Domestic Violence against Children and Adolescents (DVCA) is considered a social and public health problem, which occurs in the private space of the family. Mothers are among those who most violate their children because they are the main ones responsible for their care. This review analyzed the articles published in the last 12 years that dealt with maternal violence. It was found that most of the studies were qualitative, written in Portuguese, carried out in Brazil, and in the area of psychology. The high production by Brazilian authors shows that this phenomenon has become visible in the country. Physical violence and neglect were the most highlighted and the mothers participating in the studies were mostly from lower socioeconomic classes. There is a gap regarding the inclusion of mothers with other socioeconomic characteristics and from other countries. The content of the articles provided a wealth of information about the life histories and personalities of these women, but only a minority explored the relational vicissitudes of the mother-child dyads, which could result in more comprehensive and effective intervention proposals in the context of DVCA.
Children born to women with substance use disorders are at high risk for early foster care placement, which is associated with long-term adverse outcomes for children and places additional pressure on state budgets. Poor outcomes for drug-dependent mothers and their children may be further exacerbated by a lack of coordination between the health care and human services sectors. Project Nurture is an innovative model in Portland, Oregon, that integrates maternity care, substance use treatment, and social service coordination for Medicaid beneficiaries. This study assessed the impact of Project Nurture on a range of patient and child welfare outcomes. Among the "treatment" population of opioid-dependent women enrolled in Medicaid, Project Nurture was associated with reductions in child maltreatment, placement of children in foster care, and increases in both prenatal visits and maternal lengths-of-stay in the hospital, compared to opioid-dependent women enrolled in Medicaid in Oregon counties not served by the project. These results suggest that models based in a clinical setting that engage the human services sector may improve overall outcomes, even though the difficulty in sharing savings across sectors presents challenges to sustainability.
Kenneth John McConnell, Menolly R. Kaufman, Jenny I. Grunditz et al.
Decety et al. posited that family religiosity has a negative effect on children’s altruism. However, a constructive reading of developmental psychologists suggests that religious nurture can enhance young children’s moral development. Bloom and Harris offered evidence that infants and toddlers exhibit moral sensibilities and preschoolers engage the world through charitable epistemologies primed toward consensus and care. Engel provided insight into the role of curiosity in exploring difference in the world. Taken together, their findings suggest new ways that religious nurture might promote prosocial behaviors congruent with religious and social tolerance.
Indigenous cultures have been under significant attack in Canada since first contact with Europeans. This has resulted in significant harm to Indigenous Peoples and particularly to youth in state care, who often struggle with their identity when they are placed in non-Indigenous out-of-home settings. Developing protective ways of countering this is compounded by the lack of understanding of identity development amongst Indigenous youth. This article reviews theories of Indigenous identity development and their implications for Indigenous children, particularly those caught in the nexus of two cultures, as is the case with those in state care.
OBJECTIVE: Caregivers require tangible (e.g. food and financial) and intangible resources to provide care to ensure child health, nutrition and development. Intangible resources include beliefs and knowledge, education, self-efficacy, perceived physical health, mental health, healthy stress levels, social support, empowerment, equitable gender attitudes, safety and security and time sufficiency. These intangible caregiver resources are included as intermediate outcomes in nutrition conceptual frameworks yet are rarely measured as part of maternal and child nutrition research or evaluations. To facilitate their measurement, this scoping review focused on understudied caregiver resources that have been measured during the complementary feeding period in low- and lower-middle-income countries. DESIGN: We screened 9,232 abstracts, reviewed 277 full-text articles and included 163 articles that measured caregiver resources related to complementary feeding or the nutritional status of children 6 months to 2 years of age. RESULTS: We identified measures of each caregiver resource, though the number of measures and quality of descriptions varied widely. Most articles (77 %) measured only one caregiver resource, mental health (n 83) and social support (n 54) most frequently. Psychometric properties were often reported for mental health measures, but less commonly for other constructs. Few studies reported adapting measures for specific contexts. Existing measures for mental health, equitable gender attitudes, safety and security and time sufficiency were commonly used; other constructs lacked standardised measures. CONCLUSIONS: Measurement of caregiver resources during the complementary feeding period is limited. Measuring caregiver resources is essential for prioritising caregivers and understanding how resources influence child care, feeding and nutrition.
Hope C. Craig, Katherine Lynn Dickin, Amanda A. Zongrone et al.
OBJECTIVE: Caregivers require tangible (e.g. food and financial) and intangible resources to provide care to ensure child health, nutrition and development. Intangible resources include beliefs and knowledge, education, self-efficacy, perceived physical health, mental health, healthy stress levels, social support, empowerment, equitable gender attitudes, safety and security and time sufficiency. These intangible caregiver resources are included as intermediate outcomes in nutrition conceptual frameworks yet are rarely measured as part of maternal and child nutrition research or evaluations. To facilitate their measurement, this scoping review focused on understudied caregiver resources that have been measured during the complementary feeding period in low- and lower-middle-income countries. DESIGN: We screened 9,232 abstracts, reviewed 277 full-text articles and included 163 articles that measured caregiver resources related to complementary feeding or the nutritional status of children 6 months to 2 years of age. RESULTS: 54) most frequently. Psychometric properties were often reported for mental health measures, but less commonly for other constructs. Few studies reported adapting measures for specific contexts. Existing measures for mental health, equitable gender attitudes, safety and security and time sufficiency were commonly used; other constructs lacked standardised measures. CONCLUSIONS: Measurement of caregiver resources during the complementary feeding period is limited. Measuring caregiver resources is essential for prioritising caregivers and understanding how resources influence child care, feeding and nutrition.
Stephanie Martin, Amanda A. Zongrone, Hope C. Craig et al.
Abstract: Introduction: Assistance in health services is often the first possibility for the identification of cases of Violence Against Children and Teenagers (VACT). Therefore, the aim of this article was to evaluate the effectiveness of an intervention program developed to enable students and health professionals to recognize and report cases of VACT. Additionally, we sought to verify at what level of training (undergraduate, postgraduate or working professional) such intervention would show the greatest effect. Method: This is a quasi-experimental study, of which design was based on the analysis of a non-equivalent Control Group (CG). The research included undergraduate medical students, postgraduate medical students attending pediatric residency and professionals working in health institutions. A total of 105 people participated, of which 89% were women. The participants were subsequently subdivided between the Experimental Group - EG (n = 60) and Control Group - CG (n = 45). A training program on the topic, consisting of 10 sessions (20h in total), was developed and applied with an EG. To assess the effectiveness of the intervention, a questionnaire was applied at previously determined periods (pre-test and post-test). The data were submitted to statistical analysis (descriptive analyses, t test and Tukey’s multiple comparison test), using the software R. Results: The post-test showed statistically significant changes in all dimensions evaluated with the EG, which proves that the intervention resulted in changes regarding the previous conceptions that the participants had about VACT. Additionally, when comparing the responses obtained in the questionnaires between the three EG groups (undergraduate, postgraduate students and working professionals), it was verified that there were no statistical differences between the groups, suggesting that educational programs have positive effects on all levels of training. Conclusions: This study showed that training programs can qualify the conception of students and health professionals, as well as help them feel more prepared to deal with the demands related to VACT. However, a collective effort is needed so that these contents are purposefully incorporated into the training process at all levels, from undergraduate school to continuing education.
Abstract Objectives: to analyze differences between violence against children and adolescents according to characteristics of cases, probable perpetrators, occurrences and typologies and compare their temporal and spatial distributions. Methods: data were collected from the Notifiable Diseases Information System (SINAN), Maranhão, from 2009-2019. Results: 4,457 notifications of violence against children and 5,826 against adolescents were analyzed. In the 11 years investigated, violence against children was more frequent in 2015 and 2016 and in five of the 19 Maranhão Health Regions. Violence against males was more frequent in childhood and against females prevailed mostly in adolescence (p<0.001). While mothers (p<0.001), fathers (p=0.029) and caregivers (p<0.001) were most frequently accused of violence against children, friends/ acquaintances (p<0.001), spouses/boyfriends/girlfriends (p<0.001) and strangers (p<0.001) mainly assaulted adolescents. Violence motivated by sexism (p=0.006), generational conflict (p<0.001), street situation (p=0.002) and disability (p=0.035) were more frequent in adolescence. Physical (p<0.001), sexual (p<0.001) and psychological/moral (p<0.001) violence, torture (p<0.001) and self-aggression (p<0.001) were most commonly reported in adolescence and neglect/abandonment predominated was mostly reported against children (p<0.001). Conclusions: violence against children and adolescents residing in the state of Maranhão and notified in SINAN were distinct phenomena in relation to the characteristics of cases, probable authors, occurrences, and typologies.
Vitória Evelen Oliveira Silva, Marizélia Rodrigues Costa Ribeiro, Márcio Thadeu Silva Marques et al.
Abstract Objective. To know the perception of health, education and social service professionals about the records and notifications of violence against children and adolescents, carried out in a municipality in the south of Brazil.Methods. This is an exploratory, descriptive, and qualitative approach, specifically developed in places that integrate children and adolescents victims of violence. Ten professionals participated, including three nurses, one doctor, two social workers, two psychologists, one tutor, and one educator. Data collection was performed through a semi-structured interview. The statements were submitted to discursive textual analysis.Results. The analysis showed that the act of recording and reporting violence against children and adolescents is still not a routine practice for health professionals. The registration and formal communication of the information should be considered as a priority; however, the results showed that the protection of the victim seems to overlap with the registry. The study identified important elements in strategies for coping with violence against children and adolescents: centralization of notifications in a single service; creation of a notification flow; existence of an advisory team to deal with cases of violence; and completion of compulsory notification by education and social assistance professionals.Conclusion. For the professionals, the routine attendance of situations involving violence, but not formalized through the notification form, has contributed to the underreporting and invisibility of the cases.Descriptors: nursing; domestic violence; child advocacy; mandatory reporting; registries.How to cite this article: Silva PA, Lunardi VL, Meucci RD, Algeri S, Silva MP, Franciscatto FP. (In) visibility of notifications of violence against children and adolescents registered in a municipality in southern Brazil. Invest. Educ. Enferm. 2019; 37(2):e11.ReferencesCovell, K; Becker JO, NGO Advisory Council for Follow-up to the UN Study on Violence against Children. Five years on: a global update on violence against children [Internet]. 2011 [Cited 11 Feb 2018]. Available from: http://resourcecentre.savethechildren.se/sites/default/files/documents/5085.pdf. Viola TW, Salum GA, Kluwe-Schiavon B, Sanvicente-Vieira B, Levandowsky ML, Grassi-Oliveira R. The influence of geographical and economic factors in estimates of childhood abuse and neglect using the Childhood Trauma Questionnaire: A worldwide meta-regression analysis. Child Abuse Neglect. 2016; 51(1):1-11. Brasil. Ministério da Saúde. Portaria nº 1271, de 6 de junho de 2014. 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Priscila Arruda da Silva, Valéria Lerch Lunardi, Rodrigo Dalke Meucci et al.
OBJECTIVE: The COVID-19 pandemic Increased the risk of impairing the mother-infant bonding. The objectives of this study were to evaluate the early bond established between mother and infant and postpartum depression (PPD) in pregnancies that occurred during the pandemic period, to identify the factors that may have influenced these outcomes and to verify if there was an association between bonding and probable PPD. METHODS: This is a cross-sectional study of postpartum women from a public maternity hospital in the city of São Paulo conducted from February to June 2021, involving 127 mother-baby dyads. The initial data were collected in the immediate postpartum period and between 21-45 days after birth, using a semi-structured questionnaire on sociodemographic characteristics, gestational and birth conditions, and baby characteristics; the Edinburgh Postnatal Depression Scale (EPDS) and Postpartum Bonding Questionnaire (PBQ) were used to evaluate PPD and bonding, respectively. RESULTS: The presence of probable PPD and unplanned pregnancies were associated with higher PBQ score and risk to impaired bonding (p = 0.001 and p = 0.004, respectively). EPDS showed a high prevalence of PPD (29.1%) and was not associated with any Studied variable. Probably, this high prevalence of probable PPD was due to the context of insecurity secondary to the pandemic. CONCLUSIONS: We observed an increase in the prevalence of probable PPD and unplanned pregnancies during the first 18 months of the pandemic, which were associated with worse scores in mother-infant bonding. The impaired bond can affect the future development of children born during this period.
Bárbara Portela Diniz, Sandra Josefina Ferraz Ellero Grisi, Danton Matheus de Souza et al.
