title: Severe dating violence and quality of life among south carolina high school students.
abstract: BACKGROUND
  Little research has addressed the impact of dating violence and forced-sex victimization and perpetration on adolescent well-being. In this cross-sectional study, we provide (1) estimates of severe dating violence (SDV) by victimization and perpetration status, (2) estimates of lifetime forced-sex victimization and perpetration, (3) demographic and health behaviors correlated with SDV, and (4) associations between SDV and forced sex and well-being as assessed by (1) health-related quality of life (H-R QOL) and (2) life satisfaction measures.
  
  
  METHODS
  We used a stratified cluster sample of 5414 public high school students, grades 9 through 12, who responded to the 1997 self-administered South Carolina Youth Risk Behavior Survey.
  
  
  RESULTS
  Nearly 12% of adolescents self-reported SDV as a victim (7.6%) or a perpetrator (7.7%), and SDV rates (victimization/perpetration combined) are higher in girls (14.4%) than boys (9.1%). Race, aggressive behaviors, substance use, and sexual risk-taking are correlates of SDV. Among young women, SDV victimization, not perpetration, was associated with recent poor H-R QOL and suicide ideation or attempts, but not lower life-satisfaction scores. Among young men, SDV perpetration, not victimization, was strongly associated with poor H-R QOL and suicide attempts, and lower scores for all domains of life satisfaction.
  
  
  CONCLUSIONS
  This research provides evidence that SDV and forced sex are associated with poor H-R QOL, low life-satisfaction scores, and adverse health behaviors in adolescent female victims and male perpetrators. Screening for dating violence is needed to identify and intervene early to reduce the impact of dating violence.
authors.affiliation: Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 29208, USA. ACOKER@SPH.SC.EDU
authors.forename: A L
authors.initials: AL
authors.lastname: Coker
authors.forename: R E
authors.initials: RE
authors.lastname: McKeown
authors.forename: M
authors.initials: M
authors.lastname: Sanderson
authors.forename: K E
authors.initials: KE
authors.lastname: Davis
authors.forename: R F
authors.initials: RF
authors.lastname: Valois
authors.forename: E S
authors.initials: ES
authors.lastname: Huebner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D016001:Confidence Intervals; D003625:Data Collection; D005260:Female; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D011788:Quality of Life; D011902:Rape / Q000523:psychology / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012309:Risk-Taking; D012574:Schools; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*