Arizona has the fifth highest rate of intimate partner violence (IPV) in the United States. Rural, Spanish speaking, and Indigenous communities are one-third to two-thirds more likely to experience IPV than the general United State population. With several rural counties that are on the United States - Mexico border and 22 federally recognized Native American tribes, these national statistics are writ large in Arizona. Arizona’s high IPV rates are linked to low social determinants of health and oppressive social and governmental systems. Many of the risk factors in these communities are correlated with generations of colonization and generational trauma in Indigenous communities as well as poverty in rural areas that lead to low quality economic, health, and social services that are not as effective in protecting against IPV. Considering the high-risk social factors for IPV in these communities, we must invest in preventative services for IPV in Arizona.
The target populations for the Preventing Violence through Healthy Communities project are rural, Spanish speaking, and Indigenous communities in the state of Arizona. The purpose of the project is to: (a) develop a State leadership team to; (b) conduct a State environmental assessment of preventative services for intimate partner violence (IPV); (c) using a public health model, evaluate and assess the risk and protective factors for IPV in these communities; and (d) develop a program and policy efforts at the state and community levels to expand IPV prevention in Arizona using the results of the environmental scan. The lead applicant for the project is the Arizona Coalition to End Sexual and Domestic Violence (ACESDV), who will be working in partnership with victim advocates, universities, healthcare providers, government entities, tribal coalitions, and service providers on all the deliverables of the project. ACESDV has strong community partnerships and will expand and strengthen our collaborations to ensure the voices of all groups are represented within the project.
The proposed project will increase community capacity for increasing protective factors and decreasing risk factors for IPV for rural, Spanish speaking, and Indigenous survivors of IPV by assessing and developing policy to support preventative IPV services. ACESDV and project partners will analyze the social determinants of health (SDoH) that prevent IPV in Arizona rural, Spanish speaking, and Indigenous communities to determine the risk and protective factors associated with IPV in these communities. We will emphasize the five counties that exhibit the lowest quality SDoH in Arizona: Apache County, Navajo County, La Paz County, Santa Cruz County, and Gila County. These communities have the highest poverty rates, lowest high school graduation and postsecondary education rates, life expectancies that are 5-10 years shorter than the average life expectancy in Arizona, and the highest rates of IPV. We will then develop a program and policy effort to address gaps in services and increase the quality of IPV preventative services throughout the state. Navajo County, with a strong Coordinated Community Response team, will also implement community level policy and prevention efforts and guide the state team's work.