Cyber dating abuse among teens using school-based health centers

Rebecca N. Dick, Heather L. McCauley, Kelley A. Jones, Daniel J Tancredi, Sandi Goldstein, Samantha Blackburn, Erica Monasterio, Lisa James, Jay G. Silverman, Elizabeth Miller

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

OBJECTIVE: To estimate the prevalence of cyber dating abuse among youth aged 14 to 19 years seeking care at school-based health centers and associations with other forms of adolescent relationship abuse (ARA), sexual violence, and reproductive and sexual health indicators. METHODS: A cross-sectional survey was conducted during the 2012-2013 school year (participant n = 1008). Associations between cyber dating abuse and study outcomes were assessed via logistic regression models for clustered survey data. RESULTS: Past 3-month cyber dating abuse was reported by 41.4% of this clinic-based sample. More female than male participants reported cyber dating abuse victimization (44.6% vs 31.0%). Compared with no exposure, low- ("a few times") and high-frequency ("once or twice a month" or more) cyber dating abuse were significantly associated with physical or sexual ARA (low: adjusted odds ratio [aOR] 2.8, 95% confidence interval [CI] 1.8-4.4; high: aOR 5.4, 95% CI 4.0-7.5) and nonpartner sexual assault (low: aOR 2.7, 95% CI 1.3-5.5; high: aOR 4.1, 95% CI 2.8-5.9). Analysis with female participants found an association between cyber dating abuse exposure and contraceptive nonuse (low: aOR 1.8, 95% CI 1.2-2.7; high: aOR 4.1, 95% CI 2.0-8.4) and reproductive coercion (low: aOR 3.0, 95% CI 1.4-6.2; high: aOR 5.7, 95% CI 2.8-11.6). CONCLUSIONS: Cyber dating abuse is common and associated with ARA and sexual assault in an adolescent clinic-based sample. The associations of cyber dating abuse with sexual behavior and pregnancy risk behaviors suggest a need to integrate ARA education and harm reduction counseling into sexual health assessments in clinical settings.

Original languageEnglish (US)
Pages (from-to)e1560-e1567
JournalPediatrics
Volume134
Issue number6
DOIs
StatePublished - Dec 1 2014

Keywords

  • Adolescent relationship abuse
  • Cyber dating abuse
  • School health services
  • Sexual behavior
  • Victimization

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Fingerprint Dive into the research topics of 'Cyber dating abuse among teens using school-based health centers'. Together they form a unique fingerprint.

  • Cite this

    Dick, R. N., McCauley, H. L., Jones, K. A., Tancredi, D. J., Goldstein, S., Blackburn, S., Monasterio, E., James, L., Silverman, J. G., & Miller, E. (2014). Cyber dating abuse among teens using school-based health centers. Pediatrics, 134(6), e1560-e1567. https://doi.org/10.1542/peds.2014-0537