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Published on: August 7, 2017
Maternal intimate partner violence and increased asthma incidence in children: buffering effects of supportive
Shakira Franco Suglia1, Michelle Bosquet Enlow, Antje Kullowatz
1Department of Environmental Health, Harvard School of Public Health, Boston, MA 02215, USA. sfranco@hsph.harvard.edu
Insights
Maternal intimate partner violence (IPV) is linked to a higher risk of childhood asthma. Supportive caregiving, like engaging in activities and providing toys, may protect children from this risk.
Area of Science:
- Pediatric Health
- Public Health
- Epidemiology
Background:
- Maternal intimate partner violence (IPV) is a significant public health concern.
- Early childhood asthma is a prevalent chronic condition with multifactorial etiology.
- The impact of maternal stress and violence on child health outcomes requires further investigation.
Purpose of the Study:
- To investigate the association between maternal intimate partner violence (IPV) and the onset of asthma in young children.
- To explore the potential moderating role of supportive caregiving factors in the relationship between maternal IPV and childhood asthma.
Main Methods:
- Prospective birth cohort study involving 3116 children.
- Maternal intimate partner violence (IPV) was assessed at multiple time points post-childbirth.
- Childhood asthma diagnosis by age 36 months was the primary outcome, with supportive caregiving factors also measured.
Main Results:
- Children exposed to chronic maternal IPV had a 2-fold increased risk of developing asthma.
- Low levels of mother-child activities in the context of IPV significantly increased asthma risk.
- High levels of mother-child activities and availability of educational toys appeared to buffer the effects of IPV on asthma risk.
Conclusions:
- Maternal intimate partner violence (IPV) is significantly associated with an increased risk of early childhood asthma.
- Positive maternal caregiving processes, such as engagement in activities and provision of stimulating environments, may mitigate the adverse effects of IPV on child asthma development.
- Interventions supporting mothers experiencing IPV are crucial for promoting positive child health outcomes.
Objectives:
To examine the relationship between maternal intimate partner violence (IPV) and asthma onset in children and the role of supportive caregiving factors in modifying this relationship.
Design:
Prospective birth cohort.
Setting:
In-person interview at enrollment as well as in-home interviews during study follow-up.
Participants:
Children (N = 3116) enrolled in the Fragile Families and Child Wellbeing Study. Main Exposures Maternal report of IPV assessed after the child's birth and at 12 and 36 months. In addition, mothers indicated how many days a week they participated in activities with the child and the amount and type of educational/recreational toys available for the child. Main Outcome Measure Maternal report of physician-diagnosed asthma by age 36 months.
Results:
Asthma was diagnosed in 19% of children. In adjusted analysis, children of mothers experiencing IPV chronically, compared with those not exposed, had a 2-fold increased risk of developing asthma. In stratified analysis, children of mothers experiencing IPV and low levels of mother-child activities (relative risk, 2.7; 95% confidence interval, 1.6-4.7) had a significant increased risk for asthma. Those exposed to IPV and high levels of mother-child activities had a lower risk for asthma (relative risk, 1.6; 95% confidence interval, 0.9-3.2). A similar buffering effect was noted among children with high numbers of educational/recreational toys.
Conclusions:
Intimate partner violence is associated with increased early childhood asthma risk. Maternal ability to maintain positive caregiving processes in this context may buffer the effects of violence on child asthma risk. The best way to promote positive health in toddlers may be to help their mothers.
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