Search

Objective Qualitative studies have described girls’ varying levels of confidence in managing their menstruation, with greater confidence hypothesized to positively impact health, education, and social participation outcomes. Yet, measurement of this and other psychosocial components of adolescent girls’ menstrual experiences has been weak in global health research, in part due to a dearth of appropriate psychometric tools. We describe the development and validation of the Self-Efficacy in Addressing Menstrual Needs Scale (SAMNS-26). Methods We conducted nine focus group discussions with girls in schools in rural and urban Bangladesh to identify tasks involved in menstrual self-care. This informed our creation of an initial pool of 50 items, which were reviewed by menstrual health experts and refined through 21 cognitive interviews with schoolgirls. Using a self-administered survey, we administered 34 refined items plus additional validation measures to a random sample of 381 post-menarcheal girls (ages 9–17) and retested a subsample of 42 girls two weeks later. We examined the measure’s dimensionality using exploratory factor analysis and assessed internal consistency, temporal stability, and construct validity. Results Exploratory factor analysis suggested a 26-item scale comprising three correlated sub-scales: the 17-item Menstrual Hygiene Preparation and Maintenance (α = 0.86), the 5-item Menstrual Pain Management (α = 0.87), and the 4-item Executing Stigmatized Tasks (α = 0.77). Sub-scales exhibited good temporal stability. SAMNS-26 scores correlated negatively with measures of anxiety, and girls who preferred to stay at home during their periods had lower SAMNS-26 scores than those who did not. Conclusion The SAMNS-26 provides a reliable measure of a schoolgirl’s confidence in her capabilities to address her menstrual needs. There is initial evidence to support the measure’s construct validity in the Bangladesh context as indicated by its relationships with other factors in its theorized nomological network. The tool enables incorporation of self-efficacy into multivariate models for exploring the relationships among antecedents to menstrual experiences and hypothesized impacts on health, wellbeing, and education attainment. Further testing of the tool is recommended to strengthen evidence of its validity in additional contexts.

Objective To assess the perspectives of Bangladeshi teachers on the feasibility of delivery and potential for long-term sustainability of puberty and menstruation education in urban and rural schools. Method We developed a multi-module puberty and menstrual hygiene management education curriculum that teachers piloted for six months in four urban and rural government and private schools in Bangladesh. We conducted monthly assessments during piloting, discussion for manual revision and four group discussions with 20 participating teachers to understand perceived benefits, barriers, and sustainability of puberty and menstruation education among school children. Results Teachers acknowledged the importance of school-based puberty and menstruation education to improve students’ perception and preparedness. They found that the training and instructors’ manual they received were useful tools for effectively communicating with students. Teachers noted school and community pressure to de-emphasize educational content not included on nationally standardized examinations, and insufficient time and pre-service training for teaching sensitive topics served as barriers to implementing the pilot curriculum. Conclusion Pressure from school authorities and community may hinder the successful long-term delivery of school-based puberty and menstruation education programs that are external to the national curriculum. Our findings indicate that feasibly and sustainably improving education on these topics in Bangladeshi classrooms should be achieved through 1) revision of the current national curriculum to incorporate more comprehensive puberty and menstruation information including its physiology, management, and social context, 2) adequate training and support for teachers to deliver the content, and 3) incorporation of puberty and menstruation content into students’ national examinations which may better ensure teachers are given the tools and opportunity to prioritize teaching this content.

Intimate partner violence (IPV) is a significant social concern, with high prevalence rates among Latinas and resulting serious negative outcomes, including parenting difficulties. Parenting following exposure to IPV is paramount as IPV can be frightening to children as well as disruptive to their development of emotional and self-regulation abilities. In fact, prior research has found that parents who are accepting of the expression of negative emotion in children may be able to protect them against some of the harmful effects of IPV. However, little is known about the way in which IPV-exposed Latina mothers approach their children’s negative emotions. The aim of this study was to examine factors associated with maternal acceptance of children’s negative emotions in IPV-exposed Spanish-speaking Latinas. This study examined predictors of Latinas’ acceptance of their children’s negative emotion, including the amount of IPV experienced, depressive and posttraumatic stress symptoms, and demographic factors. Results revealed that depressive symptoms were associated with lower levels of maternal emotion acceptance while maternal employment and domestic violence shelter use were associated with greater maternal acceptance of children’s negative emotions. Finding suggest that there are potentially modifiable factors that may be associated with levels of acceptance of child negative emotions among Spanish-speaking Latinas who have experienced IPV. The limitations and implications of the findings are discussed.

BackgroundHigher education attainment is linked to improved health and employment outcomes but the impact of university students’ experiences of menstruation on their education is less clear. The objective of this review was to synthesise qualitative and quantitative research on university students’ menstrual experiences and educational impacts.MethodsEligible studies were identified through systematic searching across eight peer-reviewed databases, websites for menstrual health organisations, grey literature databases, and reference lists of included studies. Eligible studies must have reported on at least one of the antecedents or components of menstrual experience outlined in the integrated model of menstrual experience in relation to university students or reported on the impact of their menstrual experiences on their education. Study characteristics and findings were extracted, analysed and presented as a narrative synthesis. The quality of evidence was assessed with the Mixed Methods Appraisal Tool. This study is registered on PROSPERO, number CRD42020178470.ResultsEighty-three studies were eligible for inclusion. Most studies (n = 74; 89%) were quantitative and the highest proportion of studies were conducted in lower-middle-income countries (n = 31; 37%). Self-reported dysmenorrhea, other physical and emotional menstrual-related symptoms, and menstrual stigma contributed to negative menstrual experiences among female students. Very few studies considered the menstrual experiences of non-binary and transgender menstruating students, and culturally diverse students. Dysmenorrhea contributed to university absenteeism, impaired participation and concentration, and declining academic performance. Inadequate sanitation facilities for menstrual management and challenges containing menstruation also negatively impacted education.ConclusionsFemale university students’ experiences of menstruation can negatively impact their education, highlighting the need for program and policy responses at university to improve students’ wellbeing and educational engagement. Further research on the menstrual experiences of gender diverse, migrant and international students is needed as there is insufficient evidence to date.

Objectives: There has been increased attention to university students’ experiences of menstrual disorders, and access to menstrual products, in high-income countries. Less attention has been directed to other aspects of their menstrual experience, including confidence for menstrual management. This study aimed to understand the factors affecting university students’ confidence to manage menstruation at university. Methods: An online survey was completed by 410 participants (age range: 16–46 years, mean = 20.1 years) who menstruate and study at an Australian university. Participants reported demographic characteristics, confidence to manage menstruation at university, and personal, physical and environmental factors. A Mann–Whitney U-test analysed differences in confidence between groups of students. Pearson’s correlation coefficient and bivariate linear regressions determined associations between factors and confidence. Statistically significant associations were inputted into a multiple linear regression model. P-values less than 0.05 were considered significant. Results: A minority of students (16.2%) felt completely confident to manage their menstruation at university. Menstrual knowledge, positive perceptions of menstruation and comfort to discuss menstruation with others positively predicted confidence. Physical menstrual symptoms, negative perceptions of menstruation, perceived stigma and using a menstrual cup or period underwear predicted lower confidence. In multiple regression, private and clean and sanitary university bathroom facilities, changing menstrual products at university, perceived stigma and negative perceptions of menstruation remained significant predictors. Conclusion: Most students did not have complete confidence to manage their menstruation at university. Several personal, physical and environmental factors were related to students’ confidence to manage menstruation. Assessment of these factors in future research with university students is recommended to enable a comprehensive understanding of their menstrual needs, and inform interventions aimed at improving their menstrual management confidence at university.

Objective To explore what “quality of care” means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. Methods Qualitative methods, with a purposive sample of women in Nigeria and Uganda. Participants were asked to define quality of care and to provide examples of when it was and was not provided. Thematic analysis was used to synthesize findings based on an a priori framework (the WHO quality of care framework). Results 132 in-depth interviews and 21 focus group discussions are included. Participants spontaneously discussed each of the WHO framework domains of quality of care. Data were richest across the domains of effective communication, respect and dignity, emotional support, competent and motivated human resources, and essential physical resources. Women believed that good quality of care ensured optimal psychological and physiological outcomes for the woman and her baby. Positive interpersonal relationships between women and health providers were important. These included supportive care, building rapport, and using positive and clear language. Conclusion To provide good quality of care, maternity services should consider and act on the expectations and experiences of women and their families.

Prior research on intimate partner violence (IPV) and a survivor’s decision whether to remain in or leave a violent relationship has often been framed by the question “why do they stay?” This study looks reframe the discussion and examine one facet of this stay–leave decision: abusers’ use of coercive control tactics. Using a qualitative approach with a sample of pregnant women exposed to IPV, we sought to expand on the current knowledge by looking at coercive control more broadly via an open-ended assessment. Interview responses show that (a) coercive control was experienced by most of the women in this sample and (b) coercion most often took the form of “latent” or hidden control, including such tactics as providing incentives, showing remorse, and making promises. However, such latent coercive tactics are rarely assessed in IPV survivors and represent an important factor deserving of further research and recognition.

Bangladesh has one of the world's highest rates of low birth weight along with prevalent traditional care practices that leave newborns highly vulnerable to hypothermia, infection, and early death. We conducted formative research to explore existing newborn care practices in rural Bangladesh with an emphasis on thermal protection, and to identify potential facilitators, barriers, and recommendations for the community level delivery of kangaroo mother care (CKMC). Forty in-depth interviews and 14 focus group discussions were conducted between September and December 2012. Participants included pregnant women and mothers, husbands, maternal and paternal grandmothers, traditional birth attendants, village doctors, traditional healers, pharmacy men, religious leaders, community leaders, and formal healthcare providers. Audio recordings were transcribed and translated into English, and the textual data were analyzed using the Framework Approach. We find that harmful newborn care practices, such as delayed wrapping and early initiation of bathing, are changing as more biomedical advice from formal healthcare providers is reaching the community through word-of-mouth and television campaigns. While the goal of CKMC was relatively easily understood and accepted by many of the participants, logistical and to a lesser extent ideological barriers exist that may keep the practice from being adopted easily. Women feel a sense of inevitable responsibility for household duties despite the desire to provide the best care for their new babies. Our findings showed that participants appreciated CKMC as an appropriate treatment method for ill babies, but were less accepting of it as a protective method of caring for seemingly healthy newborns during the first few days of life. Participants highlighted the necessity of receiving help from family members and witnessing other women performing CKMC with positive outcomes if they are to adopt the behavior themselves. Focusing intervention messages on building a supportive environment for CKMC practice will be critical for the intervention's success.

Little is currently known about father-child contact in families with histories of intimate partner violence (IPV), despite important implications of father contact for these families. The current study of 219 ethnically diverse children aged 6 to 12-years-old and their abused mothers examined relations between father contact, IPV, and children’s internalizing and externalizing problems. Approximately 30 % of the children had no current in-person contact with their father, while another 15 % saw their father every day of the past year. Child internalizing and externalizing problems were positively correlated with frequency of IPV, but unrelated to father contact. Controlling for marital status and mother education, father contact moderated relations between IPV and child externalizing, but not internalizing problems. While father contact was not associated with child adjustment across the entire sample, it did moderate relations between IPV and child behavior problems, suggesting that child contact with a less violent or nonviolent father or father figure might have a buffering effect on behavior problems in children exposed to IPV. Recommendations around father contact in families with IPV are discussed.

Evidence suggests that social support may act as a potential protective factor for psychological maladjustment, but few studies have examined the social support networks of young children exposed to intimate partner violence (IPV). The present study examined the in-home networks for 120 preschool-age children who were recently exposed to male-to-female IPV. Results indicated that larger in-home networks were associated with fewer child internalizing and externalizing problems. Mother’s education level was found to moderate the relationship between total in-home network size and child adjustment, such that that when mothers had low levels of education, children had fewer overall adjustment problems as network size increased. When mothers had high levels of education, child adjustment did not significantly vary as network size increased. These findings suggest that the presence of extended family members in the home can positively influence child functioning following exposure to male-to-female IPV.

Although much is known about the effects of intimate partner violence (IPV) on children in general, little is known about sibling differences in adjustment following IPV exposure. The experiences of 2 sibling pairs who participated in an intervention for preschoolers are described using both qualitative and quantitative methods. The 2 sibling pairs illustrate the ways in which exposure to IPV affects children in the same family differently. Although all 4 children experienced fewer posttraumatic stress disorder (PTSD) symptoms following intervention, the adjustment of the younger siblings improved more than their older siblings. The older siblings also had more adjustment problems than their younger siblings, both before and after the program. Results suggest that even though children exposed to IPV in the same family may develop problems in adjustment, they may not express their distress or recover from it in the same way.

Preschool children who witness severe intimate partner violence (IPV) are at increased risk for a wide range of emotional, behavioural, cognitive, and health problems. Although much of intervention research has focused on alleviating their psychological symptoms, we know little about efforts to provide these children with preventative safety training. The Preschool Kids’ Club Program is a 10-session intervention that addresses the psychological adjustment of children and mothers exposed to IPV. It is based on the Kids’ Club Program, which has already proved effective for school-aged children in decreasing behaviour problems and increasing safety-planning skills. The current study describes specific therapeutic strategies for teaching young children safety-planning, and uses qualitative methods to examine children's baseline knowledge of safety-planning and whether or not knowledge of safety-planning improves following participation in the Preschool Kids’ Club Program. Results indicate preschool-aged child...

Emotional and cognitive changes that occur during adolescence set the stage for the development of adaptive or maladaptive beliefs about emotions. Although research suggests that parents’ behaviors and beliefs about emotions relate to children’s emotional abilities, few studies have looked at parental socialization of children’s emotions, particularly in families with depressed adolescents. The present study examined associations between parent and adolescent meta-emotion philosophies (MEP), defined as thoughts, reactions, and feelings about their own emotions. Additionally, adolescent depressive status was tested as a moderator of relationships between parents’ and adolescents’ MEP. One hundred and 52 adolescents, aged 14–18 (65.8% female), and their parents (148 mothers, 106 fathers) participated in a study on emotion socialization in families of depressed and healthy adolescents. Depressed adolescents (n = 75) and matched healthy adolescents (n = 77) were recruited based on research criteria for mental health status. The sample was largely Caucasian (82%) and of middle socioeconomic class status. Results indicated that mothers’ and fathers’ MEP about their children’s emotions were associated with adolescents’ MEP, although parents’ MEP about their own emotions was unrelated to adolescents’ MEP. Fathers’ MEP about children’s emotions made unique contributions to adolescents’ MEP across both adolescent groups. Adolescents’ depressive status moderated the relationship between mothers’ and adolescents’ MEP such that mothers’ MEP was particularly relevant for depressed adolescents. The continued influence of parents in the emotional lives of adolescents is discussed as well as differences in emotion socialization in families with depressed and healthy adolescents.

The current study examined the relation between intimate partner violence (IPV) and children's reactions to a stressful peer interaction in a community-based sample. The moderating role of parental emotion coaching in buffering children from negative reactions to a peer was also examined. Children participated in a peer provocation paradigm and mothers completed the Parent Meta-Emotion Interview. Both adaptive (i.e., laughing, ignoring) and maladaptive (i.e., hostile/challenging, odd behaviors) reactions to the provocative peer were examined. IPV was positively related to children's laughing and odd behaviors but was unrelated to ignoring and hostile/challenging behaviors. Additionally, emotion coaching was found to moderate relations between IPV and children's laughing and odd behaviors. The importance of understanding protective factors in families experiencing IPV and of developing emotion coaching parenting programs is discussed.

The current study examined the relations between maternal meta-emotion philosophy and adolescent depressive symptoms, as well as general adolescent adjustment and the quality of parent–child interaction. Consistent with previous findings on children in the preschool period and middle childhood, it was expected that an emotion coaching meta-emotion philosophy would be associated with fewer depressive symptoms, higher levels of adjustment and lower frequencies and less reciprocity of aversive and dysphoric affect during mother–child interaction. Maternal meta-emotion interviews, observations of mother–child interaction and assessments of adolescent adjustment were obtained. Results indicated that mothers of adolescents with high levels of depressive symptoms were less accepting and expressive of their own emotions than were mothers of adolescents with low levels of depressive symptoms. A mother's acceptance of her own emotion was associated with fewer depressive symptoms, higher self-esteem and fewer externalizing problems in young adolescents. A mother's emotion coaching was associated with lower frequency and less likelihood of the reciprocity of aversive and dysphoric affect during mother–child interaction. Discussion highlights the role of maternal meta-emotion philosophy in creating emotional closeness in families with high and low levels of depressive symptomatology.

This study examined typologies of childhood violence exposure (CVE) and the associations of profiles with current demographic characteristics and mental health in emerging adulthood.The study evaluated a sample of college students from 2 US geographic regions (Midwest, n = 195; Southeast, n = 200).An online questionnaire (collected 2013-2014) assessed CVE and current mental health. Latent class analysis was used to identify typologies of CVE. Follow-up analyses were conducted to distinguish differences between typologies in demographic characteristics and mental health.Four distinct profiles emerged: High-Exposed, Domestic-Exposed, Community-Exposed, and Low-Exposed. High- and Domestic-Exposed groups were more likely to be first-generation college students and to experience symptoms of psychopathology.This study offers a unique presentation of CVE profiles and a nuanced interpretation of their differential relationship to current demographic characteristics and mental health. It may befit university mental health initiatives to engage first-generation students and utilize comprehensive assessments of previous victimization.

Background Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative and quantitative evidence on the mistreatment of women during childbirth in health facilities to inform the development of an evidence-based typology of the phenomenon. Methods and Findings We searched PubMed, CINAHL, and Embase databases and grey literature using a predetermined search strategy to identify qualitative, quantitative, and mixed-methods studies on the mistreatment of women during childbirth across all geographical and income-level settings. We used a thematic synthesis approach to synthesize the qualitative evidence and assessed the confidence in the qualitative review findings using the CERQual approach. In total, 65 studies were included from 34 countries. Qualitative findings were organized under seven domains: (1) physical abuse, (2) sexual abuse, (3) verbal abuse, (4) stigma and discrimination, (5) failure to meet professional standards of care, (6) poor rapport between women and providers, and (7) health system conditions and constraints. Due to high heterogeneity of the quantitative data, we were unable to conduct a meta-analysis; instead, we present descriptions of study characteristics, outcome measures, and results. Additional themes identified in the quantitative studies are integrated into the typology. Conclusions This systematic review presents a comprehensive, evidence-based typology of the mistreatment of women during childbirth in health facilities, and demonstrates that mistreatment can occur at the level of interaction between the woman and provider, as well as through systemic failures at the health facility and health system levels. We propose this typology be adopted to describe the phenomenon and be used to develop measurement tools and inform future research, programs, and interventions., Meghan Bohren and colleagues review the extent and types of mistreatment against women during childbirth., Editors' Summary Background In 2000, as Millennium Development Goal (MDG) 5, world leaders set a target of reducing the global maternal mortality ratio—the number of deaths among women caused by pregnancy- or childbirth-related complications (maternal deaths) per 100,000 live births—to a quarter of its 1990 level by 2015. MDG 5, along with seven other MDGs, was designed to alleviate extreme poverty by 2015. Although progress towards MDG 5 (and towards the other MDGs) has been good, in 2013, the global maternal mortality ratio was still 210, well above the target of 95. In that year alone, nearly 300,000 women, 99% them living in low- and middle-income countries, died from pregnancy- or childbirth-related complications. Most of these maternal deaths were caused by hemorrhage (severe bleeding) after childbirth, post-delivery infections, obstructed (difficult) labor, or blood pressure disorders during pregnancy. These conditions are largely preventable if women have access to good-quality reproductive health services and if trained birth attendants are present during childbirth. Why Was This Study Done? The rates of skilled birth attendance and of facility-based childbirth have risen in resource-limited countries over the past two decades, but almost a third of women in these countries still deliver without a skilled birth attendant. Among the numerous obstacles likely to prevent further increases in the proportion of women delivering in a health facility is women’s fear of mistreatment during delivery. Women need to be sure that they will receive dignified and respectful care during childbirth. Unfortunately, recent studies have indicated that women are often exposed to neglectful, abusive, and disrespectful care (care that local consensus regards as humiliating or undignified) during childbirth in health facilities. There is currently no consensus about how to define and measure the mistreatment of women during childbirth, so here, the researchers develop an evidence-based typology of the mistreatment of women during childbirth in health facilities worldwide by combining information identified in a mixed-methods systematic review. A typology is a systematic classification of objects or behaviors that have characteristics in common. A mixed-methods systematic review identifies all the qualitative and quantitative research on a given topic using predefined criteria. Qualitative research investigates how people feel about a medical intervention; quantitative research provides numerical data about interventions. What Did the Researchers Do and Find? The researchers identified 65 (mainly qualitative) studies undertaken in 34 countries that investigated the mistreatment of women during childbirth across all geographical and income-level settings. They analyzed the evidence presented in these studies using thematic analysis, an approach that identifies and organizes patterns (themes) within qualitative data. Based on this analysis, the researchers developed a typology of the mistreatment of women during childbirth consisting of seven domains (categories). These domains were physical abuse (for example, slapping or pinching during delivery); sexual abuse; verbal abuse such as harsh or rude language; stigma and discrimination based on age, ethnicity, socioeconomic status, or medical conditions; failure to meet professional standards of care (for example, neglect during delivery); poor rapport between women and providers, including ineffective communication, lack of supportive care, and loss of autonomy; and health system conditions and constraints such as the lack of the resources needed to provide women with privacy. What Do These Findings Mean? These findings illustrate how women’s experiences of childbirth worldwide are marred by mistreatment. Moreover, they indicate that, although the mistreatment of women during delivery in health facilities often occurs at the level of the interaction between women and healthcare providers, systemic failures at the levels of the health facility and the health system also contribute to its occurrence. Further studies are needed to provide quantitative evidence of the burden of mistreatment of women during delivery and to identify the characteristics of health facilities that facilitate or mitigate the mistreatment of women. For now, though, the researchers call for the adoption of their evidence-based typology as a way to describe the mistreatment of women during childbirth in health facilities. Their typology, they suggest, could also be used to develop measurement tools and to design interventions that ensure that health care providers promote positive birth experiences by providing respectful, dignified, and supportive care to women during childbirth. Hopefully, such interventions will lead to more women deciding to deliver their babies in health facilities, will promote positive birth experiences, and, ultimately, will lead to further reductions in maternal deaths. Additional Information This list of resources contains links that can be accessed when viewing the PDF on a device or via the online version of the article at http://dx.doi.org/10.1371/journal.pmed.1001847. This study is further discussed in a PLOS Medicine Perspective by Rachel Jewkes and Loveday Penn-Kekana The World Health Organization (WHO) has published a statement on promoting the rights of women and access to safe, timely, respectful care during childbirth The White Ribbon Alliance promotes the universal rights of childbearing women The United Nations Children’s Fund (UNICEF) provides information on maternal health and on the recent decline in maternal mortality The World Health Organization provides information on maternal health, including information about Millennium Development Goal 5 (in several languages) and information about the prevention and elimination of disrespect and abuse during childbirth Further information about the Millennium Development Goals and The Millennium Development Goals Report 2014, which details progress on reaching these goals, are available (in several languages) Immpact is a research initiative for the evaluation of safe motherhood intervention strategies Maternal Death: The Avoidable Crisis is a briefing paper that was published by the humanitarian medical aid organization Médecins Sans Frontières in 2012 Veil of Tears contains personal stories from Afghanistan about maternal death More information is available on the CERQual approach for assessing confidence in the evidence from reviews of qualitative research The Cochrane Qualitative and Implementation Methods Group has published supplemental handbook guidance on qualitative evidence syntheses Wikipedia has pages on thematic analysis and on systematic review (note that Wikipedia is a free online encyclopedia that anyone can edit; available in several languages)

This study compared parental socialization of adolescent positive affect in families of depressed and healthy adolescents. Participants were 107 adolescents (42 boys) aged 14 – 18 years and their parents. Half of the participants met criteria for major depressive disorder and the others were demographically matched adolescents without emotional or behavioral disorders. Results based on multi-source questionnaire and interview data indicated that mothers and fathers of depressed adolescents were less accepting of adolescents’ positive affect and more likely to use strategies that dampen adolescents’ positive affect than were parents of healthy adolescents. Additionally, fathers of depressed adolescents exhibited fewer responses likely to enhance the adolescents’ positive affect than were fathers of healthy adolescents. These findings build on those of previous work in examining parental responses to adolescent emotions, focusing on positive emotions and including both mothers and fathers.

This study sought to determine factors associated with shelter residence in women with recent histories of intimate partner violence (IPV). The sample included 113 women, approximately half of whom resided in a shelter over the past year. Participating women provided demographic information and completed standardized measures of IPV, trauma, and depression. Ethnicity, income, housing stability, and mental health, but not violence exposure, differentiated the shelter and community groups. Trauma symptoms, housing instability, and ethnicity best predicted shelter residence. Future research should focus on determining what types of services and interventions will best address the unique needs of each population.