Emily R Clear

Emily R Clear
University of Kentucky | UKY · Department of Health Management and Policy, College of Public Health

MPH, CHES

About

33
Publications
5,847
Reads
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1,227
Citations
Introduction
Skills and Expertise
Additional affiliations
November 2016 - December 2016
University of Kentucky
Position
  • Research Program Manager
November 2015 - September 2016
University of Kentucky
Position
  • Research Program Manager
Education
August 2007 - May 2009
University of Kentucky
Field of study
  • Health Behavior
August 2001 - May 2005
University of Kentucky
Field of study
  • Kinesiology

Publications

Publications (33)
Article
Bystander interventions are recognized as “promising” programming to reduce sexual violence. Gaps in current evaluations include limited follow-up post-training (beyond 24 months) and knowledge of additional bystander training during follow-up. In this prospective cohort study, nested in a cluster randomized controlled trial (RCT), three cohorts of...
Article
Engaged bystander interventions are recognized as "promising" programming to reduce sexual violence (SV), yet little is known of the long-term (>12-month) impact of programming on SV and related forms of gender-based violence. Funded by NIH as a prospective cohort study, Life's Snapshot recruited and followed three waves of high school seniors who...
Article
Full-text available
This paper offers lessons learned in evaluating the reauthorization of the Violence Against Women Act (2013) requirement that colleges receiving Title IX funds provide bystander programming to reduce sexual violence. To conduct this evaluation a national college consortium was created [multi college bystander efficacy evaluation (mcBEE)]. Through t...
Article
Full-text available
To investigate sex differences in associations between sexual violence victimization (SVV), sexual violence perpetration (SVP), and binge drinking and/or alcohol problems among high school students. While SVV has been linked to problem alcohol use among young women, little research has addressed the unique associations of SVV and SVP on alcohol use...
Article
Full-text available
As mandated by the 2013 Campus Sexual Violence Elimination Act, bystander programs to reduce sexual and intimate partner violence are being adopted in college communities throughout the United States. However, little is currently known about how bystander programs are selected, implemented and experienced by staff and students. In the Multi-College...
Article
Full-text available
The Centers for Disease Control and Prevention provided funding (U01 CE002668) to evaluate bystander program efficacy to reduce gender-based violence on college campuses (Aim 1) and to create a mentoring network (Aim 2) for young campus-based researchers interested in violence intervention or prevention (VIP). While an evaluation of this mentoring...
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Full-text available
This methods paper describes the fractional factorial design within the context of an evaluation of campus bystander programming. Prior evaluations include relative program comparisons, but do not reflect campus implementation of specific aspects of prevention programming. Campuses use combinations of programs, delivered across modalities, audience...
Article
Many bystander programs to prevent violence have been developed and evaluated in college populations. An exception is the randomized controlled trial of Green Dot, found effective in reducing violence rates and violence acceptance in 26 high-schools (2010–2014). In ‘Life’s Snapshot’, 10,727 seniors were recruited from these same schools with the go...
Article
Sexual violence perpetration (SVP), including coerced, physically forced, and alcohol- or drug-facilitated unwanted sex, occurs frequently in adolescence and may represent a risk factor for future perpetration. Sexual violence victimization (SVV) has been found to be a risk factor for increased rates of depression and posttraumatic stress disorder...
Article
Bystander interventions have been highlighted as promising strategies to reduce sexual violence and sexual harassment, yet their effectiveness for sexual minority youth remains largely unexamined in high schools’ populations. This rigorous cluster randomized control trial addresses this gap by evaluating intervention effectiveness among sexual majo...
Article
Full-text available
This study extends prior analyses from a 5-year multisite cluster-randomized controlled trial to examine how the previously reported effects of the Green Dot bystander-based prevention program worked to reduce violence perpetration. Bystander-based interventions are hypothesized to prevent violence by reducing violence acceptance and increasing tra...
Article
Full-text available
Bystander-based violence prevention interventions have shown efficacy to reduce dating violence and sexual violence acceptance at the individual level yet no large randomized controlled trial (RCT) has evaluated this effect at the high-school level and over time. This rigorous cluster-randomized controlled trial addresses this gap by evaluating int...
Article
Full-text available
Introduction Bystander-based programs have shown promise to reduce interpersonal violence at colleges, yet limited rigorous evaluations have addressed bystander intervention effectiveness in high schools. This study evaluated the Green Dot bystander intervention to reduce sexual violence and related forms of interpersonal violence in 26 high school...
Article
Costs of providing the Green Dot bystander-based intervention, shown to be effective in the reduction of sexual violence among Kentucky high school students, were estimated based on data from a large cluster-randomized clinical trial. Rape Crisis Center Educators were trained to provide Green Dot curriculum to students. Implementing Green Dot in sc...
Article
Introduction: The 2013 Campus Sexual Violence Elimination Act requires U.S. colleges to provide bystander-based training to reduce sexual violence, but little is known about the efficacy of such programs for preventing violent behavior. This study provides the first multiyear evaluation of a bystander intervention's campus-level impact on reducing...
Article
This large, population-based study is one of the few to examine prevalence rates of sexual harassment occurring during the past 12 months by victimization and perpetration among adolescents. In this large, cross-sectional survey of students attending 26 high schools, sexual harassment was defined using three questions from the Sexual Experiences Qu...
Article
The objective of this study was to report the frequency of perpetration and victimization of unwanted sexual activities (threatened to end relationship or other pressures to engage in sexual activities, threatened or actual physical force, and facilitated by drugs or alcohol) in a large, statewide sample of high school males and females. Among 18,0...
Article
This school-based sample provides the largest estimate of physical and psychological dating violence (DV) victimization and the only report of DV perpetration among high school students. Among 14,190 students in relationships, 33.4% disclosed DV by a partner (victimization) and 20.2% used these same behaviors against a partner (perpetration) in the...
Article
This large, statewide sample from 26 high schools provided the first population-based estimates of stalking victimization and perpetration among adolescent females and males. Our stalking definition required that pursuing tactics occurred at least 3 times in the past 12 months and included being followed, spied on, or monitored; someone showed up o...
Article
Increasing attention has recently been paid to the development of prevention programs designed to actively engage bystanders in prevention efforts to reduce the risk of sexual and dating violence; yet, few evaluations have been conducted. Our proposed plan to rigorously evaluate a randomized intervention trial of the Green Dot bystander program as...
Article
Full-text available
Evidence suggests that interventions to engage bystanders in violence prevention increase bystander intentions and efficacy to intervene, yet the impact of such programs on violence remains unknown. This study compared rates of violence by type among undergraduate students attending a college campus with the Green Dot bystander intervention (n = 2,...
Article
Violence against women has been associated with subsequent risky sexual behaviors and sexually transmitted infections (STIs). We explored whether sexual coercion or violence at first intercourse was associated with self-reported STIs. Using nationally representative data from the 2006 to 2010 National Survey of Family Growth, we analyzed female res...
Article
To test the hypothesis that women screened for psychosocial factors, including partner abuse, as recommended by the American College of Obstetricians and Gynecologists would have higher neonatal birth weight, longer gestational age at delivery, higher Apgar scores, and fewer maternal complications. We evaluated a universal psychosocial screening in...
Article
Teen pregnancy is a major public health concern and the majority of these pregnancies are unintended. The study population included women whose first pregnancy occurred at age 19 or younger (n = 2,142). Data from the 2002 National Survey of Family Growth was used to determine whether women's reports of her own pregnancy intentions differed from her...
Conference Paper
Reproductive coercion can include a male partner pressuring their significant other to become pregnant, forced sex, or destroying contraception, which may contribute to teen pregnancy. Reproductive coercion is associated with intimate partner violence, but may not be widely identified as physical or sexual violence may not occur simultaneously. In...
Article
Full-text available
Using a cross-sectional survey of a random sample of 7,945 college undergraduates, we report on the association between having received Green Dot active bystander behavior training and the frequency of actual and observed self-reported active bystander behaviors as well as violence acceptance norms. Of 2,504 students aged 18 to 26 who completed the...
Conference Paper
Teen dating and sexual violence poses a serious public health problem due to the mental and physical health burden. According to data from the Kentucky 2007 Youth Risk Behavior Survey, 11% of students reported they had ever been physically forced to have sexual intercourse. This presentation will focus on the continuum of sexual violence, from sexu...
Conference Paper
In 2007, the University of Kentucky (UK) began to implement a primary prevention intervention program to engage students in keeping each other safe. The program termed Green Dot acknowledges that while most students neither participate in nor condone violence, many respond passively to a culture that may tacitly support violence. By empowering indi...
Conference Paper
Annual rates of dating violence and forced sex have increased in Kentucky over the past 5 years, yet the Kentucky Association of Sexual Assault Programs and the University of Kentucky are working to reduce this trend. CDC recently funded an evaluation of a primary prevention intervention termed Green Dot which has recently been implemented in high...
Conference Paper
In the United States, almost half of all pregnancies are unintended. While much research has focused on the characteristics of women who unintentionally become pregnant, limited research has focused on male experiences of unintended pregnancy and their role in prevention. The purpose of this study was to examine reports of male unintended pregnancy...
Conference Paper
Purpose: The purpose of this study was to determine whether male intendedness at the time of pregnancy differs from female intendedness at the time of pregnancy among couples where the female reported first pregnancy at age 19 or younger. Methods: Data from the 2002 National Survey of Family Growth, a household survey of United States women aged...

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