Co-occurring violent discipline of children and intimate partner violence against women in Latin America and the Caribbean: a systematic search and secondary analysis of national datasets.
Co-occurring violent discipline of children and intimate partner violence against women in Latin America and the Caribbean: a systematic search and secondary analysis of national datasets.
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DOI：
10.1136/bmjgh-2021-007063
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发表时间：
2021-12
影响因子：
8.1
通讯作者：
Guedes A
中科院分区：
文献类型：
--
作者：
Bott S;Ruiz-Celis AP;Mendoza JA;Guedes A
对儿童的暴力惩戒（体罚和/或言语攻击）与对妇女的亲密伴侣暴力之间的交叉点日益受到国际关注。本研究旨在确定有多少拉丁美洲和加勒比（LAC）国家拥有同一家庭中同时发生的IPV和暴力惩戒的国家数据，如何比较估算值以及暴力惩戒是否与IPV显著相关。系统搜索（遵循系统评价和荟萃分析指南的首选报告项目）用于确定哪些LAC国家具有合格的国家共发生数据。获得每个国家最新的符合条件的数据集，并重新分析其可比性。对与1-14岁儿童生活在一起的有伴侣的育龄妇女中暴力惩戒、身体和/或性IPV以及共发生的发生率进行了标准化的全国估计。双变量分析和逻辑回归得出了受IPV影响的家庭（去年和之前）与未受IPV影响的家庭的体罚和言语攻击的水平和比值比（ORs），并根据社会人口统计学特征进行了调整。9个国家有合格的数据集。与过去一年IPV同时发生的体罚从1.7%（尼加拉瓜）到17.5%（玻利维亚）不等；IPV从6.0%（尼加拉瓜）上升到21.2%（海地）。在几乎所有国家，受IPV影响家庭的儿童遭受体罚和言语攻击的程度和比例都明显较高，无论IPV发生在过去一年或之前。在过去一年的IPV中，牙买加体罚的显著调整ORs为1.52 (95% CI 1.11至2.10)，墨西哥为3.63 (95% CI 3.26至4.05)；去年之前，尼加拉瓜的IPV为1.50 (95% CI 1.23至1.83)，墨西哥为2.52 （95% CI 2.30至2.77）。IPV是暴力惩戒的重要危险因素，但在拉丁美洲和加勒比地区很少有国家调查同时测量这两个因素。共生现象值得政策制定者和研究人员给予更多关注。
Intersections between violent discipline (physical punishment and/or verbal aggression) of children and intimate partner violence (IPV) against women have received growing international attention. This study aimed to determine how many Latin American and Caribbean (LAC) countries had national data on co-occurring IPV and violent discipline in the same household, how estimates compared and whether violent discipline was significantly associated with IPV. A systematic search (following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) was used to identify which LAC countries had eligible, national co-occurrence data. The most recent eligible dataset in each country was obtained and reanalysed for comparability. Standardised national estimates were produced for prevalence of violent discipline, physical and/or sexual IPV and co-occurrence among ever partnered women of reproductive age living with a child aged 1–14. Bivariate analyses and logistic regressions produced levels and odds ratios (ORs) of physical punishment and verbal aggression in households affected by IPV (past year and before past year) compared with never, adjusted for sociodemographic characteristics. Nine countries had eligible datasets. Co-occurring physical punishment with past year IPV ranged from 1.7% (Nicaragua) to 17.5% (Bolivia); and with IPV ever from 6.0% (Nicaragua) to 21.2% (Haiti). In almost all countries, children in IPV affected households experienced significantly higher levels and ORs of physical punishment and verbal aggression, whether IPV occurred during or before the past year. Significant adjusted ORs of physical punishment ranged from 1.52 (95% CI 1.11 to 2.10) in Jamaica to 3.63 (95% CI 3.26 to 4.05) in Mexico for past year IPV; and from 1.50 (95% CI 1.23 to 1.83) in Nicaragua to 2.52 (95% CI 2.30 to 2.77) in Mexico for IPV before past year. IPV is a significant risk factor for violent discipline, but few national surveys in LAC measure both. Co-occurrence merits greater attention from policymakers and researchers.
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影响因子：
8.1
作者：
Buffarini R;Coll CVN;Moffitt T;Freias da Silveira M;Barros F;Murray J
通讯作者：
Murray J
影响因子：
4.8
作者：
Cuartas, Jorge;Grogan-Kaylor, Andrew;Castillo, Berenice
通讯作者：
Castillo, Berenice
影响因子：
4.8
作者：
Gage, Anastasia J.;Silvestre, Eva A.
通讯作者：
Silvestre, Eva A.
影响因子：
4.8
作者：
Fore HH
通讯作者：
Fore HH
影响因子：
4.8
作者：
Cuartas, Jorge
通讯作者：
Cuartas, Jorge