Reducing maternal intimate partner violence after the birth of a child: a randomized controlled trial of the Hawaii Healthy Start Home Visitation Program.
Arch Pediatr Adolesc Med
; 164(1): 16-23, 2010 Jan.
Article
en En
| MEDLINE
| ID: mdl-20048237
ABSTRACT
OBJECTIVES:
To estimate whether home visitation beginning after childbirth was associated with changes in average rates of mothers' intimate partner violence (IPV) victimization and perpetration as well as rates of specific IPV types (physical assault, verbal abuse, sexual assault, and injury) during the 3 years of program implementation and during 3 years of long-term follow-up.DESIGN:
Randomized controlled trial.SETTING:
Oahu, Hawaii.PARTICIPANTS:
Six hundred forty-three families with an infant at high risk for child maltreatment born between November 1994 and December 1995. Intervention Home visitors provided direct services and linked families to community resources. Home visits were to initially occur weekly and to continue for at least 3 years. MAIN OUTCOMEMEASURES:
Women's self-reports of past-year IPV victimization and perpetration using the Conflict Tactics Scale. Blinded research staff conducted maternal interviews following the child's birth and annually when children were aged 1 to 3 years and then 7 to 9 years.RESULTS:
During program implementation, intervention mothers as compared with control mothers reported lower rates of IPV victimization (incidence rate ratio [IRR], 0.86; 95% confidence interval [CI], 0.73-1.01) and significantly lower rates of perpetration (IRR, 0.83; 95% CI, 0.72-0.96). Considering specific IPV types, intervention women reported significantly lower rates of physical assault victimization (IRR, 0.85; 95% CI, 0.71-1.00) and perpetration (IRR, 0.82; 95% CI, 0.70-0.96). During long-term follow-up, rates of overall IPV victimization and perpetration decreased, with nonsignificant between-group differences. Verbal abuse victimization rates (IRR, 1.14, 95% CI, 0.97-1.34) may have increased among intervention mothers.CONCLUSION:
Early-childhood home visitation may be a promising strategy for reducing IPV.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
5_ODS3_mortalidade_materna
Problema de salud:
5_maternal_care
Asunto principal:
Violencia Doméstica
/
Promoción de la Salud
/
Servicios de Atención de Salud a Domicilio
/
Visita Domiciliaria
/
Bienestar Materno
/
Madres
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Arch Pediatr Adolesc Med
Asunto de la revista:
PEDIATRIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos