Spearman Kathryn J, Marineau Lea, Owolabi Adebola, Alexander Kamila A, Hardesty Jennifer, Vaughan-Eden Viola, Bethell Christina, Campbell Jacquelyn
Johns Hopkins University, School of Nursing, USA.
Johns Hopkins School of Nursing, USA.
Child Abuse Negl. 2025 Jun;164:107451. doi: 10.1016/j.chiabu.2025.107451. Epub 2025 Apr 14.
Children exposed to intimate partner violence (IPV) experience disparities in health outcomes and healthcare access. Mechanisms explaining how IPV affects children's health needs, particularly after parental separation, are poorly understood.
The aim of this qualitative study is to examine maternal survivors' experiences of IPV following separation from an abusive co-parent ("post-separation abuse") and their children's health needs.
The research team conducted individual semi-structured interviews with N = 33 maternal post-separation abuse survivors from 18 states in the United States.
Qualitative interviews were coded and analyzed using ATLAS.ti through an iterative thematic inquiry approach, with each interview coded by at least 2 study team members.
Most participants (85 %) reported difficulty accessing healthcare for their children. The analysis team identified five broad domains of post-separation abuse tactics contributing to children's unmet health needs: (1) obstruction and manipulation of children's healthcare, (2) stalking and intimidation, (3) legal abuse, (4) disregarding children's well-being, and (5) economic abuse.
This study provides foundational insights into specific behaviors by abusive co-parents and court-imposed barriers that impact children's health needs. Improved understanding of post-separation abuse is essential to design interventions and policies to ensure children's access to needed healthcare and to reduce health disparities.
遭受亲密伴侣暴力（IPV）的儿童在健康结果和医疗保健获取方面存在差异。对于IPV如何影响儿童的健康需求，尤其是在父母分居之后，其机制尚不清楚。
这项定性研究的目的是调查母亲幸存者在与虐待性共同父母分居后的亲密伴侣暴力经历（“分居后虐待”）以及她们孩子的健康需求。
研究团队对来自美国18个州的N = 33名分居后遭受虐待的母亲幸存者进行了个人半结构化访谈。
通过迭代主题探究方法，使用ATLAS.ti对定性访谈进行编码和分析，每次访谈至少由2名研究团队成员进行编码。
大多数参与者（85%）报告在为孩子获取医疗保健方面存在困难。分析团队确定了导致儿童未满足的健康需求的五个广泛的分居后虐待策略领域：（1）阻碍和操纵儿童的医疗保健，（2）跟踪和恐吓，（3）法律滥用，（4）忽视儿童的福祉，以及（5）经济虐待。
本研究为虐待性共同父母的特定行为以及影响儿童健康需求的法院设置的障碍提供了基础性见解。更好地理解分居后虐待对于设计干预措施和政策以确保儿童能够获得所需的医疗保健并减少健康差异至关重要。
