Using data from a nested longitudinal case-control study on workplace violence, this proposal will be among the first to examine prospectively the role of alcohol as both predictor and consequence of significantly distinct yet interrelated forms of violence against women, intimate partner violence and workplace violence. Although there is an ample literature attesting to the strong positive association between violent victimization and alcohol abuse, an over-reliance on cross-sectional data may mask the temporality of this relationship as well as potential social and behavioral predictors of both alcohol abuse and violence revictimization. This study will use longitudinal data analysis methods to a) investigate the direct and indirect effects of violence victimization on alcohol intake and patterns of alcohol abuse b) identify social and behavioral risk and protective factors of alcohol abuse and c) evaluate two hypotheses of women's vulnerability to revictimization: vulnerability to revictimization potentially varies by degree of adult attachment security and according to PTSD symptom clusters. The proposed research will elucidate the impact of patterns of harmful drinking on risk of violence victimization across the lifespan in a heterogeneous sample of employed women, thus providing public health professionals with an opportunity to develop treatment and prevention intervention activities for women with multiple trauma histories. These prevention and treatment aims are in accordance with the current strategic plan of the National Institute on Alcohol Abuse and Alcoholism.

Public Health Relevance

/Relevance. Characterizing the complex pathways between violence victimization and alcohol abuse as well as understanding the subsequent behavioral risk factors for revictimization can lead to refined alcohol abuse treatment and improved services for adult victims of multiple traumas with co-occurring mental disorders.

National Institute of Health (NIH)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Predoctoral Individual National Research Service Award (F31)
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Special Emphasis Panel (ZRG1-BBBP-J (29))
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Freeman, Robert
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Johns Hopkins University
Other Health Professions
Schools of Public Health
United States
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La Flair, Lareina N; Reboussin, Beth A; Storr, Carla L et al. (2013) Childhood abuse and neglect and transitions in stages of alcohol involvement among women: a latent transition analysis approach. Drug Alcohol Depend 132:491-8
Pacek, Lauren R; Storr, Carla L; Mojtabai, Ramin et al. (2013) Comorbid Alcohol Dependence and Anxiety Disorders: A National Survey. J Dual Diagn 9:
La Flair, Lareina N; Bradshaw, Catherine P; Campbell, Jacquelyn C (2012) Intimate partner violence/abuse and depressive symptoms among female health care workers: longitudinal findings. Womens Health Issues 22:e53-9
La Flair, Lareina N; Bradshaw, Catherine P; Storr, Carla L et al. (2012) Intimate partner violence and patterns of alcohol abuse and dependence criteria among women: a latent class analysis. J Stud Alcohol Drugs 73:351-60