Sorenson, Susan B
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Publication Community-based Norms about Intimate Partner Violence: Putting Attributions of Fault and Responsibility into Context(2005-12-03) Taylor, Catherine A; Sorenson, Susan BFault and responsibility are key concepts in understanding how victims and assailants are, or are not, held accountable by society. We used a fractional factorial vignette design with a community-residing sample of 3,679 adults to examine judgments about intimate partner violence (IPV). Although fault, or causal responsibility, was assigned most often to assailants (69%), respondents assigned solution responsibility most often to both persons (52%) or to the victim alone (31%): interpersonal communication for couples (38%) and self-protective actions for victims (i.e., engaging formal authorities [12%] and/or leaving the assailant [11%]) were the most frequent suggestions. Potential injury to the victim and gender/relationship-based norms had the greatest impact on judgments. Findings may inform strategies to alter social norms regarding IPV.Publication Gender Disparities in Injury Mortality: Consistent, Persistent, and Larger Than You’d Think(2011-12-01) Sorenson, Susan BObjective. Given the recent increase in injury mortality, particularly among women, it is important to update knowledge about gender disparities in injury mortality. Methods. Data were drawn from the Web-based Injury Query System, which contains U.S. injury mortality data from 1981 through 2007. Male-to-female rate ratios in injury mortality were calculated for key variables, and age and ethnic group comparisons were made. Results. Boys and men are more likely than girls and women to die of injury. From 1981 to 2007, the male-to-female age-adjusted rate ratio decreased by 20% to 2.15 for unintentional injury and increased by 11% to 3.91 for violence-related injury. Excess male mortality exists in manner of death, cause of death, and within ethnic and age groups. In addition, with rare exception, the gender disparity is greater than ethnicity and age disparities in unintentional and violence-related injury mortality. Conclusions. Gender disparities in injury mortality are consistent and persistent. Gender patterns in injury mortality do not follow typical social justice analyses of health in that the structurally advantaged group, men, is at greater risk. Lifestyle and behavioral risks as well as masculine socialization are considered.Publication Adolescents and Firearms: A California Statewide Survey(2004-05-01) Sorenson, Susan B; Vittes, Katherine AObjectives. We assessed the prevalence and correlates of adolescents reports regarding firearms in their homes, of their own, of close friends, and of same-aged peers. Methods. Random-digit-dialed interviews were conducted with 5801 adolescents as part of the California Health Interview Survey. Results. One fifth (19.6%) of California adolescents reported having a firearm in their homes; few (3.0%) reported having their own gun. Characteristics associated with having one's own gun and with perceptions regarding others' guns generally were consistent with characteristics associated with having a firearm in the home. The 2 exceptions were related to socioeconomic status and to ethnicity. Conclusions. The source from which adolescents obtain guns, especially adolescents from less wealthy households, merits further investigation. Further research is needed to ascertain the accuracy of Black and Latino adolescents' perceptions regarding handguns among their peers.Publication Non-Fatal Gun Use in Intimate Partner Violence: A Systematic Review of the Literature(2016-09-01) Sorenson, Susan B; Schut, Rebecca AGuns figure prominently in the homicide of women by an intimate partner. Less is known, however, about their non-fatal use against an intimate partner. Following PRISMA guidelines, we searched eight electronic databases and identified 10 original research articles that reported the prevalence of the non-fatal use of firearms against an intimate partner. Results indicate that: 1) There is relatively little research on the subject of intimate partners’ non-fatal gun use against women. 2) The number of U.S. women alive today who have had an intimate partner use a gun against them is substantial: About 4.5 million have had an intimate partner threaten them with a gun and nearly one million have been shot or shot at by an intimate partner. Whether non-fatal gun use is limited to the extreme form of abuse (battering) or whether it occurs in the context of situational violence remains to be seen. Regardless, when it comes to the likely psychological impact, it may be a distinction without a difference; because guns can be lethal quickly and with relatively little effort, displaying or threatening with a gun can create a context known as coercive control, which facilitates chronic and escalating abuse. Implications for policy, practice, and research are discussed, all of which include expanding an implicit focus on homicide to include an intimate partner’s non-fatal use of a gun.Publication Mental Health and Firearms in Community-Based Surveys: Implications for Suicide Prevention(2008-06-01) Sorenson, Susan B; Vittes, Katherine A.Suicide rates are higher among those who own a handgun and among those who live in a household with a handgun. The present investigation examined the association between gun ownership and mental health, another risk factor for suicide. Data from the General Social Survey, a series of surveys of U.S. adults, were analyzed to compare general emotional and mental health, sadness and depression, functional mental health, and mental health help seeking among gun owners, persons who do not own their own gun but reside in a household with a gun, and those who do not own a gun. After taking into account a few basic demographic characteristics associated with both variables, there appears to be no association between mental health and gun ownership. Nor is there any association between mental health and living in a household with a firearm. Findings suggest that the high risk of suicide among those who own or live in a household with a gun is not related to poor mental health. Implications for prevention are discussed.Publication Weapons in the Lives of Battered Women(2004-08-01) Sorenson, Susan B; Wiebe, Douglas JObjectives. We assessed weapon use in intimate partner violence and perspectives on hypothetical firearm policies. Methods. We conducted structured in-person interviews with 417 women in 67 battered women's shelters. Results. Words, hands/fists, and feet were the most common weapons used against and by battered women. About one third of the battered women had a firearm in the home. In two thirds of these households, the intimate partner used the gun(s) against the woman, usually threatening to shoot/kill her (71.4%) or to shoot at her (5.1%). Most battered women thought spousal notification/ consultation regarding gun purchase would be useful and that a personalized firearm ("smart gun") in the home would make things worse. Conclusions. A wide range of objects are used as weapons against intimate partners. Firearms, especially handguns, are more common in the homes of battered women than in households in the general population.Publication The Legalization of Abortion and Subsequent Youth Homicide: A Time Series Analysis(2003-12-01) Berk, Richard A; Sorenson, Susan B; Weib, Douglas J; Upchurch, Dawn MIn this article, we examine the association between the legalization of abortion with the 1973 Roe v. Wade decision and youth homicide in the 1980s and 1990s. An interrupted time series design was used to examine the deaths of all U.S. 15- to 24-year-olds that were classified as homicides according to the International Classification of Diseases (codes E960-969) from 1970 to 1998. The legalization of abortion is associated over a decade later with a gradual reduction in the homicides of White and non-White young men. The effect on the homicides of young women is minimal. We conclude that the 1990s decline in the homicide of young men is statistically associated with the legalization of abortion. Findings are not consistent with several alternative explanations, such as changes in the crack cocaine drug market. It is almost inconceivable that in the United States of today, policies affecting the choice to have children would be justified as a means to control crime. Yet, if the legalization of abortion had this unintended effect, the full range of policy implications needs to be discussed.Publication Knowing a Sexual Assault Victim or Perpetrator: A Stratified Random Sample of Undergraduates at One University(2014-02-01) Sorenson, Susan B; Joshi, Manisha; Sivitz, ElizabethRape awareness and prevention programs are common on college campuses and a potentially useful way to reach large numbers of young adults. One largely unexamined potential mediator or moderator of program effectiveness is the personal knowledge of student audiences. In this study, we assess the prevalence of knowing a victim and, notably, a perpetrator of sexual assault. A stratified random sample of 2,400 undergraduates was recruited for an online survey about sexual assault. A total of 53.5% participated and yielded a sample representative of the student body. Sixteen questions were modified from the Sexual Experiences Survey to assess whether participants knew a victim of any one of eight types of sexual assault. Findings indicate that students begin college with considerable personal knowledge of sexual assault victimization and perpetration. Nearly two thirds (64.5%) reported that they know one or more women who were a victim of any one of eight types of sexual assault, and over half (52.4%) reported that they know one or more men who perpetrated any of the types of sexual assault. Most students reported knowing victims and perpetrators of multiple types of assault. Knowledge varied substantially by gender and ethnicity. Students’ preexisting personal knowledge should be included in assessments of program effectiveness and, ideally, in program design.Publication “Do You Know What It Feels Like to Drown?”: Strangulation as Coercive Control in Intimate Relationships(2014-03-01) Thomas, Kristie A; Joshi, Manisha; Sorenson, Susan BStrangulation is a unique and particularly gendered form of nonfatal intimate partner violence, affecting 10 times as many women as men. Medical research documents multiple negative health outcomes of such victimization, and in the past decade nearly 30 U.S. states have enacted laws making nonfatal strangulation a felony. We extended prior work by using grounded theory in a qualitative study to explore women’s experiences of, thoughts about, and reactions to being strangled. Each of the 17 mostly well-educated and African American domestic violence shelter residents had been strangled at least once by an intimate partner; most had survived multiple strangulations. Despite other severe abuse and a high level of fear, all were shocked that their partner strangled them. Participants reported an intense sense of vulnerability when they recognized during the assault how easily they could be killed by their partner. Nonetheless, they seemed to think of strangulation, not as a failed murder attempt, but as a way to exert power. Efforts to extricate themselves from a “choking” largely failed and resistance resulted in an escalation of the violence. Moreover, strangulation is difficult to detect which, as participants observed, makes it especially useful to the abuser. The aftereffects permeated the relationship such that strangulation need not be repeated in order for her to be compliant and submissive, thus creating a context of coercive control.Publication A Systematic Review of the Epidemiology of Nonfatal Strangulation, a Human Rights and Health Concern(2014-11-01) Sorenson, Susan B; Joshi, Manisha; Sivitz, ElizabethWe reviewed the literature on the epidemiology of nonfatal strangulation (also, albeit incorrectly, called choking) by an intimate partner. We searched 6 electronic databases to identify cross-sectional, primary research studies from 1960 to 2014 that reported national prevalence estimates of nonfatal strangulation by an intimate partner among community-residing adults. Of 7260 identified references, 23 articles based on 11 self-reported surveys in 9 countries met the inclusion criteria. The percentage of women who reported ever having been strangled by an intimate partner ranged from 3.0% to 9.7%; past-year prevalence ranged from 0.4% to 2.4%, with 1.0% being typical. Although many epidemiological surveys inquire about strangulation, evidence regarding its prevalence is scarce. Modifying or adding a question to ongoing national surveys, particularly the Demographic and Health Surveys, would remedy the lack of data for low- and middle-income countries. In addition, when questions about strangulation are asked, findings should be reported rather than only combined with other questions to form broader categories (e.g., severe violence). Such action is merited because of the multiple negative short- and long-term sequelae of strangulation.