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Research ArticleOriginal Research

Technology-Facilitated Abuse Prevalence and Associations Among a Nationally Representative Sample of Young Men

Laura Seewald, Tova B. Walsh, Richard M. Tolman, Shawna J. Lee, Lauren A. Reed, Quyen Ngo and Vijay Singh
The Annals of Family Medicine January 2022, 20 (1) 12-17; DOI: https://doi.org/10.1370/afm.2758
Laura Seewald
1Department of Emergency Medicine, Medical School, University of Michigan, Ann Arbor, Michigan
MD
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  • For correspondence: lseewald@umich.edu
Tova B. Walsh
2School of Social Work, University of Wisconsin, Madison, Wisconsin
PhD, MSW
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Richard M. Tolman
3School of Social Work, University of Michigan, Ann Arbor, Michigan
PhD, MSW
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Shawna J. Lee
3School of Social Work, University of Michigan, Ann Arbor, Michigan
PhD, MSW, MPP, MS
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Lauren A. Reed
4School of Social Work, Arizona State University, Phoenix, Arizona
PhD, MSW, MS
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Quyen Ngo
5Butler Center for Research, Hazelden Betty Ford Foundation, Center City, Minnesota
PhD, LP
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Vijay Singh
1Department of Emergency Medicine, Medical School, University of Michigan, Ann Arbor, Michigan
6Department of Family Medicine, Medical School, University of Michigan, Ann Arbor, Michigan
7Department of Internal Medicine, Medical School, University of Michigan, Ann Arbor, Michigan
MD, MPH, MS
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Article Figures & Data

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    Table 1.

    Characteristics of and Technology-Facilitated Abuse Among Men Aged 18-35 Years (N = 1,079)

    MeasureValue
    Demographics
       Age, mean (SD), y26.5 (26.2-27.0)
    Race and ethnicity, % (95% CI)
       White non-Hispanic57.6 (54.0-61.1)
       Black non-Hispanic11.6 (9.2-14.5)
       Hispanic21.9 (19.0-25.1)
       Another non-Hispanic7.1 (5.3-9.4)
       Multiracial non-Hispanic1.8 (1.1-3.0)
    Education, % (95% CI)
       <High school14.5 (11.6-18.1)
       High school29.6 (26.4-33.0)
       Some college33.0 (29.9-36.3)
       Bachelor’s degree or higher22.9 (20.5-25.4)
    Employed, % (95% CI)69.7 (66.1-73.0)
    Smartphone use
       Owns a smartphone, % (95% CI)65.3 (61.3-69.1)
    Health service use
       Primary care connection, % (95% CI)59.6 (55.7-63.4)
       Emergency department visits in past 2 years, % (95% CI)22.3 (19.2-25.8)
       Mental health care visits ever, % (95% CI)28.2 (24.9-31.9)
    Mental health problems and substance use
       Depression, % (95% CI)a11.3 (9.2-13.9)
       Alcohol misuse, mean (SD) scoreb3.6 (3.3-4.0)
       Marijuana use, mean (SD) scorec0.6 (0.5-0.8)
       Prescription opioid nonmedical use, mean (SD) scorec0.2 (0.1-0.2)
    Technology-facilitated abused
       Any delivered, % (95% CI)29.8 (26.3-33.5)
       Any received, % (95% CI)33.6 (30.0-37.5)
       Delivered only, % (95% CI)4.1 (2.9-5.7)
       Received only, % (95% CI)8.0 (6.0-10.6)
       Both delivered and received, % (95% CI)25.6 (22.2-29.2)
       None delivered or received, % (95% CI)62.3 (58.4-66.0)
    • ↵aScore of greater than 2 on Patient Health Questionnaire-2.

    • ↵bOn a scale from 0 to 40, where higher scores denote greater misuse.

    • ↵cOn a scale from 0 to 6, where higher scores denote greater use.

    • ↵dBased on respondents’ report of having experience with any of 5 acts of abuse in the past year. See Methods.

    • Note: Data are weighted for the US population.

    • View popup
    Table 2.

    Multivariate Associations of Characteristics With TFA (N = 1,079)

    CharacteristicTFA Delivered Only, AOR (95% CI)TFA Received Only, AOR (95% CI)TFA Both Delivered and Received, AOR (95% CI)
    Demographics
        Age: per year1.05 (0.95-1.16)0.94 (0.87-1.02)0.96 (0.92-1.01)
    Race/ethnicitya
        Black non-Hispanic1.02 (0.20-5.36)1.19 (0.35-4.03)2.83b (1.44-5.58)
        Hispanic2.72c (1.13-6.57)2.55c (1.01-6.43)1.53 (0.89-2.63)
        Another non-Hispanic1.95 (0.44-8.65)2.95 (0.79-11.0)2.54 (0.96-6.72)
        Multiracial non-Hispanic0.22 (0.02-3.21)1.87 (0.61-5.72)0.31 (0.07-1.43)
    Educationd
        High school education0.48 (0.12-1.86)0.40 (0.06-2.55)0.90 (0.33-2.47)
        Some college1.51 (0.44-5.20)0.50 (0.08-2.94)0.92 (0.33-2.52)
        Bachelor’s degree or higher1.36 (0.40-4.69)0.72 (0.12-4.47)0.77 (0.27-2.14)
        Employed4.25 (0.62-29.2)1.04 (0.38-2.82)1.61 (0.90-2.88)
    Smartphone use
        Owns a smartphone0.72 (0.29-1.82)0.70 (0.29-1.69)1.80b (1.05-3.09)
    Health service use
        Primary care connection0.83 (0.39-1.77)0.43b (0.22-0.86)1.19 (0.78-1.83)
        Emergency department visits0.83 (0.33-2.08)1.14 (0.49-2.62)1.49 (0.89-2.50)
        Mental health care visits0.71 (0.28-1.82)0.95 (0.48-1.89)1.86b (1.16-2.98)
    Mental health problems and substance use
        Depression1.48 (0.49-4.40)0.41 (0.09-1.85)0.97 (0.45-2.10)
        Alcohol misuse1.00 (0.91-1.10)1.06 (0.98-1.15)1.10e (1.04-1.17)
        Marijuana use1.31b (1.02-1.68)0.83 (0.64-1.07)1.08 (0.94-1.24)
        Prescription opioid non-medical use2.86c (1.48-5.54)2.43c (1.34-4.39)1.79b (1.04-3.08)
    • AOR = adjusted odds ratio; TFA = technology-facilitated abuse.

    • ↵aReference group is White non-Hispanic.

    • ↵bP <.01.

    • ↵cP <.05.

    • ↵dReference group is less than high school.

    • ↵eP <.001.

    • Notes: Results of multinomial logistic regression analysis using no TFA as the reference category. Data are weighted for the US population.

Additional Files

  • Tables
  • Supplemental materials

    Supplemental Appendix: Questions assessing TFA delivered and received 




    • Seewald.pdf -

      PDF file

  • Visual abstract- link below

    Visual abstract. Nearly 1 in 3 young men report experiences with technology-facilitated abuse (TFA) in the last year, with the majority both sending and receiving abusive messages.

    • Seewald_visualabstract_20.1.png -

      PNG file

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Technology-Facilitated Abuse Prevalence and Associations Among a Nationally Representative Sample of Young Men
Laura Seewald, Tova B. Walsh, Richard M. Tolman, Shawna J. Lee, Lauren A. Reed, Quyen Ngo, Vijay Singh
The Annals of Family Medicine Jan 2022, 20 (1) 12-17; DOI: 10.1370/afm.2758

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Technology-Facilitated Abuse Prevalence and Associations Among a Nationally Representative Sample of Young Men
Laura Seewald, Tova B. Walsh, Richard M. Tolman, Shawna J. Lee, Lauren A. Reed, Quyen Ngo, Vijay Singh
The Annals of Family Medicine Jan 2022, 20 (1) 12-17; DOI: 10.1370/afm.2758
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  • intimate partner violence, prevalence
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