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    Physical violence and violent threats reported by Aboriginal and Torres Strait Islander people with a disability: cross sectional evidence from a nationally representative survey

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    Author
    Temple, JB; Wong, H; Ferdinand, A; Avery, S; Paradies, Y; Kelaher, M
    Date
    2020-11-23
    Source Title
    BMC Public Health
    Publisher
    BMC
    University of Melbourne Author/s
    Kelaher, Margaret; Ferdinand, Angeline; Temple, Jeromey
    Affiliation
    Melbourne School of Population and Global Health
    Microbiology and Immunology
    Metadata
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    Document Type
    Journal Article
    Citations
    Temple, J. B., Wong, H., Ferdinand, A., Avery, S., Paradies, Y. & Kelaher, M. (2020). Physical violence and violent threats reported by Aboriginal and Torres Strait Islander people with a disability: cross sectional evidence from a nationally representative survey. BMC PUBLIC HEALTH, 20 (1), https://doi.org/10.1186/s12889-020-09684-4.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253034
    DOI
    10.1186/s12889-020-09684-4
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682051
    Abstract
    BACKGROUND: A recent Royal Commission into the treatment of Australians living with disabilities has underscored the considerable exposure to violence and harm in this population. Yet, little is known about exposure to violence among Aboriginal and Torres Strait Islander people living with disabilities. The objective of this paper was to examine the prevalence, disability correlates and aspects of violence and threats reported by Aboriginal and Torres Strait Islander people living with disabilities. METHODS: Data from the 2014-15 National Aboriginal and Torres Strait Islander Social Survey were used to measure physical violence, violent threats and disability. Multivariable logistic and ordinal logistic regression models adjusted for complex survey design were used to examine the association between measures of disability and exposure to violence and violent threats. RESULTS: In 2014-15, 17% of Aboriginal and Torres Strait Islander people aged 15-64 with disability experienced an instance of physical violence compared with 13% of those with no disability. Approximately 22% of those with a profound or severe disability reported experiencing the threat of physical violence. After adjusting for a comprehensive set of confounding factors and accounting for complex survey design, presence of a disability was associated with a 1.5 odds increase in exposure to physical violence (OR = 1.54 p < 0.001), violence with harm (OR = 1.55 p < 0.001), more frequent experience of violence (OR = 1.55 p < 0.001) and a 2.1 odds increase (OR = 2.13 p < 0.001) in exposure to violent threats. Severity of disability, higher numbers of disabling conditions as well as specific disability types (e.g., psychological or intellectual) were associated with increased odds of both physical violence and threats beyond this level. Independent of these effects, removal from one's natural family was strongly associated with experiences of physical violence and violent threats. Aboriginal and Torres Strait Islander women, regardless of disability status, were more likely to report partner or family violence, whereas men were more likely to report violence from other known individuals. CONCLUSION: Aboriginal and Torres Strait Islander people with disability are at heightened risk of physical violence and threats compared to Aboriginal and Torres Strait Islander people without disability, with increased exposure for people with multiple, severe or specific disabilities.

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