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Household illness, poverty and physical and emotional child abuse victimisation: findings from South Africa's first prospective cohort study.

Meinck F, Cluver LD, Boyes ME - BMC Public Health (2015)

Bottom Line: For boys, positive and negative indirect effects through poverty and disability were found respectively.For girls, a negative indirect effect through poverty was observed.Interventions aiming to reduce poverty and increase family support may help prevent child abuse in families experiencing illness in South Africa.

View Article: PubMed Central - PubMed

Affiliation: Centre for Evidence-Based Intervention, Department of Social Policy & Intervention, University of Oxford, Barnett House, 32 Wellington Square, Oxford, OX1 2ER, UK. Franziska.Meinck@spi.ox.ac.uk.

ABSTRACT

Background: Physical and emotional abuse of children is a large scale problem in South Africa, with severe negative outcomes for survivors. Although chronic household illness has shown to be a predictor for physical and emotional abuse, no research has thus far investigated the different pathways from household chronic illness to child abuse victimisation in South Africa.

Methods: Confidential self-report questionnaires using internationally utilised measures were completed by children aged 10-17 (n = 3515, 56.7% female) using door-to-door sampling in randomly selected areas in rural and urban locations of South Africa. Follow-up surveys were conducted a year later (96.7% retention rate). Using multiple mediation analyses, this study investigated direct and indirect effects of chronic household illness (AIDS or other illness) on frequent (monthly) physical and emotional abuse victimisation with poverty and extent of the ill person's disability as hypothesised mediators.

Results: For children in AIDS-ill families, a positive direct effect on physical abuse was obtained. In addition, positive indirect effects through poverty and disability were established. For boys, a positive direct and indirect effect of AIDS-illness on emotional abuse through poverty were detected. For girls, a positive indirect effect through poverty was observed. For children in households with other chronic illness, a negative indirect effect on physical abuse was obtained. In addition, a negative indirect effect through poverty and positive indirect effect through disability was established. For boys, positive and negative indirect effects through poverty and disability were found respectively. For girls, a negative indirect effect through poverty was observed.

Conclusions: These results indicate that children in families affected by AIDS-illness are at higher risk of child abuse victimisation, and this risk is mediated by higher levels of poverty and disability. Children affected by other chronic illness are at lower risk for abuse victimisation unless they are subject to higher levels of household disability. Interventions aiming to reduce poverty and increase family support may help prevent child abuse in families experiencing illness in South Africa.

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Direct and indirect effects of household other-illness on physical abuse.
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Fig3: Direct and indirect effects of household other-illness on physical abuse.

Mentions: A negative direct effect of other chronic illness on frequent physical abuse victimisation was observed (B = -0.294, 95% CI -0.581 − -0.007) was observed. Additionally, a negative and positive indirect effect of household other chronic illness on frequent physical abuse victimisation through poverty (B = -0.027, 95% CI -0.057 − -0.011) and disability (B = 0.029, 95% CI 0.012 − 0.056) were obtained respectively (Figure 3).Figure 3


Household illness, poverty and physical and emotional child abuse victimisation: findings from South Africa's first prospective cohort study.

Meinck F, Cluver LD, Boyes ME - BMC Public Health (2015)

Direct and indirect effects of household other-illness on physical abuse.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4418047&req=5

Fig3: Direct and indirect effects of household other-illness on physical abuse.
Mentions: A negative direct effect of other chronic illness on frequent physical abuse victimisation was observed (B = -0.294, 95% CI -0.581 − -0.007) was observed. Additionally, a negative and positive indirect effect of household other chronic illness on frequent physical abuse victimisation through poverty (B = -0.027, 95% CI -0.057 − -0.011) and disability (B = 0.029, 95% CI 0.012 − 0.056) were obtained respectively (Figure 3).Figure 3

Bottom Line: For boys, positive and negative indirect effects through poverty and disability were found respectively.For girls, a negative indirect effect through poverty was observed.Interventions aiming to reduce poverty and increase family support may help prevent child abuse in families experiencing illness in South Africa.

View Article: PubMed Central - PubMed

Affiliation: Centre for Evidence-Based Intervention, Department of Social Policy & Intervention, University of Oxford, Barnett House, 32 Wellington Square, Oxford, OX1 2ER, UK. Franziska.Meinck@spi.ox.ac.uk.

ABSTRACT

Background: Physical and emotional abuse of children is a large scale problem in South Africa, with severe negative outcomes for survivors. Although chronic household illness has shown to be a predictor for physical and emotional abuse, no research has thus far investigated the different pathways from household chronic illness to child abuse victimisation in South Africa.

Methods: Confidential self-report questionnaires using internationally utilised measures were completed by children aged 10-17 (n = 3515, 56.7% female) using door-to-door sampling in randomly selected areas in rural and urban locations of South Africa. Follow-up surveys were conducted a year later (96.7% retention rate). Using multiple mediation analyses, this study investigated direct and indirect effects of chronic household illness (AIDS or other illness) on frequent (monthly) physical and emotional abuse victimisation with poverty and extent of the ill person's disability as hypothesised mediators.

Results: For children in AIDS-ill families, a positive direct effect on physical abuse was obtained. In addition, positive indirect effects through poverty and disability were established. For boys, a positive direct and indirect effect of AIDS-illness on emotional abuse through poverty were detected. For girls, a positive indirect effect through poverty was observed. For children in households with other chronic illness, a negative indirect effect on physical abuse was obtained. In addition, a negative indirect effect through poverty and positive indirect effect through disability was established. For boys, positive and negative indirect effects through poverty and disability were found respectively. For girls, a negative indirect effect through poverty was observed.

Conclusions: These results indicate that children in families affected by AIDS-illness are at higher risk of child abuse victimisation, and this risk is mediated by higher levels of poverty and disability. Children affected by other chronic illness are at lower risk for abuse victimisation unless they are subject to higher levels of household disability. Interventions aiming to reduce poverty and increase family support may help prevent child abuse in families experiencing illness in South Africa.

Show MeSH
Related in: MedlinePlus