Miedema Stephanie Spaid, Kyaw Aye Thiri
Division of Violence Prevention, Centers for Disease Control and Prevention, USA.
London School of Economics, UK.
SSM Popul Health. 2021 Dec 17;17:101010. doi: 10.1016/j.ssmph.2021.101010. eCollection 2022 Mar.
Intimate partner violence (IPV) and child abuse are prevalent in Burma (Myanmar). However, gaps exist in our understanding of intergenerational cycles and co-occurrence of violence, and whether patterns of violence vary by women and children's life course transitions and developmental stages. Using data from the 2015-2016 Demographic and Health Survey, we estimated structural equation models to evaluate the pathways between women's exposure to IPV perpetrated by her father against her mother (maternal abuse), her own past-year experiences of IPV, attitudes toward IPV, and household child discipline practices. We ran stratified analyses by women's age at first birth and child's age to assess whether intergenerational cycles and co-occurrence of violence in the household vary by pivotal life events and development stages. Maternal abuse was directly and indirectly associated with women's past-year exposure to physical and/or sexual IPV and children's exposure to physical or emotional child abuse by a caregiver in the household. Stratified models indicated significant intergenerational cycles of IPV and co-occurrence of IPV and child abuse among women who experienced first childbirth before age 23, and among women living with older children. We conclude that synchronized efforts to prevent violence against women and violence against children are integral to addressing cyclical and co-occurring patterns of violence in Burma (Myanmar). Violence prevention efforts might consider developmental stage and life course factors that may intensify risk of intergenerational violence.
亲密伴侣暴力(IPV)和虐待儿童现象在缅甸普遍存在。然而,我们在理解暴力的代际循环和同时发生情况,以及暴力模式是否因妇女和儿童的生命历程转变及发育阶段而异方面存在差距。利用2015 - 2016年人口与健康调查的数据,我们估计了结构方程模型,以评估妇女遭受其父亲对其母亲的IPV(母亲虐待)、她自己过去一年的IPV经历、对IPV的态度以及家庭儿童管教做法之间的路径。我们按妇女的初育年龄和孩子年龄进行分层分析,以评估家庭中暴力的代际循环和同时发生情况是否因关键生命事件和发育阶段而异。母亲虐待与妇女过去一年遭受身体和/或性IPV以及儿童遭受家庭照料者的身体或情感虐待直接和间接相关。分层模型表明,在23岁之前生育第一个孩子的妇女以及与较大孩子生活在一起的妇女中,存在IPV的显著代际循环以及IPV和虐待儿童的同时发生情况。我们得出结论,预防针对妇女的暴力和针对儿童的暴力的同步努力对于解决缅甸暴力的循环和同时发生模式至关重要。预防暴力的努力可能需要考虑可能加剧代际暴力风险的发育阶段和生命历程因素。