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Published on: September 19, 2019
Examining the relationship between intimate partner violence and child development program attendance in young
Liliana Cruz-Ausejo1, Jazmin Figueroa-Collado2, Alfonso Chavera-Caceres2
1Facultad de Ciencias de la Salud, Universidad Cesar Vallejo, Trujillo, Peru.
Insights
Mothers experiencing intimate partner violence were more likely to miss child well-visits. This highlights a critical need to support children of mothers exposed to domestic violence, especially in primary care settings.
Area of Science:
- Public Health
- Sociology
- Women's Health
Background:
- Intimate partner violence (IPV) against women is a significant public health issue.
- Childhood development relies on consistent healthcare, including well-child visits.
- Nonattendance at Growth and Development Control Program (CRED) visits can impede early detection of developmental issues.
Purpose of the Study:
- To determine the association between types of intimate partner violence (IPV) and nonattendance at child well-visits (CRED).
- To analyze the impact of emotional, physical, and sexual IPV on children's healthcare access in Peru.
Main Methods:
- Secondary analysis of the 2019 Peru Demographic and Family Health Survey (ENDES).
- Included 19,647 mothers (aged 15-49) and their children under 5.
- Cross-sectional study examining nonattendance at CRED in the last 6 months as the outcome variable.
Main Results:
- A significant association was found between IPV and nonattendance at CRED.
- Children of mothers experiencing sexual IPV had a 1.25 times higher probability of nonattendance.
- Children of mothers experiencing physical IPV had a 1.17 times higher probability, and emotional IPV a 1.12 times higher probability.
Conclusions:
- Maternal experience of intimate partner violence is linked to increased likelihood of children missing well-child visits.
- This association underscores the need for targeted support and monitoring for children of mothers exposed to IPV.
- Primary care settings should prioritize child development promotion and monitoring for this vulnerable group.
Abstract:
The aim of the present study was to determine the association between different types of intimate partner violence against women and nonattendance at the Growth and Development Control Program (CRED or well-child visits) of their children under 5 years of age. This was an analytical cross-sectional study that comprised a secondary analysis of data from the Demographic and Family Health Survey (ENDES in Spanish) of Peru, 2019. Data from 19,647 mothers (aged 15-49 years) and their children under 5 years were analyzed. The independent variables were the types of intimate partner violence = emotional, physical, and sexual. The outcome variable was nonattendance at CRED in the last 6 months. The mean maternal age was 30.47 ± 6.66 years; 66.1% of children were between 25 and 60 months of age; the prevalence of nonattendance at CRED was 29.9%. A relationship was found between partner violence against the mother and nonattendance at CRED. Specifically, there was a higher probability of nonattendance in the children of women who experienced partner violence (sexual = aPR = 1.25 [95% CI = 1.07-1.44]; physical = aPR = 1.17 [95% CI = 1.08-1.26]; emotional = aPR = 1.12 [95% CI = 1.03-1.21]). This study showed an association indicating that children born to mothers experiencing intimate partner violence exhibit an elevated likelihood of nonattendance at CRED when compared to children of mothers not subjected to such violence. Therefore, emphasizing the promotion and monitoring of child development, especially for those with a history of maternal violence, should be a primary priority, particularly in primary care.
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