Charlene K. Baker

Risk factors for the perpetration of child sexual abuse : A review and meta-analysis

OBJECTIVES Since the late 1980s, there has been a strong theoretical focus on psychological and social influences of perpetration of child sexual abuse. This paper presents the results of a review and meta-analysis of studies examining risk factors for perpetration of child sexual abuse published since 1990. METHOD Eighty-nine studies published between 1990 and April of 2003 were reviewed. Risk factors were classified into one of the following six broad categories: family factors, externalizing behaviors, internalizing behaviors, social deficits, sexual problems, and attitudes/beliefs. Sex offenders against children (SOC) were compared to three comparison groups identified within the 89 studies: sex offenders who perpetrated against adults (SOA), non-sex offenders, and non-offenders with no history of criminal or sexual behavior problems. RESULTS Results for the six major categories showed that SOC were not different from SOA (all d between -.02 and .14) other than showing lower externalizing behaviors (d=-.25). Sex offenders against children were somewhat different from non-sex offenders, especially with regard to sexual problems and attitudes (d=.83 and .51). Sex offenders against children showed substantial differences from non-offenders with medium sized effects in all six major categories (ds range from .39 to .58). CONCLUSION Child sex offenders are different from non-sex offenders and non-offenders but not from sex offenders against adults. PRACTICE IMPLICATIONS This study suggests that the presence of general risk factors may lead to a variety of negative behavioral outcomes, including the perpetration of child sexual offending. Family factors were strongly related to the perpetration of child sex offending (vs. non-sexual offending or non-offending) and may be valuable intervention points for interrupting the development of child sex offending, as well as other negative behaviors. Other potential points for intervention may focus on the development of appropriate social and emotional skills that contribute to sexual offending.

Epidemiology of trauma and posttraumatic stress disorder in Mexico

Prevalence rates of trauma and posttraumatic stress disorder (PTSD) were estimated from a probability sample of 2,509 adults from 4 cities in Mexico. PTSD was assessed according to Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) criteria using the Composite International Diagnostic Interview (CIDI; WHO, 1997). Lifetime prevalence of exposure and PTSD were 76% and 11.2%, respectively. Risk for PTSD was highest in Oaxaca (the poorest city), persons of lower socioeconomic status, and women. Conditional risk for PTSD was highest following sexual violence, but nonsexual violence and traumatic bereavement had greater overall impact because of their frequency. Of lifetime cases, 62% became chronic; only 42% received medical or professional care. The research demonstrates the importance of expanding the epidemiologic research base on trauma to include developing countries around the world.

Domestic Violence and Housing Problems A Contextual Analysis of Women's Help-seeking, Received Informal Support, and Formal System Response

This study examined housing problems and homelessness after separation in a sample of 110 women who had experienced domestic violence. Of the sample, 38% reported homelessness. Similar percentages reported housing problems (e.g., late paying rent, skipping meals, threatened with eviction). Predictors of more housing problems included experiencing a greater severity of violence, contacting fewer formal systems, having less informational support, and receiving a negative response from welfare. Womens odds of reporting homelessness were reduced by 30% if police officers responded positively. These findings highlight the importance of changing system responses in an effort to reduce womens housing problems and risks for homelessness after separation.

Violence and PTSD in Mexico Gender and regional differences

ObjectiveWe examined the lifetime prevalence of violence in Mexico and how different characteristics of the violent event effect the probability of meeting criteria for lifetime post-traumatic stress disorder (PTSD).MethodWe interviewed a probability sample of 2,509 adults from 4 cities in Mexico (Oaxaca, Guadalajara, Hermosillo, Mérida) using the Composite International Diagnostic Interview (CIDI).ResultsLifetime prevalence of violence was 34%. Men reported more single-experience, recurrent, physical, adolescent, adulthood, and stranger violence; women more sexual, childhood, family, and intimate partner violence. Prevalence was generally higher in Guadalajara, though the impact was greater in Oaxaca compared to other cities. Of those exposed, 11.5% met DSM-IV criteria for PTSD. Probabilities were highest after sexual and intimate partner violence, higher for women than men, and higher in Oaxaca than other cities.ConclusionsIt is important to consider the characteristics and the context of violence in order to develop effective prevention and intervention programs to reduce the exposure to and impact of violence.

Remaining radical? Organizational predictors of rape crisis centers' social change initiatives.

Rape crisis centers have undergone significant changes since their birth during the feminist movement of the 1970s. As has happened with many other radical social movements, there is growing evidence that the antirape movement has become more institutionalized. This research used a combination of quantitative and qualitative methods to examine the current structure and functions of a national random sample of 168 rape crisis centers. An organizational-level model predicting involvement in three types of social change activities was tested: (a) participation in public demonstrations to raise awareness about sexual assault; (b) political lobbying for violence against women legislation; and (c) primary prevention programs to eliminate sexual violence against women. Results of logit modeling suggested that how long a rape crisis center had been in existence moderated the relationships between organizational characteristics and involvement in community activism. Findings of this study suggest that although many of todays centers bear little resemblance to the grass-roots collectives of years past, rape crisis centers have been remarkably adaptive in weathering changing political climates to continue to provide comprehensive services for rape victims.

Examining the behavior of a system: An outcome evaluation of a coordinated community response to domestic violence

One goal of a coordinated community response (CCR) to domestic violence is to create an infrastructure that will facilitate systems-level, and ultimately societal-level change. This study evaluated whether a CCR implemented in two counties in Georgia would be effective at increasing criminal justice system sanctions for male domestic violence offenders (i.e., arrests, prosecutions, convictions, sentencing, and referrals to batterer intervention programs). Time series analyses revealed that, in both counties, there was a significant increase in arrests of male offenders; however, law enforcement agencies also arrested more women following the intervention. More men were sentenced to probation and to attend a batterer’s intervention program post-intervention in one county; in the second county, there was no change in these outcomes. Results highlight the importance of examining how a CCR may affect the behavior of criminal justice systems, especially in terms of the unintended consequences for women.

Severity, timing, and duration of reactions to trauma in the population: an example from Mexico

Normative data describing acute reactions to trauma are few. Of 2509 Mexican adults interviewed with the Composite International Diagnostic Interview, 1241 met trauma exposure criteria for index events occurring more than 1 year previously. The modal response, describing 45%, was a reaction to trauma that was mild (present but below levels of posttraumatic stress disorder symptom criteria), immediate (within the first month), and transient (over within a year). Nonetheless, 29% experienced immediate and serious reactions. Of these, 44% had chronic posttraumatic stress disorder symptoms. Those whose reactions were serious and chronic differed in many ways from those whose reactions were serious but transient. They had more traumatic events during their lives, and their index events were more likely to have occurred in childhood and to have involved violence. They had more symptoms and functional impairment after the trauma and higher levels of depressive and somatic symptoms when data were collected. Psychiatrically significant reactions to trauma persist often enough to justify their detection and treatment. Persons in need of acute intervention can be identified on the basis of the nature and severity of the initial response as well as characteristics of the stressor.

Exploring the Links Between Components of Coordinated Community Responses and Their Impact on Contact With Intimate Partner Violence Services

In the 1990s, concerns with response fragmentation for intimate partner violence (IPV) led to the promotion of coordinated community responses (CCRs) to prevent and control IPV. Evaluation of CCRs has been limited. A previous evaluation of 10 CCRs funded by the Centers for Disease Control and Prevention showed no overall impact on rates of IPV when compared to matched communities. However, there was great variability in the quality and quantity of CCR efforts between sites and thus potentially different levels of impact. This article establishes the impact of each of the 10 CCRs on womens past-year exposure to IPV and contact with IPV services and explores the associations between specific CCR components and contact with IPV services.

Parenting Stress and Parenting Competence Among Latino Men Who Batter

This study examined predictors of parenting stress and competence within a sample of 43 immigrant Latino couples, in which some of the men had perpetrated abuse against their partners. It was hypothesized that more physical and psychological abuse perpetrated by men against their partners would be associated with higher parenting stress and lower parenting competence for fathers and mothers. Results indicated that parenting stress and competence for fathers and mothers were not uniform. Fathers parenting stress was not related to the predictor variables, whereas mothers parenting stress was related only to physical abuse. Fathers parenting competence was related to both physical and psychological abuse whereas mothers parenting competence was not related to the predictor variables. When comparing Latino fathers and Latina mothers, there were differences in parenting stress, with fathers experiencing less, but no differences in parenting competence.

A Network Model for Providing Culturally Competent Services for Intimate Partner Violence and Sexual Violence

The Massachusetts Department of Public Health implemented the Collaborative for Abuse Prevention in Racial and Ethnic Communities (CARE) project in two Latino communities, in the city of Chelsea and in Berkshire County, Massachusetts. One goal of CARE was to build collaborative networks of service providers to provide culturally competent services. Networks of existing community-based agencies that provide a variety of different services regarding violence against women were established in both locales. This article describes the CARE model, network formation, initial attempts to build collaboration and cultural competence, outreach and education activities, and organizational-level changes resulting from the establishment of the networks. The challenges, successes, and lessons learned in implementing this network model are also discussed.