Legislature(2023 - 2024)BUTROVICH 205

03/13/2024 01:30 PM Senate JUDICIARY

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01:46:17 PM Start
01:46:46 PM Presentation(s): Report on Relationships Between Intimate Partner Violence and Alaskan Women's Health
02:30:56 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Presentation: Report on "Relationships Between TELECONFERENCED
Intimate Partner Violence and Alaskan Women's
Health" by Dr. Ingrid Johnson, University of
Alaska Anchorage Justice Center
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
               SENATE JUDICIARY STANDING COMMITTEE                                                                            
                         March 13, 2024                                                                                         
                            1:46 p.m.                                                                                           
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Matt Claman, Chair                                                                                                      
Senator James Kaufman                                                                                                           
Senator Cathy Giessel                                                                                                           
Senator Löki Tobin                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Jesse Kiehl, Vice Chair                                                                                                 
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION(S): REPORT ON RELATIONSHIPS BETWEEN INTIMATE                                                                       
PARTNER VIOLENCE AND ALASKAN WOMEN'S HEALTH                                                                                     
                                                                                                                                
      - HEARD                                                                                                                   
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
INGRID JOHNSON, Associate Professor                                                                                             
UAA Justice Center                                                                                                              
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Delivered a presentation on Relationships                                                                 
between Intimate Partner Violence and Alaskan Women's Health.                                                                   
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:46:17 PM                                                                                                                    
CHAIR  MATT  CLAMAN   called   the  Senate  Judiciary   Standing   Committee                                                  
meeting   to  order  at  1:46  p.m.  Present   at  the  call  to  order  were                                                   
Senators    Kaufman,    Tobin,    and   Chair   Claman.    Senator    Giessel                                                   
arrived immediately thereafter.                                                                                                 
                                                                                                                                
^PRESENTATION(S): REPORT ON RELATIONSHIPS BETWEEN INTIMATE                                                                      
PARTNER VIOLENCE AND ALASKAN WOMEN'S HEALTH                                                                                     
                        PRESENTATION(S):                                                                                    
                 REPORT ON RELATIONSHIPS BETWEEN                                                                            
      INTIMATE PARTNER VIOLENCE AND ALASKAN WOMEN'S HEALTH                                                                  
                                                                                                                                
1:46:46 PM                                                                                                                    
CHAIR   CLAMAN   announced   a  presentation    on  Relationships     Between                                                   
Intimate   Partner    Violence   and  Alaskan    Women's   Health   from  the                                                   
Alaska   Justice   Information    Center   (AJIC),   University    of  Alaska                                                   
Anchorage   (UAA).   He invited   Ms.  Ingrid   Johnson  to  put  herself   on                                                  
the record and begin the presentation.                                                                                          
                                                                                                                                
1:47:25 PM                                                                                                                    
INGRID    JOHNSON,     Associate     Professor,     UAA   Justice     Center,                                                   
Anchorage,    Alaska,    delivered    a  presentation     on  Relationships                                                     
between   Intimate    Partner   Violence    and  Alaskan   Women's    Health.                                                   
She  said  she  is  an associate   professor    at the  UAA  Justice   Center                                                   
and   the   principal    investigator    for   the   Alaska   Victimization                                                     
Survey   (AVS).  She  said   this  presentation    is based   on  a specific                                                    
report that was published November 2023.                                                                                        
                                                                                                                                
1:47:40 PM                                                                                                                    
SENATOR GIESSEL joined the meeting.                                                                                             
                                                                                                                                
1:48:05 PM                                                                                                                    
MS.  JOHNSON   moved  to  slide  2,  Overview   and History   of  the  Alaska                                                   
Victimization Survey (AVS):                                                                                                     
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
      Overview and history of AVS                                                                                             
                                                                                                                                
      • General methodology                                                                                                     
         • General population survey of adult women residing                                                                    
            in Alaska.                                                                                                          
         • Respondents randomly selected and contacted by                                                                       
            landlines and cell phones.                                                                                          
         • Modeled after the National Intimate Partner and                                                                      
            Sexual Violence Survey (NISVS) administered by                                                                      
            the CDC.                                                                                                            
         • Questions about victimization are "behaviorally                                                                      
            specific" and include a wide range of violence                                                                      
            against women.                                                                                                      
         • Survey procedures designed to maximize the safety                                                                    
            and confidentiality of respondents.                                                                                 
                                                                                                                                
      • Joint effort between the Alaska Council on Domestic                                                                     
         Violence and Sexual Assault (CDVSA; funders) and the                                                                   
         University of Alaska Anchorage Justice Center                                                                          
         (research implementation).                                                                                             
                                                                                                                                
      • Conducted statewide surveys in 2010, 2015, and 2020                                                                     
         (quinquennially)                                                                                                       
         • 13 regional surveys were conducted 2011  2015                                                                        
                                                                                                                                
MS.  JOHNSON    explained   that   regional   surveys   were   conducted    to                                                  
obtain   region-specific      prevalence    estimates.    She   stated   that                                                   
with   all   the  data   now   combined,    more   in-depth    analyses   are                                                   
possible due to the larger sample size.                                                                                         
                                                                                                                                
1:49:27 PM                                                                                                                    
MS.  JOHNSON   moved   to  the  chart  on  slide   3 and  stated   that                                                         
the   report    she   is   presenting     to  the    committee    today                                                         
includes   all  individuals    who  ever  participated    in  the  AVS.                                                         
She  said   this  represents    nearly   13,000   women   from  all   of                                                        
the statewide and regional surveys.                                                                                             
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
       Location, years, and sample sizes of statewide and                                                                     
      regional AVS.                                                                                                           
                                                                                                                                
        12,985 Alaskan women participated in regional or                                                                        
       statewide Alaska Victimization Surveys between 2010                                                                      
      and 2020.                                                                                                                 
                                                                                                                                
      Year        Location/Region                     Sample Size                                                               
      2010        Statewide                                 871                                                               
      2011        Municipality    of Anchorage              718                                                                 
      2011        Bristol   Bay Region                      373                                                               
      2011        Fairbanks   North  Star  Borough          745                                                                 
      2011        City  and  Borough  of  Juneau            604                                                               
      2012        Kodiak  Island   Borough                  415                                                                 
      2012        City  and  Borough  of  Sitka             282                                                               
      2012        Yukon-Kuskokwim    Delta                  509                                                                 
      2013        Kenai Peninsula Borough                   987                                                               
      2013        Ketchikan   Gateway   Borough             648                                                                 
      2013        Matanuska-Susitna     Borough             1,190                                                             
      2014        Nome  Census  Area                        265                                                                 
      2014        North  Slope  Borough                     169                                                               
      2014-2015   Aleutian/Pribilof     Island  Region      82                                                                  
      2015        Statewide*                                3,027                                                             
      2020        Statewide                                 2,100                                                               
                                                                                                                                
      Notes                                                                                                                   
    * The 2015 statewide sample included enough cases to also                                                                 
         generate   Municipality   of  Anchorage   specific   prevalence                                                        
         estimates   and  to  add   an  additional   38  cases   to  the                                                        
         Aleutian/Pribilof  Island  sample  to  generate  estimates  for                                                        
         that region.                                                                                                           
                                                                                                                                
1:50:39 PM                                                                                                                    
SENATOR   TOBIN,   referring   to  slide  3,  asked  about   the  percentage                                                    
of   non-English    speaking,     non-institutionalized      women    in  the                                                   
Matanuska-Susitna     Borough    who   were  represented     by  the   1,190-                                                   
sample size.                                                                                                                    
                                                                                                                                
1:51:03 PM                                                                                                                    
MS.  JOHNSON    replied   that  the   information    is  available    through                                                   
the   UAA   AVS   ScholarWorks     repository.    The   repository     has   a                                                  
PowerPoint    or report   containing    population   percentages    for  each                                                   
region.    She    offered    to   gather    that    information     for   the                                                   
committee.                                                                                                                      
                                                                                                                                
1:51:39 PM                                                                                                                    
SENATOR   GIESSEL   sought   confirmation    that  those  who   participated                                                    
in the survey were non-duplicated individuals.                                                                                  
                                                                                                                                
MS. JOHNSON replied that she could not confirm that.                                                                            
                                                                                                                                
SENATOR    GIESSEL    asked   whether    some   participants     could   have                                                   
moved,   for  example,   from  Juneau   to the  Mat-Su,   between   2011  and                                                   
2013 and been included in the survey twice.                                                                                     
                                                                                                                                
MS.   JOHNSON    replied    in  the   affirmative     and   clarified    that                                                   
respondents    could  have  participated    in both   the  statewide   and  in                                                  
a  regional  sample.   She  explained   that  the  survey   is not  designed                                                    
to   track   participants     over   time.    Surveyors    randomly    select                                                   
individuals    from  landline   and  cell   phone  lists   and  there   is  no                                                  
way to determine whether someone has already participated.                                                                      
                                                                                                                                
1:52:18 PM                                                                                                                    
SENATOR   GIESSEL    asked   whether   the   survey   included   a  question                                                    
such as, "Have you participated in a survey like this before?"                                                                  
                                                                                                                                
MS.   JOHNSON   answered   that   she   was  unsure   whether    respondents                                                    
would   recognize    it  as  the   same   survey,   given   that  there   are                                                   
other  surveys   covering   similar   topics.   Other  surveys   include  the                                                   
National   Intimate    Partner   and   Sexual   Violence   Survey   (NISVS),                                                    
AVS  is  designed   after  the  NISVS,   and  the  Behavioral    Risk  Factor                                                   
Surveillance System (BRFSS).                                                                                                    
                                                                                                                                
1:52:49 PM                                                                                                                    
MS. JOHNSON moved to slide 4, Why this Report on Health:                                                                        
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
      • Research has consistently demonstrated the negative                                                                     
         impacts intimate partner violence (IPV) has on                                                                         
         physical and mental health                                                                                             
                                                                                                                                
      • Raise awareness in Alaska about                                                                                         
         • Different forms of IPV and their impacts on                                                                          
            health                                                                                                              
         • Impact of recent and historical IPV on health                                                                        
                                                                                                                                
MS.  JOHNSON   explained    that  the  report   includes    different   types                                                   
of IPV, such as:                                                                                                                
                                                                                                                                
- coercive control and entrapment                                                                                               
                                                                                                                                
- psychological control and aggression                                                                                          
                                                                                                                                
- physical aggression                                                                                                           
                                                                                                                                
MS.   JOHNSON   said   historical    IPV  experiences    are   not  commonly                                                    
explored    in   literature    and   expressed    interest    in   examining                                                    
whether such experiences impact health.                                                                                         
                                                                                                                                
1:54:53 PM                                                                                                                    
CHAIR   CLAMAN    asked   about    the   timeframe    parameters    used    to                                                  
determine    whether   historical    IPV  has   health   implications,    for                                                   
example, whether there are still health impacts 10 years later.                                                                 
                                                                                                                                
MS.  JOHNSON   replied   that  she  uses  a  somewhat   crude   measurement,                                                    
explaining AVS questions start with:                                                                                            
                                                                                                                                
- How many partners have ever done this to you in your lifetime?                                                                
                                                                                                                                
If the answer is one or more, then the respondent is asked:                                                                     
                                                                                                                                
- How many intimate partners have done this in the past year?                                                                   
                                                                                                                                
MS.  JOHNSON   stated   that   the  survey   collects    both  lifetime   and                                                   
past-year    experiences    but   does   not  specify    whether   incidents                                                    
occurred    10  years   ago   or   20  years    ago.  It   only   identifies                                                    
whether the experience happened within the past year.                                                                           
                                                                                                                                
1:56:05 PM                                                                                                                    
MS. JOHNSON moved to slide 5, Forms of IPV:                                                                                     
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
                          Forms of IPV                                                                                        
                                                                                                                              
      Table   1:   Percentage    of  adult,    non-institutionalized                                                            
      Alaskan     women    who    participated      in    the    Alaska                                                         
      Victimization    Survey   (AVS)   with  historical    and  recent                                                         
      experiences    with   various    forms   of   intimate    partner                                                         
      violence (IPV; a N = 12,985).                                                                                           
                                                                                                                              
      Details   on   the  specific    behaviors    in  each   of  these                                                         
      forms of IPV are included in the report Appendix.                                                                         
                                                                                                                                
                                                              d                                                               
                                       b           c          ANY                                                             
                                       HISTORICAL RECENT  LIFETIME                                                            
                                                                                                                                
      ANY INTIMATE PARTNER VIOLENCE       44.3       16.9     61.2                                                            
                                                                                                                                
        Control                           31.3       9.5      40.8                                                            
          Reproductive control            9.9        1.9      11.8                                                              
                                                                                                                                
        Threats of harm                   36.3       7.3      43.6                                                            
                                                                                                                                
        Harm infliction                   42.4       12.5     54.9                                                            
         Indirect harm infliction         22.2       3.7      25.9                                                            
         Direct harm infliction           42.1       11.8     53.9                                                            
            Psychological aggression      35.1       10.3     45.4                                                              
            Physical violence             35.5       4.6      40.1                                                              
               Minor physical violence    33.7       4.1      37.8                                                              
               Severe physical violence   27.5       2.8      30.3                                                              
            Sexual violence               16.7       1.3      18.0                                                              
                                                                                                                                
      a N  for  each  form   of  IPV  varies  slightly   under   12,985                                                       
        due to missing data on each item.                                                                                       
                                                                                                                                
      b Women were classified as having historical                                                                            
        experiences    if  they  had  experienced   a  form  of  IPV  in                                                        
        their    lifetime    but    not   in   the   year    prior    to                                                        
        participating in the survey.                                                                                            
                                                                                                                                
      c Women  were  classified    as having   recent  experiences    if                                                      
        they   experienced   a  form  of  IPV  in  the  year  prior   to                                                        
        participating    in  the  survey.  Participants    with  recent                                                         
        experiences    may  also  have  had historical    experiences,                                                          
        but  are  only  included   in the  recent   category  for  this                                                         
        report    (i.e.,   historical    and   recent    are  mutually                                                          
        exclusive categories).                                                                                                  
                                                                                                                                
     d Adding together the historical and recent percentages                                                                  
        gives the total percent of women experiencing a form                                                                    
        of IPV ever in their lifetime.                                                                                          
                                                                                                                                
1:59:52 PM                                                                                                                    
SENATOR   TOBIN    asked   whether   respondents    who   self-identify     as                                                  
women need to provide documentation.                                                                                            
                                                                                                                                
MS.   JOHNSON   replied    that   the  survey    can  include    transgender                                                    
women.   She  said   respondents   who   volunteer   that   information   are                                                   
included in the survey.                                                                                                         
                                                                                                                                
2:00:12 PM                                                                                                                    
CHAIR    CLAMAN    asked    her   to   elaborate     on   the   meaning     of                                                  
reproductive control within the context of the survey.                                                                          
                                                                                                                                
MS. JOHNSON replied that reproductive control means:                                                                            
                                                                                                                                
-  The  partner   attempted   to  get  the  respondent   pregnant   when  she                                                   
  did not want to be or tried to stop the respondent from using                                                                 
  birth control.                                                                                                                
                                                                                                                                
-  The  partner  refused   to  us  a  condom  when  the  respondent    wanted                                                   
  to use one.                                                                                                                   
                                                                                                                                
MS.  JOHNSON   said  that  while  slide  5  lists  the  different   forms   of                                                  
IPV,   the  following    slide   presents    six  health   measures.    These                                                   
include   four  specific   health  conditions,    along  with  a  self-rated                                                    
physical health measure and a self-rated mental health measure.                                                                 
                                                                                                                                
2:00:46 PM                                                                                                                    
MS. JOHNSON moved to slide 6, Physical and Mental Health:                                                                       
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
                   Physical and Mental Health                                                                                 
                                                                                                                                
      Table   2:   Percentage    of  adult,    non-institutionalized                                                            
      Alaskan     women    who    participated      in    the    Alaska                                                         
      Victimization     Survey   (AVS)   reporting    various    health                                                         
      conditions    and   overall    physical    and   mental    health                                                         
      status (a N = 12, 985)                                                                                                  
                                                                                                                                
                                          PERCENT                                                                           
      HEALTH CONDITIONS                                                                                                       
      Frequent headaches                  17.5                                                                                  
      Chronic pain                        25.3                                                                                  
      Difficulty   sleeping               31.6                                                                                  
      Health-related    limitations       33.2                                                                                  
                                                                                                                                
      SELF-RATED PHYSICAL HEALTH                                                                                              
      Excellent                           16.7                                                                                  
      Very  good                          33.6                                                                                  
      Good                                32.6                                                                                  
      Fair                                13.3                                                                                  
      Poor                                3.7                                                                                   
                                                                                                                                
      SELF-RATED MENTAL HEALTH                                                                                                
      Excellent                           28.6                                                                                  
      Very  Good                          36.1                                                                                  
      Good                                26.5                                                                                  
      Fair                                7.5                                                                                   
      Poor                                1.3                                                                                   
                                                                                                                                
       a N for each health condition varies slightly under                                                                    
        12,985 due to missing data on each item.                                                                                
                                                                                                                                
2:01:39 PM                                                                                                                    
MS.   JOHNSON    explained    that   these    percentages    represent    the                                                   
overall    sample   of   participants     experiencing     these   different                                                    
conditions,    not  just  participants    who  experienced    violence.   She                                                   
reviewed   the  data   set:  nearly   one-third   of  respondents   reported                                                    
difficulty    sleeping,   one-quarter    experienced    chronic   pain,  17.5                                                   
percent   reported    frequent   headaches,    and  one-third    experienced                                                    
some form of health-related limitation.                                                                                         
                                                                                                                                
MS.   JOHNSON   discussed    self-rated    physical    and  mental    health,                                                   
noting   that  participants    were   asked  to  choose   from  five   rating                                                   
options:   excellent,   very  good,   good,  fair,  or  poor.  She  observed                                                    
that   many   respondents    selected    "very   good"   or   "good,"   which                                                   
seemed   encouraging.    However,   some   participants    may  have   chosen                                                   
to  rate  their  health   more  positively   than  their   actual  condition                                                    
to avoid appearing as though they were complaining.                                                                             
                                                                                                                                
MS.   JOHNSON   stated   that   although    self-rated    health   is  not   a                                                  
perfect   assessment   method,   existing    research   supports   its  value                                                   
as   a  reasonably     accurate    indicator    of   general    health.   She                                                   
pointed    out   that   very   few   participants     selected    "fair"    or                                                  
"poor,"    which   resulted    in  small    subgroups.    She   stated   that                                                   
having   a  large,   combined    sample   size   of  approximately     13,000                                                   
cases   allows   for   meaningful    analysis   even   within   these   small                                                   
subgroups.   With   only  one  year  of  data  or  a  limited  sample   size,                                                   
the  level  of  analysis   done  in  this  report  would   not be  possible.                                                    
She   expressed    enthusiasm    about   being    able   to  conduct    these                                                   
analyses.                                                                                                                       
                                                                                                                                
2:03:42 PM                                                                                                                    
CHAIR   CLAMAN  expressed    his  understanding    that  given   the  overall                                                   
large  size  of  the  dataset,   meaningful   analysis   is  still  possible                                                    
despite    the  relatively     small   percentage    of   participants    who                                                   
selected     "poor.     He    sought    confirmation     that    the    small                                                   
percentages    still   represent    sufficient    numbers   for   analytical                                                    
purposes.                                                                                                                       
                                                                                                                                
MS.  JOHNSON    replied   that   the  large   sample   size   is  beneficial                                                    
because    it  yields   enough    cases   even   within   small   percentage                                                    
groups.   She   explained    that  with   a  sample   size   of  1,000,   1.3                                                   
percent    would   represent    only   13   cases,   whereas    with   10,000                                                   
cases,   the  same  percentage    yields   130  cases.   This  is  enough   to                                                  
support    more   robust    analyses.    She   emphasized    that   this    is                                                  
particularly     important    when    examining    past-year     experiences                                                    
involving    less   common   forms   of  violence.    There   should   be   at                                                  
least,   at   a  rough   estimate,    15   to   20  cases   representing     a                                                  
specific   experience   for  analyses   to  be  statistically    meaningful.                                                    
With   a  dataset    this   large,   even   a   small   number   of   reports                                                   
related   to  poor  health   or  uncommon   forms   of  violence   can  still                                                   
produce reliable findings.                                                                                                      
                                                                                                                                
2:05:06 PM                                                                                                                    
CHAIR   CLAMAN   asked   whether   there   are   statistics    that   compare                                                   
these    findings    with   a   group   of   individuals     who   have   not                                                   
experienced intimate partner violence (IPV).                                                                                    
                                                                                                                                
MS.   JOHNSON     replied    that    the   next    slide    addresses    that                                                   
comparison.                                                                                                                     
                                                                                                                                
2:05:26 PM                                                                                                                    
MS.  JOHNSON   moved   to  slide  7,  The  Relationship    Between   IPV  and                                                   
Health:                                                                                                                         
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
             The Relationship Between IPV and Health                                                                          
                                                                                                                                
      A   significantly      larger    percentage     of   those    who                                                         
      experienced    any  IPV  (either   historically    or  recently)                                                          
      have   negative    health   outcomes   than   those   who   never                                                         
      experienced it.                                                                                                           
                                                                                                                                
      Table 3: Percentage of any intimate partner violence                                                                    
      groups (never experienced, historical experience, and                                                                     
      recent experience) endorsing each health outcome.                                                                         
                                                                                                                                
                  ANY INTIMATE PARTNER VIOLENCE                                                                             
                                                                                                                              
                                       NEVER     HISTORICAL RECENT                                                            
                                       (N=4,900) (N=5,592)    (N=2,130)                                                       
                                                                                                                                
      Frequent headaches                  11.9       18.3       28.0                                                          
      Chronic pain                        17.5       29.1       32.2                                                            
      Difficulty sleeping                 20.9       36.3       43.6                                                            
      Health-related limitations          23.4       38.2       40.6                                                            
                                                                                                                                
      Self-rated physical health                                                                                              
         Excellent                        22.0       14.4       11.5                                                            
         Very Good                        38.5       32.2       27.2                                                            
         Good                             28.7       34.3       37.1                                                            
         Fair                             9.0        14.9       18.4                                                            
         Poor                             1.9        4.3        5.7                                                             
                                                                                                                                
      Self-rated mental health                                                                                                
         Excellent                        37.6       25.1       17.8                                                            
         Very good                        37.5       37.4       30.1                                                            
         Good                             21.2       28.0       33.3                                                            
         Fair                             3.3        8.4        14.7                                                            
         Poor                             .3         1.1        4.1                                                             
                                                                                                                                
Note: N for each row varies slightly due to missing data on each                                                                
      item.                                                                                                                     
                                                                                                                                
      All differences between the Historical  group and the Never group,                                                        
      as  well as  between the  Recent group  and the  Never group,  are                                                        
      significant at  the p<0.001 level  using Pearson chi  square tests                                                        
      of independence.                                                                                                          
                                                                                                                                
2:09:25 PM                                                                                                                    
MS.   JOHNSON   moved   to   slide   8,   The  Relationship     Between   IPV                                                   
Subtypes   and  Health.   She  stated   that  this  section   of  the  report                                                   
breaks   down  the   various   subtypes   of  intimate   partner   violence,                                                    
such  as  reproductive    control,   direct   harm,  indirect    harm,  minor                                                   
physical   aggression,    and  severe  physical   aggression   and  examines                                                    
how  each   relates   to  the  identified   health   outcomes.    She  stated                                                   
that   overall   nearly   all   subtypes   of   IPV,  whether    experienced                                                    
historically    or   recently,   are   associated    with  negative    health                                                   
outcomes.    She  noted   that   a  few  items   within   the   reproductive                                                    
control    category    did   not   yield    significant     results,    those                                                   
exceptions are clearly identified in the report.                                                                                
                                                                                                                                
2:10:16 PM                                                                                                                    
MS.   JOHNSON   moved   to   slides   9  -  12   to  discuss    multivariate                                                    
results    beyond    the   report.    She   explained    that    the   report                                                   
primarily     presents     bivariate     results,     which    examine    the                                                   
relationship     between    one   form   of   intimate    partner   violence                                                    
(IPV),   such   as  psychological     aggression,    and   a  single   health                                                   
outcome.   She  emphasized   the  importance    of multivariate    analysis,                                                    
noting   that   IPV  often   involves   multiple,    overlapping    forms   of                                                  
harm    that    may    simultaneously       co-occur.     Individuals     who                                                   
experience    physical    harm   are   also   subjected    to   threats   and                                                   
control,   thus   experiencing    multiple    forms   of  intimate    partner                                                   
violence at once.                                                                                                               
                                                                                                                                
2:11:11 PM                                                                                                                    
MS. JOHNSON moved to slide 10, IPV Subtype Co-occurrence:                                                                       
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
                   IPV Subtype Co-occurrence:                                                                                 
                                                                                                                                
                    Control - Yes               Control - No                                                                
               Threat-Yes  Threat-No         Threat-Yes Threat-No                                                               
                                                                                                                                
      Harm-Yes    *32.3     **5.1            **8.3       ***9.7                                                                 
                  percent  percent           percent     percent                                                                
                  (n=4129)  (n=653)          (n=1056)    (n=1242)                                                               
                                                                                                                                
      Harm-No     **1.0     ***2.8           ***2.3      38.4                                                                   
                  percent  percent           percent     percent                                                                
                  (n=131)  (n=358)           (n=296)     (n=4900)                                                               
                                                                                                                                
                            N=12,765                                                                                            
                                                                                                                                
      *32.3 percent experienced all three forms of IPV                                                                          
      **14.4 percent experienced two of three forms of IPV                                                                      
      ***14.8 percent experienced one of three forms of IPV                                                                     
                                                                                                                                
2:11:16 PM                                                                                                                    
MS.   JOHNSON    stated    that    the   table    identifies     three   main                                                   
categories   of  intimate   partner   violence   (IPV):  control,   threats,                                                    
and  harm.   According    to  the   data,   32.3  percent    of  respondents                                                    
experienced    all  three   forms.  While   it  is  unclear   whether   these                                                   
experiences    occurred   within   the  same  relationship,    the  findings                                                    
indicate    that   nearly    one-third    of   the   approximately     13,000                                                   
participants    had  experienced   at  least  these   three  types  of  harm                                                    
potentially    from  different    partners,   or  possibly    from  the  same                                                   
one.                                                                                                                            
                                                                                                                                
MS.    JOHNSON    explained     that    the   table    also    breaks    down                                                   
combinations    of  the   three  categories.    The   data  show   that  14.4                                                   
percent   of   respondents    experienced    at  least   two  of   the  three                                                   
forms,   and   14.8  percent   experienced     only  one.   She  noted   that                                                   
these    findings    raise    questions     about    the   limitations      of                                                  
bivariate   results.   For   example,   it  becomes  difficult    to  isolate                                                   
whether    negative   health    outcomes    are   specifically    linked    to                                                  
psychological     aggression,    or   whether    such   outcomes   are   more                                                   
directly attributable to accompanying physical violence.                                                                        
                                                                                                                                
MS.  JOHNSON   stated   that  multivariate    analysis   can  address   these                                                   
questions    by  allowing   researchers    to   control   for  one   type   of                                                  
IPV,    such    as    physical     aggression,     while    examining     the                                                   
independent      effects     of    another,     such    as    psychological                                                     
aggression.    With   a  sample   size  this   large,   it  is  possible    to                                                  
perform     such    analyses     and   determine      whether    those    who                                                   
experienced    psychological    aggression,   but  not  physical   violence,                                                    
still show poorer health outcomes.                                                                                              
                                                                                                                                
2:13:08 PM                                                                                                                    
MS.   JOHNSON   moved   to  slide   11,   Multivariate    ([Ordinary    Least                                                   
Squares]   OLS   Regression)    Results.   She  noted   that   the  table   on                                                  
this  slide   is  complex   but  was  included    for  reference   purposes.                                                    
The  following    bullet  points   provide   an  overview   of  the   results                                                   
in the table:                                                                                                                   
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
       • Approximately 12 percent of the variance in both                                                                       
         physical   and  mental   health   can  be  explained   by  the                                                         
         three   forms    of   IPV   along   with    the   demographic                                                          
         control variables                                                                                                      
                                                                                                                                
      • Experiences with control IPV lowers one's physical                                                                      
         and    mental    health     scores    by   0.10    and    0.14                                                         
         (respectively),     holding   all  other   forms  of  IPV  and                                                         
         demographics constant                                                                                                  
                                                                                                                                
       • Experiences with threat IPV lowers one's physical                                                                      
         and  mental   health   scores   health   score   by  0.08  and                                                         
         0.07  (respectively),     holding   all  other  forms   of IPV                                                         
         and demographics constant                                                                                              
                                                                                                                                
         • Experiences with infliction IPV lowers one's                                                                         
         physical   and   mental   health   scores   health   score   by                                                        
         0.15   and   0.19   (respectively),     holding    all   other                                                         
         forms of IPV and demographics constant                                                                                 
                                                                                                                                
2:13:12 PM                                                                                                                    
MS.   JOHNSON   moved   to   slide   12,   Conclusion    from   Multivariate                                                    
Results:                                                                                                                        
                                                                                                                                
              Conclusion from Multivariate Results                                                                            
                                                                                                                                
      • Summary                                                                                                                 
         • Control, threats, and infliction subtypes of IPV                                                                     
            matter for current health independently of one                                                                      
            another                                                                                                             
            - Note, however, that financial strain has                                                                          
               greater impact on health than history of IPV                                                                     
                                                                                                                                
      • Implications                                                                                                            
         • Control and threats are bad for health regardless                                                                    
            of whether harm was ever inflicted  important                                                                       
            for outreach, assessment, and treatment                                                                             
                                                                                                                                
MS.  JOHNSON   stated   that  multivariate    analyses   are  somewhat   more                                                   
limited   than  the   bivariate   analyses   and  noted   she  is  available                                                    
to   discuss   this   further    if   needed.   She   explained    that   the                                                   
implications    for   outreach,   assessment,    and   treatment   highlight                                                    
the   importance    of  considering     all  forms   of   intimate    partner                                                   
abuse,   even   in  the  absence   of   physical   aggression.    It  is  not                                                   
just physical violence that matters for health outcomes.                                                                        
                                                                                                                                
2:14:11 PM                                                                                                                    
CHAIR   CLAMAN   contrasted     the  mostly    negative   values    shown   on                                                  
slide  11  with  the  positive   values   presented   on the  other   slides.                                                   
He  asked   her  to  elaborate   on  the  meaning   of  the   values  in  the                                                   
table on slide 11.                                                                                                              
                                                                                                                                
MS.  JOHNSON   replied  that   slide  11  presents   multivariate   analyses                                                    
focused   on  self-rated   physical   and   mental  health.   She  explained                                                    
that  the  first  two  columns   correspond   to  physical   health   models,                                                   
and   the   next  two   to   mental   health    models,   labeled    Model   1                                                  
through Model 4.                                                                                                                
                                                                                                                                
MS.  JOHNSON   noted  that   self-rated   health   is measured    on a  scale                                                   
from zero to four:                                                                                                              
                                                                                                                                
•  zero  = poor  health                                                                                                         
•  one  = fair  health                                                                                                          
•  two  = good  health                                                                                                          
• three = very good health                                                                                                      
• four = excellent health                                                                                                       
                                                                                                                                
MS.  JOHNSON   explained   that   the  values   in  the  table  reflect   how                                                   
much   a  respondent's    self-rated    health   changes    in  relation    to                                                  
experiences    of  intimate   partner   violence.    These  values   are  not                                                   
percentages.    A  negative   value  indicates    a decline   in  self-rated                                                    
health associated with that experience.                                                                                         
                                                                                                                                
2:16:49 PM                                                                                                                    
CHAIR   CLAMAN   referred   to  the   upper  left   box  on  the   slide  and                                                   
sought    confirmation     that   the   value    of   -0.17   represents     a                                                  
reduction   in  the  respondent's    self-rated    physical   health   score,                                                   
with  four   indicating    excellent   health   and  zero   indicating   poor                                                   
health.                                                                                                                         
                                                                                                                                
MS.  JOHNSON   replied   that   she  is  fairly   confident   the  reduction                                                    
reflected a change from the mean score of the sample.                                                                           
                                                                                                                                
2:17:38 PM                                                                                                                    
CHAIR  CLAMAN   referred   to slide   7 and  the  values   listed  under  the                                                   
groups    NEVER        HISTORICAL,"      and     RECENT     He  asked   where                                                   
the -0.17 is a reduction from.                                                                                                  
                                                                                                                                
MS.   JOHNSON   replied   from   the  mean;   however,    the  mean   is  not                                                   
shown on those slides.                                                                                                          
                                                                                                                                
2:18:06 PM                                                                                                                    
CHAIR    CLAMAN   asked    whether    the   -0.17   value    represented     a                                                  
reduction   from  the  mean  of  everyone   who  took  the  survey  compared                                                    
to  people   who   experienced    control,   or   from  the   "NEVER"   group                                                   
compared to those who experienced control.                                                                                      
                                                                                                                                
MS.   JOHNSON    replied    that   the   -0.17   reflected    a   comparison                                                    
between   those   who   had  ever   experienced    control   and   those  who                                                   
never   had.    She   referred    to  slide    11,   Model   1,   the   first                                                   
coefficient    for   control,    explaining    that   this   group's    score                                                   
would be 0.17 lower than the mean.                                                                                              
                                                                                                                                
2:18:51 PM                                                                                                                    
CHAIR   CLAMAN   sought   confirmation     that  reduction    was   from  the                                                   
mean of the NEVER group.                                                                                                        
                                                                                                                                
MS.  JOHNSON   clarified   that   it  was  a reduction    from  the  mean   of                                                  
the whole sample.                                                                                                               
                                                                                                                                
CHAIR  CLAMAN   stated  that  he  would   be interested    in learning   more                                                   
about  the  significance    of  those  values   and invited   her  to  follow                                                   
up with the committee if she wished.                                                                                            
                                                                                                                                
2:20:18 PM                                                                                                                    
MS.  JOHNSON   expressed   her  belief   that  the  important    details  are                                                   
summarized in the bullet points on slide 11:                                                                                    
                                                                                                                                
[Slide 11 bullet points are as follows:]                                                                                        
                                                                                                                                
       • Approximately 12 percent of the variance in both                                                                       
         physical   and  mental   health   can  be  explained   by  the                                                         
         three   forms    of   IPV   along   with    the   demographic                                                          
         control variables                                                                                                      
                                                                                                                                
      • Experiences with control IPV lowers one's physical                                                                      
         and    mental    health     scores    by   0.10    and    0.14                                                         
         (respectively),     holding   all  other   forms  of  IPV  and                                                         
         demographics constant                                                                                                  
                                                                                                                                
       • Experiences with threat IPV lowers one's physical                                                                      
         and  mental   health   scores   health   score   by  0.08  and                                                         
         0.07  (respectively),     holding   all  other  forms   of IPV                                                         
         and demographics constant                                                                                              
                                                                                                                                
         • Experiences with infliction IPV lowers one's                                                                         
         physical   and   mental   health   scores   health   score   by                                                        
         0.15   and   0.19   (respectively),     holding    all   other                                                         
         forms of IPV and demographics constant                                                                                 
                                                                                                                                
MS.  JOHNSON   said   that  she  will   get  back   to  the  committee   with                                                   
precise interpretations of those values.                                                                                        
                                                                                                                                
2:21:35 PM                                                                                                                    
SENATOR   TOBIN   expressed   interest    in  the  demographic    breakdowns                                                    
referenced    in the   presentation.    She  asked  whether   an  additional                                                    
document    on  demographic    breakdowns    exists.    She   further   asked                                                   
whether   the  data  reflect   race,  socioeconomic    class,  or  household                                                    
composition    variations,     such   as  the   presence   of   children    or                                                  
elderly    family   members.    She  wondered    whether   there    would   be                                                  
further analysis exploring these factors.                                                                                       
                                                                                                                                
MS.  JOHNSON    replied   that  the   dataset   includes   racial   identity                                                    
categorized    as:  Indigenous,    any   versus   other,   and  White,   only                                                   
versus    other.    The   children     variable    reflects    whether    the                                                   
respondent    has  ever   lived   with  children    under  the   age  of  18,                                                   
which  she  described   as  a  relatively   rough  measure.   She  expressed                                                    
her   belief   that   financial   strain    is  based   on  two   variables:                                                    
difficulty    paying   bills   and  whether    one  of  them   had  foregone                                                    
medical   care  due  to cost.   She  stated  that  further   analyses   could                                                   
be  conducted   though   the  capacity   to  do  so  depends   on  staffing.                                                    
She    noted     particular     interest      in    exploring     Indigenous                                                    
experiences       with     violence      compared     to     non-Indigenous                                                     
individuals.                                                                                                                    
                                                                                                                                
MS.  JOHNSON   shared   a  particularly    interesting   finding   unrelated                                                    
to  violence,    stating   that   financial    strain   showed   a  stronger                                                    
negative   association    with  health   than  any  of  the  IPV  variables.                                                    
She  noted   that   the  coefficient     for  financial    strain   was  much                                                   
larger than those for the violence-related items.                                                                               
                                                                                                                                
2:23:56 PM                                                                                                                    
SENATOR    TOBIN   commented    that   she   had   heard   a   strong   anti-                                                   
violence   program   is  also  a  strong   jobs  program   and  stated   that                                                   
the data on financial strain reinforces that idea.                                                                              
                                                                                                                                
SENATOR   TOBIN   referred   to  slide  2,  which   showed   that  statewide                                                    
surveys   were  conducted   in  2010,   2015,  and  2020.   She  shared  that                                                   
in  2010   she   was   identified    as  Black   and   White   in   the  U.S.                                                   
Census,   while  in  2020   her  classification    included   Black,   White,                                                   
and  American   Indian.   She noted   that  the  way  questions   are  framed                                                   
can  influence    how  individuals    self-identify.     She  asked   whether                                                   
the  AVS  questions   remained   consistent   across   the  2010,  2015,  and                                                   
2020     surveys,     and    whether      researchers      considered     how                                                   
respondents'    identification    of  race  or  ethnicity    may  shift  over                                                   
time.   She   remarked    that   in   the   1990   U.S.   Census,    she  was                                                   
identified only as Black.                                                                                                       
                                                                                                                                
2:24:50 PM                                                                                                                    
MS.   JOHNSON    replied   that   the   survey    questions    used   in  the                                                   
analyses    have  been   worded   the   same   over   time.   Although   some                                                   
questions   in  the   Alaska   Victimization    Survey   (AVS)  vary   across                                                   
versions,    the  core   questions    relevant   to   these   analyses   have                                                   
remained    consistent    for   comparison     and   collective    use.   She                                                   
mentioned   one  minor   exception,   a  stalking   related   item.   Wording                                                   
was  slightly   revised   to reflect   changing   technology;    a reference                                                    
to   MySpace   was   replaced    with  Snapchat    or   a  more   up-to-date                                                    
social   media  platform.    Aside  from   that,  all   key  items  remained                                                    
unchanged.                                                                                                                      
                                                                                                                                
MS.  JOHNSON   said  other  questions   can  be  added  to  the  survey,  but                                                   
then  they  cannot   be  used  across  different   surveys.   For  instance,                                                    
adverse   childhood    experience    questions   were   added   to  the  2020                                                   
survey,   but  those   questions    are  specific   to  that   year  and  can                                                   
only be analyzed using 2020 data.                                                                                               
                                                                                                                                
MS.  JOHNSON   responded   to  the  self-identity   question,    stating  the                                                   
survey   does  not  have  a reliable   mechanism   to  account   for  changes                                                   
in   self-identity    over   time.    However,    surveyors    always   allow                                                   
participants    to  identify   as more   than  one  race,  so  that  data   is                                                  
available historically.                                                                                                         
                                                                                                                                
2:26:06 PM                                                                                                                    
CHAIR  CLAMAN   referred   to  slide  11  and  pointed   out  a  significant                                                    
distinction    in  the  table.   He  said   the  physical    health   finding                                                   
for  individuals   identified    as    hite,  onlyis     a  positive   value,                                                   
which   presents    a   striking    contrast    to   the   physical    health                                                   
finding for those identified as "Indigenous, any                                                                                
                                                                                                                                
MS.  JOHNSON   stated   that  she  would   probably   revise   how  the  race                                                   
categories    are  structured   if  she   could.  She   explained   that  the                                                   
current   model  uses  three   race  categories,   with  "Indigenous,    any"                                                   
encompassing    all  individuals    with   any  Indigenous    identity.   The                                                   
"Other"   category   includes    a  range  of  groups   such   as  Black  and                                                   
African   American   to Asian,   Pacific   Islander,   and  East  Asian.  She                                                   
noted   that   due   to   limited    sample   sizes,   the   survey    cannot                                                   
analyze these racial groups individually.                                                                                       
                                                                                                                                
MS.  JOHNSON   said   ideally,   "White,   only"   should   be  used  as  the                                                   
reference    category   in  the   model.   This  would   allow   comparisons                                                    
between   "Indigenous,    any"  and  "White,   only,"   as well   as  between                                                   
"Other"   and   "White,   only."   At  present,   the   structure   compares                                                    
"White,   only"  to  "Other,"   but  not  to "Indigenous,    any."  She  said                                                   
that  this  is  something   she  would   redo  and  then  see  how  the  race                                                   
results   come   out.   She  stated   that   restructuring    the   model   in                                                  
this   way   would   not   affect   items,   such   as   control,   threats,                                                    
infliction,    children,   or  financial   strain,   but  how  those   racial                                                   
variables perform might change.                                                                                                 
                                                                                                                                
2:27:42 PM                                                                                                                    
SENATOR    TOBIN   noted    that   the   research    focuses    on  English-                                                    
speaking,     non-institutionalized        individuals.     She    expressed                                                    
curiosity    about  how   Alaska's   growing   refugee   populations    might                                                   
impact    the    data.    She   asked    whether     the   Alaska     Justice                                                   
Information    Center   (AJIC)   had   considered    collecting    data  from                                                   
those   communities   in  the   future,   stating   that  many  of  Alaska's                                                    
refugee    populations    could    substantially     shift   the   reporting                                                    
outcomes.                                                                                                                       
                                                                                                                                
MS.  JOHNSON    responded   that   there   have   been  requests    over  the                                                   
years   to  offer  the  survey   in  languages   other   than  English,   but                                                   
doing   so  presents   complications.    She   explained   that   this  would                                                   
require    having    translators      available    for    any   variety     of                                                  
languages,    which  raises   challenges.    Deciding   which  languages    to                                                  
prioritize    is   also   difficult.    She   noted   that   expanding    the                                                   
survey     beyond     English      would     represent      a    significant                                                    
methodological    change   and  could  affect   the comparison    of  results                                                   
across different years.                                                                                                         
                                                                                                                                
2:29:15 PM                                                                                                                    
MS.  JOHNSON   commented   on  phone  access,   stating  some   individuals,                                                    
particularly    those   in  controlling     relationships,    may   not  have                                                   
access   to  a  phone  or  may  not   be  permitted   to  participate    in  a                                                  
phone  survey   without   interference.    She  stated  that  partners   have                                                   
insisted   on  listening    in  or  forced   participants    to  hang   up  in                                                  
some    cases.    She   said    these    are   considered     hard-to-reach                                                     
populations,    which   are  inherently    difficult   to  study   through   a                                                  
survey like this.                                                                                                               
                                                                                                                                
MS.   JOHNSON   surmised    that   accessing    those    populations    would                                                   
almost   require  a  different   study.   Any prevalence    estimates   would                                                   
be  imprecise    due  to  the  inherent    challenges    in  reaching   those                                                   
groups.                                                                                                                         
                                                                                                                                
MS.  JOHNSON   outlined   two tasks   she  would  complete   at  the  request                                                   
of committee members:                                                                                                           
                                                                                                                                
-   Gather    survey   sample    information     that   includes    relevant                                                    
   region-specific population percentages.                                                                                      
                                                                                                                                
-  Provide  a  clearer   interpretation    of the  coefficients    presented                                                    
   on slide 11.                                                                                                                 
                                                                                                                                
2:30:38 PM                                                                                                                    
CHAIR CLAMAN expressed appreciation to Ms. Johnson.                                                                             
                                                                                                                                
2:30:56 PM                                                                                                                    
There   being  no   further   business   to  come   before   the  committee,                                                    
Chair   Claman   adjourned   the  Senate   Judiciary    Standing   Committee                                                    
meeting at 2:30 p.m.