy of abuse (RRR=1.72; 95% CI=0.74, 3.99). Both unweighted (P < .005) and weighted (P < .004) versions of the revised assessment were significant predictors of reassault.

Conclusions. The revised Danger Assessment accurately assesses risk of re-assault in abusive female relationships.







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