Intimate Partner Violence, Economic Insecurity, and Health Outcomes Among American Indian and Alaska Native Men and Women: Findings From a National Sample

Lisa Fedina; Yuliya Shyrokonis; Bethany Backes; Katie Schultz; Louise Ashwell; Steven Hafner; Andre Rosay

doi:10.1177/10778012221127725

Intimate Partner Violence, Economic Insecurity, and Health Outcomes Among American Indian and Alaska Native Men and Women: Findings From a National Sample

Violence Against Women. 2023 Sep;29(11):2060-2079. doi: 10.1177/10778012221127725. Epub 2022 Sep 27.

Authors

Lisa Fedina¹, Yuliya Shyrokonis¹, Bethany Backes², Katie Schultz¹, Louise Ashwell¹, Steven Hafner³, Andre Rosay⁴

Affiliations

¹ School of Social Work, University of Michigan, Ann Arbor, MI, USA.
² Department of Criminal Justice and School of Social Work, University of Central Florida, Orlando, FL, USA.
³ Center for Human Identification at the University of North Texas Health Science Center, Fort Worth, TX, USA.
⁴ College of Health, University of Alaska Anchorage, Anchorage, AK, USA.

PMID: 36168282
DOI: 10.1177/10778012221127725

Abstract

Limited data are available on experiences of intimate partner violence (IPV) and sexual violence (SV) and health outcomes among American Indian and Alaska Native (AIAN) populations. This study explores the relationship between IPV and SV, food insecurity, housing insecurity, healthcare access, and self-reported physical and mental health status in a nationally representative sample of AIAN adults (N = 3,634). IPV and SV were associated with poorer physical and mental health at the bivariate level, but not in multivariate analyses. Economic inequalities are a salient predictor of health and may be compounded by demographic and geographic contexts.

Keywords: American Indian Alaska native; health; healthcare; housing; mental health.

MeSH terms

Adult
American Indian or Alaska Native* / psychology
American Indian or Alaska Native* / statistics & numerical data
Economic Stability
Female
Food Insecurity
Health Services Accessibility
Health Status
Housing Instability
Humans
Intimate Partner Violence* / economics
Intimate Partner Violence* / ethnology
Intimate Partner Violence* / psychology
Intimate Partner Violence* / statistics & numerical data
Male
Outcome Assessment, Health Care / economics
Outcome Assessment, Health Care / statistics & numerical data
Self Report
Sex Offenses* / economics
Sex Offenses* / ethnology
Sex Offenses* / psychology
Sex Offenses* / statistics & numerical data
Social Determinants of Health* / economics
Social Determinants of Health* / ethnology
Social Determinants of Health* / statistics & numerical data
United States / epidemiology