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Intimate Partner Violence and Child Health

亲密伴侣暴力与儿童健康

基本信息

批准号：
8675641
负责人：
MEGAN H BAIR-MERRITT
金额：
$ 2.16万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-03-06 至 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8675641
关键词：
Intimate Partner Violence Child Health

项目摘要

Project Summary How can the negative impact of intimate partner violence (IPV) on child health be minimized? IPV often continues in families despite social or legal interventions to stop the violence. Children therefore remain vulnerable to adverse health outcomes. This suggests that, to protect children's health, we must shape IPV interventions to reduce risks and to increase protective factors even if IPV continues. This requires a theoretically-guided, empirically-based understanding of the mechanisms by which IPV adversely influences child health, with a focus on the mediating influences. The goal of the proposed research is to gain such an understanding. The overarching framework guiding this research is that IPV leads to poor child health indirectly through its influence on maternal emotional health and parenting, which in turn affect child outcomes. Two related considerations include that patterns (based on variables such as severity, frequency and directionality) of IPV exist and that these patterns likely affect children differently. This proposal outlines two studies. The first is a cohort study of children followed from birth to middle childhood in which advanced analytical methods including structural equation modeling will be used to: Aim 1: Define the latent construct of IPV, assessing typologies of IPV and identifying patterns of IPV over time; Aim 2: Determine the relationship between these IPV constructs and children's health and health care use; Aim 3: Assess the role of maternal emotional health and parenting as mediators of the relationship between IPV and child health. A second qualitative study involving semi-structured interviews with abused women with young children will: Aim 4: Characterize abused women's perceptions of the relationship among IPV, their emotional health, their parenting and their child's health. These aims fit with NICHD's mission of "all children achieving their potential for healthy and productive lives." The proposed career development program for this candidate, a pediatrician with a degree in epidemiology, focuses on: 1) understanding the etiology and epidemiology of IPV; 2) obtaining a theoretical understanding of the impact of family conflict on children's health; 3) learning higher level data analysis methods; and 4) acquiring qualitative research skills. The candidate's long-term career goal is to lead multidisciplinary efforts to facilitate the healthy development of children exposed to IPV. Upon completion of this award, she will submit an R01 application for a longitudinal cohort study collecting primary data on the health of a local cohort of children with and without IPV exposure. From a public health perspective, childhood is a critical time period in establishing an individual's lifetime health trajectory; IPV has the potential to significantly compromise children's health. A better understanding of the IPV-child health relationship will facilitate the design of effective, targeted interventions.

项目摘要如何最大限度地减少亲密伴侣暴力对儿童健康的负面影响？IPV经常尽管采取了社会或法律的干预措施来制止暴力，但家庭暴力仍在继续。因此，儿童仍然易受不良健康后果的影响。这表明，为了保护儿童的健康，我们必须塑造IPV 即使IPV继续存在，也需要采取干预措施来降低风险并增加保护因素。这需要一个以理论为指导，以知识为基础的理解IPV的不利影响机制儿童健康，重点是中介影响。这项研究的目标是获得这样一个认识指导这项研究的总体框架是IPV导致儿童健康状况不佳间接地通过其对产妇情绪健康和养育子女的影响，这反过来又影响到儿童的结果。两个相关的考虑因素包括模式（基于严重性、频率和 IPV的方向性）存在，这些模式可能会影响儿童不同。该提案概述了两项研究。第一个是对从出生到中年的儿童进行的队列研究。在童年时期，包括结构方程模型在内的先进分析方法将用于：目标1：定义IPV的潜在结构，评估IPV的类型学并确定IPV随时间的模式;目标2：确定这些IPV结构与儿童健康和医疗保健使用之间的关系;目标3：评估产妇情绪健康和养育作为IPV和儿童健康。第二项定性研究涉及对受虐待妇女的半结构化访谈，目标4：描述受虐待妇女对IPV之间关系的看法，健康，他们的养育和他们孩子的健康。这些目标符合NICHD的使命“所有儿童实现他们健康和富有成效的生活的潜力。" 这位候选人是一位儿科医生，流行病学，重点是：1）了解IPV的病原学和流行病学; 2）获得理论了解家庭冲突对儿童健康的影响; 3）学习更高层次的数据分析方法;（4）获得定性研究技能。候选人的长期职业目标是领导多学科的努力，以促进健康发展的儿童暴露于IPV。完成后该奖项，她将提交R 01申请纵向队列研究收集的主要数据，有和没有IPV暴露的当地儿童队列的健康。从公共卫生的角度来看，童年是建立个人健康的关键时期。终身健康轨迹; IPV有可能严重损害儿童的健康。更好的了解IPV与儿童健康的关系将有助于设计有效的、有针对性的干预措施。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Intimate partner violence screening tools: a systematic review.

DOI：
10.1016/j.amepre.2009.01.024
发表时间：
2009-05
期刊：
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
影响因子：
5.5
作者：
Rabin, Rebecca F.;Jennings, Jacky M.;Campbell, Jacquelyn C.;Bair-Merritt, Megan H.
通讯作者：
Bair-Merritt, Megan H.

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.