Understanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem Behaviors: A Secondary Analysis of Hawaii Healthy Start Program Evaluation Data.
Understanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem Behaviors: A Secondary Analysis of Hawaii Healthy Start Program Evaluation Data.
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DOI：
10.1007/s40653-015-0066-8
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发表时间：
2015-12-01
影响因子：
1.5
通讯作者：
Duggan AK
中科院分区：
文献类型：
--
作者：
Bair-Merritt MH;Ghazarian SR;Burrell L;Crowne SS;McFarlane E;Duggan AK
我们研究了母亲抑郁和养育压力在亲密伴侣暴力（IPV）与儿童内化和外化问题之间关系中的作用，并探讨了儿童性别是否改变了这些途径。这项二次分析使用了夏威夷健康启动计划的数据。逻辑回归模型检查了一年级 IPV 与一年级、二年级和三年级儿童内化和外化行为之间的关联。中介模型使用引导方法，分层模型检查效果修改。 214 名母亲的调整后模型证明了 IPV 与内化（调整后优势比 (aOR)=2.62；95% CI 1.11, 6.21）和外化（aOR=4.16；95% CI 1.55, 11.19）行为之间的关联。与外化行为的关联是由母亲抑郁和养育压力介导的，而内化行为仅由抑郁介导。分层模型发现 IPV 与外化行为之间的关联仅对女孩而言显着。我们的结果支持多成分孕产妇 IPV 干预措施的重要性。
We examined the role of maternal depression and parenting stress in the relationship between intimate partner violence (IPV) and child internalizing and externalizing problems, and explored whether child gender modified these pathways. This secondary analysis used data from the Hawaii Healthy Start Program. Logistic regression models examined the associations between IPV in 1st grade and child internalizing and externalizing behaviors in 1st, 2nd, and 3rd grades. Mediation models used bootstrapping methodology and stratified models examined effect modification. Adjusted models with 214 mothers demonstrated associations between IPV and internalizing (adjusted odds ratios (aOR)=2.62; 95% CI 1.11, 6.21) and externalizing (aOR=4.16; 95% CI 1.55, 11.19) behaviors. The association with externalizing behaviors was mediated by maternal depression and parenting stress, while internalizing behaviors was mediated by depression only. Stratified models found the association between IPV and externalizing behaviors was significant for girls only. Our results support the importance of multicomponent maternal IPV interventions.