Pathways between childhood trauma, intimate partner violence, and harsh parenting: findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific
Pathways between childhood trauma, intimate partner violence, and harsh parenting: findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific
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DOI：
10.1016/s2214-109x(17)30103-1
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发表时间：
2017-05-01
影响因子：
34.3
通讯作者：
Jewkes, Rachel
中科院分区：
文献类型：
--
作者：
Fulu, Emma;Miedema, Stephanie;Jewkes, Rachel
背景 尽管儿童创伤和暴力侵害妇女行为是全球公共卫生问题，但来自低收入和中等收入国家的关于它们之间联系的基于人口的数据却很少。我们提供联合国亚太地区男性与暴力多国研究的数据，探索不同形式的童年创伤和暴力侵害妇女行为之间的联系。 方法 在这项多国研究中，我们使用基于人口的标准化家庭调查，采访了亚洲及太平洋地区 18-49 岁男性和女性的多阶段代表性样本。六个国家的男性接受了采访，四个国家的女性接受了采访。受访者被问及有关亲密伴侣暴力或非伴侣性暴力的实施或经历、童年创伤和严厉的养育方式（打孩子作为一种管教形式）的问题。我们使用最大似然多变量 Logit 模型来探讨童年创伤与针对妇女的暴力行为之间的关联，并使用拟合路径模型来探讨经历与虐待儿童行为之间的关联。调查结果在 2011 年 1 月 1 日至 2012 年 12 月 1 日期间，10178 名男性和 3106 名女性在本研究中完成了访谈，每个地点有 815 至 1812 名男性，每个地点有 477 至 1103 名女性。网站。经历过任何童年创伤的男性比例在 59%（n=478，95% CI 54.0-63.3；印度尼西亚农村地区）和 92%（n=791，89.4-93.8；巴布亚新几内亚布干维尔）之间变化。对于女性，结果范围从 44%（n=272, 37.7-50.8；斯里兰卡）到 84%（n=725, 80.7-86.8；巴布亚新几内亚布干维尔）。对于男性来说，所有形式的童年创伤都与所有形式的亲密伴侣暴力行为有关。对于女性来说，所有形式的童年创伤都与亲密伴侣的身体暴力以及亲密伴侣的身体暴力和性暴力有关。男性和女性的施暴行为与童年创伤、亲密伴侣暴力、严厉养育和其他因素的经历之间存在着显着的、通常是性别的路径。 解读 数据表明，虐待是同时发生和循环的，童年创伤导致暴力侵害妇女行为和进一步虐待儿童，这反过来又增加了成年期间经历或实施暴力的风险。采取有意义的综合方法将有助于防止这两种形式的暴力。干预措施应促进积极的养育子女，解决一生中的不平等和暴力正常化问题，并转变男性对妇女和儿童的权力。版权所有 (C) 作者。由 Elsevier Ltd 出版。这是一篇遵循 CC BY-NC-ND 许可的开放获取文章。
Background Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women.Methods In this multicountry study, we interviewed multistage representative samples of men and women, aged 18-49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment.Findings Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59% (n=478, 95% CI 54.0-63.3; Indonesia rural site) and 92% (n=791, 89.4-93.8; Bougainville, Papua New Guinea). For women, the results ranged from 44% (n=272, 37.7-50.8; Sri Lanka) to 84% (n=725, 80.7-86.8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men's and women's perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors.Interpretation The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men's power over women and children. Copyright (C) The Authors. Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND license.