Parenting, the other oldest profession in the world - a cross-sectional study of parenting and child outcomes in South Africa and Malawi
Parenting, the other oldest profession in the world - a cross-sectional study of parenting and child outcomes in South Africa and Malawi
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DOI：
10.1080/21642850.2016.1276459
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发表时间：
2017-01-01
影响因子：
2.7
通讯作者：
Tomlinson, M.
中科院分区：
文献类型：
--
作者：
Sherr, L.;Macedo, A.;Tomlinson, M.
育儿质量对孩子的发展很重要。在艾滋病毒贫困和生活压力的情况下，育儿可能会受到挑战，儿童的发展可能会受到影响。这项研究考察了儿童社区照料研究(南非和马拉维)中的情况因素之间的横向关联，如贫困、心理健康、艾滋病毒状况、与亲生父母同住、有良好父母教养和子女结果的污名(n=989；年龄=4-13岁)。育儿措施是由10个变量组成的，其中包括6个孩子和4个父母评级。这些是高度相关的。父母养育孩子的总分是在10分的连续量表上产生的，好的父母养育的分值然后被定义为8分(满分10分)。有5个因素与良好的父母养育有关。与良好育儿方式正相关的因素是孩子的亲生父母、父母的心理健康状况以及与多个成年人共同居住的家庭。贫困和耻辱与良好的育儿方式呈负相关。运用多重中介分析，发现良好的父母教养方式对儿童自尊、儿童行为和教育风险有正面的直接影响，并通过儿童抑郁和创伤起到部分中介作用。这些数据突显了可能的干预点。通过亲生父母、父母心理健康、贫困和耻辱等因素，可以看出对父母教养的影响。在这些充满挑战的环境中，让父母活着的健康、营养、心理健康、教育和治疗都被明确确定为确保儿童福祉的潜在途径。
Parenting quality is important in child development. In the presence of HIV poverty and life stress, parenting may be challenged and child development affected. This study examines cross-sectional associations of situational factors such as poverty, mental health, HIV status, living with a biological parent, and stigma with good parenting and child outcomes (n = 989; age = 4-13 years) within the Child Community Care study (South Africa and Malawi). A parenting measure was created from 10 variables comprising 6 child and 4 parent ratings. These were highly correlated. Total parenting score was generated on a 10-point continuous scale, with a good parenting cut-off then defined as >= 8 out of a possible 10. Five factors were associated with good parenting. Positively associated with good parenting were being the biological parent of the child, parental mental health and dwelling in households with multiple adults. Poverty and stigma were negatively associated with good parenting. Using multiple mediation analysis, a positive direct effect of good parenting was found on child self-esteem, child behaviour and educational risks with a partial mediation via child depression and trauma. These data highlight possible intervention points. Influences on parenting could be seen through being the biological parent, parental mental health, poverty and stigma. In these challenging environments, health, nutrition, mental health, education and treatment to keep parents alive are all clearly identified as potential pathways to ensure child well-being.