Effects of bystander programs on the prevention of sexual assault among adolescents and college students: A systematic review.
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ABSTRACT:
SUBMITTER: Kettrey HH
PROVIDER: S-EPMC8356505 | biostudies-literature | 2019 Jun
REPOSITORIES: biostudies-literature
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Effects of bystander programs on the prevention of sexual assault among adolescents and college students: A systematic review.
Kettrey Heather Hensman HH Marx Robert A RA Tanner-Smith Emily E EE
Campbell systematic reviews 20190601 1-2
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Project description:Sexual assault constitutes a significant public health problem on college campuses including historically Black colleges and universities (HBCU). Recent research suggests that sexual assault is increasing on college campuses. However, there are few studies examining the prevalence and risk factors for sexual assault at HBCUs. To address this gap, the current study examined the prevalence, correlates, and outcomes of sexual assault at an HBCU. Participants in the study were 264 undergraduate students from an HBCU in the mid-Atlantic region. The majority of participants were female (71%), African American (91%), and seniors (41%). After providing informed consent, participants completed a Climate Assessment survey administered by the university's Office of Diversity. Findings revealed that since starting college about 20% of students experienced sexual contact without consent. Of those sexually assaulted, 20% reported they were incapacitated or under the influence of alcohol (15%) at the time of the assault. About 17% of those assaulted experienced a physical injury and/or poor mental health outcomes (e.g., anxiety, depression, flashbacks). Participants reported not disclosing information of their assault due to embarrassment, afraid of retaliation from the perpetrator, believing it was a private matter. Close friends were more likely to be told about sexual assault. The study supports the need to address sexual assault on HBCU campuses through strong prevention and intervention programs and to address barriers to reporting.
| S-EPMC7517605 | biostudies-literature
Project description:PurposeCollege-bound young people experience sexual assault, both before and after they enter college. This study examines historical risk factors (experiences and exposures that occurred prior to college) for penetrative sexual assault (PSA) victimization since entering college.MethodsA cross-sectional study, including an online population-based quantitiative survey with undergraduate students was conducted in spring 2016. Bivariate analyses and multivariable regressions examined risk and protective factors associated with ever experiencing PSA since entering college. Concurrently-collected in-depth ethnographic interviews with 151 students were reviewed for information related to factors identified in the survey.ResultsIn bivariate analyses, multiple historical factors were significantly associated with PSA in college including adverse childhood experiences and having experienced unwanted sexual contact before college (for women) and initiation of alcohol, marijuana, and sexual behaviors before age 18. Significant independent risk factors for college PSA included female gender, experiencing unwanted sexual contact before college, first oral sex before age 18, and "hooking up" (e.g., causual sex or sex outside a committed partnership) in high school. Receipt of school-based sex education promoting refusal skills before age 18 was an independent protective factor; abstinence-only instruction was not. In the ethnographic interviews, students reported variable experiences with sex education before college; many reported it was awkward and poorly delivered.ConclusionsMultiple experiences and exposures prior to college influenced the risk of penetrative sexual assault in college. Pre-college comprehensive sexuality education, including skills-based training in refusing unwanted sex, may be an effective strategy for preventing sexual assault in college. Sexual assault prevention needs to begin earlier; successful prevention before college should complement prevention efforts once students enter college.
| S-EPMC6235267 | biostudies-literature
Project description:ObjectiveOn October 15, 2017, Alyssa Milano encouraged anyone who had been sexually harassed or assaulted to respond on Twitter with the phrase, #MeToo. Millions responded and a cultural reckoning ensued. Anecdotally, the #MeToo movement appears to have affected survivors' acceptance and acknowledgment of their own sexual assault experiences, but empirical evidence is lacking. To address this gap, the aim of this study was to examine associations between behavioral and labeled reports of sexual assault and time since the #MeToo movement began.MethodsParticipants were 2,566 college students who completed a sexual assault survey over the course of three years, overlapping with the onset of the #MeToo movement.ResultsRegarding our hypothesis that the prevalence of sexual assault - indicated by standardized behaviorally specific questions - would be relatively constant over time after controlling for demographics, a Bayesian logistic regression model yielded inconclusive results. However, among the 596 students who endorsed behaviorally specific screeners for sexual assault, a Bayesian linear regression model revealed that, after controlling for demographics and characteristics of the assault, participants were increasingly likely to label the experience a "sexual assault" with more time post #MeToo.ConclusionsOverall, findings revealed no evidence for or against changes in prevalence of sexual assault, but suggested there were associations between the #MeToo movement and greater recognition of past unwanted sexual experiences as "sexual assault" over time. These findings highlight the importance of considering social context in research examining sexual assault survivors' cognitions.
| S-EPMC8713172 | biostudies-literature
Project description:Child sexual abuse is a severely underreported crime in the United States. The consequences of child sexual abuse extend beyond physical injury, including an increased likelihood to develop chronic physical and mental diseases/disorders, including substance abuse and suicide. Care involves trauma-informed screening, assessment, and documentation, education of, and access to sexually transmitted infection prophylaxis and emergency contraception, safety interventions, and access to community resources. Medical providers should know the response process their facility, community, and state practices for victims of sexual abuse. Acknowledging and responding to victims of sexual abuse as a multidisciplinary team will ensure comprehensive care for the patient.
| S-EPMC7702185 | biostudies-literature
Project description:BackgroundBystander intervention approaches offer promise for reducing rates of sexual violence on college campuses. Most interventions are in-person small-group formats, which limit their reach and reduce their overall public health impact.ObjectiveThis study evaluated the efficacy of RealConsent, a Web-based bystander approach to sexual violence prevention, in enhancing prosocial intervening behaviors and preventing sexual violence perpetration.MethodsA random probability sample of 743 male undergraduate students (aged 18 to 24 years) attending a large, urban university located in the southeastern United States was recruited online and randomized to either RealConsent (n=376) or a Web-based general health promotion program (n=367). Participants were surveyed online at baseline, postintervention, and 6-months postintervention. RealConsent was delivered via a password-protected Web portal that contained six 30-minute media-based and interactive modules covering knowledge of informed consent, communication skills regarding sex, the role of alcohol and male socialization in sexual violence, empathy for rape victims, and bystander education. Primary outcomes were self-reported prosocial intervening behaviors and sexual violence perpetration. Secondary outcomes were theoretical mediators (eg, knowledge, attitudes).ResultsAt 6-month follow-up RealConsent participants intervened more often (P=.04) and engaged in less sexual violence perpetration (P=.04) compared to controls. In addition, RealConsent participants reported greater legal knowledge of sexual assault (P<.001), greater knowledge of effective consent (P<.001), less rape myths (P<.001), greater empathy for rape victims (P<.001), less negative date rape attitudes (P<.001), less hostility toward women (P=.01), greater intentions to intervene (P=.04), less hyper-gender ideology (P<.001), less positive outcome expectancies for nonconsensual sex (P=.03), more positive outcome expectancies for intervening (P<.001), and less comfort with other men's inappropriate behaviors (P<.001).ConclusionsOur results support the efficacy of RealConsent. Due to its Web-based format, RealConsent has potential for broad-based dissemination thereby increasing its overall public health impact on sexual violence.Trial registrationClinicaltrials.gov: NCT01903876; http://clinicaltrials.gov/show/NCT01903876 (Archived by WebCite at http://www.webcitation.org/6S1PXxWKt).
| S-EPMC4180355 | biostudies-literature
Project description:Using newly available U.S. nationally representative data from the No More study (N = 1,307), this article investigates (a) knowledge of sexual assault and intimate partner violence (IPV) victims within one's social network; (b) who intervenes, whom they intervene on behalf of, and how they intervene; and (c) the perceived barriers to intervening in IPV specifically. The findings reveal that knowledge of violence, the likelihood of intervening, and the intervention approaches taken all vary demographically and by violence type. Among respondents who have known a victim, one- third report having intervened for sexual assault, while one-half report having intervened for IPV. For both types of violence, respondents are more likely to have intervened on behalf of family or friends than on behalf of more distant network members. However, respondents are more likely to have solicited the help of authorities and less likely to have offered safe haven in instances of sexual assault than in instances of IPV. The most commonly cited barriers to IPV intervention include fear of injury, fear of misinterpretation, and belief that IPV is a private matter, though these vary across demographic groups. These findings indicate that the decision to intervene is highly contextual-contingent on the individual characteristics of the intervener, situational characteristics of the violence, and the relationship between the intervener and the victim.
| S-EPMC6342674 | biostudies-literature
Project description:BackgroundSexual assault is prevalent on college campuses and most commonly is perpetrated by men. Problematically, there is a dearth of evidence-based prevention programs targeting men as perpetrators of sexual aggression. The Sexual Assault and Alcohol Feedback and Education (SAFE) program is an integrated alcohol and sexual assault prevention intervention for college men who engage in heavy drinking that aims to address sexual aggression proclivity and alcohol use outcomes by incorporating social norms theory, bystander intervention, and motivational interviewing.ObjectiveThis study aims to examine the initial feasibility-, acceptability-, and efficacy-related outcomes of a randomized pilot trial of an integrated alcohol and sexual assault prevention program for college men who engage in heavy drinking.MethodsThis study included 115 college men who engaged in heavy drinking, who were randomly assigned to the SAFE program or a mindfulness-based control condition (MBCC). The feasibility of implementation, adequacy of participant retention, fidelity and competency of program administration, and satisfaction and utility of the intervention were evaluated. The primary outcomes of alcohol use and sexual aggression were evaluated at 2 and 6 months after baseline. The secondary outcomes of perceived peer norms, risks for sexual aggression, and bystander intervention were also assessed. The extent to which the motivational interviewing session with personalized normative feedback facilitated changes in the proximal outcomes of drinking intentions, motivation to change, and self-efficacy was also examined.ResultsThe study procedures resulted in high program completion and retention (>80%), high fidelity to the program manual (>80% of the content included), high competency in program administration, and high ratings of satisfaction and program utility in addressing sexual relationships and alcohol use. Both groups reported declines in the number of drinks per week and number of heavy drinking days. Compared with the MBCC participants, the SAFE participants reported higher motivation to change alcohol use after the program, as well as greater use of alcohol protective behavioral strategies at 6 months. Compared with the MBCC participants, the SAFE participants also reported lower perceived peer engagement in sexual coercion, perceived peer comfort with sexism, and peer drinking norms at 2 and 6 months. However, no group differences were observed in sexual aggression severity, rape myth acceptance, or the labeling of sexual consent. Results regarding bystander intervention intentions were mixed, with the MBCC group showing decreased intentions at 2 months and the SAFE group reporting increased intentions at both 2 and 6 months.ConclusionsThe findings provide promising evidence for the feasibility, acceptability, utility, and preliminary efficacy of the SAFE program in reducing alcohol use and positively influencing perceived peer norms and intentions for bystander intervention among college men who drink.Trial registrationClinicalTrials.gov NCT05773027; https://clinicaltrials.gov/study/NCT05773027.
| S-EPMC10704318 | biostudies-literature
Project description:Sexual assault on college campuses is a public health issue. However varying research methodologies (e.g., different sexual assault definitions, measures, assessment timeframes) and low response rates hamper efforts to define the scope of the problem. To illuminate the complexity of campus sexual assault, we collected survey data from a large population-based random sample of undergraduate students from Columbia University and Barnard College in New York City, using evidence based methods to maximize response rates and sample representativeness, and behaviorally specific measures of sexual assault to accurately capture victimization rates. This paper focuses on student experiences of different types of sexual assault victimization, as well as sociodemographic, social, and risk environment correlates. Descriptive statistics, chi-square tests, and logistic regression were used to estimate prevalences and test associations. Since college entry, 22% of students reported experiencing at least one incident of sexual assault (defined as sexualized touching, attempted penetration [oral, anal, vaginal, other], or completed penetration). Women and gender nonconforming students reported the highest rates (28% and 38%, respectively), although men also reported sexual assault (12.5%). Across types of assault and gender groups, incapacitation due to alcohol and drug use and/or other factors was the perpetration method reported most frequently (> 50%); physical force (particularly for completed penetration in women) and verbal coercion were also commonly reported. Factors associated with increased risk for sexual assault included non-heterosexual identity, difficulty paying for basic necessities, fraternity/sorority membership, participation in more casual sexual encounters ("hook ups") vs. exclusive/monogamous or no sexual relationships, binge drinking, and experiencing sexual assault before college. High rates of re-victimization during college were reported across gender groups. Our study is consistent with prevalence findings previously reported. Variation in types of assault and methods of perpetration experienced across gender groups highlight the need to develop prevention strategies tailored to specific risk groups.
| S-EPMC5695602 | biostudies-literature
Project description:ObjectiveHigh rates of alcohol-related sexual assault among young adults represent a significant public health problem. Bystander intervention programs are a promising strategy to reduce sexual assault incidence. However, little is known about how bystander intoxication may modify bystander intervention effectiveness. We examined the role of bystander intoxication and intoxication levels of the hypothetical victim and perpetrator on outcomes associated with Latané and Darley's (1970) steps of bystander intervention, which include noticing a situation, assessment of risk and need for intervention, taking personal responsibility for intervening, and selecting an intervention.MethodIn a field setting, participants were recruited from a downtown area surrounded by several drinking establishments. After providing informed consent, 327 participants (45% women) ages 21 - 29 years listened to one of four sexual assault vignettes (varied by victim and perpetrator intoxication), responded to questionnaires assessing outcomes related to steps of bystander intervention, and completed a field breathalyzer test to measure intoxication level.ResultsWe found that increased participant intoxication was related to decreased accuracy of situation recall and assessment of risk and need for intervention, but not ratings of personal responsibility to intervene, chosen intervention strategy, or confidence to intervene.ConclusionsIntoxication could influence how a bystander interprets a hypothetical nonconsensual sexual interaction at the level of accurate situation recall and risk assessment. If the early steps of information processing are impaired by intoxication, later steps of intervention enactment may not occur successfully. Bystander intervention programming may consider incorporating training to overcome the impairing effects of intoxication for identifying harmful situations and choosing to intervene.
| S-EPMC9053246 | biostudies-literature
Project description:ObjectivePrevious research has indicated high rates of sexual assault (SA) among US students (> 25%). Yet this type of investigation has been less frequent at European universities.MethodsWe conducted an investigation at three universities, two Dutch universities (N = 95 and N = 305) and one university in Belgium (N = 307). Students were asked to estimate the prevalence of SA, and to report about their personal experience. We defined SA as any situation in which students were inappropriately touched, forced to a sexual act without their consent, or were (sexually) verbally intimidated.Results56% of students (Location 1: n = 54/95; Location 2: n = 172/305; Location 3: n = 172/307) across all three samples reported experiencing SA. The disclosed assaults were mostly unwanted sexual contact (i.e., groping) by male strangers aged 18-35 years. One-third of the sample reported to have done nothing post-assault, and among those who took actions, the majority disclosed the assault to friends, but rarely to family members. Also, 3-5% of students (Location 1: n = 3; Location 2: n = 11; Location 3: n = 11) (falsely) denied the assault. Seeking justice and needing support were important motivators of action, whereas psychological factors (i.e., memory distrust) were antagonists of this. Finally, besides psychological factors, fear of interpersonal consequences (e.g., being labelled as a "drama queen") was a strong influence to either deny or try to forget the assault.ConclusionSA appears to be frequent among European students and further investigation including other European universities is warranted.
| S-EPMC10081757 | biostudies-literature