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Wincentak2016 - Violencia en El Noviazgo Entre Adolescentes
Wincentak2016 - Violencia en El Noviazgo Entre Adolescentes
CITATION
Wincentak, K., Connolly, J., & Card, N. (2016, April 11). Teen Dating Violence: A Meta-Analytic
Review of Prevalence Rates. Psychology of Violence. Advance online publication. http://
dx.doi.org/10.1037/a0040194
Psychology of Violence © 2016 American Psychological Association
2016, Vol. 6, No. 2, 000 2152-0828/16/$12.00 http://dx.doi.org/10.1037/a0040194
Objective: The goals of the present review were to determine the prevalence of physical and sexual TDV
among adolescents, obtain the rates of teen dating violence (TDV) separately by gender, and examine the
potential moderation effects of age, demographics, and measurement. Method: A systematic literature
search elicited 101 studies reporting rates for youth aged 13 to 18. Results: Meta-analytic combination
produced an overall prevalence of 20% for physical TDV and 9% for sexual TDV. Significant variability
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
in rates was found, with physical TDV ranging from 1% to 61% and sexual TDV ranging from ⬍1% to
This document is copyrighted by the American Psychological Association or one of its allied publishers.
54%. Gender differences in physical TDV were significant for perpetration (boys 13% vs. girls 25%) but
not for victimization (21% boys and girls). A different pattern was observed for sexual TDV with girls
reporting lower rates of perpetration compared with boys (3% vs. 10%) and higher rates of victimization
(14% vs. 8%). Moderator analyses revealed higher rates in samples representing higher proportions of
older teens (sexual TDV), cultural minority girls (physical TDV), and disadvantaged neighborhoods
(physical TDV). Studies using broad measurement tools yielded higher rates of both forms of TDV across
gender. Conclusions: Basing the meta-analysis on a large pool of studies with comparable samples, 1 in
5 adolescents reported physical TDV and roughly 1 in 10 reported sexual TDV. Systematic bias in boys’
and girls’ self-reports was evident along with high variability in TDV rates across studies and significant
moderator influences. These findings are suggestive of substantive methodological challenges in extant
studies. The obtained rates should be cautiously interpreted and future research should address the
methodological limitations of self-reported TDV, taking into consideration the potential influences of
gender, demographics, age, and measurement issues when designing TDV research.
Keywords: gender, intimate partner violence, meta-analysis, prevalence, teen dating violence
Adolescence is characterized by the emergence of romantic Alarmingly, many adolescents report experiencing violence
relationships. These partnerships play an important role in social within their romantic relationships and these experiences have
development as they provide a context for learning intimacy skills been associated with serious physical and mental health conse-
as well as for developing identity and autonomy (Connolly & quences (Foshee & Matthew, 2007; Hickman, Jaycox, & Aronoff,
McIsaac, 2009). However, romantic relationships are also sources 2004; Jouriles, Platt, & McDonald, 2009). Depression, substance
of intense emotion and conflict, which together may set a founda- use, eating disorders, school failure, early pregnancy, suicide at-
tion for the emergence of teen dating violence (TDV) (Larson, tempts, and injuries requiring medical attention are all associated
Clore, & Wood, 1999). According to the Centers for Disease with experiences of teenage dating violence (Muñoz-Rivas, Grana,
Control and Prevention (2009), dating violence refers to a wide O’Leary, & Gonzalez, 2007; Silverman, Raj, Mucci, & Hathaway,
range of harmful partner-directed behaviors. Psychological TDV 2001). Further augmenting the importance of focusing on this life
refers to emotionally or socially manipulative acts designed to stage, adolescence is when interactional patterns for romantic
indirectly damage the partner. Physical TDV can vary from acts relationships are being learned and these patterns frequently carry
such as shoving and slapping to punching, kicking, choking, or over into adulthood (Bouchey & Furman, 2003). Thus, adolescents
burning. Sexual TDV includes sexual activity forced on the part- who experience violence in their emergent dating relationships
ner, ranging from behaviors such as unwanted touching to forced may have a trajectory of increased risk for further and more severe
penetration. In this analysis we focus specifically on physical and violence as they mature (Foshee et al., 2009; Williams, Connolly,
sexual TDV because of their consistent links with harmful out- Pepler, Craig & Laporte, 2008).
comes. Given the significant implications for current and long-term
adjustment, TDV constitutes a significant public health issue.
Consequently, several researchers have focused their efforts on
informing the design, implementation, and evaluation of preven-
Katherine Wincentak and Jennifer Connolly, Department of Psychology, tion programs. These programs aim to eliminate TDV (Foshee &
Faculty of Health, LaMarsh Centre for Child and Youth Research, York
Matthew, 2007; Jouriles et al., 2009; Wolfe et al., 2003), and an
University; Noel Card, Department of Educational Psychology, University
of Connecticut.
essential precondition to achieving this goal is to obtain a clearer
Correspondence concerning this article should be addressed to Katherine understanding of its scope. However, the reported prevalence rates
Wincentak, Department of Psychology, Faculty of Health, LaMarsh Centre of TDV vary widely between studies. In light of the divergent
for Child and Youth Research, York University, 4700 Keele Street, To- findings within the body of TDV research and the fact that this
ronto, ON M3J 1P3, Canada. E-mail: kwincent@yorku.ca literature has not yet been quantitatively synthesized, a meta-
1
2 WINCENTAK, CONNOLLY, AND CARD
analytic review of the existing research on the prevalence of TDV As adolescents gain competence in romantic interactions and
is warranted. The goals of the current research are to use meta- progress toward stable dyads in late adolescence, the function of
analytic techniques to obtain prevalence estimates of physical and violent behaviors within relationships may differ from early ado-
sexual TDV among boys and girls and to account for diversity lescence. At the late adolescent stage, violence between romantic
within the reported rates. partners is thought to be for the purpose of controlling or domi-
nating a partner by causing some level of harm (Wolfe, Scott, &
Prevalence of Teen Dating Violence Crooks, 2005). As adolescent boys’ and girls’ physical capacities
In 2000, Archer published a seminal meta-analysis of the extant reach full expression, girls may reduce their aggression toward
research on physical violence between romantic partners. This their partner because it is less likely to be effective in controlling
review generated many significant findings about dating violence. the relationship (Stets & Straus, 1990). Conversely, some late
Importantly, Archer highlighted that higher rates were found adolescent boys may act with aggression toward their partner
among younger samples and that women were perpetrators of because their acts of violence are likely to be successful in con-
violence at least as often as men. However, Archer’s meta-analysis trolling or dominating their partner (Hamby et al., 2006). Despite
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
was limited in that it did not examine sexual dating violence and the evidence that rates of TDV appear to decline in later adoles-
This document is copyrighted by the American Psychological Association or one of its allied publishers.
focused primarily on college samples (White, Smith, Koss, & cence (Foshee et al., 2009), evidence also suggests that a subset of
Figueredo, 2000). Furthermore, since Archer’s report, empirical relationships may become more conflictual and involve increas-
research examining TDV has grown exponentially. Within the ingly severe acts of violence (O’Leary et al., 2008; Roberts,
years 2000 through 2013, more than 1,000 articles investigating Auinger, & Klein, 2006). A central goal for this meta-analysis will
this phenomenon have been published. Despite these research be to determine rates of physical and sexual TDV victimization
efforts, prevalence rates of TDV remain uncertain because of the and perpetration for both boys and girls and to examine how the
amount of variation across studies. More precisely current research rates change with age.
suggests that the prevalence of physical and sexual TDV ranges
from less than 10% to more than 50% across studies (Ackard &
Neumark-Sztainer, 2002; Serquina-Ramiro, 2005; Ulloa, Jaycox,
Demographic Predictors of Teen Dating Violence
Marshall, & Collins, 2004; Wolitzky-Taylor et al., 2008). To Demographic variables related to the cultural, economic, and
explain this variation, our meta-analysis incorporates a focus on familial characteristics of a sample have been commonly reported
gender and also examines the impact of developmental, demo- in the physical TDV literature, allowing for the consideration of
graphic, and measurement variables on the rates found. these variables as potential predictors of physical TDV rates within
this meta-analysis. Sexual TDV has not been studied as exten-
A Gendered Developmental Perspective of Teen sively as physical TDV; however, the cultural composition of
Dating Violence samples has been reported consistently and thus this variable will
Romantic relationships change throughout adolescence, and be explored as a potential predictor of sexual TDV as well.
these changes occur within the context of adolescents’ gendered Examination of the influence of cultural or ethnic background
environments (Smith, White, & Moracco, 2009). Relationships on violence is complex and controversial. Unsurprisingly, the
tend to progress from casual interactions to more lasting dyadic association between TDV and culture has yielded conflicting re-
relationships (Connolly & McIsaac, 2009), and within these emer- sults. Several studies have reported no cultural or ethnic differ-
gent relationships it is commonly reported that girls are more ences in TDV prevalence rates (Malik, Sorenson, & Aneshensel,
likely to perpetrate violence against boys (O’Leary, Smith Slep, 1997; O’Leary et al., 2008). In contrast, several other studies have
Avery-Leaf, & Cascardi, 2008; Sears, Byers, & Price, 2007; identified differences, with higher TDV rates reported among
Wolfe, Scott, Reitzel-Jaffe, Wekerle, Grasley, & Straatman, 2001) particular cultural subgroups within a given sample (Howard,
but that girls are more likely to experience negative consequences Wang, & Yan, 2007; Kennedy, 2008; O’Keefe, 1997; Ulloa et al.,
or injury as a result of TDV (Hamby, Sugarman, Boney-McCoy, 2004). Structural factors have mitigated against drawing firm
2006; Tjaden & Thoennes, 2000). To understand this pattern of conclusions, especially increased economic disadvantage and com-
findings, researchers have suggested that it may be important to munity violence which are disproportionately faced by cultural
consider the problem solving approaches boys and girls learn minority groups. However, investigation of the association be-
within sex-segregated friendships during childhood and then bring tween economic disadvantage and TDV has also been inconclu-
with them to the initiation of romantic relationships (Connolly & sive, largely because of a lack of heterogeneity in the economic
McIsaac, 2009; Underwood, 2007). Specifically, it has been pos- status of samples within studies (Hird, 2000; Malik et al., 1997).
tulated that boys and girls may use behaviors more typical of the Meta-analysis can address these limitations by considering effects
opposite sex in conflict situations. Thus, boys may inhibit aggres- across many studies, spanning different countries and economic
sive behaviors with girls, and girls may use more violence with backgrounds. In this study, minority status refers to membership in
boys (McIsaac, Connolly, McKenney, Pepler, & Craig, 2008; Rose any cultural group other than the predominant group in one’s
& Rudolph, 2006; Shute & Charlton, 2006). Reinforcing these country of origin. For example, youth who identify as being of
behavioral styles, girls’ aggression toward boys is less socially Chinese heritage in a European country are within the cultural
sanctioned than boys’ aggression toward girls, with adolescents minority whereas they would be within the cultural majority in
often reporting that it is quite acceptable for girls to hit their China. Economic disadvantage refers to whether a sample is de-
boyfriends (Simon, Miller, Gorman-Smith, Orpinas, & Sullivan, scribed as being obtained from a disadvantaged neighborhood,
2010). school, or region, or was reported to be receiving services targeted
TEEN DATING VIOLENCE 3
for low income families or communities. Both cultural and eco- through 2013 in several electronic databases, including Psy-
nomic influences on TDV will be considered in the current study. cINFO, Sociological Abstracts, and the Education Resources
Results regarding the effect of family structure on TDV have Information Center. Search terms included the following: teenⴱ
also been mixed. Malik et al. (1997) found that living in a single- OR adolescenⴱ OR high school AND dating OR romantic OR
parent family was a correlate of TDV for girls, whereas O’Keeffe romance OR intimaⴱ AND violenⴱ OR aggressⴱ OR victimⴱ OR
(1986) did not find an association between family structure and abuse OR abusive. Second, references cited in works obtained
TDV. Evidence from a study by Foshee, Linder, MacDougall, and through the first search technique were examined. To be in-
Bangdiwala (2001) suggests that although family structure may be cluded in this meta-analytic review, studies met the following
correlated with rates of TDV, family structure does not predict criteria: (a) physical or sexual dating violence rates were re-
TDV rates in longitudinal models. Thus family structure will also ported; (b) the sample consisted of teens between the ages of 13
be evaluated as potential predictor of physical TDV rates. and 18 (postsecondary samples were not included; neither were
studies with a wider age range that encompassed adolescence
Measuring Teen Dating Violence unless they reported prevalence rates separately for the adoles-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Methods of measuring TDV vary considerably between studies. cent subsample); (c) the sample could be considered normative
This document is copyrighted by the American Psychological Association or one of its allied publishers.
Many studies use multiitem questionnaires such as the Conflict (studies of special populations such as those selected for med-
Tactics Scale (Straus, Hamby, Boney-McCoy, & Sugarman, 1996) ical or psychological referrals, pregnant or parenting teens, or
or the Conflict in Adolescent Relationships Inventory (Wolfe et homeless youth were excluded); (d) the studies were published
al., 2001) to assess physical TDV. But there are also studies that in peer reviewed journals or as a dissertation; and (e) the studies
inquire about physical TDV using a single item, often as part of a were available in written English. The search yielded 1,410
questionnaire such as the Youth Risk Behavior Survey (Sussman, studies. From scanning the titles and abstracts of these articles
Jones, Wilson, & Kann, 2002). The conceptualizations of TDV and dissertations, a subset of studies which appeared to meet the
with these measurement tools are not consistent, with multiitem inclusion criteria were selected for further inspection. After
questionnaires capturing a broader spectrum of behaviors com- careful review of the Method and Results sections of these
pared to single-item tools. The definition of sexual TDV also articles and dissertations, a total of 101 studies that met the five
varies between studies, with some studies focusing on experiences inclusion criteria were retrieved and analyzed as part of this
of forced sex and others inquiring about a range of unwanted meta-analysis. To address missing data within these studies, 54
sexual contact. Additionally, the reference period that is assessed authors were contacted to provide further information regarding
for TDV is not consistent within the literature. Depending on the their studies and seven of these authors provided usable data for
study, adolescents are asked to consider whether they have expe- this meta-analysis. See Figure 1 for exclusion details at each
rienced dating violence either across their lifetime, with a current stage of article selection.
or most recent partner, or within a set time interval, usually the last
two to six months. It is possible that these differences in measure-
ment strategies account for much of the variation in the TDV Coding of Studies
prevalence rates reported in the literature (Hamby et al., 2006).
Thus, measurement tool as well as reference period for reporting For each study, the sample size and proportion of teens reporting
will be evaluated as potential predictors of the obtained prevalence victimization and perpetration were coded separately for physical
rates. and sexual violence; this information was later meta-analytically
aggregated to provide overall prevalence estimates. The number of
Research Goals boys and girls and the proportion of boys and girls who reported
TDV victimization and perpetration were coded for subsequent
1. Establish overall prevalence rate estimates of physical evaluations of gender differences in physical and sexual preva-
and sexual TDV; lence rates. The following demographic and measurement vari-
ables were also coded: (a) mean age of the sample, coded in years;
2. Obtain separate prevalence rate estimates of physical and (b) cultural minority composition, coded as the percent of the
sexual TDV victimization and perpetration for boys and sample that is part of a cultural minority group relative to the
girls, and to evaluate gender differences; majority cultural group of the country from which the sample was
taken; (c) economic disadvantage, coded as whether the sample
3. Conduct moderator analyses to determine whether sam-
was described as being obtained from a disadvantaged neighbor-
ple age, cultural minority representation, family struc-
hood, school, region or was reported to be receiving services
ture, economic disadvantage, measurement tool, and ref-
targeted for low income families or communities; (d) family struc-
erence period account for differences in the TDV
prevalence rates found within the literature. ture, coded as the percent of the sample living in a two-parent
household; (e) measurement tool, coded as a single item on a
questionnaire or a multiitem scale for physical TDV and for sexual
Method
TDV, coded as inquiring about any unwanted sexual contact or
inquiring about attempted/forced sex only; (f) reference period for
Selection of Studies
TDV, coded as lifetime prevalence or a specific interval of one
Studies were obtained through two search techniques. First, year or less; and (g) publication status, coded as a published study
literature searches were conducted for the period of 1980 or an unpublished dissertation.
4 WINCENTAK, CONNOLLY, AND CARD
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
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Figure 1. Literature search process. Note. Articles may have been excluded based on multiple criterion.
.6 01
.5 006799
.4 0124555667
.3 01333446677889
.2 001112223344777899
.1 00001111122245557777788899
.0 13334666777778888999
Figure 2. Stem-and-leaf plot of physical TDV prevalence rates. Values represent the proportion of boys and
girls who reported either victimization or perpetration. Random effects mean proportion ⫽ .20
TEEN DATING VIOLENCE 5
.5 4
.4 8
.3 03
.2 136
.1 00122378
.0 1111224555788999
Figure 3. Stem-and-leaf plot of sexual TDV prevalence rates. Values represent the proportion of boys and girls
who reported either victimization or perpetration. Random effects mean proportion ⫽ .09
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
were transformed according to common practices for meta- The results indicated significant gender differences in the pro-
This document is copyrighted by the American Psychological Association or one of its allied publishers.
analytic combination and comparison. Specifically, proportions portion of teens who reported physical dating violence perpetration
were transformed to logits where logit ⫽ ln[p/(1 ⫺ p)] (Lipsey & but not victimization. The odds of reporting perpetration were
Wilson, 2001, pp. 39 – 40) to provide an approximately normal significantly higher for girls OR ⫽ .51, (95% CI ⫽ .41–.63), p ⬍
distribution. The average effect sizes were back-transformed into .001. Specifically, 25% of girls and 13% of boys reported that they
their more intuitive metric for reporting. Multiple effects sizes had been the perpetrators of physical dating violence. However,
from the same study were averaged to yield one effect size per there was no evidence of gender differences in physical TDV
study in any given analysis. This ensured that the independence victimization, OR ⫽ 1.18 (95% CI ⫽ .99 –1.40), p ⫽ .06. Across
assumptions necessary when testing significance and computing gender, 21% of teens reported that they had been victims of
standard errors were not violated. Significant heterogeneity was physical dating violence. The results of the gender analysis for
found across studies, indicating that the variance among effect physical TDV are presented in Table 1.
sizes was greater than would be expected due to sampling error. A different pattern of gender differences emerged for sexual
No studies appeared to be outliers. The weighted mean effect sizes TDV. Specifically, the odds of reporting perpetration were signif-
for physical and sexual TDV were computed using random effects icantly higher for boys than for girls, OR ⫽ 2.54, (95% CI ⫽
models (Lipsey & Wilson, 2001; Card, 2012). To evaluate poten- 2.21–2.92), p ⬍ .001, and the odds of reporting victimization were
tial publication bias, publication status was evaluated; no differ- significantly lower for boys than for girls, OR ⫽ .57, (95% CI ⫽
ence was found between published and unpublished rates (B ⫽ .41–79), p ⬍ .001. Results indicated that 10% of boys and 3% of
1.64, p ⫽ .28). Results indicate that 20% of teens reported physical girls reported that they had been the perpetrators of sexual dating
violence in their dating relationships, p(proportion) ⫽ .20, (95% violence and 14% of girls and 8% of boys reported that they had
CI ⫽ .17–.23), and 9% of teens reported sexual violence in their been the victims of sexual TDV. The results of the gender analysis
dating relationships, p (proportion) ⫽ .09, (95% CI ⫽ .05⫺.14). for sexual TDV are presented in Table 2.
.6 0
.5 1456677
.4 1268
.3 0023568899
.2 1344999
.1 0000003344467778889
.0 14557777788999
Figure 4. Stem-and-leaf plot of physical TDV victimization rates for girls. Values represent the proportion of
girls who reported victimization. Random effects mean proportion ⫽ .21
6 WINCENTAK, CONNOLLY, AND CARD
.6 00178
.5 4
.4 13334
.3 01356678889
.2 22368
.1 00022445789
.0 <15556688889999
Figure 5. Stem-and-leaf plot of physical TDV victimization rates for boys. Values represent the proportion of
boys and girls who reported either victimization or perpetration. Random effects mean proportion ⫽ .21
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
Developmental predictor. Mean age of the sample did not Measurement predictors. Measurement tool and reference
significantly predict the proportion of boys’ or girls’ reports of period were evaluated as predictors of girls’ and boys’ physical
either perpetration or victimization of physical TDV. However, and sexual victimization and perpetration rates. It was found that
mean age of sample did significantly predict girls’ and boys’ studies which used multiitem scales to assess physical TDV had
reported rates of sexual TDV victimization (B ⫽ 1.96, p ⬍ .001; higher reports of both victimization and perpetration for girls (B ⫽
B ⫽ 2.00, p ⬍ .01, respectively), such that older teens reported 2.85, p ⬍ .001; B ⫽ 3.20, p ⬍ .05) and for boys (B ⫽ 5.68, p ⬍
higher rates. .001; B ⫽ 1.57, p ⬍ .05) compared with studies which used a
Demographic predictors. Cultural minority composition single item. Measurement tool also significantly predicted rates of
(relative to the majority cultural group of the country from which sexual TDV. Studies which used a broader definition of sexual
the sample was taken) was a significant predictor of girls’ reports victimization as opposed to a narrow definition of forced sex or
of physical TDV victimization and perpetration, such that, as the attempted forced sex, had higher reports of girls’ victimization
number of cultural minority adolescents increased in the sample, (B ⫽ 4.10, p ⬍ .001), boys’ perpetration (B ⫽ 4.26, p ⬍ .05), as
the proportion of girls reporting victimization (B ⫽ 1.01, p ⬍ .001) well as boys’ victimization (B ⫽ 5.09, p ⬍ .05).
and perpetration (B ⫽ 1.01, p ⬍ .05) increased as well. Percent Reference period did not significantly predict girls’ or boys’
cultural minority did not predict boys’ victimization or perpetra- reported physical or sexual victimization or perpetration rates.
tion. Furthermore, cultural minority status was not a significant
predictor of the proportion of boys’ or girls’ reports of sexual TDV
Discussion
victimization or perpetration.
Economic disadvantage significantly predicted boys’ and girls’ From a search of more than 1400 articles, the rigorous selection of
physical TDV victimization and perpetration. Being in a sample studies which met specific criteria allowed us to extract and combine
characterized by economic disadvantage increased the proportion results from 96 studies of physical TDV and 31 studies of sexual
of victimization for girls and boys (B ⫽ .29, p ⬍ .001; B ⫽ .26, TDV. Overall, 20% of adolescents reported physical TDV and 9%
p ⬍ .001, respectively), as well as perpetration for girls and boys reported sexual TDV. However, high variability in rates was observed
(B ⫽ .36, p ⬍ .001; B ⫽ .37, p ⬍ .001, respectively). Economic across studies. Gender accounted for some of this variability in that
disadvantage was not evaluated for sexual TDV due to limited physical TDV perpetration differed between boys and girls as did
reporting of this variable in the sexual TDV literature. sexual perpetration and victimization. Demographics and approaches
The proportion of the sample living in a two-parent household to measurement also contributed, with age, cultural minority status,
did not significantly predict the proportion of boys’ or girls’ disadvantaged neighborhoods, and the use of broad measurement
reports of either the perpetration or victimization of physical TDV. tools all influencing TDV rates. Despite grounding the obtained
Family structure was not evaluated for sexual TDV due to prevalence rates of TDV in a comprehensive pool of the available
limited reporting of this variable in the sexual TDV literature. base of evidence, the meta-analytic findings also highlight substantive
.5 12359
.4 022344
.3 0034
.2 11236889
.1 0156778
.0 899
Figure 6. Stem-and-leaf plot of physical TDV perpetration rates for girls. Values represent the proportion of
girls who reported perpetration. Random effects mean proportion ⫽ .25
TEEN DATING VIOLENCE 7
.5 8
.4 8
.3 159
.2 0011468
.1 0122345666889
.0 223466666779
Figure 7. Stem-and-leaf plot of physical TDV perpetration rates for boys. Values represent the proportion of
boys who reported perpetration. Random effects mean proportion ⫽ .13
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
and unresolved issues in the self-report methodologies currently being perpetration (25%), the reverse was not found for girls’ victimiza-
This document is copyrighted by the American Psychological Association or one of its allied publishers.
used to assess TDV as reported by boys and girls in diverse settings. tion (21%), which was much higher than boys’ perpetration (13%).
Our findings call for a careful review of methodological approaches to These inconsistent comparisons suggest that there are methodolog-
studying TDV in order to advance knowledge in this domain. ical factors which lead to overreporting by girls, underreporting by
Male-perpetrated intimate partner violence has long been a boys, or both (Hamby, 2005). For example, it has been suggested
public concern. However, many researchers have indicated that that girls are more attentive to acts of interpersonal violence and so
females are equally or even more likely to report perpetrating are more likely than boys to endorse them in a self-report survey
physical violence within a romantic relationship, particularly (Jackson, 1999; McIsaac et al., 2008). Conversely, underreporting
when referring to minor acts of aggression or adolescent sam- of TDV may occur because of social desirability biases (Sugarman
ples (Archer, 2000; Gray & Foshee, 1997; O’Leary et al., 2008; & Hotaling, 1997). These biases may especially influence boys’
Wolfe et al., 2005). Our findings appear to support these reporting, due to the societal stigmatization of male violence
concerns in that one in four teen girls in the extant research toward women (Hamby & Jackson, 2010). Given that boys have a
report perpetrating physical dating violence, compared to one in physical advantage over girls (Reeves & Orpinas, 2012), male-on-
eight boys. Our findings would also be consistent with the female violence is more frightening and more serious than female-
developmental perspective that teen girls’ aggression toward on-male violence (Hamby & Jackson, 2010). Thus social desir-
their boyfriends may result from their relative inexperience in ability is more salient for boys than girls and likely contributes to
managing romantic relationships and then adopting typically boys’ lower rates of self-reported perpetration. Such methodolog-
masculine aggressive behaviors to express their frustration or to ical limitations need to be rectified if we are to be confident in the
resolve conflicts (Connolly et al., 2015; McIsaac et al., 2008; prevalence rates of boys’ and girls’ physical TDV.
O’Leary et al., 2008; Rose & Rudolph, 2006; Wolfe et al., The pattern of prevalence rates was quite different for sexual
2005). Furthermore, our results would fit with the view that TDV compared with physical TDV. First, both girls and boys
girls’ use of physical violence may persist because there is reported higher rates of sexual victimization (14% and 8%) com-
societal acceptance of girls’ romantic aggression and their use pared to their reports of perpetration (3% and 10%). We have
of aggression is relatively unsanctioned (Simon et al., 2010). suggested that boys’ lower physical TDV perpetration rates reflect
At the same time our meta-analytic findings call into question a social desirability bias leading to underreporting. This explana-
the straightforward interpretation of the obtained physical TDV tion may also account for the lower sexual perpetration rates
prevalence rates. Given that the studies in the meta-analysis in- reported by both genders as sexual violence may not considered
cluded heterosexual samples of teens, it would follow that reported commonplace or acceptable for either boys or girls. Second, in
rates of victimization should be similar to the perpetration rates contrast to physical TDV, girls reported higher rates of sexual
reported by the opposite gender. We can conceptualize this com- victimization and lower rates of perpetration with boys reporting
parison as a validity check of our obtained rates. Although boys’ the complementary pattern of higher rates of perpetration and
victimization (21%) was indeed roughly comparable with girls’ lower rates of victimization. Compared with physical TDV sexual
.6 5
.5 4
.4 8
.3 8
.2 236
.1 0000456788
.0 1236689
Figure 8. Stem-and-leaf plot of sexual TDV victimization rates for girls. Values represent the proportion of
girls who reported victimization. Random effects mean proportion ⫽ .14
8 WINCENTAK, CONNOLLY, AND CARD
.4 26
.3 0
.2 2
.1 013
.0 <1113467889
Figure 9. Stem-and-leaf plot of sexual TDV victimization rates for boys. Values represent the proportion of
boys who reported victimization. Random effects mean proportion ⫽ .08
TDV typically includes more severe acts of violence, which boys analysis, a lack of variation in age between the samples limited its
are more likely to commit than girls (Hamby, 2009). It is also the ability as a moderator to detect developmental differences. Thus,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
case that girls are more likely than boys to experience fear and developmental pathways need to be further explored using more
This document is copyrighted by the American Psychological Association or one of its allied publishers.
physical injury as a consequence of any form of TDV and this statistically sensitive age variables to examine trajectories across early
increases their likelihood of reporting victimization (Hamby & to late adolescence. Sexual TDV research, on the other hand, encom-
Turner, 2013; Molidor & Tolman, 1998; O’Keefe, 1997). These passes greater variation in mean age between studies, and this allowed
facts provide some support for the credibility of the sexual vic- for the detection of changing sexual TDV rates with age. Specifically,
timization rates we obtained while still leaving open the problem- it was found that older adolescents, both girls and boys, reported
atic reporting of perpetration in the methodologies currently in use higher sexual TDV victimization rates. Developmentally, romantic
to study TDV. relationships increase in sexual expression across adolescence (Con-
Turning to the influence of demographic variables, higher rates of nolly et al., 2014); thus, the opportunity for sexually coercive behav-
physical TDV victimization and perpetration were found in samples iors to arise increases over time and this is reflected in increasing rates
from disadvantaged neighborhoods and in samples having a higher of victimization.
percentage of cultural minority youth, but for girls only. Research has With respect to family structure and TDV, the literature has
suggested that the structural conditions that members of a minority been mixed. The finding of null effects in this meta-analysis
cultural group face, such as discrimination and reduced economic suggests that other family level variables, such as low parental
opportunities, are related to violence (Benson, Fox, DeMaris, & Van monitoring and exposure to parental intimate partner violence
Wyk, 2003; Carbone-Lopez, 2013). Specifically, as restricted access (Banyard, Cross, & Modecki, 2006; Garrido & Taussig, 2013;
to economic resources is associated with higher levels of social Leadbeater, Banister, Ellis, & Yeung, 2008) may be more impor-
disorganization, weaker social bonds, lower informal social control, tant than family structure when considering the influence of family
and higher levels of crime, it may be these latter factors that more on TDV.
directly influence the reported rates of TDV (Benson et al., 2003; In contrast to the other moderator influences, strong effects were
Malik et al., 1997). Furthermore, evidence has supported the finding found for measurement in that studies using multiitem scales to
that women of cultural minority status who are living in poverty are assess physical TDV yielded higher prevalence rates than studies
at greatest risk of violence by intimate partners (Benson et al., 2003). using a single item. There are several possible interpretations of
The meta-analytic results highlight the reality that minority girls, who this finding. First, it is possible that broad scales with multiple
are more likely to experience a cumulative effect of multiple risks, are items are better than scales with a single item at eliciting recall of
particularly vulnerable to experiencing physical TDV. It is important dating violence by orienting the adolescent to the context of TDV
to note that sexual TDV rates were not predicted by cultural minority and asking questions about specific behaviors. Furthermore, as
status, further highlighting the distinct nature of these two forms of single items about TDV tend to be embedded within a list of
TDV. questions about a range of negative or harmful behaviors, it is
The finding that age did not predict rates of physical TDV is not possible that this approach may elicit a response bias, wherein
consistent with previous developmental research, which has sug- teens endorse a lack of participation in socially unacceptable
gested curvilinear trajectories for TDV rates (Foshee et al., 2009). behaviors, including TDV. On the other hand, broader scales may
Although our results failed to support a significant age effect it is elicit more false positives. Acts such as pushing or kicking may
important to be cautious when interpreting these null results. The occur within a playful context and are not necessarily indicative of
majority of the studies within the field of physical TDV research focus violence between partners. Several researchers have posited that
on high school students between the ages of 13 to 18 with a mean age measures inquiring about these acts may also be capturing play
of approximately 16. With only mean age of sample available for fighting or mock violence in addition to acts of aggression. Thus,
.2 0
.1 7
.0 <11112334456
Figure 10. Stem-and-leaf plot of sexual TDV perpetration rates for girls. Values represent the proportion of
girls who reported perpetration. Random effects mean proportion ⫽ .03
TEEN DATING VIOLENCE 9
.3 4
.2 05
.1 01112347
.0 1445
Figure 11. Stem-and-leaf plot of sexual TDV perpetration rates for boys. Values represent the proportion of
boys who reported perpetration. Random effects mean proportion ⫽ .10
roughhousing and other behaviors that are commonly carried out tion reported in the original studies (Card, 2012); this allows for
with the intent of being teasing or flirtatious may be miscatego- the possibility that any significant predictor identified through
rized, potentially resulting in overestimates of TDV rates (Capaldi meta-analysis may only be a covariate of a true predictor
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
& Crosby, 1997; Fernández-González, O’Leary, & Muñoz-Rivas, (Lipsey, 2003). Furthermore, as each primary study was de-
This document is copyrighted by the American Psychological Association or one of its allied publishers.
2013; Hamby, 2009; Lehrner & Allen, 2014). signed with different goals, the data reported in these studies is
In the measurement of sexual TDV, broader definitions simi- highly variable. This increases the potential for encountering
larly yielded significantly higher rates of victimization and perpe- missing data for any given variable in the meta-analysis and
tration than narrow definitions focused on forced sex only. These limits possibilities for conducting multivariate analysis. Specif-
results indicate that the experience of sexual violence within teen ically, we note that it was not possible to examine potential
relationships includes patterns of sexual violence that are broader associations of economic disadvantage and family structure
than forced sex and more commonly include other forms of un- with rates of sexual TDV as these variables were not well
wanted sexual contact from romantic partners, such as unwanted represented within the literature. In general, teen sexual vio-
kissing, touching, and threatening behaviors. The accurate mea- lence is underrepresented in the TDV literature and so findings
surement of sexual dating violence, distinguishing between rape related to sexual TDV may require cautious interpretation.
and various other forms of sexual harassment or assault, is crucial Furthermore, TDV was defined by physical and sexual acts of
for understanding gendered patterns in victimization and perpetra- violence within this meta-analysis; however, there are other
tion (Hamby, 2009). definitions of TDV, notably those which encompass psycholog-
The lack of a significant effect for reference period appears ical, emotional, and cyber dating aggression. Although various
counterintuitive, as it was expected that the likelihood of TDV forms of TDV may co-occur (Zweig, Dank, Yahner, & Lach-
being reported would increase when inquiring about TDV within a man, 2013), these forms of TDV are represented by definitional
longer timeframe. Interestingly, a careful examination of the cur- heterogeneity even greater than that of physical and sexual
rent literature revealed that broader assessments of TDV (which TDV. The rates, predictors, and outcomes of psychological,
elicit higher reported rates) are more than twice as likely to ask emotional, and cyber TDV require further study. It is also
about TDV within a specific time interval, than to ask about important to note that sexual minority youth were not repre-
lifetime prevalence. These null results highlight the way in which sented within this meta-analysis. Despite research indicating
measurement practices in the study of TDV can combine to influ- that sexual minority youth experience high rates of bullying and
ence the rates reported. harassment (Williams, Connolly, Pepler, & Craig, 2005), there
has been limited study of TDV among these youth. Assuming
Limitations heterosexuality for all adolescents is problematic, and further
investigation of the prevalence, predictors, and consequences of
Despite the contributions of this meta-analytic review, there TDV for sexual minority adolescents is necessary to target
are some limitations to the findings. One limitation of meta- prevention and intervention programming (Dank, Lachman,
analysis is that the data are inherently constrained to informa- Zweig, & Yahner, 2014; Reuter, Sharp, & Temple, 2015).
Table 1 Table 2
Prevalence Rates and Gender Differences in Physical TDV Prevalence Rates and Gender Differences in Sexual TDV
Overall rate 96 .20 [.17, .23] Overall rate 31 .09 [.05, .14]
Victimization 50 1.18 Victimization 17 .57ⴱⴱⴱ
Girls 62 .21 [.17, .25] Girls 24 .14 [.08, .24]
Boys 52 .21 [.16, .26] Boys 17 .08 [.03, .16]
Perpetration 32 .51ⴱⴱⴱ Perpetration 12 2.54ⴱⴱⴱ
Girls 35 .25 [.21, .30] Girls 13 .03 [.02, .06]
Boys 38 .13 [.11, .16] Boys 15 .10 [.06, .15]
Note. k ⫽ number of studies. Odds ratios were calculated from studies Note. k ⫽ number of studies. Odds ratios were calculated from studies
that included prevalence rates for both boys and girls within each study. that included prevalence rates for both boys and girls within each study.
ⴱⴱⴱ ⴱⴱⴱ
p ⬍ .001. p ⬍ .001.
10 WINCENTAK, CONNOLLY, AND CARD
Table 3
Summary of Meta-Analysis Regressions: Predictors of the Prevalence of Physical TDV
Mean age K 42 32 26 26
B 1.16 .94 1.01 1.09
95% CI [.88, 1.55] [.68, 1.31] [.75, 1.37] [.76, 1.58]
Q 51.54 48.76 33.17 29.85
% cultural minority K 53 43 32 34
B 1.01ⴱⴱⴱ 1.01 1.01ⴱ 1.01
95% CI [1.01, 1.02] [1.00, 1.02] [1.00, 1.02] [1.00, 1.02]
Q 81.38ⴱⴱⴱ 48.86 45.32ⴱ 43.11
% nuclear family K 17 13 10 11
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Economic disadvantage K 62 51 35 38
B .29ⴱⴱⴱ .26ⴱⴱⴱ .36ⴱⴱⴱ .37ⴱⴱⴱ
95% CI [.19, .45] [.13, .50] [.21, .60] [.20, .67]
Q 117.59ⴱⴱⴱ 77.44ⴱⴱⴱ 67.05ⴱⴱⴱ 60.39ⴱⴱⴱ
Method of measurement K 62 51 35 38
B 2.85ⴱⴱⴱ 5.68ⴱⴱⴱ 3.20ⴱ 1.57ⴱ
95% CI [1.92, 4.22] [3.80, 8.50] [1.87, 5.46] [.99, 2.49]
Q 127.56ⴱⴱⴱ 159.19ⴱⴱⴱ 61.04ⴱⴱⴱ 58.61ⴱ
Reference period K 62 51 35 38
B 1.21 1.00 1.43 .98
95% CI [.73, 2.01] [.53, 1.88] [.86, 2.36] [.55, 1.75]
Q 72.03 63.25 59.91ⴱⴱⴱ 56.39ⴱ
Note. K ⫽ number of studies; B ⫽ the amount of difference in dating violence prevalence rates associated with a one-unit difference in the moderator variable.
ⴱ
p ⬍ .05. ⴱⴱⴱ p ⬍ .001.
Lastly, we note that the studies within the meta-analysis rely on Research Implications
the report of one partner in a relationship. Further research on
the agreement between partners about experiences of violence Findings reveal that violence in dating relationships is a reality for
may be important for informing the development of tools with many adolescents. Exploring TDV in terms of the context, severity,
higher validity (Vicario-Molina, Baz, Martín, Ortega, & Álva- and consequences would be valuable in better understanding gender
rez, 2015). differences as well as addressing higher rates of victimization and
Table 4
Summary of Meta-Analysis Regressions: Predictors of the Prevalence of Sexual TDV
Mean age K 17 13 9 9
B 1.96ⴱⴱⴱ 2.00ⴱⴱ 1.31 1.50
95% CI [1.30, 2.96] [1.19, 3.35] [.66, 2.61] [.86, 2.64]
Q 24.51 21.69ⴱ 16.09ⴱ 8.87
% cultural minority K 16 13 10 12
B .99 .99 .96 .99
95% CI [.96, 1.04] [.95, 1.03] [.93, 1.00] [.96, 1.01]
Q 8.75 7.82 8.82 12.10
Method of measurement K 24 17 13 15
B 4.10ⴱⴱⴱ 5.09ⴱ 1.66 4.26ⴱ
95% CI [1.43, 11.76] [1.26, 20.65] [.13, 21.69] [1.35, 13.41]
Q 28.64 27.33ⴱ 10.47 18.28
Reference period K 24 17 13 15
B 1.00 .33 .41 1.17
95% CI [.29, 3.44] [.08, 1.41] [.11, 1.60] [.42, 3.30]
Q 13.92 15.01 11.24 15.89
Note. K ⫽ number of studies; B ⫽ the amount of difference in dating violence prevalence rates associated with a one-unit difference in the moderator variable.
ⴱ
p ⬍ .05. ⴱⴱⴱ p ⬍ .001.
TEEN DATING VIOLENCE 11
perpetration among economically disadvantaged and cultural minority lence Against Women, 14, 998 –1013. http://dx.doi.org/10.1177/
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Clinical and Policy Implications borhood disadvantage, individual economic distress and violence against
As dating violence is common in adolescence, it is important for women in intimate relationships. Journal of Quantitative Criminology,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
clinicians to keep this in mind when working with teens. Questions 19, 207–235. http://dx.doi.org/10.1023/A:1024930208331
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Appendix
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Table A1
This document is copyrighted by the American Psychological Association or one of its allied publishers.
Cultural Nuclear
Pub. Proportion Mean age minority family Economic Ref.
First author Year statusa (p) N Female (%) (years) (%) (%) disadvantageb Methodc Periodd
(Appendix continues)
TEEN DATING VIOLENCE 17
Table A1 (continued)
Cultural Nuclear
Pub. Proportion Mean age minority family Economic Ref.
First author Year statusa (p) N Female (%) (years) (%) (%) disadvantageb Methodc Periodd
(Appendix continues)
18 WINCENTAK, CONNOLLY, AND CARD
Table A2
Studies Reporting Prevalence Estimates of Sexual Teen Dating Violence
Cultural Nuclear
Pub. Proportion Female Mean age minority family Economic Ref.
First author Year statusa (p) N (%) (years) (%) (%) disadvantageb Methodc Periodd