‘You Learn How to Hate’: Adapting a Healthy Relationship Curriculum Using a Trauma-Informed Race Equity Lens

Shannon Guillot-Wright, Elizabeth D. Torres, Bianca Obinyan, Jeff R. Temple

Research output: Contribution to journalArticlepeer-review


Teen dating violence is a public health concern that can lead to short-and long-term mental and physical health consequences, including depression, anxiety, risky behaviors, and unhealthy future relationships. Research shows that social and structural determinants of health, such as racism, low socio-economic status, and neighborhood conditions, may predispose certain communities to violence. To better understand methods to reduce TDV among ethnically and economically diverse populations, we used a trauma-informed race equity lens to adapt an efficacious prevention program known as Fourth R. This universal program has been shown to reduce some dating violence, substance use, and risky sexual behaviors, but there remains room for improvement. Specifically, more attention to trauma and the importance of societal risk and protective factors may improve the program’s effectiveness. Thus, focus group discussions were conducted with students and we then adapted Fourth R lessons specific to trauma, racism, and discrimination. Major themes discussed are that Fourth R and other prevention programs should focus attention on social and structural issues, such as racism and discrimination.

Original languageEnglish (US)
Article number9916
JournalInternational Journal of Environmental Research and Public Health
Issue number18
StatePublished - Sep 2021


  • Healthy rela-tionships
  • Interpersonal violence
  • Race equity
  • School curriculum
  • Structural violence
  • Trauma informed

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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