TabMenu

Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Understanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem Behaviors: A Secondary Analysis of Hawaii Healthy Start Program Evaluation Data

TitleUnderstanding How Intimate Partner Violence Impacts School Age Children's Internalizing and Externalizing Problem Behaviors: A Secondary Analysis of Hawaii Healthy Start Program Evaluation Data
Publication TypeJournal Article
Year of Publication2015
AuthorsBair-Merritt, MH, Ghazarian, SR, Burrell, L, Crowne, SS, McFarlane, E, Duggan, AK
JournalJ Child Adolesc Trauma
Volume8
Pagination245-251
Date PublishedDec 1
ISBN Number1936-1521 (Print)1936-1521
Accession Number26889302
KeywordsAdolescent, Adult, article, bootstrapping, child behavior, Child Behavior Checklist, depression, Female, human, Intimate partner violence, logistic regression analysis, Male, mediation, Middle Aged, outcome assessment, parental stress, parenting stress, Partner violence, Program Evaluation, puerperal depression, reliability, secondary analysis
Abstract

We examined the role of maternal depression and parenting stress in the relationship between intimate partner violence (IPV) and child internalizing and externalizing problems, and explored whether child gender modified these pathways. This secondary analysis used data from the Hawaii Healthy Start Program. Logistic regression models examined the associations between IPV in 1st grade and child internalizing and externalizing behaviors in 1st, 2nd, and 3rd grades. Mediation models used bootstrapping methodology and stratified models examined effect modification. Adjusted models with 214 mothers demonstrated associations between IPV and internalizing (adjusted odds ratios (aOR)=2.62; 95% CI 1.11, 6.21) and externalizing (aOR=4.16; 95% CI 1.55, 11.19) behaviors. The association with externalizing behaviors was mediated by maternal depression and parenting stress, while internalizing behaviors was mediated by depression only. Stratified models found the association between IPV and externalizing behaviors was significant for girls only. Our results support the importance of multicomponent maternal IPV interventions.

PMCID

Pmc4753060