While numerous studies have explored prevalence and determinants of intimate partner violence (IP... more While numerous studies have explored prevalence and determinants of intimate partner violence (IPV), one area that has yet to be sufficiently explored is whether men and women agree on the acts, behaviours, and attitudes that comprise IPV. Through the use of concept mapping, we examined the similarities and differences in the conceptualization of IPV among a diverse sample of men and women. Although men and women conceptualized physical and sexual violence similarly, men tended to rate non-physical behaviors related to control as less important to the definition of IPV than women. Moreover, even when men and women used similar labeling language for grouping of items, the statements included in each cluster were substantially different for non-physically abusive items. A greater understanding of similarities and differences in the conceptualization of IPV by gender can help inform appropriate gender specific IPV intervention and prevention efforts.
Background: This paper identifies patterns of health inequalities (consistency and magnitude) of ... more Background: This paper identifies patterns of health inequalities (consistency and magnitude) of socioeconomic disparities for multiple maternal and child health (MCH) outcomes that represent different health care needs of mothers and infants. Methods: Using cross-sectional national data (unweighted sample = 6,421, weighted =76,508) from the Canadian Maternity Experiences Survey linked with 2006 Canadian census data, we categorized 25 health indicators of mothers of singletons into five groups of MCH outcomes (A. maternal and infant health status indicators; B. prenatal care; C. maternal experience of labor and delivery; D. neonatal medical care; and E. postpartum infant care and maternal perceptions of health care services). We then examined the association of these health indicators with individual socioeconomic position (SEP) (education and income), neighborhood SEP and combined SEP (a four-level measure of low and high individual and neighborhood SEP), and compared the magnitude (odds ratios and 95% confidence intervals) and direction of the associations within and between MCH outcome groups. Results: We observed consistent positive gradients of socioeconomic inequalities within most groups and for 23/25 MCH outcomes. However, more significant associations and stronger gradients were observed for the MCH outcomes in the maternal and infant health status group as opposed to other groups. The neonatal medical care outcomes were weakly associated with SEP. The direction of associations was negative between some SEP measures and HIV testing, timing of the first ultrasound, caesarean section, epidural for vaginal births, infant needing non-routine neonatal care after discharge and any breastfeeding at 3 or 6 months. Gradients were steep for individual SEP but moderate for neighborhood SEP. Combined SEP had no consistent gradients but the subcategory of low individual-high neighborhood SEP often showed the poorest health outcomes compared to the categories within this SEP grouping. Conclusion: By examining SEP gradients in multiple MCH outcomes categorized into groups of health care needs, we identified large and consistent inequalities both within and between these groups. Our results suggest differences in pathways and mechanisms contributing to SEP inequalities across groups of MCH outcomes that can be examined in future research and inform prioritization of policies for reducing these inequalities.
Background This study aims to explore the conceptualization of intimate partner violence (IPV) am... more Background This study aims to explore the conceptualization of intimate partner violence (IPV) among men and women from diverse subpopulations in Toronto, ON, Canada. Relatively few research efforts have been made to examine differences in conceptualizations of IPV across populations of different race and ethnic backgrounds. Methods Using concept mapping methodology, we sampled 67 women and men identified concepts and groups of concepts (domains) that reflected their understandings of the behaviours and attitudes that comprised IPV. We also determined the relative importance of each concept and domain as a contributor to IPV. Results 'External and Cultural Influences', 'Victim Response to Abuse' and 'Social and Emotional Manipulation' were a few domains that participants rated as moderately or highly important contributors to IPV. These conceptual domains are often left out of commonly used IPV measures. Conclusions Our findings have important implications for the conceptualization of IPV and for future IPV measurement and measurement tool development.
International Journal of Environmental Research and Public Health, 2013
Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an impo... more Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an important role in substance use, violence, and other criminal behaviour in adulthood. We adopted the life course perspective to identify modifiable contextual influences and co-occurring individual, social, and familial determinants associated with adult criminality. Using in-depth interview data, a sub-sample of 13 women who had recently experienced intimate partner violence, recounted their experiences of childhood abuse, their own substance use or criminality, as well as implications of these factors on their children's life trajectories. For the purposes of this paper criminality was defined as child abuse and neglect, domestic violence, illegal substance use and underage alcohol use.
Ensuring that the voices of youths are heard is key in creating services that align with the need... more Ensuring that the voices of youths are heard is key in creating services that align with the needs and goals of youths. Concept mapping, a participatory mixed-methods approach, was used to engage youths, families, and service providers in an assessment of service gaps facing youth in an underserviced neighborhood in Toronto, Canada. We describe 6 phases of concept mapping: preparation, brainstorming, sorting and rating, analysis, interpretation, and utilization. Results demonstrate that youths and service providers vary in their conceptualizations of youth service needs and priorities. Implications for service planning and for youth engagement in research are discussed.
While numerous studies have explored prevalence and determinants of intimate partner violence (IP... more While numerous studies have explored prevalence and determinants of intimate partner violence (IPV), one area that has yet to be sufficiently explored is whether men and women agree on the acts, behaviours, and attitudes that comprise IPV. Through the use of concept mapping, we examined the similarities and differences in the conceptualization of IPV among a diverse sample of men and women. Although men and women conceptualized physical and sexual violence similarly, men tended to rate non-physical behaviors related to control as less important to the definition of IPV than women. Moreover, even when men and women used similar labeling language for grouping of items, the statements included in each cluster were substantially different for non-physically abusive items. A greater understanding of similarities and differences in the conceptualization of IPV by gender can help inform appropriate gender specific IPV intervention and prevention efforts.
Background: This paper identifies patterns of health inequalities (consistency and magnitude) of ... more Background: This paper identifies patterns of health inequalities (consistency and magnitude) of socioeconomic disparities for multiple maternal and child health (MCH) outcomes that represent different health care needs of mothers and infants. Methods: Using cross-sectional national data (unweighted sample = 6,421, weighted =76,508) from the Canadian Maternity Experiences Survey linked with 2006 Canadian census data, we categorized 25 health indicators of mothers of singletons into five groups of MCH outcomes (A. maternal and infant health status indicators; B. prenatal care; C. maternal experience of labor and delivery; D. neonatal medical care; and E. postpartum infant care and maternal perceptions of health care services). We then examined the association of these health indicators with individual socioeconomic position (SEP) (education and income), neighborhood SEP and combined SEP (a four-level measure of low and high individual and neighborhood SEP), and compared the magnitude (odds ratios and 95% confidence intervals) and direction of the associations within and between MCH outcome groups. Results: We observed consistent positive gradients of socioeconomic inequalities within most groups and for 23/25 MCH outcomes. However, more significant associations and stronger gradients were observed for the MCH outcomes in the maternal and infant health status group as opposed to other groups. The neonatal medical care outcomes were weakly associated with SEP. The direction of associations was negative between some SEP measures and HIV testing, timing of the first ultrasound, caesarean section, epidural for vaginal births, infant needing non-routine neonatal care after discharge and any breastfeeding at 3 or 6 months. Gradients were steep for individual SEP but moderate for neighborhood SEP. Combined SEP had no consistent gradients but the subcategory of low individual-high neighborhood SEP often showed the poorest health outcomes compared to the categories within this SEP grouping. Conclusion: By examining SEP gradients in multiple MCH outcomes categorized into groups of health care needs, we identified large and consistent inequalities both within and between these groups. Our results suggest differences in pathways and mechanisms contributing to SEP inequalities across groups of MCH outcomes that can be examined in future research and inform prioritization of policies for reducing these inequalities.
Background This study aims to explore the conceptualization of intimate partner violence (IPV) am... more Background This study aims to explore the conceptualization of intimate partner violence (IPV) among men and women from diverse subpopulations in Toronto, ON, Canada. Relatively few research efforts have been made to examine differences in conceptualizations of IPV across populations of different race and ethnic backgrounds. Methods Using concept mapping methodology, we sampled 67 women and men identified concepts and groups of concepts (domains) that reflected their understandings of the behaviours and attitudes that comprised IPV. We also determined the relative importance of each concept and domain as a contributor to IPV. Results 'External and Cultural Influences', 'Victim Response to Abuse' and 'Social and Emotional Manipulation' were a few domains that participants rated as moderately or highly important contributors to IPV. These conceptual domains are often left out of commonly used IPV measures. Conclusions Our findings have important implications for the conceptualization of IPV and for future IPV measurement and measurement tool development.
International Journal of Environmental Research and Public Health, 2013
Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an impo... more Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an important role in substance use, violence, and other criminal behaviour in adulthood. We adopted the life course perspective to identify modifiable contextual influences and co-occurring individual, social, and familial determinants associated with adult criminality. Using in-depth interview data, a sub-sample of 13 women who had recently experienced intimate partner violence, recounted their experiences of childhood abuse, their own substance use or criminality, as well as implications of these factors on their children's life trajectories. For the purposes of this paper criminality was defined as child abuse and neglect, domestic violence, illegal substance use and underage alcohol use.
Ensuring that the voices of youths are heard is key in creating services that align with the need... more Ensuring that the voices of youths are heard is key in creating services that align with the needs and goals of youths. Concept mapping, a participatory mixed-methods approach, was used to engage youths, families, and service providers in an assessment of service gaps facing youth in an underserviced neighborhood in Toronto, Canada. We describe 6 phases of concept mapping: preparation, brainstorming, sorting and rating, analysis, interpretation, and utilization. Results demonstrate that youths and service providers vary in their conceptualizations of youth service needs and priorities. Implications for service planning and for youth engagement in research are discussed.
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