Parenting, mental health and economic pathways to prevention of violence against children in South Africa.
Parenting, mental health and economic pathways to prevention of violence against children in South Africa.
复制标题
DOI：
10.1016/j.socscimed.2020.113194
复制
发表时间：
2020-10
影响因子：
5.4
通讯作者：
Steinert, J., I
中科院分区：
文献类型：
--
作者：
Cluver, L.;Shenderovich, Y.;Meinck, F.;Berezin, M. N.;Doubt, J.;Ward, C. L.;Parra-Cardona, J.;Lombard, C.;Lachman, J. M.;Wittesaele, C.;Wessels, I;Gardner, F.;Steinert, J., I
以社会学习理论为基础的育儿方案在减少暴力侵害儿童行为方面有越来越多的经验证据。试验主要来自高收入国家和幼儿。在全球范围内，我们对育儿计划如何减少暴力知之甚少，在低收入或中等收入国家（LMIC）没有已知的研究。本研究探讨了与世界卫生组织和联合国儿童基金会共同设计的一个非商业化的育儿计划-为青少年的终身健康而育儿-的变化机制。一项整群随机试验显示了对养育子女和其他次要结局的主要影响。我们对试验数据进行了二次分析，以调查减少暴力侵害儿童的五个潜在调解人：改善养育方式，青少年行为，照顾者心理健康，避免酒精/药物和家庭经济加强。该试验在南非农村实施，有40个研究中心，n = 552个家庭对（包括10-18岁的青少年和主要照顾者）。干预网站（n = 20）收到了14个会议的养育计划提供当地社区成员，包括家庭预算和储蓄模块。对照研究中心（n = 20）接受了简短的信息研讨会。青少年和看护者在基线和随机化后9-13个月报告了针对儿童/青少年的情感和身体暴力以及每种潜在的介导因素。结构方程模型被用来测试同时假设的途径，以减少暴力。四种途径的改善减少了暴力侵害儿童的行为：1）改善父母的做法，2）改善照顾者的心理健康（减少抑郁症），3）增加照顾者避免酒精/毒品，4）改善家庭经济福利。儿童行为的改善并不是一个调解因素，尽管它与暴力减少有关。同时支持一套家庭程序可以减少暴力。在具有挑战性的情况下，支持照顾者的自我照顾和积极应对可能是必不可少的。在经济安全网最少或没有经济安全网的国家，将社会学习育儿计划与经济强化技能联系起来，可能会使我们更接近结束对儿童的暴力。
Parenting programs based on social learning theory have increasing empirical evidence for reducing violence against children. Trials are primarily from high-income countries and with young children. Globally, we know little about how parenting programs work to reduce violence, with no known studies in low or middle-income countries (LMICs). This study examines mechanisms of change of a non-commercialized parenting program, Parenting for Lifelong Health for Teens, designed with the World Health Organization and UNICEF. A cluster randomized trial showed main effects on parenting and other secondary outcomes. We conducted secondary analysis of trial data to investigate five potential mediators of reduced violence against children: improved parenting, adolescent behaviour, caregiver mental health, alcohol/drug avoidance, and family economic strengthening. The trial was implemented in rural South Africa with 40 sites, n = 552 family dyads (including adolescents aged 10–18 and primary caregivers). Intervention sites (n = 20) received the 14-session parenting program delivered by local community members, including modules on family budgeting and savings. Control sites (n = 20) received a brief informational workshop. Emotional and physical violence against children/adolescents and each potential mediator were reported by adolescents and caregivers at baseline and 9–13 months post-randomisation. Structural equation modelling was used to test simultaneous hypothesized pathways to violence reduction. Improvements in four pathways mediated reduced violence against children: 1) improved parenting practices, 2) improved caregiver mental health (reduced depression), 3) increased caregiver alcohol/drug avoidance and 4) improved family economic welfare. Improved child behaviour was not a mediator, although it was associated with less violence. Simultaneously bolstering a set of family processes can reduce violence. Supporting self-care and positive coping for caregivers may be essential in challenging contexts. In countries with minimal or no economic safety nets, linking social learning parenting programs with economic strengthening skills may bring us closer to ending violence against children.
登录
查看更多内容
过去一年对儿童的暴力行为的全球流行：系统的审查和最低估计。
影响因子：
8
作者：
Hillis S;Mercy J;Amobi A;Kress H
通讯作者：
Kress H
影响因子：
7
作者：
Imai, Kosuke;Keele, Luke;Tingley, Dustin
通讯作者：
Tingley, Dustin
影响因子：
4.6
作者：
Gershoff, Elizabeth T.;Aber, J. Lawrence;Lennon, Mary Clare
通讯作者：
Lennon, Mary Clare
影响因子：
2.9
作者：
Doubt, Jenny;Bray, Rachel;Medley, Sally
通讯作者：
Medley, Sally
影响因子：
4.5
作者：
Cluver L;Meinck F;Yakubovich A;Doubt J;Redfern A;Ward C;Salah N;De Stone S;Petersen T;Mpimpilashe P;Romero RH;Ncobo L;Lachman J;Tsoanyane S;Shenderovich Y;Loening H;Byrne J;Sherr L;Kaplan L;Gardner F
通讯作者：
Gardner F