PURPOSE We undertook a study to determine the prevalence and associations of technology-facilitated abuse (TFA)—insults, harassment, coercion, or threats carried out using
digital tools such as smartphones and computers—among a US nationally representative
sample of young men.
METHODS Analyses were based on 1,079 men aged 18 to 35 years who completed questionnaires during August and September of 2014 and reported ever having been in a
romantic relationship. We used validated measures to assess demographics, health service
use, mental health and substance use, and TFA delivered to and received from partners in
the past year. We calculated survey-weighted descriptive statistics and conducted multinomial logistic regression analysis.
RESULTS Overall, 4.1% of men reported delivering TFA only, 8.0% receiving TFA only, and
25.6% both delivering and receiving TFA. Men were more likely to report only delivering
TFA if they identified as Hispanic (adjusted odds ratio [AOR]=2.72; 95% CI, 1.13 to 6.57),
used marijuana (AOR=1.31; 95% CI, 1.02 to 1.68), and used prescription opioids for nonmedical reasons (AOR 2.86; 95% CI, 1.48 to 5.54). Men were more likely to report only
receiving TFA if they identified as Hispanic (AOR=2.55; 95% CI, 1.01 to 6.43) and used
prescription opioids for nonmedical reasons (AOR=2.43; 95% CI, 1.34 to 4.39), whereas
a primary care connection appeared protective (AOR=0.43; 95% CI, 0.22 to 0.86). Men
were more likely to report both delivering and receiving TFA if they identified as nonHispanic Black (AOR=2.83; 95% CI, 1.44 to 5.58), owned a smartphone (AOR=1.80;
95% CI, 1.05 to 3.09), had ever had mental health care visits (AOR=1.86; 95% CI, 1.16 to
2.98), misused alcohol (AOR=1.10; 95% CI, 1.04 to 1.17), and used prescription opioids
for nonmedical reasons (AOR=1.79; 95% CI, 1.04 to 3.08).
CONCLUSIONS We found that TFA was prevalent among young men, with 1 in 25 reporting delivery only, 1 in 12 reporting receipt only, and 1 in 4 reporting both. Primary care
physicians can consider assessing TFA among male patients and developing interventions to
mitigate this behavior.
Peer Reviewed
http://deepblue.lib.umich.edu/bitstream/2027.42/171949/1/2022 seewald annals of family medicine.pdf
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