This article is a reprint of a previously published article. For citation purposes, please use th... more This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Coker AL, Davis KE, Arias I, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 1985;1(6):1-8. Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health consequences among women and men. The study analyzed data from the National Violence Against Women Survey (NVAWS) of women and men aged 18 to 65. This random-digit-dial telephone survey included questions about violent victimization and health status indicators. A total of 28.9% of 6790 women and 22.9% of 7122 men had experienced physical, sexual, or psychological IPV during their lifetime. Women were significantly more likely than men to experience physical or sexual IPV (relative risk [RR]=2.2, 95% confidence interval [CI]=2.1, 2.4) and abuse of power and control (RR=1.1, 95% CI=1.0, 1.2), but less likely than men to report verbal abuse alone (RR=0.8, 95% CI=0.7, 0.9). For both men and women, physical IPV victimization was associated with increased risk of current poor health; depressive symptoms; substance use; and developing a chronic disease, chronic mental illness, and injury. In general, abuse of power and control was more strongly associated with these health outcomes than was verbal abuse. When physical and psychological IPV scores were both included in logistic regression models, higher psychological IPV scores were more strongly associated with these health outcomes than were physical IPV scores. Both physical and psychological IPV are associated with significant physical and mental health consequences for both male and female victims.
Engaged bystander interventions are recognized as “promising” programming to reduce sexual violen... more Engaged bystander interventions are recognized as “promising” programming to reduce sexual violence (SV), yet little is known of the long-term (>12-month) impact of programming on SV and related forms of gender-based violence. Funded by NIH as a prospective cohort study, Life’s Snapshot recruited and followed three waves of high school seniors who had participated in a large high-school cluster-randomized controlled trial to evaluate the effectiveness of the Green Dot bystander intervention. This report provides the study design, recruitment methodology, recruitment and retention rates, survey items, and psychometric properties of measures included in the initial and annual electronic surveys with 24–48 months follow-up.
This chapter provides an overview of best and promising practices for preventing dating violence ... more This chapter provides an overview of best and promising practices for preventing dating violence and sexual violence among adolescents and young adults. The chapter highlights the need to create prevention curricula that address multiple types of violence; build links between prevention efforts over time, and across professional groups and various contexts; examine the intersection of violence prevention and prevention of other health problems; and connect prevention efforts across a target group’s social relationships.
Bystander interventions are recognized as “promising” programming to reduce sexual violence. Gaps... more Bystander interventions are recognized as “promising” programming to reduce sexual violence. Gaps in current evaluations include limited follow-up post-training (beyond 24 months) and knowledge of additional bystander training during follow-up. In this prospective cohort study, nested in a cluster randomized controlled trial (RCT), three cohorts of high school (HS) seniors were recruited (Fall 2013-2015) and followed through Spring 2018 ( n = 1,831). Training was based on their school cluster RCT assignment and receipt of additional Green Dot (GD) training after HS. Training was hypothesized to be associated with lower scores indicating less acceptance of violence or sexism. Sixty percent reported GD training after HS (68.7% of 986 in intervention and 50% of 845 in control conditions). No significant differences ( p < .05) were observed by GD training for four of the five violence acceptance or sexism attitudinal measures at recruitment or final surveys. For “ambivalent sexism” a...
... Page Mac 62 Rick 65 Julie 68 Todd 70 Jessica 73 Starla 78 Chris 82 Larry 87 Tony 92 Categorie... more ... Page Mac 62 Rick 65 Julie 68 Todd 70 Jessica 73 Starla 78 Chris 82 Larry 87 Tony 92 Categories and Emergent Themes 97 Summary 106 CHAPTER 5 FINDINGS, RECOMMENDATIONS, AND IMPLICATIONS 108 Introduction 108 Study Summary 108 Findings 110 Research ...
Intimate partner and sexual violence (IPV and SV) remain significant public health problems for y... more Intimate partner and sexual violence (IPV and SV) remain significant public health problems for young women and men, and both IPV and SV have short and long-term psychological and physical health impacts for all. Through consistent direction and support from Centers for Disease Control’s National Center for Injury Prevention and Control (NCIPC), IPV/SV violence prevention research has shown its potential to prevent these forms of violence. This change is highly significant; many did not believe it was possible to prevent rape and intimate partner violence. In recognition of this emerging field of study, the 2013 Campus Sexual Violence Elimination Act required US public colleges to provide bystander-based training to reduce sexual violence, yet no requirement for evaluation of this recommendation was included in this law. Further, while bystander approaches are recognized as “promising prevention strategies” by the 2014 White House Task Force to Protect Students from Sexual Assault, few rigorous and sufficiently powered studies evaluate the efficacy of bystander programs to reduce violence victimization and perpetration at college and community levels. The papers in this special issue catalogue methods, measures, and outcomes to guide successful implementation and investigations of bystander prevention programs, considering demographic and situational contexts that have traditionally been understudied. Lessons learned from these investigations provide a roadmap of strategies to guide the next generation of researchers, program developers, and policymakers toward effective interpersonal violence prevention.
Purpose Because intimate partner violence (IPV) may disproportionately impact women’s quality of ... more Purpose Because intimate partner violence (IPV) may disproportionately impact women’s quality of life (QOL) when undergoing cancer treatment, women experiencing IPV were hypothesized to have (a) more symptoms of depression or stress and (b) lower QOL as measured with the Functional Assessment of Cancer Therapy (FACT-B) and Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-SP) Scales relative to those never experiencing IPV. Methods Women, aged 18–79, who were included in one of two state cancer registries from 2009 to 2015 with a recent incident, primary, invasive biopsy-confirmed cancer diagnosis were recruited and asked to complete a phone interview, within 12 months of diagnosis. This interview measured IPV by timing (current and past) and type (physical, sexual, psychological), socio-demographics, and health status. Cancer registries provided consenting women’s cancer stage, site, date of diagnosis, and age. Results In this large cohort of 3,278 women ...
Purpose-Prior studies conducted primarily among white men, find a reduced risk of prostate cancer... more Purpose-Prior studies conducted primarily among white men, find a reduced risk of prostate cancer associated with time since developing diabetes. While biologic explanations are plausible, the association may in part arise from more frequent prostate cancer screening among those with a diabetes diagnosis. The purpose of the present study was to investigate the association between diabetes and prostate cancer screening. Methods-We examined differences in prostate cancer screening (prostate-specific antigen and/ or digital rectal examination) testing practices after a diabetes diagnosis among lower-income persons living in the southeastern United States and enrolled in the Southern Community Cohort Study between 2002 and 2009. Baseline in-person interviews collected information on history of diabetes and prostate cancer screening from 18,809 black and 6,404 white men aged 40-79 years. Results-After adjustment for confounding, diabetic black (odds ratio (OR) 1.12, 95% confidence interv...
The Journal of the American Board of Family Practice
Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithe... more Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN). In 1987, University of North Carolina (UNC) Hospitals Family Practice Center clinicians were approached for a control population to study this association. One hundred five patients attending the UNC Hospitals Neoplasia Clinic with biopsy-proven CIN 2 or 3 and 268 control patients attending the UNC Family Practice Center for a routine Papanicolaou smear were enrolled in this case-control study. Case and control patients consented to having an additional cervical specimen taken and to being interviewed. The cervical specimens were classified by the Southern blot and polymerase chain reaction techniques for HPV. Early results suggested the control patients who had HPV were at high risk of developing CIN. Interventions were made to inform these patients of this risk and need for closer follow-up, causing a wide range of patient reactions. The final results showed no as...
Many human papillomavirus (HPV) genotypes are associated with cervical carcinoma. We demonstrate ... more Many human papillomavirus (HPV) genotypes are associated with cervical carcinoma. We demonstrate the utility of an innovative technique for genotyping of HPV in cervical tissue samples. This method provides an accurate means of identification of the specific HPV genotypes present in clinical specimens. By using the MY09-MY11 and the GP5+-GP6+ consensus primer pairs, HPV sequences were amplified by nested PCR from DNA isolated from cervical smear samples. This led to the production of an approximately 140-bp PCR product from the L1 (major capsid) gene of any of the HPVs present in the sample. PCR was performed with a deoxynucleoside triphosphate mixture which resulted in the incorporation of deoxyuridine into the amplified DNA product at positions where deoxythymidine would normally be incorporated at a frequency of about once or twice per strand. Following the PCR, the product was treated with an enzyme mix that contains uracil N-glycosylase (UNG) and endonuclease IV. UNG removes th...
This article is a reprint of a previously published article. For citation purposes, please use th... more This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Coker AL, Davis KE, Arias I, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 1985;1(6):1-8. Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health consequences among women and men. The study analyzed data from the National Violence Against Women Survey (NVAWS) of women and men aged 18 to 65. This random-digit-dial telephone survey included questions about violent victimization and health status indicators. A total of 28.9% of 6790 women and 22.9% of 7122 men had experienced physical, sexual, or psychological IPV during their lifetime. Women were significantly more likely than men to experience physical or sexual IPV (relative risk [RR]=2.2, 95% confidence interval [CI]=2.1, 2.4) and abuse of power and control (RR=1.1, 95% CI=1.0, 1.2), but less likely than men to report verbal abuse alone (RR=0.8, 95% CI=0.7, 0.9). For both men and women, physical IPV victimization was associated with increased risk of current poor health; depressive symptoms; substance use; and developing a chronic disease, chronic mental illness, and injury. In general, abuse of power and control was more strongly associated with these health outcomes than was verbal abuse. When physical and psychological IPV scores were both included in logistic regression models, higher psychological IPV scores were more strongly associated with these health outcomes than were physical IPV scores. Both physical and psychological IPV are associated with significant physical and mental health consequences for both male and female victims.
Engaged bystander interventions are recognized as “promising” programming to reduce sexual violen... more Engaged bystander interventions are recognized as “promising” programming to reduce sexual violence (SV), yet little is known of the long-term (>12-month) impact of programming on SV and related forms of gender-based violence. Funded by NIH as a prospective cohort study, Life’s Snapshot recruited and followed three waves of high school seniors who had participated in a large high-school cluster-randomized controlled trial to evaluate the effectiveness of the Green Dot bystander intervention. This report provides the study design, recruitment methodology, recruitment and retention rates, survey items, and psychometric properties of measures included in the initial and annual electronic surveys with 24–48 months follow-up.
This chapter provides an overview of best and promising practices for preventing dating violence ... more This chapter provides an overview of best and promising practices for preventing dating violence and sexual violence among adolescents and young adults. The chapter highlights the need to create prevention curricula that address multiple types of violence; build links between prevention efforts over time, and across professional groups and various contexts; examine the intersection of violence prevention and prevention of other health problems; and connect prevention efforts across a target group’s social relationships.
Bystander interventions are recognized as “promising” programming to reduce sexual violence. Gaps... more Bystander interventions are recognized as “promising” programming to reduce sexual violence. Gaps in current evaluations include limited follow-up post-training (beyond 24 months) and knowledge of additional bystander training during follow-up. In this prospective cohort study, nested in a cluster randomized controlled trial (RCT), three cohorts of high school (HS) seniors were recruited (Fall 2013-2015) and followed through Spring 2018 ( n = 1,831). Training was based on their school cluster RCT assignment and receipt of additional Green Dot (GD) training after HS. Training was hypothesized to be associated with lower scores indicating less acceptance of violence or sexism. Sixty percent reported GD training after HS (68.7% of 986 in intervention and 50% of 845 in control conditions). No significant differences ( p < .05) were observed by GD training for four of the five violence acceptance or sexism attitudinal measures at recruitment or final surveys. For “ambivalent sexism” a...
... Page Mac 62 Rick 65 Julie 68 Todd 70 Jessica 73 Starla 78 Chris 82 Larry 87 Tony 92 Categorie... more ... Page Mac 62 Rick 65 Julie 68 Todd 70 Jessica 73 Starla 78 Chris 82 Larry 87 Tony 92 Categories and Emergent Themes 97 Summary 106 CHAPTER 5 FINDINGS, RECOMMENDATIONS, AND IMPLICATIONS 108 Introduction 108 Study Summary 108 Findings 110 Research ...
Intimate partner and sexual violence (IPV and SV) remain significant public health problems for y... more Intimate partner and sexual violence (IPV and SV) remain significant public health problems for young women and men, and both IPV and SV have short and long-term psychological and physical health impacts for all. Through consistent direction and support from Centers for Disease Control’s National Center for Injury Prevention and Control (NCIPC), IPV/SV violence prevention research has shown its potential to prevent these forms of violence. This change is highly significant; many did not believe it was possible to prevent rape and intimate partner violence. In recognition of this emerging field of study, the 2013 Campus Sexual Violence Elimination Act required US public colleges to provide bystander-based training to reduce sexual violence, yet no requirement for evaluation of this recommendation was included in this law. Further, while bystander approaches are recognized as “promising prevention strategies” by the 2014 White House Task Force to Protect Students from Sexual Assault, few rigorous and sufficiently powered studies evaluate the efficacy of bystander programs to reduce violence victimization and perpetration at college and community levels. The papers in this special issue catalogue methods, measures, and outcomes to guide successful implementation and investigations of bystander prevention programs, considering demographic and situational contexts that have traditionally been understudied. Lessons learned from these investigations provide a roadmap of strategies to guide the next generation of researchers, program developers, and policymakers toward effective interpersonal violence prevention.
Purpose Because intimate partner violence (IPV) may disproportionately impact women’s quality of ... more Purpose Because intimate partner violence (IPV) may disproportionately impact women’s quality of life (QOL) when undergoing cancer treatment, women experiencing IPV were hypothesized to have (a) more symptoms of depression or stress and (b) lower QOL as measured with the Functional Assessment of Cancer Therapy (FACT-B) and Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-SP) Scales relative to those never experiencing IPV. Methods Women, aged 18–79, who were included in one of two state cancer registries from 2009 to 2015 with a recent incident, primary, invasive biopsy-confirmed cancer diagnosis were recruited and asked to complete a phone interview, within 12 months of diagnosis. This interview measured IPV by timing (current and past) and type (physical, sexual, psychological), socio-demographics, and health status. Cancer registries provided consenting women’s cancer stage, site, date of diagnosis, and age. Results In this large cohort of 3,278 women ...
Purpose-Prior studies conducted primarily among white men, find a reduced risk of prostate cancer... more Purpose-Prior studies conducted primarily among white men, find a reduced risk of prostate cancer associated with time since developing diabetes. While biologic explanations are plausible, the association may in part arise from more frequent prostate cancer screening among those with a diabetes diagnosis. The purpose of the present study was to investigate the association between diabetes and prostate cancer screening. Methods-We examined differences in prostate cancer screening (prostate-specific antigen and/ or digital rectal examination) testing practices after a diabetes diagnosis among lower-income persons living in the southeastern United States and enrolled in the Southern Community Cohort Study between 2002 and 2009. Baseline in-person interviews collected information on history of diabetes and prostate cancer screening from 18,809 black and 6,404 white men aged 40-79 years. Results-After adjustment for confounding, diabetic black (odds ratio (OR) 1.12, 95% confidence interv...
The Journal of the American Board of Family Practice
Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithe... more Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN). In 1987, University of North Carolina (UNC) Hospitals Family Practice Center clinicians were approached for a control population to study this association. One hundred five patients attending the UNC Hospitals Neoplasia Clinic with biopsy-proven CIN 2 or 3 and 268 control patients attending the UNC Family Practice Center for a routine Papanicolaou smear were enrolled in this case-control study. Case and control patients consented to having an additional cervical specimen taken and to being interviewed. The cervical specimens were classified by the Southern blot and polymerase chain reaction techniques for HPV. Early results suggested the control patients who had HPV were at high risk of developing CIN. Interventions were made to inform these patients of this risk and need for closer follow-up, causing a wide range of patient reactions. The final results showed no as...
Many human papillomavirus (HPV) genotypes are associated with cervical carcinoma. We demonstrate ... more Many human papillomavirus (HPV) genotypes are associated with cervical carcinoma. We demonstrate the utility of an innovative technique for genotyping of HPV in cervical tissue samples. This method provides an accurate means of identification of the specific HPV genotypes present in clinical specimens. By using the MY09-MY11 and the GP5+-GP6+ consensus primer pairs, HPV sequences were amplified by nested PCR from DNA isolated from cervical smear samples. This led to the production of an approximately 140-bp PCR product from the L1 (major capsid) gene of any of the HPVs present in the sample. PCR was performed with a deoxynucleoside triphosphate mixture which resulted in the incorporation of deoxyuridine into the amplified DNA product at positions where deoxythymidine would normally be incorporated at a frequency of about once or twice per strand. Following the PCR, the product was treated with an enzyme mix that contains uracil N-glycosylase (UNG) and endonuclease IV. UNG removes th...
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Papers by Ann Coker