title: Physical dating violence among adolescents and young adults with alcohol misuse.
abstract: BACKGROUND
  This study determined prevalence and correlates of physical dating violence (victimization or aggression) among male and female youth with alcohol misuse and seeking emergency department (ED) care.
  
  
  METHODS
  Patients age 14-20 seeking care at a single large university-based ED completed a computerized, self-administered, cross-sectional survey. Measures included demographics, alcohol and substance use, mental health problems, health service use, peer influences, parent support, and community involvement. Bivariate and multivariate regression assessed physical dating violence correlates.
  
  
  RESULTS
  Among 842 male and female youth seeking ED care who screened positive for alcohol misuse, 22.3% (n=188) reported dating violence in the past year. Multivariate analyses showed variables associated with dating violence were female gender (AOR 2.17, CI 1.46-3.22), Caucasian race (AOR 0.59, CI 0.37-0.93), receipt of public assistance (AOR 1.82, CI 1.16-2.87), AUDIT Score (AOR 1.06, CI 1.02-1.10), older age of drinking onset (AOR 0.86, CI 0.77-0.96), suicidal ideation or attempt (AOR 1.95, CI 1.13-3.37), frequency of ED visits (AOR 1.22, CI 1.05-1.46), negative peer influences (AOR 1.05, CI 1.01-1.10), and positive peer influences (AOR 0.86, CI 0.80-0.93).
  
  
  CONCLUSIONS
  Nearly 1 in 4 youth with alcohol misuse seeking ED care report dating violence. Key correlates of dating violence included alcohol use severity, suicidal ideation, ED services, and peer influences. Evidence-based dating violence interventions addressing these correlates are needed for youth with alcohol misuse seeking ED care.
authors.affiliation: University of Michigan, Department of Emergency Medicine and Institute for Healthcare Policy and Innovation, Ann Arbor, MI 48105, United States; University of Michigan, Department of Family Medicine, Ann Arbor, MI 48105, United States; University of Michigan Injury Center, Ann Arbor, MI 48105, United States. Electronic address: vijaysin@umich.edu.
authors.forename: Vijay
authors.initials: V
authors.lastname: Singh
authors.affiliation: University of Michigan Injury Center, Ann Arbor, MI 48105, United States; University of Michigan, Department of Psychiatry and Addiction Research Center, Ann Arbor, MI 48109, United States.
authors.forename: Quyen
authors.initials: Q
authors.lastname: Epstein-Ngo
authors.affiliation: University of Michigan, Department of Emergency Medicine and Institute for Healthcare Policy and Innovation, Ann Arbor, MI 48105, United States; University of Michigan Injury Center, Ann Arbor, MI 48105, United States.
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Cunningham
authors.affiliation: University of Michigan Injury Center, Ann Arbor, MI 48105, United States; University of Michigan, Department of Health Behavior and Health Education, School of Public Health, Ann Arbor, MI 48105, United States; University of Michigan School of Nursing, Ann Arbor, MI 48105, United States.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Stoddard
authors.affiliation: University of Michigan, Department of Psychiatry and Addiction Research Center, Ann Arbor, MI 48109, United States.
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Chermack
authors.affiliation: University of Michigan Injury Center, Ann Arbor, MI 48105, United States; University of Michigan, Department of Psychiatry and Addiction Research Center, Ann Arbor, MI 48109, United States.
authors.forename: Maureen A
authors.initials: MA
authors.lastname: Walton
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000187:drug effects*; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000706:statistics & numerical data*; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D055815:Young Adult
keywords: Alcohol use; Dating violence; Health services; Peer influences