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Health Education & Behavior
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Disaster Down East: Using Participatory Action Research to Explore Intimate Partner Violence in Eastern North Carolina

Pamela York Frasier, PhD, MSPH, MA

Department of Family Medicine, University of North Carolina at Chapel Hill.

Leigh Belton, MA

Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill.

Elizabeth Hooten, ScD, MSPH

Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill.

Marci Kramish Campbell, PhD, RD

Department of Nutrition, University of North Carolina at Chapel Hill.

Brenda DeVellis, PhD

Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill.

Salli Benedict, MPH

Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill.

Carla Carrillo, MPH

Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill.

Pam Gonzalez, BA

UCARE, Sampson County Domestic Violence Program, Clinton, North Carolina.

Kristine Kelsey, PhD, RD

Center for Development and Learning, University of North Carolina at Chapel Hill.

Andrea Meier, PhD

School of Social Work, University of North Carolina at Chapel Hill.

In the aftermath of Hurricane Floyd in 1999, a Community Advisory Committee requested assistance from its university partners (University of North Carolina) to address stress and increased risk for intimate partner violence (IPV). Collected from 12 study work sites, baseline data indicated that IPV rates were higher among blue-collar women in eastern North Carolina than national population-based rates suggest. IPV victims reported higher levels of perceived stress, psychological distress, somatic complaints, and post-traumatic stress disorder (PTSD) symptoms than did nonvictimized coworkers. As for the relationship of the flood to IPV, no significant increase in IPV incidence occurred after the flood. Regardless of their flood experience, however, IPV victims consistently reported greater stress, PTSD symptoms, and somatic and psychological problems. Moreover, IPV victims may be at higher risk for stress-mediated chronic illnesses and for using negative coping behaviors. This study uses an established trusting relationship between researchers and community members to explore community needs and inform intervention design.

Key Words: women’s health • prevention • intimate partner violence • participatory research • disaster

Health Education & Behavior, Vol. 31, No. 4 suppl, 69S-84S (2004)
DOI: 10.1177/1090198104266035


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