Alcohol-related intimate partner violence - La Trobe University

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Alcohol-related intimate partner violence

Ingrid Wilson, PhD Candidate

La Trobe University

Outline

What do we know about alcohol-related intimate partner violence (IPV)?

What interventions or strategies have an impact on alcohol-related IPV?

What role can local government play?

Intimate Partner Violence

Intimate partner violence (IPV) is prevalent worldwide

(WHO, 2002)

Significant issue for Australian women

(ABS Personal Safety Survey 2005)

Major impact on women’s health and well-being

(VicHealth, 2004)

Prevalence

Alcohol is involved in a significant proportion of intimate partner violence

Prevalence

US studies 25-50% alcohol (Leonard, 2001) involve Alcohol was a definite factor in

43% of family violence incidents in Victoria in 2009-2010

(Victorian Department of Justice 2012)

Indigenous partner homicides 13 times more likely to involve alcohol than non-indigenous partner homicides (Dearden & Payne, 2009)

Australian victimisation survey - 1 in 3

(35%) recent incidents were alcoholrelated (Mouzos and Makkai, 2004)

50.3% of partner violence is alcoholrelated; 73% physical assaults

(Laslett et al., 2010)

41% of police recorded domestic assaults in NSW in

2010 were alcohol-related

(Grech and Burgess, 2011)

Alcohol – what role?

Exact role of alcohol – complex and contentious

Causation

Lack of consensus on theories and models

Alcohol as an excuse

“Alcohol may not cause partner violence, but it seems to make it worse”

(Graham et al, 2011)

Type of drinking

Quantity per drinking occasion rather than frequency

(Graham & Bernards,

2008)

Heavy episodic/binge drinking = more aggression and more severe violence

(Foran &

O’Leary, 2008)

Risk increases when one or both partners drink

(Abramsky, 2011)

Support for primary prevention

• “The strong association between alcohol and intimate partner violence and sexual violence suggests that primary

prevention interventions to reduce the harm caused by alcohol could

potentially be effective.”

(WHO, 2010)

Interventions?

The Social-Ecological Model: A Framework for Prevention (Krug, 2002; Heise, 1998)

Alcohol outlet density

Alcohol restrictions

Alcoholism

Treatment

(individual & couples)

Societal Community Relationship Individual

Alcohol pricing

& taxation

• Small evidence base

• Limitations

• Significant gaps

Opportunities for Local Government

Alcohol outlet density

Promising area for local government to take a role

Growing area of research

Overall, studies show association between density of outlets and domestic violence

Field is divided regarding which type of outlets

Livingston (2011) substantial effect for packaged liquor. An increase of 1 outlet per 1,000 residents associated with 28.6% increase in domestic violence

May have relevance for planning decisions

Alcohol outlet density studies

Study

Gorman

McKinney et al.,

Livingston

Livingston

Liang & Chikritzhs

Cunradi et al.,

Cunradi et al.,

Roman & Reid

Cameron et al,

Year

1998

2009

2010

2011

2011

2011

2012

2012

2012

Country

US

US

Aust

Aust

Aust

US

US

US

NZ

Offpremise

X

X

X

X

X

On-premise

X

X

X

X

X

Conclusion

Alcohol-related intimate partner violence is prevalent

While the role of alcohol is not clear, it is a significant risk factor across countries and cultures

(Abramsky, Watts, et al., 2009)

Alcohol is a modifiable risk factor but more studies at the population level are needed

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