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27 J. Fam. Violence 1 (2012)

handle is hein.journals/jfamv27 and id is 1 raw text is: J Fam Viol (2012) 27:1-10
DOI 10.1007/s10896-011-9398-9
ORI(\INAL ARTICLE
Life Stress as Mediator of the Childhood
Maltreatment - Intimate Partner Violence Link
in Low-Income, African American Women
Meghna N. Patel - Jeshmin Bhaju-
Martie P. Thompson - Nadine J. Kaslow
Published online: 8 September 2011
C Springer Science+Business Media, LLC 2011

Abstract This study examined the relations between
childhood maltreatment, daily life hassles, and intimate
partner violence among low-income, suicidal, abused
African American women (N=208). Findings indicated a
significant association between childhood maltreatment
and intimate partner violence, such that women who
experienced childhood maltreatment were more likely to
experience intimate partner violence as adults than those
who reported no childhood maltreatment history. Also,
results from bootstrapping analyses revealed that daily life
stressors mediated the link between childhood maltreat-
ment and both physical and nonphysical forms of intimate
partner violence. These findings highlight the importance
of thoroughly assessing for a history of childhood
maltreatment, current intimate partner violence, and the
nature and extent of daily hassles when working with low-
income African American women, as well as helping
abused women with a history of childhood maltreatment
to cope effectively with the daily life hassles that they
encounter.
Keywords Childhood maltreatment . Intimate partner
violence - Daily hassles - Life stress - African American

M. N. Patel - J. Bhaju - N. J. Kaslow (W)
Department of Psychiatry and Behavioral Sciences,
Emory University School of Medicine, Grady Health System,
80 Jesse Hill Jr Drive,
Atlanta, GA 30303, USA
e-mail: nkaslow@emory.edu
M. P. Thompson
Department of Public Health Sciences, Clemson University,
Clemson, SC, USA

Intimate partner violence (IPV) is a pattern of physical,
emotional, and/or sexual violence and economic intimidation
by an intimate partner in the context of coercive control
(Tjaden and Thoennes 2000). IPV can be categorized as non-
physical IPV (IPV-NP), which constitutes verbal/emotional
abuse, and physical IPV (IPV-P), which include physical
abuse of both sexual and nonsexual types. It is a major
public health concern; five million women experience IPV
each year and 20% to 38% of women are victims of IPV
during their lifetime (Tjaden and Thoennes 2000). Abused
women have higher healthcare costs than women without an
IPV history (Rivara et al. 2007); IPV costs health care
systems more than $44 million annually (National Center for
Injury Prevention and Control 2003). Tables 1 and 2
IPV has been documented across all racial, ethnic, and
cultural groups. However, rates of self-reported IPV are high
among African American women and women from low
socioeconomic status backgrounds (U.S. Department of
Justice 1998). In one nationally representative study examin-
ing IPV in the African American community, data indicated
that compared to White women, African American women are
1.23 times and more than two times more likely to experience
minor and severe violence, respectively (Hampton and Gelles
1994). More recent studies found that compared to their
White counterparts, African American women are 35% more
likely to be survivors of IPV (West 2004) and up to 23% of
African American couples report IPV (Caetano et al. 2001).
African American women are at increased risk for intimate
partner femicide, near-fatal assaults, and severe injury
(Campbell et al. 2002; Lee et al. 2002; Sullivan et al.
1994). African American women particularly vulnerable to
IPV are those living in poverty (Cunradi et al. 2000).
Abused women are at higher risk than non-abused women
for mental health problems, including anxiety problems such
as posttraumatic stress disorder (PTSD), depression and

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