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肯尼亚农村地区的伙伴合作、冲突、孕产妇心理健康与育儿行为:迈向对性别转变益处的两代人理解

Partner Cooperation, Conflict, Maternal Mental Health, and Parenting Behaviors in Rural Kenya: Towards a Two-Generational Understanding of Gender Transformation Benefits.

作者信息

Cox Jessica, Raimer-Goodman Lauren, Gatwiri Christine, Elliott Aleisha, Goodman Michael

机构信息

University of Texas Medical Branch, Marvin Graves, 301 University Blvd, Galveston, TX 77552, USA.

Sodzo Kenya, Maua, Meru County, Kenya.

出版信息

Int J Child Maltreat. 2023 Dec;6(4):555-566. doi: 10.1007/s42448-023-00156-x. Epub 2023 Mar 1.

DOI:10.1007/s42448-023-00156-x
PMID:38333764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10852061/
Abstract

Increasing partner cooperation is an established approach to reducing intimate partner violence. This strategy, known in the literature as "gender transformation," benefits mental and physical health of women and men. Less is known about the potential for gender transformation strategies to improve the nurturing context for children. We hypothesize that increasing partner cooperation, a common benefit of community-based empowerment programs, would decrease child maltreatment through reducing intimate partner conflict and improving maternal mental health. This study utilizes cohort data from women ( = 400) participating in a combined group-based microfinance program to assess potential mechanisms by which partner cooperation at T1 (June 2018) predicts less children maltreatment at T2 (June 2019). As hypothesized, partner cooperation predicts less subsequent child maltreatment-frequency of neglect, corporal punishment, physical assault, and psychological abuse in the past month. This association is mediated completely by subsequent more partner cooperation and less intimate partner conflict, maternal loneliness, and depression. Implications of this study include potential for combining multiple development areas-women's empowerment, intimate partner cooperation, mental health, and child nurturing contexts. Future study should assess these pathways in a cluster-based randomized trial, and explore how findings may inform policy and practice where these domains are less integrated.

摘要

加强伴侣间的合作是减少亲密伴侣暴力的既定方法。这种在文献中被称为“性别转变”的策略,对男性和女性的身心健康都有益。关于性别转变策略改善儿童养育环境的潜力,人们了解得较少。我们假设,加强伴侣间的合作是基于社区的赋权项目的一个共同益处,它将通过减少亲密伴侣冲突和改善母亲心理健康来减少儿童虐待。本研究利用参与综合小组小额信贷项目的400名女性的队列数据,评估在T1(2018年6月)时伴侣间的合作预测在T2(2019年6月)时儿童虐待减少的潜在机制。正如所假设的,伴侣间的合作预测随后儿童虐待(过去一个月内忽视、体罚、身体攻击和心理虐待的频率)会减少。这种关联完全由随后更多的伴侣合作、更少的亲密伴侣冲突、母亲的孤独感和抑郁所介导。本研究的意义包括将多个发展领域(妇女赋权、伴侣间合作、心理健康和儿童养育环境)结合起来的潜力。未来的研究应该在基于群组的随机试验中评估这些途径,并探索研究结果如何为这些领域整合较少的政策和实践提供信息。

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