Abstract
Objectives
To investigate the role of diverse forms of intimate partner violence (IPV) and firearms
in the context of IPV in sleep disturbances.
Design
A cross-sectional survey of domestic violence victims.
Setting
Six domestic violence shelters (both urban and rural) in the state of Texas.
Participants
Two hundred fifteen women recruited from domestic violence shelters.
Methods
Seven items pertaining to sleep disturbances during the past 30 days were employed
as dependent variables (in addition to a composite index). Measures of non-gun IPV
(i.e., coercive control, physical abuse, and sexual abuse) as well as three forms
of gun IPV (implicit threats, explicit threats, and gun-related abuse) were constructed.
A dichotomous item assessing partner gun ownership was also employed. Ordinary least
squares and Logistic regression models adjusting for covariates were estimated.
Results
Independent of other forms of abuse, coercive control was associated with the sleep
disturbances index and five of the seven individual sleep items. Ancillary analyses
revealed that this association was party explained by post-traumatic stress disorder
symptomatology. Moreover, while gun IPV and sleep disturbances were unrelated, partner
gun ownership was associated with five of the seven sleep disturbance items.
Conclusions
Coercive control appears to be central to the sleep health of IPV victims, and partner
gun ownership may represent an additional risk factor for sleep disturbances beyond
experiences of abuse. The consequences of abuse and firearms in the context of intimate
partner abuse may extend beyond physical injury to other health outcomes including
sleep disturbances.
Keywords
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Article info
Publication history
Published online: July 16, 2020
Identification
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© 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
