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Maternal intimate partner violence and increased asthma incidence in children: buffering effects of supportive caregiving.
Arch Pediatr Adolesc Med. 2009 Mar; 163(3):244-50.AP

Abstract

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.

Authors+Show Affiliations

Department of Environmental Health, Harvard School of Public Health, Boston, MA 02215, USA. sfranco@hsph.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19255392

Citation

Suglia, Shakira Franco, et al. "Maternal Intimate Partner Violence and Increased Asthma Incidence in Children: Buffering Effects of Supportive Caregiving." Archives of Pediatrics & Adolescent Medicine, vol. 163, no. 3, 2009, pp. 244-50.
Suglia SF, Enlow MB, Kullowatz A, et al. Maternal intimate partner violence and increased asthma incidence in children: buffering effects of supportive caregiving. Arch Pediatr Adolesc Med. 2009;163(3):244-50.
Suglia, S. F., Enlow, M. B., Kullowatz, A., & Wright, R. J. (2009). Maternal intimate partner violence and increased asthma incidence in children: buffering effects of supportive caregiving. Archives of Pediatrics & Adolescent Medicine, 163(3), 244-50. https://doi.org/10.1001/archpediatrics.2008.555
Suglia SF, et al. Maternal Intimate Partner Violence and Increased Asthma Incidence in Children: Buffering Effects of Supportive Caregiving. Arch Pediatr Adolesc Med. 2009;163(3):244-50. PubMed PMID: 19255392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal intimate partner violence and increased asthma incidence in children: buffering effects of supportive caregiving. AU - Suglia,Shakira Franco, AU - Enlow,Michelle Bosquet, AU - Kullowatz,Antje, AU - Wright,Rosalind J, PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/4/4/medline SP - 244 EP - 50 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 163 IS - 3 N2 - 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. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/19255392/Maternal_intimate_partner_violence_and_increased_asthma_incidence_in_children:_buffering_effects_of_supportive_caregiving_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpediatrics.2008.555 DB - PRIME DP - Unbound Medicine ER -