Abstract
Limited studies have considered the experiences of Latinx intimate partner homicide (IPH) survivors. A federally designated, culturally specific gender-based violence resource center partnered with nine community-based organizations to enhance culturally specific knowledge on IPH prevention by conducting listening sessions and key informant interviews with Latinx survivors, advocates, and community practitioners. The current study analyzed data from the larger project to explore help-seeking barriers encountered by Latinx IPH survivors, specifically cisgender and transgender women. Results identified six themes impacting help-seeking: an inaccessible criminal justice system, inequitable resources, immigrant identity, gender role beliefs and expectations, a lack of culturally sensitive services, and family concerns. Policy implications and future research are discussed.
Introduction
The escalation of intimate partner violence (IPV) to intimate partner homicide (IPH) continues to be of substantial concern across the world. Global estimates have revealed that approximately one in three female homicide victims are killed at the hands of a current or former intimate partner (Stöckl et al., 2013). Within the United States, data from the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS) have demonstrated that nearly 51% of female homicides were committed by an intimate partner (Jack et al., 2018). Latinas and other racial/ethnic minority groups of women are at a particularly heightened risk of IPH (Petrosky et al., 2017) due to the systemic marginalization experienced by these communities that exacerbates violence and inhibits formal intervention. Swatt and Sabina (2013) found an increased risk of IPH for Latina women as compared to white women across a 6-year period of NVDRS data from 2005 to 2010. Similarly, Petrosky et al. (2017) noted that approximately 61% of Latina/Hispanic homicides from 2003 to 2014 were IPV-related. Together, these estimates underscore the serious fatal outcome of high-risk IPV cases that escalate in chronicity, severity, and dangerousness for Latinas.
For IPV victims, it is well established that help-seeking is associated with reduced revictimization, safety, and improved victim outcomes (Xie & Lynch, 2017). Help-seeking is defined as utilizing support resources that can be either formal (i.e., community advocacy, criminal justice system, medical) or informal (i.e., family, friends) (Lelaurain et al., 2017; Liang et al., 2005). Despite the benefits of help-seeking, low rates of formal help-seeking have been documented for Latina IPV victims, in part, due to a variety of contextual factors at the individual, cultural, and institutional level (Alvarez & Fedock, 2018; Cuevas et al., 2014). Formal help-seeking rates among transgender IPV survivors may be even lower when compared to cisgender counterparts (Kurdyla et al., 2021). Of particular concern, studies have found that transgender women and transgender undocumented immigrants may be less likely to utilize formal IPV services when compared to transgender men and documented residents (Messinger et al., 2022). Help-seeking barriers for transgender IPV victims are further reinforced by low rates of reporting and heterosexism by both perpetrators and formal institutions (X. L. Guadalupe-Diaz & Jasinski, 2017). At the same time, studies have demonstrated that Latina IPH victims have a history of reported IPV (Campbell, Webster, Koziol-McLain, Block, Camp- Bell, et al., 2003; Petrosky et al., 2017; Swatt & Sabina, 2013). In other words, when an IPH occurs, it represents a failure to intervene and prevent death via help-seeking (Campbell, Webster, Koziol-McLain, Block, Campbell, et al., 2003; Koppa & Messing, 2021). Despite the prevalence of IPH among Latinas, factors related to IPH within Latinx populations remain largely understudied (Messing et al., 2021). Indeed, little is known surrounding barriers to help-seeking for Latinas at high risk for IPH. Given the importance of help-seeking for IPH prevention, the present study used qualitative data gathered from cisgender and transgender Latinx women, advocates, and community practitioners to identify barriers that inhibit formal help-seeking.
Theoretical Framework
Intersectionality provides an important lens from which to contextualize the help-seeking experiences of cisgender and transgender Latinx IPH survivors. The term intersectionality was first developed by Crenshaw (1989, 1991) in response to the historical legal erasure of Black women by perspectives that focused on a single axis of oppression: race or gender. Crenshaw articulated that Black women were “multiply-burdened” because their reality was defined by various intersecting identities that converged to shape inequality (Crenshaw, 1989, p. 140). Accordingly, intersectionality provides the necessary approach to address how multiple identity dimensions of Latinx women intersect to inform the needs of IPH survivors. In the U.S., Latinx people represent the largest racial and ethnic minority group, however Latinx populations are not a monolith. The Latinx identity is multidimensional with aspects including race, nationality, culture, language, gender identity, and sexuality (Hernandez-Truyol, 1999). The intersectionality theory suggests that there is a synergistic interaction created by the over-lapping oppression and marginalization across multiple levels of identity thereby contributing to minority related stressors (Veldhuis et al., 2023). These stressors go beyond structural interactions and extend into their interpersonal life and romantic partnerships. It follows that for Latinx IPH survivors their experiences and help-seeking barriers would vary and warrant an intersectional analysis. With this consideration, the present study was committed to the inclusivity of Latinx IPH survivors with diverse IPH survivor representation in regards to geography, indigeneity, language, and gender identity.
Barriers to Help-Seeking for Latinx Intimate Partner Violence Survivors
Latinx IPH survivors face unique experiences when it comes to engaging in formal help-seeking behaviors that include immigrant status, economic insecurity, and inadequate system resources (Robinson et al., 2021; Rodriguez et al., 2019). Often used as a tool of coercion and control, immigrant status can lead survivors to remain silent about abuse (Rodriguez et al., 2019; Sabri et al., 2018). Transgender Latina women who flee their home countries to seek asylum in the U.S. are faced with the compounding effects of transphobia, misogyny, and intensifying immigrant xenophobia (X. K. Guadalupe-Diaz & West, 2020). Furthermore, transgender Latina women may experience more discrimination and other barriers at shelters that serve predominately heterosexual and cisgender survivors (X. L. Guadalupe-Diaz & Jasinski, 2017). Language barriers for Latinx survivors in health and human services are also well documented (Brabeck & Guzmán, 2009; Reina et al., 2014) and survivors from marginalized ethnic communities also report discrimination from police (Robinson et al., 2021; Rodriguez et al., 2018). Having one of the largest pay gaps among all racial and ethnic groups and comprising a large part of the low-wage labor market, Latina women in particular may have limited resources with which to cope or leave abusive relationships (Rodriguez et al., 2019). Financial abuse, such as restricting access to money or financial information, has been found to be a common form of abuse experienced by Latinas (Davila et al., 2021). Responsibilities to children, preservation of the family unit, and the cultural stigma of divorce may also contribute to low rates of help-seeking (Bauer et al., 2000). It’s no surprise that Latinx survivors of IPV tend to prefer informal sources of support such as friends, family, or faith-based communities (Sabina et al., 2012).
Methods
Data for the present study were the result of a community-centered evidenced-based practice approach to develop culturally specific knowledge on IPH in Latinx communities, specifically for cisgender and transgender Latinx women (Serrata et al., 2017). During 2021 to 2022, a federally designated, culturally specific gender-based violence resource center, partnered with community based Latinx organizations to collect data on factors related to IPH. Organizations were invited to collaborate on this larger project from the resource center’s national network of Latinx organizations that includes agencies providing culturally specific domestic violence and sexual assault advocacy, programing, and support services. A total of nine organizations, representing seven U.S. states and territories, agreed to support the recruitment of IPH survivors, advocates, and community practitioners for interviews. The nine participating organizations represented a variety of geographic regions including Georgia, California, Florida, Massachusetts, New York, Minnesota, and Puerto Rico. Additionally, two partnering organizations identified as organizations serving indigenous Latinx and transgender Latinx survivors, respectively.
Data Collection
Interview data was collected through listening sessions and key informant interviews. A semi-structured interview guide was developed in English by the second author with feedback from the resource center’s staff members. The interview guide included open-ended questions on high-risk IPV cases, risk factors and warning signs for IPH among Latinx survivors, experiences with seeking (or delivering) services, and interactions with the criminal justice system. The interview guide was translated into Spanish and listening sessions and key informant interviews were conducted in Spanish. The listening session with indigenous Latina survivors was conducted in Mam with a multi-lingual Spanish translator. Mam is an indigenous Mayan language that is spoken throughout Guatemala and Mexico.
The inclusion criteria for survivor, advocate, and practitioner participant eligibility included being 18 years of age or older, identifying as Latinx, and not being in acute crisis. A site coordinator from each partnering organization was dedicated to assist with the recruitment of participants from each organization. Once coordinators identified eligible participants, participants completed a consent and eligibility intake form. The coordinator was responsible for coordinating a time and date for the listening sessions to take place with eligible participants. For each organization, separate listening sessions were conducted with survivors and advocates. All listening sessions were hosted on Zoom and lasted approximately 2 hr. The coordinator was able to connect participants to direct services and resources in the community, if needed. In addition to the listening sessions, two to three key informant interviews were conducted with each partner organization to elicit community practitioner expertise on IPH in Latinx communities. Community practitioners were included as key informants given their “front line” knowledge with Latinx populations and IPH (Serrata et al., 2017). Site coordinators from each organization recommended key informants from each partner organization. Similarly, the key informants completed a consent and eligibility intake form. Interviews were hosted on Zoom and lasted approximately 1 hr. The roles held by key informants included program staff, program directors, program coordinators, police officers, family and child advocates, community college educator, and service providers. For the purposes of this study, the use of the archival data was approved by the Institutional Review Board (IRB) at the University of Central Florida.
Participants
Across the partnering organizations, 108 survivors, advocates, and community practitioners and were recruited to participate in the listening sessions. Among the 108 invited participants, 90 individuals consented, agreed to participate, and attended one of nine listening sessions for survivors (n = 43 survivor participants) and one of six listening sessions for service providers (n = 34 advocate and practitioner participants). Additionally, 13 community practitioners were invited to participate in key informant interviews and completed the interview, though two individuals participated in both an advocate listening session and key informant interview. Participant demographics are presented in aggregate form in accordance with IRB protocol to protect the privacy of advocates and community practitioners working in a small community of Latinx-serving culturally specific organizations.
Survivor Participants
The majority of survivors that participated in listening sessions (n = 43) identified as women (n = 34), followed by transgender women (n = 8) and one participant who did not disclose gender identity. Survivors age ranged from 29 to 70 years (M = 45). Survivors reflected a range of educational backgrounds, including community college or university (n = 10), middle school (n = 10), graduate school (n = 8), high school (n = 7), elementary school (n = 6) and GED (n = 1). One participant was unsure of their highest level of education. The majority of survivors represented diverse cultures of origin including Mexican (n = 12), Dominican (n = 9), Guatemalan (n = 6), Puerto Rican (n = 4), Salvadorean (n = 4), Venezuelan (n = 3), Colombian (n = 2), Ecuadorean (n = 1), Honduran (n = 1), multiple identities (n = 1). Additionally, the country of birth country varied with survivors being born in Mexico (n = 11), Dominican Republic (n = 8), Guatemala (n = 5), Puerto Rico (n = 4), El Salvador (n = 5), Venezuela (n = 3), Colombia (n = 2), United States (n = 2), Ecuador (n = 1), Honduras (n = 1), and Albania (n = 1), with one survivor not reporting.
Advocates and Practitioner Participants
In total, 47 advocates and community practitioners participated in a listening session and in a key informant interview. All identified as women and their age ranged from 21 to 66 years (M = 44). Most reported having a graduate degree (n = 22), followed by a community college or university degree (n = 15), high school (n = 5), elementary school (n = 2), middle school (n = 1), and GED (n = 1). Data on education for one of the participants was missing. Community practitioners and advocates represented diverse cultures of origin including Mexican (n = 12), Puerto Rican (n = 11), Dominican (n = 8), Colombian (n = 2), Guatemalan (n = 2), Bolivian (n = 1), Cuban (n = 1), Ecuadorian (n = 1), Nicaraguan (n = 1), Peruvian (n = 1), Spanish (n = 1), white (n = 1). Five participants reported coming from multiple Latinx cultures and one did not provide ethnic identity.
Analytic Strategy
Data analysis was guided by an inductive modified, grounded theory approach (Charmaz, 2006). Listening sessions and key informant interviews were digitally recorded via Zoom and transcribed from Spanish to English using NVivo 12 transcription service. Back translation was used by two bilingual research assistants who reviewed the transcripts for quality and accuracy. Following transcription, members of the research team met and shared initial impressions to inform the development of a codebook. Each transcript was uploaded into NVivo 12 to facilitate organization and was independently coded by members of the research and evaluation team. The research team met regularly to conduct initial coding, develop and refine the codebook, and resolve discrepancies in coding with the assistance of NVivo 12. Queries were run by the first author on the help-seeking node and these codes were further analyzed using an inductive, line-by-line coding approach and the constant comparison method; this was an iterative process to identify themes (Glaser & Strauss, 1967). The constant comparison step is essential given that it facilitates theory development and enhances reliability and validity (Morse et al., 2002). The second author independently analyzed the help-seeking node using the same process and the authors met regularly to reconcile discrepancies in theme development.
Results
Six themes related to help-seeking barriers for Latinx IPH survivors were identified: (1) inaccessible criminal justice system, (2) inequitable resources, (3) immigrant identity, (4) gender role beliefs and expectations, (5) lack of culturally sensitive services, and (6) family concerns. Survivor, advocate, and practitioner participants quotes are presented in Spanish with English translations in parenthesis. Table 1 summarizes the themes with illustrative quotes.
Barriers to Help-Seeking for Latinx IPH Survivors.
Note. Participant quotes are presented as English translations only for parsimony.
Inaccessible Criminal Justice System
The first major theme related to barriers for help-seeking for both cisgender and transgender Latinx IPH survivors was identified as the inaccessibility of the criminal justice system. Survivor, advocate, and practitioner participants in both the listening sessions and the key informant interviews emphasized the complicated experiences of Latinx IPH survivors when accessing and navigating the system. A key informant, for example, described how the criminal justice system processes disincentivize help-seeking behaviors and result in a window of missed opportunity to intervene before a high-risk case ends in homicide:
No, no están organizados, te hacen perder el tiempo. Como te dije nuevamente, la persona va y empiezan a llenar un montón de papeles y un papel y un papel. Tienes que entender cuando estas personas están en este estado mental que te han dado. Tienes dolor físicamente, espiritualmente y mentalmente. Estás dolida. Tu cabeza no está para ese momento de llenar toda la acta de nacimiento y traen el seguro social y no, entonces no tengo un seguro social, no tengo un acta de nacimiento aquí el se quedó con eso, ah pero eso se necesita, o sea, te piden una serie de requisitos que son en ese momento. Mira, es como cuando una persona le da un un heart attack, hay un window, hay una ventana para que esa persona tu la lleves al hospital y tomen acción rápidamente y no hayan consecuencias negativas. En el caso de una de una mujer que ha sido abusada físicamente, vamos a hablar del peor caso que es cuando son abusados sexualmente y físicamente ok y escapan. Tú crees que esa persona tiene la mente, la cabeza para decir ah, espérate, ¿déjame entrar a la gaveta y llevarme el pasaporte o déjame buscar? No, no tiene cabeza para eso. Entonces muchas veces estas instituciones lo que hacen es que te hacen perder el tiempo. (They are not organized, they make you lose time. A person goes and they start to fill out a ton of paperwork, papers, and papers. You must understand that the mental state that people are in at this point. They are physically, mentally, and spiritually hurting. They are hurting. Their state of mind is not in that—to be filling out all these papers, to look for their birth certificate, social security card, or maybe they don’t have their birth certificate or social security card with them because the perpetrator kept it, but they need it, they ask for all these prerequisites. It’s like when someone has a heart attack, right, there’s a certain window of time to take that person to the hospital and act quickly so that there are no negative consequences. In the case of a woman who is being physically abused, let’s say, worst case scenario, they are sexually and physically abused and they finally escape. OK. Do you think that this person has the state of mind and bandwidth to say, ‘oh wait let me make sure I have my passport?’ No, they do not have the mental capacity for that. So many times, these institutions all they do is make people lose time.)
Participants across key informant interviews and listening sessions reiterated that accessing the criminal justice system is impeded by bureaucracy, disorganization, a slow response, unclear processes, and the need for multiple contacts and attempts that are frustrating and discouraging to survivors. As a result, this diminishes engagement with the system and leaves Latinx IPH survivors feeling revictimized.
Otra cosa es un sistema que sea más eficiente, porque muchas veces lo que vemos es que la gente se cansa. Y se cansa porque va, le cancelan la visita y un pleno para otro día. Y eso ocurre tres, cuatro o cinco veces hasta que la gente termina cansándose ya al final. Entonces, pues como dicen, ¿verdad? la justicia tardía no es justicia. ¿Sabe? Tenemos que hacer nuestros sistemas para que sean más ágiles, para responder a las necesidades en el momento que tienen las víctimas. (Another thing is that the system needs to be more effective, because many times what we see is—that people get tired. And they get tired because they go, they cancel their visit or put it for another day. This happens three, four, five times until people get tired at the end. Like they say, late justice isn’t justice, right? You know? We need to make our system more agile to respond to the need of victims in the exact moment.)
Revictimization by the criminal justice system was exacerbated for transgender Latinx IPH survivors underscoring the importance of considering help-seeking experiences among Latina women with multiple identities. Participants described negative interactions with criminal justice personnel including discrimination, misgendering, jokes and slurs, minimizing the abuse, and discounting reports of violence:
Bien, en mi caso, cuando tuve un arresto este oh, también te tratan como hombre y de hecho hasta hacen bromas entre ellos ah sobre tu apariencia, sobre tu género, sobre todo a un policía que hasta dijo que nosotras las trans me dijo ‘o ustedes las trans parecen tortugas. Se les mira la cabeza y la cola, pero nunca sabes qué son’ y[sic]. So, también, ellos hacen juegos bastantes incómodos para nosotros. (In my case, when I was arrested, they also treated me like a man and they actually made jokes amongst themselves on your appearance, on your gender, especially one police officer said ‘you trans are like tortoises. You can see their head and tail, but never what they are.’ So yeah, their jokes are uncomfortable for us.)
Inequitable Resources
The second major theme related to help-seeking barriers was identified as “inequitable resources.” This barrier encompassed participant descriptions of Latinx IPH survivors as an underserved population due to a general lack of resources and funding for victim services that inhibits help-seeking. Key informants expressed the difficulty of preventing IPH in Latinx communities simply because there are not enough resources for Latinx victims in high-risk cases to access. Results illustrated how culturally specific organizations struggle to respond to the disparate need for victim services in their communities compared to agencies serving predominantly white communities and families. Victim service providers and advocate participants perceived the unequal resource distribution as discriminatory against Latinx communities:
. . .el grave problema que estamos enfrentando y la violencia doméstica, a pesar de que se han hecho estos esfuerzos en VOWA (sic) y que vemos que los sistemas aun entre comillas han cambiado, pero públicamente puedo decir que necesitamos hacer un mayor esfuerzo para que estas comunidades tengan acceso y que sí es notorio la discriminación de la repartición de los beneficios de otros anglosajones a nosotros los hispanos. Por eso existe (nombre de organización) para abogar por estos cambios, para que revisemos, conversemos con las autoridades y directores de estas agencias. Cuando una sobreviviente se encuentra en un refugio y llama a nuestra agencia, nosotros vamos a llamar a quienes le dan los fondos a ellos para que sean observados, independientemente a que escribimos unas cartas para que esto pueda cambiar. Si necesitamos seguir trabajando más para estos cambios y que las agencias que reparten estos fondos también lo hagan con criterio justo. (The serious issues we are dealing with domestic violence, despite the progress of VAWA and small system changes, I can publicly say is that we need more efforts so that communities have access and yes, it is notoriously discriminatory how resources are distributed to other white as compared to us Hispanics. That is why (this organization) exists, to advocate for change and converse with authorities and directors of other agencies. When a survivor is in need of shelter and calls our agency, we are the ones to provide funds so that they may be taken in, we also write letters so that this may change. We need to keep working towards these changes so that agencies who distribute these funds do so equitably.)
Within the broader theme of inequitable resources, housing was a specific resource barrier and area of needed funding identified by listening session and interview participants. The scarcity of resources and victim services for Latinx IPH survivors leaves survivors with no housing alternatives when seeking refuge from violence. Both the availability and quality of housing resources for Latinx IPH survivors were areas of significant need identified that inhibit help-seeking. A key informant described the importance of sufficient victim resources, including housing needs, to prevent homicide in Latinx communities:
Definitivamente poderla brindarle los recursos de ayuda de inmediato para que ella pudiera salir de ese hogar y no esperar hasta ser asesinada. Muchas veces se detienen precisamente. Lo que escucho de la sobreviviente es que me tengo que quedar ahí porque no tengo donde ir. En los refugios no hay nada para mí. . .O sea, muchas razones que vemos que impida que estos estadísticas sean reducida es si tenemos mejores recursos de ayuda. (Definitely being able to provide the resources to help immediately so that she’s able to leave that home and not wait to be murdered. Many times this stops them. What I hear survivors says is that I have to stay because I don’t have where to go. There’s nothing for me in the shelters. . .Many reasons that we see to prevent these statistics are if we have better victim resources.)
Immigrant Identity
Additionally, findings demonstrated the role of immigration status as a significant barrier to formal help-seeking for both cisgender and transgender Latinx IPH survivors. From an intersectional framework, the experience of migration complicated help-seeking for survivors in a multifaceted manner often interrelated with other barriers. One key informant, for example, described how they recommend that Latinx survivors in high-risk relationships call the police, however immigration status often produces considerable fear of deportation, where survivors, instead, choose to remain in relationships that escalate to homicide. 1
She was stabbed and she, she stayed on the floor bleeding instead of calling the police because she was scared of calling the police on him because of her immigration status. That was a really serious case where I thank God that he’s arrested now, but that case could have easily resulted in him killing her. And he was arrested, and he got out of jail and the first thing he did was go to her house and attempted to kill her again. That was like the perfect case of her being so more afraid of the police and immigration than being killed by him.
For Latinx IPH survivors, legal status as a factor inhibiting help-seeking is exacerbated by varying levels of acculturation. Results from the key informant interviews and the listening sessions revealed that the experience of migration is coupled with other aspects like a lack of knowledge surrounding legal protections and social services afforded to victims which impedes help-seeking. Moreover, findings from participants demonstrated how immigration status is also used by intimate partners as a tactic to exert coercive control, create an imbalance of power, and threaten survivors—again preventing formal help-seeking for Latinx IPH survivors.
yo viví una violencia que el siempre cuando yo he estuve embarazada, él siempre me amenazaba y por ese miedo yo no hablé y no hablaba, nunca decía nada porque él me decía, ‘yo te voy a quitar a tu hijo. Tú no eres una doctora, es una don nadie, no sirves para nada, que no eres nadie y tú te vas a largar a tu país.’ Y entonces, del miedo yo nunca hablé a la policía, nunca dije nada. Y no decía, ni a mis padres a nadie[sic] sabía yo al infierno que yo vivía en esas cuatro paredes. . . yo no sabía, yo estaba recién llegado [sic] este país, no sabía el sistema de este país, cómo funciona. Como usted sabe, en otros países un tema así es bien difícil de que lo tomen en cuenta. Entonces yo pensé, como me decía, que tú eres una indocumentada, tu no eres una don nadie aquí, nadie te va a hacer caso. He aquí yo te voy a quitar el niño. Tú te vas a ir del niño, de mí mis apellidos y todo. Entonces yo el miedo a que él me haga eso. Yo nunca hablé. (I lived through violence while I was pregnant, he would always threaten me and because of fear, I did not call, I wouldn’t say anything because he would tell me that he was going to take my son away. ‘You are not a doctor, you are a nobody, you are not good at anything, you are a no one and you will be sent back to your country.’ So, because of that fear, I never called the police, I never said anything. I wouldn’t tell my parents, nobody. Nobody knew the hell I was living in within these four walls. . . I didn’t know, I was new to the country, I didn’t know how the system worked. But like, you know, in other countries a topic like this is difficult to believe. I thought, since he told me, ‘you’re undocumented, you’re nobody, no one is going to believe you. I am going to take our son and you’ll lose our son and my last name, and everything.’ So, it was the fear that he would do that to me. I never called.)
Gender Role Beliefs and Expectations
The fourth major theme related to help-seeking barriers for Latinx IPH survivors was gender role beliefs and expectations. This theme comprised gender-based attitudes within Latinx communities that prevented survivors and IPH victims from engaging in formal help-seeking behaviors. Key informants and listening session participants noted how these beliefs are entrenched in family systems, communities, and culture, and function as a mechanism to keep victims in high-risk abusive relationships. A listening session participant, for example, described how the notion about keeping the family together can stop individuals from seeking help:
Este, que es verdad, la cultura latina es verdad que es la familia, se queda junta, ¿verdad? Está el hombre, la mujer o mujer y marido, ¿verdad? Hay familias latinas que todavía no creen en el divorcio, ¿verdad? Y este, también está, en verdad, los efectos de trauma. Lo que es el síndrome de Stockholm. No sé si hay traducción, ¿verdad? Pero amar al abusador, que a veces nosotros crecemos en nuestros hogares así ¿verdad? Vemos violencia en nuestros hogares y aprendemos a seguir viviendo. Amamos a nuestras familias, aunque sean abusadores, ¿verdad? Entonces, ya siendo adulto, uno en su propio hogar, en su propio matrimonio, sigue repitiendo lo mismo, ¿verdad? Aunque esta persona me hace daño, lo amo y me voy a quedar aquí, ¿verdad? (Another thing I want to bring to light is the other side of the coin. In Latino culture, the family stays together, right? The husband and wife, right? There are still Latino families that do not believe in divorce. And there is also the effects of trauma. That being Stockholm syndrome, I do not know how to translate that. We love our abuser that oftentimes we grow up with. We see violence in our homes and learn to keep living. We love our family despite being abusers, right? Now as adults, in our own homes, in our own marriages, the same thing happens right? Even though this person is harming me, I love them, and I am going to stay, right?)
Findings from participants illustrated how gendered beliefs are passed down through families with histories of IPV. These beliefs prevent family and informal support systems from encouraging Latinx women experiencing high-risk IPV to access formal services. Gender role beliefs are so entrenched that they can also impede communication about safety with both formal and informal supports. Cultural beliefs about family can lead to shame and discomfort, and ultimately leave Latinx survivors coping on their own. One listening session participant described a case where a Latina woman’s family was unaware of the violence that ended in IPH:
de hecho, fue hace poco, dos años, pero bien extraño porque la persona se le dio ayuda anteriormente, pero quizás ella pasó todo este tipos [sic] de barreras que ella guardó en silencio todo lo que estaba pasando. Y cuando decidió salir de esta relación, ella, fue, ella, la mató. La persona fue hace dos años y ella estuvo en los programas de (nombre de organización). Se le ayudó con muchas cosas. Me imagino que lo deben de conocer, pero desafortunadamente cuando ella decidió, años después que había salido de acá, siguió en esa relación de abuso y cuando decidió dejarlo fue cuando la persona la mató y se suicidó. Eso llega a pasar esto y cuando nos enteramos y se llamó a la mamá, la familia y todo, nadie sabía nada, nadie sabía que ella estaba pasando violencia doméstica porque ella nunca mencionó por lo mismo, por la misma cultura que tenemos. La familia latina permanece unida, no dice nada, no pasa nada y al final murió. (Yes actually, a while ago, two years ago, but it was strange because that person had gotten help previously, but perhaps she was experiencing a host of barriers to get help and she kept everything to herself. When she decided to end the relationship, she was killed. This person was two years ago, and she was involved in programs at (participating organization’s name). She received a lot of help. I imagine you all may know her, but unfortunately, when she decided, a year after leaving our program, she remained in the relationship and when she finally decided to leave him, is when that person killed her and committed suicide after. That happened and we found out and called her mom, her family and no one knew anything, no one knew that she was a victim of domestic violence, she never said anything because of the culture we have. The Latino family stays together, she didn’t say anything, and she died.)
Lack of Culturally Sensitive Services
Interview and listening sessions participants shared that if Latinx IPH survivors did access formal services, these resources (i.e., police, courts, victim service agencies) frequently lacked cultural relevance, which in turn, presented as a barrier to successful service utilization. Several survivor and advocate participants identified language as a primary shortcoming in terms of culturally sensitive services. One participant described the importance of Spanish language access for service provision for Latinx IPH survivors:
Ok, pues ellos al momento en que pueden tener ese recurso en su idioma, que se sienten entendidas, valoradas, saber que lo que están leyendo es algo que pueden entender, que pueden comprender, que han encontrado esa luz de esperanza, de saber que están entendiendo lo que realmente ellas están necesitando. Por eso es importante esos recursos en nuestro idioma. (Ok, in the moment that they can have resources in their language, that they feel understood, valued, understand what they are reading and comprehend what is going on, they find that ray of hope and know they are understanding what they really need. That is why resources in our language are important.)
The lack of language access speaks to shortcomings in culturally sensitive services for Latinx IPH survivors, however findings also revealed the need for culturally sensitive services in other languages. With the framework of intersectionality, participants identified the diversity of language needs to facilitate help-seeking for Latinx IPH survivors, including Mam, Q’eqchi, K’iche, and English in Puerto Rico. An indigenous listening session participant explained her experience with culturally insensitive services in her home country and the U.S.:
Yo llamé a la policía allá en Guatemala, pero nunca me nunca llegaron y nunca me escucharon. Y otro porque allá solo hablan español y yo no hablo nada de español, sólo hablo Mam. Entonces nunca, nunca me hicieron nada, nunca me hicieron caso, nada. (I called the police, but they never came and never listened to me. Another thing is because over there they only speak Spanish and I don’t speak any Spanish, just Mam. So, they never did anything, no case, anything.)
This broader theme also revealed an absence of culturally competent victim services informed by the Latinx identity and culture. Several interview and listening session participants echoed that when services are not culturally competent, Latinx IPH survivors cannot be adequately supported. A culturally informed lens for Latinx IPH intervention was described as including cultural empathy, storytelling, and treating survivors like family. Participants emphasized that the impact of services is greater when they are culturally appropriate. One participant described the significance of culturally informed services for Latinx IPH survivors:
Cuando las personas reciben asesoría o ayuda culturalmente con lo que ellas se sienten compatibles, es básico para que ellas puedan salir adelante. Porque en los shelters que hoy reciben, no tienen terapia, digamos, o sea, otros no tienen esa misma empatía cuando no son culturalmente entendidas. Es muy diferente, como lo puede ver un anglosajón, como lo puede ver una persona latina, porque sabe cómo es la cultura. Eso es bien importante, que las personas reciban esa ayuda, porque es como lo dijo (nombre), se sienten empoderadas, se sienten en familia, y los latinos somos mucho de familia. Hay personas que podemos hablar, hablar, hablar, hablar y otras personas que dices OK, ve al grano, dime lo que quieres. ¿Qué necesitas? Lo primero, lo que quiero escuchar. Y los latinos no, los latinos somos de contar historias, ¿no? Entonces por eso es importante que las personas que reciban esa ayuda, ese soporte de empatía con su cultura es muy, muy importante para que puedan salir adelante también. (When people receive advocacy or help culturally informed, they will feel compatible, it is basically essential to move forward. There are shelters that don’t have therapy, let’s say, the same empathy to make them feel culturally understood. It is very different for white victims, the way a Latina victim interprets it, because of culture. It is especially important for them to receive this help like (name) said, to feel empowered, to feel like they are with family, us Latinos are very much family oriented. There are people who can talk, and talk, and talk, and talk and then they are greeted with okay, tell me what you want, tell me what you need? That is the first thing they hear. And Latinos, we like to tell stories, right? So that is why it is very important for people to receive help and support with cultural empathy, it is very important to help them move forward.)
Family Concerns
The final major theme related to help-seeking barriers for Latinx IPH survivors was identified as family concerns. Participants across interview and listening sessions highlighted a variety of family centered considerations that affected whether Latinx IPH survivors engaged in formal help seeking or remained in high-risk relationships including distress about single parenting, the overall well-being of their children, preventing further trauma, and concerns for criminal justice repercussions for their abuser. Participants noted how some Latinx IPH survivors do not engage in help-seeking because they don’t want to escalate the situation and harm their children’s parent who is still their family:
A mí lo que me detuvo fueron mis hijos, porque yo, la verdad, si quería llamar a la policía, pero ellos me dijeron que no. Obviamente, pues era su padre y pues yo los entiendo porque iban a sentir feo, que eh, mirad que la policía se lo llevara. Y esto fue lo que me detuvo a mis hijos. (What stopped me were my children, because honestly, I wanted to call the police, but they told me not to. Obviously, he was their father and I understand because they were going to feel ugly seeing the police take him away. This is what stopped me, my children.)
For transgender Latinx participants, this theme demonstrated how families of origin often were the first to perpetuate violence. Findings underscored how survivors experienced family shunning, being kicked out of homes, and verbal and emotional abuse. As a result of these pathways, transgender Latinas were socially isolated and experienced heightened vulnerability. Participants described how the lack of family support resulted in remaining in abusive relationships to have some form of refuge and support—despite experiencing abuse.
“Cuando a mí mi familia me dice lo que me hizo, yo me refugié en el amor, porque cuando te ves desolada te ves devastada, sin familia, escuchando lo que tu propia familia te está diciendo y te está discriminando. Buscas desesperadamente el amor o la compañía de un hombre. Lamentablemente mis dos relaciones en las dos relaciones que tuve hasta ahorita, yo tengo miedo de volver a enamorarme. . . Imagínate como refugiarte en un hombre que supuestamente te dice que te ama, que te quiere, que te va a valorar, que te va a respetar. Y cuando te das cuenta de que esa persona quiere gobernar tu vida y que en vez de protegerte te está destruyendo y te está usando y te está utilizando y está jugando con tus sentimientos más que nada y tu de tonta, dándole, ofreciéndole, aprendiéndolo, dando casi la vida por ellos.” (When my family said and did what they did to me, I sought refuge in love, because when you are desolate, devasted, without family, listening to what your own family is saying about you and is discriminating against you. You look desperately for love in another man. Sadly, due to my last two relationships, I am afraid to fall in love again. . . Imagine looking for refuge in a man who supposedly loves you and values and respects you. And then you realize this person wants to control your life and instead of protecting you, they are destroying you and are using you and playing with your feelings more than anything, and after you did everything possible for them.)
Participants also viewed support for IPH survivors who are mothers as limited. This was especially the case for Latinx IPH survivors who are mothers that do not have support in childcare or the financial ability to access safe shelter or housing for their families—underscoring the compounding nature of barriers. Participants noted Section 8 housing as unsafe for children and that daycare needs may prevent Latinas with children from seeking help from the criminal justice system or other formal supports.
Es una situación bien difícil porque tú sientes que un momento vas a perder la vida y tus hijos. Y yo. Cuando yo tenía dos niños y estaba pequeñito, uno tenía uno, tenía cuatro años y el otro tenía alrededor de dos añitos, o sea, eran bebé. Me necesitaban en ese instante para todo, porque son niños. Pero es muy difícil y solo, y solo te queda decir, ‘Señor, estoy en tus manos.’ (It is a very difficult situation because you feel that in one moment you are going to lose your life and your children. Me too. When I had two children and they were little, one was one year old, the other was four years old and the other was around two years old, that is, they were babies. They needed me at that moment for everything, because they are children. But it is very difficult and at that moment you can only say ‘Lord, I am in your hands.’)
Discussion
The current study used data collected through listening sessions and interviews with cisgender and transgender Latinx IPH survivors, advocates, and community practitioners to examine help-seeking barriers for Latinx IPH survivors. Six unique barriers at the individual, institutional, and community level emerged from the data: (1) an inaccessible criminal justice system, (2) inequitable resources, (3) immigrant identity, (4) gender role beliefs and expectations, (5) lack of culturally sensitive services, and (6) family concerns. Several findings are worthy of further discussion. First, Latinx IPH survivors and service providers viewed the criminal justice system as a barrier to help-seeking due to the difficulties of navigating reporting, system processes, and negative treatment from personnel—only resulting in the re-traumatization of survivors. The inaccessibility of the criminal justice system as a barrier was especially exacerbated for transgender Latinx IPH survivors in this study who experienced discrimination, disbelief, and mistreatment. These findings reiterate broader research on the experiences of Latina IPV victims (Reina et al., 2014; Vega et al., 2021) and transgender Latina IPV victims (X. L. Guadalupe-Diaz & Jasinski, 2017) with the criminal justice system. Indeed, the obstacles to formal help-seeking expressed by survivors and service providers speak to a systemic failure and significant shortcoming in IPH prevention. From a policy standpoint, it would be important to implement training and education for criminal justice actors that is survivor-centered and focused on trauma-informed practices (Robinson et al., 2021). Principles should include treating IPH survivors with respect and dignity, ensuring the use of trauma-informed skills to build rapport during the first point of contact, connecting survivors to services as needed, and empowering survivors with autonomy and a voice during the process.
Training and programing should be intersectional to support Latinx IPH survivors who identify as transgender or gender-nonconforming (Kulkarni, 2019). For example, shelter service providers may start with learning about gender affirming language and practices including trainings on gender identity and development, pronouns and name usage, and transgender affirming healthcare and medical language. These trainings, some of which are provided free-of-charge by the National LGBTQ Institute on Intimate Partner Violence (2023), may help in reducing potential transphobic and cisnormative attitudes among shelter staff. Beyond training shelter staff, Tesch (2020) also highlights opportunities to engage cisgender clients at shelters who may be uncomfortable with gender diversity or even act on transphobic biases against other clients. Furthermore, shelters and other service providers may benefit from examining in-take protocol that might feature problematic ID requirements, have binary gender response options on forms, and/or single-gender accommodations that result in the denial of services to survivors.
Additionally, themes from the listening sessions and interviews revealed a lack of culturally responsive services from both the criminal justice system and social service agencies as a significant barrier impeding help-seeking for Latinx IPH survivors. Equally important, the lack of culturally responsive services available for survivors is further compounded by the theme underscoring the scarcity of resources and funding for agencies that are providing services to prevent homicide in the Latinx community from a culturally specific lens. Results advocate for strengthening funding streams and resource allocation for a culturally specific IPH response. This would support greater language access in a variety of Latinx languages, the hiring and training of culturally and linguistically competent staff, new programing, and community outreach. Cultural responsiveness should also be reflected in organizational policies and staff composition among advocacy agencies, law enforcement, healthcare providers, and social service organizations (Kulkarni, 2019). Existing research has shown the utility of culturally specific interventions for Latinas where these practices have promoted survivor well-being and trauma-informed outcomes (Serrata et al., 2020), increased knowledge of rights and relationship violence (Perilla et al., 2012), and reduced mental health symptoms (Kaltman et al., 2016). In other words, culturally specific services and community-based organizations are vital in preventing IPH in Latinx communities.
Findings also demonstrated that family and parenting concerns, including housing and childcare needs, the safety and well-being of children, limiting children’s exposure to severe IPV, and maintaining the sanctity of the family unit, were barriers to formal help-seeking for Latinx IPH survivors. This theme is in line with research that has identified the importance of children in either facilitating (Rhodes et al., 2010) or inhibiting formal help-seeking (Robinson et al., 2021)—especially for Latina survivors (Rizo & Macy, 2011). Given the family concerns barriers that Latinx IPH survivors experienced, it would be important to provide and fund holistic and integrated support services to address the individualized needs of Latinx IPH survivors. For example, services for Latinx survivors in high-risk relationships should be intentionally integrated with support services for children, such as childcare and therapy, to promote formal help-seeking (Lyons et al., 2023). This policy implication could be strengthened by also prioritizing funding to support Latinx IPH survivors and their families directly through programs like flexible funding and emergency cash assistance that have been found to increase immediate safety and housing stability (Sullivan et al., 2019), but also positively impact parenting and improve children’s stress and behavior (Bomsta & Sullivan, 2018).
Immigration concerns and adherence to culturally accepted gender role beliefs also presented as a barrier to formal help-seeking for Latinx IPH survivors. In line with prior research, participants described how their immigrant identity complicated help-seeking due to fears of deportation and the use of legal status as a coercive control tactic by violent partners who threatened deportation and the removal of children (Garza et al., 2022; Reina et al., 2014). At the same time, cultural gendered beliefs, including perceptions of divorce and values like familismo 2 , prevented formal help-seeking for Latinx IPH survivors in this study. This theme reiterates existing research demonstrating the role of gendered beliefs on reduced formal help-seeking (Rizo & Macy, 2011; Robinson et al., 2021), though these beliefs have encouraged informal help-seeking for Latina IPV survivors (Brabeck & Guzmán, 2009). From a policy perspective, community outreach with immigrant Latinx populations can help increase awareness and provide up-to-date information on differences between local law enforcement agencies and U.S. Immigration and Customs enforcement officers, along with information surrounding the rights of crime victims and protections granted to victims of gender-based violence under the Violence Against Women Act, like U-Visas.
Outreach for Latinx IPH survivors should be facilitated through community-based interventions that are culturally specific such as the promotora model—commonly known as community health workers (Matthew et al., 2020). Promotoras have existed in both the U.S. and Latin America since the 1950s and 60s. Promotoras are trusted members of a community with culturally specific knowledge based on ethnicity, language, culture and community needs that serve in preventative and educational roles, peer support, and advocacy (Cáceres et al., 2021). Research has documented how the promotora peer interventionist model has had positive outcomes for the Latinx community including enhancing physical and emotional health (Keller et al., 2011), reproductive health outcomes among youth (Parker et al., 2020) and increased leadership and self-empowerment (Serrata et al., 2016). Given that Latinx survivors often seek help informally and from their community (Vega et al., 2021), the promotora model has the potential to address immigration and gender belief barriers to help-seeking.
While instructive, findings presented are not without limitations. Data were collected from Latinx IPH survivors and service providers from nine community-based organizations across seven different geographic areas in the U.S. and Puerto Rico. Findings may not be generalizable to community-based organizations in other regions. Additionally, the utility of listening sessions and key informant interviews to conduct research with underserved populations is well established, particularly from a community-centered evidence-based approach (Serrata et al., 2017), however the study included Latinx IPH survivor and service providers perspectives to understand barriers to help-seeking; results should be interpreted accordingly. It may be that findings could be different from listening sessions that included only perspectives from Latinx IPH survivors. Finally, the sample included Latinx IPH survivors of attempted homicide meaning that participants survived high-risk cases. Future research should access the perspective of Latinx victims of an IPH from close individuals to like family members and friends to further contextualize barriers.
Despite these limitations, findings from the present study provide important policy and practice implications. Findings highlight the need for social service providers, advocates, and criminal justice organizations to adopt a culturally responsive and trauma-informed lens into organizational policies, programs, and strategies to prevent IPH in Latinx communities.
Footnotes
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for this project was made possible through a grant from the Administration on Children, Youth, Families, Family and Youth Services Bureau, U.S. Department of Health and Human Services (Grant number: 90EV0525). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services.
