Table 2.
Sexual violence | Physical violence | |||||
---|---|---|---|---|---|---|
Incidence rate/100 person years |
Adjusted Incidence Rate Ratio (aIRR)a |
95% CI | Incidence rate/ 100 person years |
Adjusted Incidence Rate Ratio (aIRR)a |
95% CI | |
Total over the follow-up | 1.6 (425/26,363) |
-- | -- | 3.8 (996/26,363) |
-- | -- |
Model 1: Dose Response (number of GBV types at index) a | ||||||
0 | 0.7 | 1.00 | -- | 1.8 | 1.00 | -- |
1 | 1.3 | 1.44 | 0.96–2.14 | 3.4 | 1.60*** | 1.25–2.04 |
2 | 2.5 | 2.16*** |
1.45– 3.23 |
5.6 | 2.11**** | 1.63–2.73 |
3 | 4.6 | 3.12**** | 1.86–5.23 | 7.4 | 2.21**** | 1.55–3.13 |
Model 2: Main Effects (type of GBV at index) a | ||||||
None | 0.7 | 1.00 | -- | 1.8 | 1.00 | -- |
CSA | 2.4 | 1.17 | 0.88–1.56 | 5.2 | 1.14 | 0.95–1.37 |
IPV | 2.2 | 1.69*** | 1.26–2.26 | 4.8 | 1.38*** | 1.16–1.65 |
NPSA | 2.8 | 1.60** | 1.21–2.11 | 6.0 | 1.47**** | 1.22–1.76 |
Model 3: GBV Polyvictimization groupings at indexa | ||||||
None | 0.7 | 1.00 | -- | 1.8 | 1.00 | -- |
CSA only | 0.4 | 0.59 | 0.23–1.51 | 2.0 | 1.12 | 0.71–1.77 |
IPV only | 1.2 | 1.44 | 0.93–2.23 | 3.2 | 1.61*** | 1.24–2.08 |
NPSA only | 1.7 | 1.74* | 1.01–2.99 | 4.4 | 1.76** | 1.24–2.48 |
IPV & NPSA only | 2.9 | 2.45**** | 1.57–3.82 | 6.1 | 2.19**** | 1.64–2.93 |
CSA with IPV or NPSA | 1.9 | 1.84** | 1.16–2.93 | 4.8 | 2.02**** | 1.50–2.72 |
IPV, NPSA and CSA | 4.6 | 3.17**** | 1.89–5.31 | 7.4 | 2.23**** | 1.57–3.19 |
Covariates included in all adjusted models (estimates presented from Model 3) | ||||||
Timing of enrollment and follow-up | ||||||
Years from index visit | 0.92**** | 0.90–0.95 | 0.91**** | 0.90–0.93 | ||
Year of index visit | ||||||
1994–1995 | 1.6 | 1.00 | -- | 4.0 | 1.00 | -- |
2006–2007 | 1.3 | 0.79 | 0.57–1.10 | 3.1 | 0.74** | 0.60–0.92 |
2011–2012 | 2.1 | 1.04 | 0.60–1.80 | 3.3 | 0.69* | 0.48–0.99 |
Demographics | ||||||
Age at index visit (per 10 years) | 0.87 | 0.74–1.03 | 0.71**** | 0.63–0.80 | ||
Race/ethnicity | ||||||
African-American | 1.7 | 1.03 | 0.69–1.55 | 3.9 | 0.85 | 0.67–1.07 |
Hispanic/Latina | 0.8 | 0.58* | 0.36–0.96 | 2.9 | 0.67** | 0.50–0.89 |
Asian/Native American/Other | 3.3 | 1.61 | 0.79–3.26 | 4.4 | 0.76 | 0.49–1.20 |
White | 1.8 | 1.00 | -- | 4.7 | 1.00 | -- |
Sexual identity: lesbian/bisexual/other | 2.4 (vs. 1.5) | 1.00 | 0.74–1.37 | 5.7 (vs. 3.5) | 1.12 | 0.92–1.36 |
Structural factors | ||||||
Not married or partneredb | 1.8 (vs. 1.3) | 1.34* | 1.02–1.75 | 3.8 (vs. 3.8) | 0.91 | 0.78–1.05 |
Less than high school education | 1.5 (vs. 1.7) | 0.90 | 0.68–1.18 | 4.3 (vs. 3.5) | 1.01 | 0.85–1.19 |
Annual income less than $18,000b | 2.0 (vs. 1.0) | 1.38* | 1.03–1.85 | 4.6 (vs. 2.4) | 1.22* | 1.01–1.45 |
Housing status: unstable or housingb |
3.9 (vs. 1.5) | 1.10 | 0.81–1.48 | 9.5 (vs. 3.4) | 1.37*** | 1.15–1.62 |
Not employedb | 1.8 (vs. 1.2) | 0.81 | 0.60–1.09 | 4.6 (vs. 2.1) | 1.38** | 1.14–1.67 |
Transactional sex and HIV status | ||||||
HIV status | 1.6 (vs. 1.5) | 1.17 | 0.89–1.52 | 3.7 (vs. 4.1) | 0.89 | 0.75–1.07 |
Transactional sex | ||||||
Ever, reported at index visit | 2.4 (vs. 1.2) | 0.82 | 0.59–1.15 | 5.6 (vs. 2.7) | 0.99 | 0.80–1.22 |
Recent transactional sexb | 12.2 (vs. 1.2) |
2.98**** | 2.12–4.19 | 18.2 (vs. 3.3) |
1.29* | 1.03–1.61 |
Alcohol and drug use | ||||||
Drank more than 7 drinks per weekb |
2.4 (vs. 1.5) | 0.80 | 0.60–1.07 | 7.6 (vs. 3.1) | 1.44**** | 1.21–1.71 |
Injected drug use at index visit | 1.9 (vs. 1.5) | 0.96 | 0.71–1.29 | 4.9 (vs. 3.3) | 1.09 | 0.89–1.33 |
Non-injected drug use at index visit |
1.9 (vs. 0.7) | 1.24 | 0.76–2.02 | 4.4 (vs. 1.5) | 1.30 | 0.95–1.78 |
Marijuana useb | 3.5 (vs. 1.1) | 1.57** | 1.19–2.08 | 7.8 (vs. 2.7) | 1.43**** | 1.22–1.68 |
Crack/cocaine/heroin useb | 4.4 (vs. 1.1) | 1.15 | 0.83–1.59 | 10.7 (vs. 2.6) | 1.76**** | 1.46–2.11 |
Opposite form of violence, same time period |
-- | 6.56**** | 4.84–8.88 | -- | 4.57**** | 3.70–5.63 |
Note: Boldface indicates statistical significance
p<0.05;
p<0.01;
p<0.001;
p<0.0001
All models adjusted for the full set of covariates presented for model 3.
Time-varying
CSA, childhood sexual abuse; IPV, intimate partner violence; NPSA, non-partner sexual assault