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理解社会安全网与儿童暴力之间的联系:对低收入和中等收入国家证据的综述

Understanding the linkages between social safety nets and childhood violence: a review of the evidence from low- and middle-income countries.

作者信息

Peterman Amber, Neijhoft Anastasia Naomi, Cook Sarah, Palermo Tia M

机构信息

UNICEF Office of Research-Innocenti, Piazza SS, Annunziata 12, Florence 50122, Italy.

出版信息

Health Policy Plan. 2017 Sep 1;32(7):1049-1071. doi: 10.1093/heapol/czx033.

Abstract

As many as one billion children experience violence every year, and household- and community-level poverty are among the risk factors for child protection violations. Social safety nets (SSNs) are a main policy tool to address poverty and vulnerability, and there is substantial evidence demonstrating positive effects on children's health and human capital. This paper reviews evidence and develops a framework to understand linkages between non-contributory SSNs and the experience of childhood emotional, physical and sexual violence in low- and middle-income countries. We catalogue 14 rigorous impact evaluations, 11 of which are completed, analysing 57 unique impacts on diverse violence indicators. Among these impacts, approximately one in five represent statistically significant protective effects on childhood violence. Promising evidence relates to sexual violence among female adolescents in Africa, while there is less clear evidence of significant impacts in other parts of the developing world, and on young child measures, including violent discipline. Further, few studies are set up to meaningfully unpack mechanisms between SSNs and childhood violence; however, those most commonly hypothesized operate at the household level (through increases in economic security and reductions in poverty-related stress), the interpersonal level (improved parental behaviours, caregiving practices, improved psychosocial well-being) and at the child-level (protective education and decreases in problem or risky behaviours). It is important to emphasize that traditional SSNs are never designed with violence prevention as primary objectives, and thus should not be considered as standalone interventions to reduce risks for childhood violence. However, SSNs, particularly within integrated protection systems, appear to have potential to reduce violence risk. Linkages between SSNs and childhood violence are understudied, and investments should be made to close this evidence gap.

摘要

每年多达10亿儿童遭受暴力侵害,家庭和社区层面的贫困是侵犯儿童保护权益的风险因素之一。社会安全网是应对贫困和脆弱性的主要政策工具,有大量证据表明其对儿童健康和人力资本有积极影响。本文回顾了相关证据,并构建了一个框架,以理解低收入和中等收入国家非缴费型社会安全网与儿童期情感、身体和性暴力经历之间的联系。我们梳理了14项严格的影响评估,其中11项已完成,分析了对各种暴力指标的57种独特影响。在这些影响中,约五分之一在统计上显示出对儿童期暴力有显著的保护作用。有前景的证据涉及非洲女性青少年中的性暴力,而在发展中世界的其他地区以及对包括暴力管教在内的幼儿相关指标,显著影响的证据则不太明确。此外,很少有研究旨在有意义地剖析社会安全网与儿童期暴力之间的作用机制;然而,最常被假设的机制在家庭层面(通过提高经济安全性和减轻与贫困相关的压力)、人际层面(改善父母行为、照料方式、改善心理社会福祉)以及儿童层面(保护性教育和减少问题行为或危险行为)发挥作用。必须强调的是,传统社会安全网的设计初衷并非以预防暴力为主要目标,因此不应被视为降低儿童期暴力风险的独立干预措施。然而,社会安全网,特别是在综合保护系统中,似乎有降低暴力风险的潜力。社会安全网与儿童期暴力之间的联系研究不足,应加大投入以填补这一证据空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e84b/5886196/428de3b3ff9b/czx033f1.jpg

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