203206 Link between Family Violence and Child Health: Lessons for Maternal and Child Health Promotion

Wednesday, November 11, 2009

Besa H. Bauta, LSW, MSW, MPH , Masters Program in Global Public Health, New York University, New York, NY
Keng-Yen Huang, PhD , NYU Child Study Center, NYU School of Medicine, New York, NY
Melissa Mak, BA , NYU Child Study Center, NYU School of Medicine, New York, NY
Sabrina Cheng, BA , NYU Child Study Center, NYU School of Medicine, New York, NY
Multiple studies suggest that family violence has negative effect on children's biological, cognitive, and social emotional development. However, little is known about family violence at country level. The predictors for family violence and consequences on population's child health are unclear. This study investigates these issues using county-level data. Data is drawn from Multiple Indicator Cluster Survey (MICS) project, which is a national-level household survey project that collects socioeconomic and health indicators related to children. There are 67 countries participating in MICS project (UNICEF, 2006). Thirty-seven countries with family violence data (collected between 2000 and 2007) were included in final analyses. Family violence was measured by harsh/violent discipline and domestic violence. Two predictors of family violence (adult literacy and country income), and three health outcome indicators (child mortality rate, disability and child labor) were investigated. We hypothesize that low income countries and countries with low adult literacy rate will have higher rate of family violence; and higher rate of family violence is associated with high mortality, child disability, and child labor rates. Contrary to hypotheses, family violence was not associated with adult literacy and income. Family violence measures were also not associated with mortality rates nor were they associated with child disability. Family violence was only associated with child labor outcome—high rate of violent discipline was associated with high child labor rate [r=.48], and high rate of domestic violence was associated with high child labor rate [r=.56]. Implications for violence prevention and maternal and child health promotion will be discussed.

Learning Objectives:
Evaluate the impact of family violence on child health at the country level through the utilization of Multiple Indicator Cluster Survey (MICS) data. Compare health outcome indicators to assess if low income countries and countries with low literacy have higher rates of family violence. Identify health promotion and violence prevention strategies to improve child health and well-being at the country level.

Keywords: Child Health, Violence Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Evaluated mental health programs servicing traumatized children and others subjected to violence. Poster Presentation: Needs Assessment of Elderly Colombian Population in Jackson Heights (Queens), NY - APHA 136th, 10/08 meeting. Paper [co-author]: Evaluation of the WHO Assessment Instrument for Mental Health Systems.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.