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What is intimate partner violence (IPV)?

Intimate partner violence (IPV) is abuse that happens in a romantic relationship. The intimate partner could be a current or former spouse or dating partner. IPV is also known as domestic violence.

IPV may include different types of abuse, such as:

• Physical violence, when a person hurts or tries to hurt a partner by hitting, kicking, or using another type of physical force.
• Sexual violence which involves forcing or attempting to force a partner to take part in sexual activity when the partner does not or cannot consent. The sexual activity could include things like sex acts, sexual touching, or non-physical sexual events (e.g., sexting).
• Emotional abuse, which includes threats, name-calling, put-downs, and humiliation. It can also involve controlling behavior, such as telling a partner how to act or dress and not letting them see family or friends.
• Economic abuse, also called financial abuse, which involves controlling access to money.
• Stalking, which is repeated, unwanted contact that causes fear or concern for the safety of the partner. This can include watching or following the partner. The stalker may send repeated, unwanted phone calls or texts.

Who is affected by intimate partner violence (IPV)?

It is hard to know exactly how common IPV is because it is often not reported.

But we do know that anyone can be affected by it. IPV can happen to anyone. It affects people with all levels of income and education.

What are the signs that someone is experiencing intimate partner violence (IPV)?

If you think that a loved one might be experiencing IPV, watch for these signs:

Does your friend or loved one:

• Have unexplained cuts or bruises?
• Avoid friends, family, and favorite activities?
• Make excuses for their partner's behavior?
• Look uncomfortable or fearful around their partner?

Does your friend or loved one's partner:

• Yell at or make fun of them?
• Try to control them by making all the decisions?
• Check up on them at work or school?
• Force them to do sexual things they don't want to do?
• Threaten to hurt themself if the partner wants to break up?

What can I do if I am experiencing intimate partner violence (IPV)?

Your safety is the most important concern. If you are in immediate danger, call 911.

If you are not in immediate danger, you can:

• Get medical care if you have been injured or sexually assaulted.
• Call a helpline for free, anonymous help. You can contact the National Domestic Violence Hotline at 800-799-SAFE (7233) or 800-787-3224 (TTY). You can also chat with them through their website or through text by texting START to 88788.
• Find out where to get help in your community. Contact local organizations that can help you.
• Make a safety plan to leave. Intimate partner violence usually does not get better. Think about a safe place for you to go and all of the things that you will need when you leave.
• Save the evidence. Keep evidence of abuse, such as pictures of your injuries or threatening emails or texts. Make sure that it is in a safe place the abuser cannot access.
• Talk to someone you trust, such as a family member, a friend, a co-worker, or a spiritual leader.
• Consider getting a restraining order to protect yourself.

How can I help someone who is experiencing intimate partner violence (IPV)?

Let your loved one know that being treated this way isn't healthy and that they are not to blame. You should:

• Call 911 if there is immediate danger.
• Watch for the signs of abuse. Learn about the signs and keep track of the ones that you see.
• Find out about local resources. Get the addresses and phone numbers of some local resources in your community. Then you'll be able to share the information if the person is ready for it.
• Set up a time to talk. Make sure you can have your conversation in a safe, private place. Your loved one's partner may have access to his or her cell phone or computer, so be careful about sharing information over text or email.
• Be specific about why you are worried. Describe the behaviors that concern you. Be as specific as possible when explaining why you are worried.
• Plan for safety. If your loved one is ready to leave an abusive partner, help make a plan for getting out of the relationship as safely as possible. An intimate partner violence counselor can help with making a safety plan.
• Be patient and do not judge. You should talk about your concerns with your loved one, but you need to understand that they may not be ready to talk about it. Let them know that you're available to talk at any time, and that you will listen without judging them.

We have all heard it many times before - regular exercise is good for you, and it can help you lose weight. But if you are like many Americans, you are busy, you have a sedentary job, and you haven't yet changed your exercise habits. The good news is that it's never too late to start. You can start slowly, and find ways to fit more physical activity into your life. To get the most benefit, you should try to get the recommended amount of exercise for your age. If you can do it, the payoff is that you will feel better, help prevent or control many diseases, and likely even live longer.

What are the health benefits of exercise?

Regular exercise and physical activity may:

• Help you control your weight. Along with diet, exercise plays an important role in controlling your weight and preventing obesity. To maintain your weight, the calories you eat and drink must equal the energy you burn. To lose weight, you must use more calories than you eat and drink.
• Reduce your risk of heart diseases. Exercise strengthens your heart and improves your circulation. The increased blood flow raises the oxygen levels in your body. This helps lower your risk of heart diseases such as high cholesterol, coronary artery disease, and heart attack. Regular exercise can also lower your blood pressure and triglyceride levels.
• Help your body manage blood sugar and insulin levels. Exercise can lower your blood sugar level and help your insulin work better. This can cut down your risk for metabolic syndrome and type 2 diabetes. And if you already have one of those diseases, exercise can help you to manage it.
• Help you quit smoking. Exercise may make it easier to quit smoking by reducing your cravings and withdrawal symptoms. It can also help limit the weight you might gain when you stop smoking.
• Improve your mental health and mood. During exercise, your body releases chemicals that can improve your mood and make you feel more relaxed. This can help you deal with stress and reduce your risk of depression.
• Help keep your thinking, learning, and judgment skills sharp as you age. Exercise stimulates your body to release proteins and other chemicals that improve the structure and function of your brain.
• Strengthen your bones and muscles. Regular exercise can help kids and teens build strong bones. Later in life, it can also slow the loss of bone density that comes with age. Doing muscle-strengthening activities can help you increase or maintain your muscle mass and strength.
• Reduce your risk of some cancers, including colon, breast , uterine, and lung cancer.
• Reduce your risk of falls. For older adults, research shows that doing balance and muscle-strengthening activities in addition to moderate-intensity aerobic activity can help reduce your risk of falling.
• Improve your sleep. Exercise can help you to fall asleep faster and stay asleep longer.
• Improve your sexual health. Regular exercise may lower the risk of erectile dysfunction (ED) in men. For those who already have ED, exercise may help improve their sexual function. In women, exercise may increase sexual arousal.
• Increase your chances of living longer. Studies show that physical activity can reduce your risk of dying early from the leading causes of death, like heart disease and some cancers.

How can I make exercise a part of my regular routine?

• Make everyday activities more active. Even small changes can help. You can take the stairs instead of the elevator. Walk down the hall to a coworker's office instead of sending an email. Wash the car yourself. Park further away from your destination.
• Be active with friends and family. Having a workout partner may make you more likely to enjoy exercise. You can also plan social activities that involve exercise. You might also consider joining an exercise group or class, such as a dance class, hiking club, or volleyball team.
• Keep track of your progress. Keeping a log of your activity or using a fitness tracker may help you set goals and stay motivated.
• Make exercise more fun. Try listening to music or watching TV while you exercise. Also, mix things up a little bit - if you stick with just one type of exercise, you might get bored. Try doing a combination of activities.
• Find activities that you can do even when the weather is bad. You can walk in a mall, climb stairs, or work out in a gym even if the weather stops you from exercising outside.

What is bullying?

Bullying is when a person or group repeatedly harms someone on purpose. It can be physical, social, and/or verbal. It is harmful to both the victims and the bullies, and it always involves:

• Aggressive behavior.
• A difference in power, meaning that the victim is weaker or is seen as weaker. For example, bullies may try to use physical strength, embarrassing information, or popularity to harm others.
• Repetition, meaning it happens more than once or that it probably will happen again

What are the types of bullying?

There are three types of bullying:

• Physical bullying involves hurting a person's body or belongings. Examples include hitting, kicking, and stealing or breaking someone's stuff.
• Social bullying (also called relational bullying) hurts someone's reputation or relationships. Some examples are spreading rumors, embarrassing someone in public, and making someone feel left out.
• Verbal bullying is saying or writing mean things, including name-calling, taunting, and threatening

What is cyberbullying?

Cyberbullying is bullying that happens through text messages or online. It could be through emails, social media, forums, or gaming. Some examples are:

• Posting rumors on social media
• Sharing embarrassing pictures or videos online
• Sharing someone else's private information online (doxing)
• Making threats against someone online
• Creating fake accounts and posting information to embarrass someone

Certain types of cyberbullying can be illegal. The laws on cyberbullying are different from state to state.

How is cyberbullying different from bullying?

Cyberbullying is a type of bullying, but there are some differences between the two. Cyberbullying can be:

• Anonymous - people can hide their identities when they are online or using a cell phone
• Persistent - people can send messages instantly, at any time of the day or night
• Permanent - a lot of electronic communication is permanent and public, unless it's reported and removed. A bad online reputation can affect getting into college, getting a job, and other areas of life. This applies to the bully as well.
• Hard to notice - teachers and parents may not overhear or see cyberbullying taking place

Which children are more likely to be bullied?

Children are more likely to be bullied if they:

• Are seen as different from their peers, such as being overweight or underweight, dressing differently, or being of a different race/ethnicity
• Are seen as weak
• Have depression, anxiety, or low self-esteem
• Don't have many friends or are less popular
• Don't socialize well with others
• Have an intellectual or developmental disability

Which children are more likely to be bullies?

There are two types of children who are more likely to bully others:

• Children who are well-connected to peers, have social power, are overly worried about popularity, and like to be in charge of others
• Children who are more isolated from peers, may be depressed or anxious, have low self-esteem, are easily pressured by peers, and have trouble understanding other people's feelings

There are certain factors that make someone more likely to be a bully. They include:

• Being aggressive or easily frustrated
• Having trouble at home, such as violence or bullying in the home or having uninvolved parents
• Having trouble following rules
• Seeing violence positively
• Having friends who bully others

What are the effects of bullying?

Bullying is a serious problem that causes harm. And it doesn't just hurt the person who is being bullied; it can also be harmful for the bullies and for any kids who witness the bullying.

Kids who are bullied can have problems at school and with their mental and physical health. They are at risk for:

• Depression, anxiety, and low self-esteem. These problems sometimes last into adulthood.
• Health complaints, including headaches and stomachaches
• Lower grades and test scores
• Missing and dropping out of school

Kids who bully others have a higher risk for substance use, problems in school, and violence later in life.

Kids who witness bullying are more likely to abuse drugs or alcohol and have mental health problems. They may also miss or skip school.

What are the signs of being bullied?

Often, kids who are being bullied don't report it. They may fear a backlash from the bully, or they may think that no one cares. Sometimes they feel too ashamed to talk about it. So it is important to know the signs of a bullying problem:

• Depression, loneliness, or anxiety
• Low self-esteem
• Headaches, stomachaches, or poor eating habits
• Disliking school, not wanting to go to school, or getting worse grades than before
• Self-destructive behaviors, such as running away from home, harming themselves, or talking about suicide
• Unexplained injuries
• Lost or destroyed clothing, books, electronics, or jewelry
• Trouble sleeping or frequent nightmares
• Sudden loss of friends or avoidance of social situations

How do you help someone who is being bullied?

To help a child who is being bullied, support the child and address the bullying behavior:

• Listen and focus on the child. Learn what's been going on and show you want to help.
• Assure the child that bullying is not his/her fault
• Know that kids who are bullied may struggle with talking about it. Consider referring them to a school counselor, psychologist, or other mental health service.
• Give advice about what to do. This may involve role-playing and thinking through how the child might react if the bullying occurs again.
• Work together to resolve the situation and protect the bullied child. The child, parents, and school or organization should be part of the solution.
• Follow up. Bullying may not end overnight. Make sure that the child knows that you are committed to making it stop.
• Make sure that the bully knows that his or her behavior is wrong and harms others
• Show kids that bullying is taken seriously. Make it clear to everyone that the bullying will not be tolerated.

Department of Health and Human Services

What is an inactive lifestyle?

Being a couch potato. Not exercising. A sedentary or inactive lifestyle. You have probably heard of all of these phrases, and they mean the same thing: a lifestyle with a lot of sitting and lying down, with very little to no exercise.

In the United States and around the world, people are spending more and more time doing sedentary activities. During our leisure time, we are often sitting: while using a computer or other device, watching TV, or playing video games. Many of our jobs have become more sedentary, with long days sitting at a desk. And the way most of us get around involves sitting - in cars, on buses, and on trains.

How does an inactive lifestyle affect your body?

When you have an inactive lifestyle,:

• You burn fewer calories. This makes you more likely to gain weight.
• You may lose muscle strength and endurance, because you are not using your muscles as much
• Your bones may get weaker and lose some mineral content
• Your metabolism may be affected, and your body may have more trouble breaking down fats and sugars
• Your immune system may not work as well
• You may have poorer blood circulation
• Your body may have more inflammation
• You may develop a hormonal imbalance

What are the health risks of an inactive lifestyle?

Having an inactive lifestyle can be one of the causes of many chronic diseases. By not getting regular exercise, you raise your risk of:

• Obesity
• Heart diseases, including coronary artery disease and heart attack
• High blood pressure
• High cholesterol
• Stroke
• Metabolic syndrome
• Type 2 diabetes
• Certain cancers, including colon, breast, and uterine cancers
• Osteoporosis and falls
• Increased feelings of depression and anxiety

Having a sedentary lifestyle can also raise your risk of premature death. And the more sedentary you are, the higher your health risks are.

How can I get started with exercise?

If you have been inactive, you may need to start slowly. You can keep adding more exercise gradually. The more you can do, the better. But try not to feel overwhelmed, and do what you can. Getting some exercise is always better than getting none. Eventually, your goal can be to get the recommended amount of exercise for your age and health.

There are many different ways to get exercise; it is important to find the types that are best for you. You can also try to add activity to your life in smaller ways, such as at home and at work.

How can I be more active around the house?

There are some ways you can be active around your house:

• Housework, gardening, and yard work are all physical work. To increase the intensity, you could try doing them at a more vigorous pace.
• Keep moving while you watch TV. Lift hand weights, do some gentle yoga stretches, or pedal an exercise bike. Instead of using the TV remote, get up and change the channels yourself.
• Work out at home with a workout video (on your TV or on the internet)
• Go for a walk in your neighborhood. It can be more fun if you walk your dog, walk your kids to school, or walk with a friend.
• Stand up when talking on the phone
• Get some exercise equipment for your home. Treadmills and elliptical trainers are great, but not everyone has the money or space for one. Less expensive equipment such as yoga balls, exercise mats, stretch bands, and hand weights can help you get a workout at home too.

How can I be more active at work?

Most of us sit when we are working, often in front of a computer. In fact, less than 20% of Americans have physically active jobs. It can be challenging to fit physical activity into your busy workday, but here are some tips to help you get moving:

• Get up from your chair and move around at least once an hour
• Stand when you are talking on the phone
• Find out whether your company can get you a stand-up or treadmill desk
• Take the stairs instead of the elevator
• Use your break or part of your lunch hour to walk around the building
• Stand up and walk to a colleague's office instead of sending an email
• Have "walking" or standing meetings with co-workers instead of sitting in a conference room

What is telehealth?

Telehealth is the use of communications technologies to provide health care from a distance. These technologies may include computers, cameras, videoconferencing, the Internet, and satellite and wireless communications. Some examples of telehealth include:

• A "virtual visit" with a health care provider, through a phone call or video chat
• Remote patient monitoring, which lets your provider check on you while you are at home. For example, you might wear a device that measures your heart rate and sends that information to your provider.
• A surgeon using robotic technology to do surgery from a different location
• Sensors that can alert caregivers if a person with dementia leaves the house
• Sending your provider a message through your electronic health record (EHR)
• Watching an online video that your provider sent you about how to use an inhaler
• Getting an email, phone, or text reminder that it's time for a cancer screening

What is the difference between telemedicine and telehealth?

Sometimes people use the term telemedicine to mean the same thing as telehealth. Telehealth is a broader term. It includes telemedicine. But it also includes things like training for health care providers, health care administrative meetings, and services provided by pharmacists and social workers.

What are the benefits of telehealth?

Some of the benefits of telehealth include:

• Getting care at home, especially for people who can't easily get to their providers' offices
• Getting care from a specialist who is not close by
• Getting care after office hours
• More communication with your providers
• Better communication and coordination between health care providers
• More support for people who are managing their health conditions, especially chronic conditions such as diabetes
• Lower cost, since virtual visits may be cheaper than in-person visits

What are the problems with telehealth?

Some of the problems with telehealth include:

• If your virtual visit is with someone who is not your regular provider, he or she may not have all of your medical history
• After a virtual visit, it may be up to you to coordinate your care with your regular provider
• In some cases, the provider may not be able to make the right diagnosis without examining you in person. Or your provider may need you to come in for a lab test.
• There may be problems with the technology, for example, if you lose the connection, there is a problem with the software, etc.
• Some insurance companies may not cover telehealth visits

What types of care can I get using telehealth?

The types of care that you can get using telehealth may include:

• General health care, like wellness visits
• Prescriptions for medicine
• Dermatology (skin care)
• Eye exams
• Nutrition counseling
• Mental health counseling
• Urgent care conditions, such as sinusitis, urinary tract infections, common rashes, etc.

For telehealth visits, just like with an in-person visit, it is important to be prepared and have good communication with the provider.