Severe physical punishment: risk of mental health problems for poor urban children in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/31485 http://dx.doi.org/10.2471/BLT.07.043125 |
Resumo: | Objective To examine the relationship between specific types of child mental health problems and severe physical punishment, in combination with other important known risk factors.Methods We conducted a cross-sectional study in Embu, São Paulo, Brazil, as the Brazilian component of a multicountry survey on abuse in the family environment. From a probabilistic sample of clusters that included all eligible households (women aged 15-49 years with a son or daughter < 18 years of age), we randomly selected one mother-child pair per household (n = 813; attrition rate: 17.6%). This study focused on children aged 6-17 years (n = 480). Child Behaviour Checklist CBCL/6-18 was used to identify children with internalizing problems only, externalizing problems only, and both internalizing and externalizing problems (comorbidity). Severe physical punishment was defined as being hit with an object, being kicked, choked, smothered, burnt, scalded, branded, beaten or threatened with a weapon. We examined other potential correlates from four domains: child (gender, age, ever witnessing marital violence); mother (education, unemployment, anxiety or depression, marital violence); father (absence, drunkenness); and family (socioeconomic status). the WHO Self-Reporting Questionnaire (SRQ-20) was used to identify maternal anxiety or depression (score > 7). Backward logistic regression analysis identified independent correlates and significant interactions.Findings Multivariate modelling showed that severe punishment wash an independent correlate of comorbid internalizing and externalizing problems but was not associated with internalizing problems only. It increased the risk of externalizing problems alone only for children and adolescents not exposed to maternal anxiety or depression. Maternal anxiety or depression increased the risk only for children or adolescents not exposed to severe punishment.Conclusion Severe punishment may be related to child mental health problems, with the mechanism depending on the type of problem. Its influence persists in the presence of family stressors such as the father's absence and maternal anxiety or depression. |
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Bordin, Isabel Altenfelder Santos [UNIFESP]Duarte, Cristiane Seixas [UNIFESP]Peres, Clovis de Araujo [UNIFESP]Nascimento, Rosimeire do [UNIFESP]Curto, Bartira Marques [UNIFESP]Paula, Cristiane Silvestre de [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Columbia UnivUniv Presbiteriana Mackenzie2016-01-24T13:52:29Z2016-01-24T13:52:29Z2009-05-01Bulletin of the World Health Organization. Geneva 27: World Health Organization, v. 87, n. 5, p. 336-344, 2009.0042-9686http://repositorio.unifesp.br/handle/11600/31485http://dx.doi.org/10.2471/BLT.07.04312510.2471/BLT.07.043125WOS:000265956200009Objective To examine the relationship between specific types of child mental health problems and severe physical punishment, in combination with other important known risk factors.Methods We conducted a cross-sectional study in Embu, São Paulo, Brazil, as the Brazilian component of a multicountry survey on abuse in the family environment. From a probabilistic sample of clusters that included all eligible households (women aged 15-49 years with a son or daughter < 18 years of age), we randomly selected one mother-child pair per household (n = 813; attrition rate: 17.6%). This study focused on children aged 6-17 years (n = 480). Child Behaviour Checklist CBCL/6-18 was used to identify children with internalizing problems only, externalizing problems only, and both internalizing and externalizing problems (comorbidity). Severe physical punishment was defined as being hit with an object, being kicked, choked, smothered, burnt, scalded, branded, beaten or threatened with a weapon. We examined other potential correlates from four domains: child (gender, age, ever witnessing marital violence); mother (education, unemployment, anxiety or depression, marital violence); father (absence, drunkenness); and family (socioeconomic status). the WHO Self-Reporting Questionnaire (SRQ-20) was used to identify maternal anxiety or depression (score > 7). Backward logistic regression analysis identified independent correlates and significant interactions.Findings Multivariate modelling showed that severe punishment wash an independent correlate of comorbid internalizing and externalizing problems but was not associated with internalizing problems only. It increased the risk of externalizing problems alone only for children and adolescents not exposed to maternal anxiety or depression. Maternal anxiety or depression increased the risk only for children or adolescents not exposed to severe punishment.Conclusion Severe punishment may be related to child mental health problems, with the mechanism depending on the type of problem. Its influence persists in the presence of family stressors such as the father's absence and maternal anxiety or depression.Universidade Federal de São Paulo, Escola Paulista Med, BR-04023061 São Paulo, BrazilColumbia Univ, New York State Psychiat Inst, New York, NY USAUniv Presbiteriana Mackenzie, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, BR-04023061 São Paulo, BrazilWeb of Science336-344engWorld Health OrganizationBulletin of the World Health OrganizationSevere physical punishment: risk of mental health problems for poor urban children in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/314852023-01-30 22:19:11.765metadata only accessoai:repositorio.unifesp.br:11600/31485Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-01-31T01:19:11Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
title |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
spellingShingle |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil Bordin, Isabel Altenfelder Santos [UNIFESP] |
title_short |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
title_full |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
title_fullStr |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
title_full_unstemmed |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
title_sort |
Severe physical punishment: risk of mental health problems for poor urban children in Brazil |
author |
Bordin, Isabel Altenfelder Santos [UNIFESP] |
author_facet |
Bordin, Isabel Altenfelder Santos [UNIFESP] Duarte, Cristiane Seixas [UNIFESP] Peres, Clovis de Araujo [UNIFESP] Nascimento, Rosimeire do [UNIFESP] Curto, Bartira Marques [UNIFESP] Paula, Cristiane Silvestre de [UNIFESP] |
author_role |
author |
author2 |
Duarte, Cristiane Seixas [UNIFESP] Peres, Clovis de Araujo [UNIFESP] Nascimento, Rosimeire do [UNIFESP] Curto, Bartira Marques [UNIFESP] Paula, Cristiane Silvestre de [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Columbia Univ Univ Presbiteriana Mackenzie |
dc.contributor.author.fl_str_mv |
Bordin, Isabel Altenfelder Santos [UNIFESP] Duarte, Cristiane Seixas [UNIFESP] Peres, Clovis de Araujo [UNIFESP] Nascimento, Rosimeire do [UNIFESP] Curto, Bartira Marques [UNIFESP] Paula, Cristiane Silvestre de [UNIFESP] |
description |
Objective To examine the relationship between specific types of child mental health problems and severe physical punishment, in combination with other important known risk factors.Methods We conducted a cross-sectional study in Embu, São Paulo, Brazil, as the Brazilian component of a multicountry survey on abuse in the family environment. From a probabilistic sample of clusters that included all eligible households (women aged 15-49 years with a son or daughter < 18 years of age), we randomly selected one mother-child pair per household (n = 813; attrition rate: 17.6%). This study focused on children aged 6-17 years (n = 480). Child Behaviour Checklist CBCL/6-18 was used to identify children with internalizing problems only, externalizing problems only, and both internalizing and externalizing problems (comorbidity). Severe physical punishment was defined as being hit with an object, being kicked, choked, smothered, burnt, scalded, branded, beaten or threatened with a weapon. We examined other potential correlates from four domains: child (gender, age, ever witnessing marital violence); mother (education, unemployment, anxiety or depression, marital violence); father (absence, drunkenness); and family (socioeconomic status). the WHO Self-Reporting Questionnaire (SRQ-20) was used to identify maternal anxiety or depression (score > 7). Backward logistic regression analysis identified independent correlates and significant interactions.Findings Multivariate modelling showed that severe punishment wash an independent correlate of comorbid internalizing and externalizing problems but was not associated with internalizing problems only. It increased the risk of externalizing problems alone only for children and adolescents not exposed to maternal anxiety or depression. Maternal anxiety or depression increased the risk only for children or adolescents not exposed to severe punishment.Conclusion Severe punishment may be related to child mental health problems, with the mechanism depending on the type of problem. Its influence persists in the presence of family stressors such as the father's absence and maternal anxiety or depression. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-05-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T13:52:29Z |
dc.date.available.fl_str_mv |
2016-01-24T13:52:29Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Bulletin of the World Health Organization. Geneva 27: World Health Organization, v. 87, n. 5, p. 336-344, 2009. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/31485 http://dx.doi.org/10.2471/BLT.07.043125 |
dc.identifier.issn.none.fl_str_mv |
0042-9686 |
dc.identifier.doi.none.fl_str_mv |
10.2471/BLT.07.043125 |
dc.identifier.wos.none.fl_str_mv |
WOS:000265956200009 |
identifier_str_mv |
Bulletin of the World Health Organization. Geneva 27: World Health Organization, v. 87, n. 5, p. 336-344, 2009. 0042-9686 10.2471/BLT.07.043125 WOS:000265956200009 |
url |
http://repositorio.unifesp.br/handle/11600/31485 http://dx.doi.org/10.2471/BLT.07.043125 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Bulletin of the World Health Organization |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
336-344 |
dc.publisher.none.fl_str_mv |
World Health Organization |
publisher.none.fl_str_mv |
World Health Organization |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
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1802764280004608000 |