Goddard-Eckrich Dawn, Marotta Phillip, Dsouza Nishita, Chang Mingway, Wu Elwin, Richer Ariel, Hunt Timothy, Davis Alissa, Dasgupta Anindita, Hall Jennifer, Alexander Sherna, Cockett Kacey-Ann, El-Bassel Nabila, Gilbert Louisa
Columbia University.
Washington University in St. Louis.
Res Sq. 2025 May 26:rs.3.rs-6676375. doi: 10.21203/rs.3.rs-6676375/v1.
When examining the relationship between intimate partner violence (IPV) and substance use, most studies have focused exclusively on individual-level correlates without considering cross-partner associations. Given the bidirectional nature of IPV within intimate relationships, a dyadic (couple) approach may assist in gaining a more precise understanding of the complex interrelationships between IPV, substance use, and overdose risks among couples.
We employed the Actor-Partner Interdependence Model (APIM) using baseline data from a randomized controlled trial to examine how perpetration and experience of IPV in the past three months may be associated with substance use and non-fatal overdose risks among men in community supervision programs in New York City and their intimate partners (N=412 participants; 212 male and 196 female). The actor and partner effects were estimated using a multilevel logistic regression model with membership of a couple as a random effect for partner dependency, adjusting for key demographic factors.
Over one-third of the participants (n=157, 38.1%) reported experiencing IPV and perpetrating IPV (n=149, 36.2%). Female participants who had been in the ER due to drugs or alcohol were more likely to report experiencing IPV (OR=2.62, 95% CI=1.02-6.88, p=0.046) and perpetrating IPV (OR=2.41, 95% CI=1.02-5.73, p=0.046) than those who had not been in the ER. Male participants who had been in the ER due to drugs or alcohol were also more likely to report perpetrating IPV (OR=3.07, 95% CI=1.31-7.16, p=0.010). Male participants who had experienced overdose were more likely to report perpetrating IPV than those who had not (OR=2.90, 95% CI=1.20, 7.01, p=0.018). No partner effects of overdose risks were significantly associated with participants' reports of IPV.
IMPLICATIONS FOR D&I RESEARCH: Our findings suggest a complex relationship between IPV and substance use behaviors, with primarily actor effects, but no significant partner effects. Understanding these relationships is important for developing integrated interventions that address both IPV and substance use risks among tice-involved populations. Such approaches may help address racial health inequities in drug overdose rates among non-Hispanic Black and Latinx populations, who are disproportionately impacted by the criminal legal system due to racialized drug laws and policing.
在研究亲密伴侣暴力（IPV）与物质使用之间的关系时，大多数研究仅关注个体层面的相关因素，而未考虑伴侣间的相互关联。鉴于亲密关系中IPV的双向性，二元（夫妻）研究方法可能有助于更精确地理解夫妻之间IPV、物质使用和过量用药风险之间的复杂相互关系。
我们采用了演员-伴侣相互依存模型（APIM），利用一项随机对照试验的基线数据，研究纽约市社区监管项目中的男性及其亲密伴侣（N = 412名参与者；212名男性和196名女性）在过去三个月中IPV的实施情况和经历如何与物质使用及非致命过量用药风险相关联。使用多层次逻辑回归模型估计演员效应和伴侣效应，将夫妻关系作为伴侣依存性的随机效应，并对关键人口统计学因素进行调整。
超过三分之一的参与者（n = 157，38.1%）报告经历过IPV且实施过IPV（n = 149，36.2%）。因药物或酒精去过急诊室的女性参与者比未去过急诊室的女性更有可能报告经历过IPV（OR = 2.62，95% CI = 1.02 - 6.88，p = 0.046）和实施过IPV（OR = 2.41，95% CI = 1.02 - 5.73，p = 0.046）。因药物或酒精去过急诊室的男性参与者也更有可能报告实施过IPV（OR = 3.07，95% CI = 1.31 - 7.16，p = 0.010）。经历过过量用药的男性参与者比未经历过的更有可能报告实施过IPV（OR = 2.90，95% CI = 1.20，7.01，p = 0.018）。过量用药风险的伴侣效应与参与者报告的IPV无显著关联。
我们的研究结果表明IPV与物质使用行为之间存在复杂关系，主要是演员效应，而无显著的伴侣效应。理解这些关系对于制定综合干预措施很重要，这些措施可解决受刑事司法系统影响人群中的IPV和物质使用风险问题。此类方法可能有助于解决非西班牙裔黑人和拉丁裔人群在药物过量率方面的种族健康不平等问题，这些人群因种族化的毒品法律和治安措施而受到刑事司法系统的不成比例影响。
