Intimate partner violence (IPV) is a major human rights and public health problem which occurs at exceptionally high rates among tertiary students. Attitudes toward IPV are increasingly being recognized as a key risk factor for IPV and targeted in IPV prevention programs on college and university campuses. Understanding the influence of culture on attitudes toward IPV is necessary to change attitudes supportive of IPV and ultimately reduce the occurrence of IPV in the student population. This review sought to systematically identify, appraise, and synthesize research studies examining cross-cultural differences in attitudes toward IPV among tertiary students. A comprehensive search of nine electronic databases was conducted from inception to 15 May 2019. Studies were required to have compared attitudes toward IPV (e.g., acceptance or justification of IPV) among two or more cultural groups (based on country, race, or ethnicity) of tertiary students. Eighteen articles met eligibility criteria for the review, representing over 6,800 students. The studies provide considerable evidence that student attitudes toward IPV differ across cultures. Students in the United States and ethnic majority students in the United States generally showed less accepting attitudes toward IPV than their counterparts in other countries and ethnic minority groups. The particular contexts in which IPV is justified may reflect cultural values and norms. The findings have important implications for prevention and intervention strategies aimed at improving attitudes toward IPV among tertiary students.

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Intimate partner and family violence (IPFV) is highly prevalent among tertiary students in Australia and internationally. Yet, relatively little is known about the help-seeking patterns of student victim-survivors and how these patterns vary cross-culturally. This study examined formal help-seeking needs, behaviors, and barriers among women tertiary students in Australia who had experienced IPFV and cross-cultural differences therein. Cross-sectional survey data were collected from adult women studying at tertiary education institutions across Australia. Those who reported IPFV (physical, sexual, psychological, and/or financial) victimization during their adult lives were included in this study (N = 1,606). Descriptive statistics were calculated for the full sample and by cultural identity. A series of logistic regression analyses was conducted to assess associations between culture and help-seeking, unadjusted and adjusted for sociodemographic factors (gender identity, age, area, employment, and institution type). Less than half (48.7%) of participants had sought formal help, despite a larger proportion (66.2%) perceiving a need for such help. Two thirds (65.5%) of participants reported barriers to help-seeking, which were predominantly attitudinal or normative in nature. Cultural identity was significantly associated with help-seeking in the unadjusted and adjusted analyses. Cultural minority students were generally less likely to perceive a need for help and to seek help than the majority. Continued efforts are needed to promote and facilitate formal help-seeking for IPFV among tertiary students, and particularly among cultural minority students. Further work is needed to understand the factors that contribute to cultural inequalities in help-seeking and to inform culturally responsive support services for student victim-survivors.

BackgroundNeck pain is a leading cause of individual and societal burden worldwide, affecting an estimated 1 in 5 people aged 70 years and older. The nature and outcomes of chiropractic care for older adults with neck pain, particularly those with co-morbid headaches, remains poorly understood. Therefore, we sought to ascertain: What proportion of Australian chiropractors’ caseload comprises older adults with neck pain (with or without headache); How are these conditions treated; What are the reported outcomes?MethodsAn online survey examining practitioner and practice characteristics, clinical patient presentations, chiropractic treatment methods and outcomes, and other health service use, was distributed to a random nationally representative sample of 800 Australian chiropractors. Quantitative methods were used to analyze the data.ResultsTwo hundred eighty-eight chiropractors (response rate = 36%) completed the survey between August and November 2017. Approximately one-third (M 28.5%, SD 14.2) of the chiropractors’ patients were older adults (i.e. aged ≥65 years), of which 45.5% (SD 20.6) presented with neck pain and 31.3% (SD 20.3) had co-morbid headache. Chiropractors reported to combine a range of physical and manual therapy treatments, exercises and self-management practices in their care of these patients particularly: manipulation of the thoracic spine (82.0%); activator adjustment of the neck (77.3%); and massage of the neck (76.5%). The average number of visits required to resolve headache symptoms was reported to be highest among those with migraine (M 11.2, SD 8.8). The majority of chiropractors (57.3%) reported a moderate response to treatment in reported dizziness amongst older adults with neck pain. Approximately 82% of older adult patients were estimated to use at least one other health service concurrently to chiropractic care to manage their neck pain.ConclusionThis is the first known study to investigate chiropractic care of older adults living with neck pain. Chiropractors report using well-established conservative techniques to manage neck pain in older adults. Our findings also indicate that this target group of patients may frequently integrate chiropractic care with other health services in order to manage their neck pain. Further research should provide in-depth investigation of older patients’ experience and other patient-reported outcomes of chiropractic treatment.