Jackson Dylan B, Johnson Kecia R, Vaughn Michael G
The University of Texas at San Antonio, 501 W. Cesar E. Chavez Blvd., San Antonio, TX, 78207, USA.
Mississippi State University, Starkville, USA.
Matern Child Health J. 2019 Jul;23(7):961-970. doi: 10.1007/s10995-018-02725-w.
Objectives Research to date indicates that parents and children residing in food insufficient homes incur a host of negative health outcomes. Recently, studies have suggested that these homes are also at risk of violence between family members. Our objective is to examine the link between household food insufficiency and physical violence in the home using a recent, nationally representative sample, and to determine whether family mental illness and/or substance misuse inform this association. Methods A sample of nearly 50,000 children and families from the 2016 National Survey of Children's Health were employed in the study. Information concerning household access to food, experiences of violence between parents/adults, and associated mental health and substance use risk factors were available in the data. Logistic regression, employed in a hierarchical fashion, was utilized to analyze the data. Results Household food insufficiency was associated with an increased risk of children witnessing physical violence in the home, and this was especially pronounced in the case of moderate-to-severe food insufficiency. Findings also indicated that family mental illness and substance misuse partly attenuated this association and that household food insufficiency was more strongly associated with violence in the home in the absence of mental health and substance use risk factors. Conclusions for Practice Polices aimed at diminishing food insufficiency may have important collateral benefits in the form of reductions in family violence, and these benefits appear to extend to families that are otherwise at low risk of family violence.
目标 迄今为止的研究表明，居住在粮食不足家庭中的父母和孩子会出现一系列负面健康结果。最近，研究表明这些家庭还存在家庭成员间暴力行为的风险。我们的目标是使用最近的全国代表性样本，研究家庭粮食不足与家庭内身体暴力之间的联系，并确定家庭精神疾病和/或药物滥用是否影响这种关联。方法 本研究采用了来自2016年全国儿童健康调查的近50,000名儿童和家庭的样本。数据中提供了有关家庭获取食物的情况、父母/成年人之间的暴力经历以及相关的心理健康和药物使用风险因素的信息。采用分层方式进行逻辑回归分析数据。结果 家庭粮食不足与儿童目睹家庭内身体暴力的风险增加有关，在中度至重度粮食不足的情况下尤为明显。研究结果还表明，家庭精神疾病和药物滥用部分减弱了这种关联，并且在没有心理健康和药物使用风险因素的情况下，家庭粮食不足与家庭内暴力的关联更强。实践结论 旨在减少粮食不足的政策可能会带来减少家庭暴力形式的重要附带益处，而且这些益处似乎也适用于原本家庭暴力风险较低的家庭。
