International Rescue Committee, 122 E 42nd St, New York, NY, 10168, USA.
Department of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, OX1 2ER, United Kingdom.
Matern Child Health J. 2023 May;27(5):861-872. doi: 10.1007/s10995-023-03598-4. Epub 2023 Feb 28.
INTRODUCTION: Violence is used to punish or educate children across the world, with detrimental effects on their physical, emotional, and social health that persist into their adulthood. This study aimed to understand the use of violent discipline by caregivers in conflict-affected communities and how it varied by the child's gender and disability level. METHODS: Using cross-sectional data collected from 394 respondents (196 men and 198 women) in North Kivu, Democratic Republic of Congo, logistic generalized estimating equations stratified by gender assessed the association between past-three-month perpetration of violent discipline, caregiver demographics, conflict experiences, and disability attitudes, as well as child demographics of age, gender, disability level, and the interaction of gender and disability. RESULTS: Compared to women with boy children with no disability, odds of perpetration of violent discipline were higher among those with girl children with no disability (aOR: 2.24; 95%CI: 1.11-4.51) and boy children with moderate or severe disability (aOR: 2.91; 95%CI: 1.14-7.33), and the interaction of girl children with a moderate or severe disability showed a 7.80 increase in odds of perpetration; however, association with women's discriminatory disability attitudes was not significant. In contrast, the interaction of child gender and disability level were not significantly associated with perpetration of violent discipline for men, but disability attitudes were significantly associated (aOR: 1.07; 95%CI: 1.00-1.15). DISCUSSION: Results suggest that levels of violence in conflict-affected households in North Kivu, DRC are high, with women reporting higher levels of violent discipline overall, and amplified use of violence against girl children with disabilities. More research and programs with an intersectional lens are needed in conflict settings to better understand and address the use of violent discipline and underlying discriminatory norms around gender and disability.
简介:在世界各地,暴力被用来惩罚或教育儿童,这对他们的身心健康造成了持久的负面影响,甚至延续到成年。本研究旨在了解冲突社区中照顾者使用暴力纪律的情况,以及这种情况如何因儿童的性别和残疾程度而有所不同。
方法:使用横断面数据,对刚果民主共和国北基伍的 394 名受访者(男性 196 人,女性 198 人)进行分析,采用按性别分层的广义估计方程逻辑回归分析,评估了过去三个月内暴力纪律实施情况、照顾者人口统计学特征、冲突经历和残疾态度,以及儿童人口统计学特征(年龄、性别、残疾程度)以及性别和残疾程度的相互作用与暴力纪律实施之间的关联。
结果:与有正常男孩的女性相比,有正常女孩的女性(优势比[OR]:2.24;95%置信区间[CI]:1.11-4.51)和有中度或重度残疾男孩的女性(OR:2.91;95%CI:1.14-7.33)实施暴力纪律的可能性更高,而残疾程度为中度或重度的女孩的相互作用则使实施暴力纪律的可能性增加了 7.80 倍;然而,与女性的歧视性残疾态度之间的关联不显著。相比之下,儿童性别和残疾程度的相互作用与男性实施暴力纪律之间没有显著关联,但残疾态度与实施暴力纪律之间存在显著关联(OR:1.07;95%CI:1.00-1.15)。
讨论:结果表明,刚果民主共和国北基伍冲突家庭中的暴力水平很高,女性总体上报告的暴力纪律水平更高,对残疾女孩的暴力行为更为严重。在冲突环境中,需要进行更多具有交叉视角的研究和项目,以更好地理解和解决暴力纪律的使用以及围绕性别和残疾的歧视性规范。
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