“Domestic violence and child nutrition and growth: A conceptual review of the pathways of influence,”

Hubert Department of Global Health, Department of Sociology, Emory University, 1518 Clifton Rd. NE, Room 7029, Atlanta, GA 30322, United States.
Social Science [?] Medicine (Impact Factor: 2.89). 05/2011; 72(9):1534-54. DOI: 10.1016/j.socscimed.2011.02.042
Source: PubMed


Domestic violence against women is a global problem, and young children are disproportionate witnesses. Children's exposure to domestic violence (CEDV) predicts poorer health and development, but its effects on nutrition and growth are understudied. We propose a conceptual framework for the pathways by which domestic violence against mothers may impair child growth and nutrition, prenatally and during the first 36 months of life. We synthesize literatures from multiple disciplines and critically review the evidence for each pathway. Our review exposes gaps in knowledge and opportunities for research. The framework also identifies interim strategies to mitigate the effects of CEDV on child growth and nutrition. Given the global burden of child malnutrition and its long-term effects on human-capital formation, improving child growth and nutrition may be another reason to prevent domestic violence and its cascading after-effects.

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    • "Within male-dominated societies, acts of violence against wives are justified especially when wives' behavior is perceived to deviate from local norms of femininity (Schuler, Lenzi, & Yount, 2011; Visaria, 2000). In Vietnam, men have a higher status and more entitlements than do women (Gold, 1992; Rydstrøm, 2003b). "
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    ABSTRACT: Intimate partner violence (IPV) harms the health of women and their children. In Vietnam, 31% of women report lifetime exposure to physical IPV, and surprisingly, women justify physical IPV against wives more often than do men. We compare men's and women's rates of finding good reason for wife hitting and assess whether differences in childhood experiences and resources and constraints in adulthood account for observed differences. Probability samples of married men (n = 522) and women (n = 533) were surveyed in Vietnam. Ordered logit models assessed the proportional odds for women versus men of finding more "good reasons" to hit a wife (never, 1-3 situations, 4-6 situations). In all situations, women found good reason to hit a wife more often than did men. The unadjusted odds for women versus men of reporting more good reasons to hit a wife were 6.55 (95% confidence interval [CI] = [4.82, 8.91]). This gap disappeared in adjusted models that included significant interactions of gender with age, number of children ever born, and experience of physical IPV as an adult. Having children was associated with justifying wife hitting among women but not men. Exposure to IPV in adulthood was associated with justifying wife hitting among men, but was negatively associated with justification of IPV among women. Further study of the gendered effects of resources and constraints in adulthood on attitudes about IPV against women will clarify women's more frequent reporting than men's that IPV against women is justified. © The Author(s) 2015.
    Journal of Interpersonal Violence 05/2015; DOI:10.1177/0886260515584343 · 1.64 Impact Factor
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    • "Yount et al. have described several pathways by which IPV can impair child growth. IPV can affect maternal and fetal/infant health during and after pregnancy [12]. Our results showed that birthweight did not significantly modify the association between different forms of IPV during pregnancy and early child growth. "
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    ABSTRACT: This study analyses whether a mother's exposure to different forms of Intimate Partner Violence (IPV) during pregnancy was associated with the index child linear growth, and whether these associations were modified by the gender of the child. A pregnancy cohort of 478 women in León, Nicaragua, resulted in 461 live births. From this group, 81% (375/461) children were available for anthropometric follow-up at 40 to 46 months. Analysis of covariance (ANCOVA) was used to assess the association between IPV and height-for-age Z-scores, adjusting for confounding factors. Sixty-three percent (236/375) of the mothers had been exposed to some form of IPV during pregnancy (emotional, physical, sexual or controlling behavior). After adjustment for confounding factors, maternal exposure to any IPV during pregnancy was associated with 0.24 lower mean height-for-age Z-scores (p = 0.02). A separate analysis of each IPV type showed that emotional, physical or sexual IPV during pregnancy were not significantly associated with lower mean height-for-age Z-scores, whereas ever exposure to controlling behavior by the father of the child was related to 0.29 lower mean height-for-age Z-scores (p < 0.01) When stratified by gender, these associations remained significant only for young girls. This study has contributed to the growing amount of evidence pointing to the pervasive effect of different forms of IPV on child health. Our study highlights the relevance of maternal autonomy for linear child growth, especially for young girls in the Nicaraguan context.
    BMC Pediatrics 06/2012; 12(1):82. DOI:10.1186/1471-2431-12-82 · 1.93 Impact Factor
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    • "The other pathways are based on indirect associations. The first indirect pathway suggests that intimate partner violence is associated with pregnancy loss due to the women's stress related physiological responses to intimate partner violence, which can lead to low weight gain during pregnancy, restricted intrauterine growth, hypertension and infections during pregnancy [14,15]. The second indirect pathways is based on the assumption that intimate partner violence negatively impacts women's prenatal risk and health seeking behaviour, which may include alcohol and substance abuse during pregnancy as well as lower rates of antenatal care seeking and not seek hospital based delivery [2,16]. "
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    ABSTRACT: Violence by an intimate partner is increasingly recognized as an important public and reproductive health issue. The aim of this study is to investigate the extent to which physical and/or sexual intimate partner violence is associated with induced abortion and pregnancy loss from other causes and to compare this with other, more commonly recognized explanatory factors. This study analyzes the data of the Tanzania section of the WHO Multi-Country Study on Women's Health and Domestic Violence, a large population-based cross-sectional survey of women of reproductive age in Dar es Salaam and Mbeya, Tanzania, conducted from 2001 to 2002. All women who answered positively to at least one of the questions about specific acts of physical or sexual violence committed by a partner towards her at any point in her life were considered to have experienced intimate partner violence. Associations between self reported induced abortion and pregnancy loss with intimate partner violence were analysed using multiple regression models. Lifetime physical and/or sexual intimate partner violence was reported by 41% and 56% of ever partnered, ever pregnant women in Dar es Salaam and Mbeya respectively. Among the ever pregnant, ever partnered women, 23% experienced involuntary pregnancy loss, while 7% reported induced abortion. Even after adjusting for other explanatory factors, women who experienced intimate partner violence were 1.6 (95%CI: 1.06,1.60) times more likely to report an pregnancy loss and 1.9 (95%CI: 1.30,2.89) times more likely to report an induced abortion. Intimate partner violence had a stronger influence on induced abortion and pregnancy loss than women's age, socio-economic status, and number of live born children. Intimate partner violence is likely to be an important influence on levels of induced abortion and pregnancy loss in Tanzania. Preventing intimate partner violence may therefore be beneficial for maternal health and pregnancy outcomes.
    BMC Pregnancy and Childbirth 03/2012; 12(1):12. DOI:10.1186/1471-2393-12-12 · 2.19 Impact Factor
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