Pathways between childhood trauma, intimate partner violence, and harsh parenting: findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific

UN Multi-country Study on Men and Violence study team

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Background Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women. Methods In this multicountry study, we interviewed multistage representative samples of men and women, aged 18–49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment. Findings Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59% (n=478, 95% CI 54·0–63·3; Indonesia rural site) and 92% (n=791, 89·4–93·8; Bougainville, Papua New Guinea). For women, the results ranged from 44% (n=272, 37·7–50·8; Sri Lanka) to 84% (n=725, 80·7–86·8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men's and women's perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors. Interpretation The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men's power over women and children. Funding Partners for Prevention. National studies were funded by the UN Population Fund in Bangladesh and China, UN Women in Cambodia and Indonesia, UN Develoment Programme in Papua New Guinea, and CARE in Sri Lanka.

Original languageEnglish
Pages (from-to)e512-e522
JournalThe Lancet Global Health
Volume5
Issue number5
DOIs
Publication statusPublished - 2017 May 1

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United Nations
Parenting
Violence
Wounds and Injuries
Papua New Guinea
Sri Lanka
Indonesia
Child Abuse
Intimate Partner Violence
Cambodia
Population
Bangladesh
Sexual Partners
Sex Offenses
China
Public Health
Logistic Models

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{78a727ae07bd40c0887828d26c777928,
title = "Pathways between childhood trauma, intimate partner violence, and harsh parenting: findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific",
abstract = "Background Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women. Methods In this multicountry study, we interviewed multistage representative samples of men and women, aged 18–49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment. Findings Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59{\%} (n=478, 95{\%} CI 54·0–63·3; Indonesia rural site) and 92{\%} (n=791, 89·4–93·8; Bougainville, Papua New Guinea). For women, the results ranged from 44{\%} (n=272, 37·7–50·8; Sri Lanka) to 84{\%} (n=725, 80·7–86·8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men's and women's perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors. Interpretation The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men's power over women and children. Funding Partners for Prevention. National studies were funded by the UN Population Fund in Bangladesh and China, UN Women in Cambodia and Indonesia, UN Develoment Programme in Papua New Guinea, and CARE in Sri Lanka.",
author = "{UN Multi-country Study on Men and Violence study team} and Emma Fulu and Stephanie Miedema and Tim Roselli and Sarah McCook and Chan, {Ko Ling} and Regine Haard{\"o}rfer and Rachel Jewkes and Emma Fulu and Rachel Jewkes and Xian Warner and Stephanie Miedema and Tim Roselli and James Lang and Naved, {Ruchira Tabassum} and Hamidul Huque and Subrina Farah and Shuvra, {Muhammad Mizanur Rashid} and Arthur Erken and Wang Xiangxian and Fang Gang and Li Hongtao and Zeljka Mudrovcic and Wen Hua and Arie Hoekman and Elina Nikulainen and Bernard Coquelin and Mariam Khan and Wenny Kusuma and Manero, {Clara Magari{\~n}o} and Freya Larsen and Emma Fulu and Xian Warner and Saba Moussavi and {de Mel}, Neloufer and Pradeep Peiris and Shyamala Gomez and Team, {Social Indicator} and Kamani Jinadasa and Rachel Jewkes and Yandisa Sikweyiya and Nwabisa Shai and Francesca Drapuluvik-Tinabar and Peterson Magoola and Anthony Agyenta and Thomas Shanahan and Tracy Vienings and Rachel Jewkes and Claudia Garcia-Moreno and Naved, {Ruchira Tabassum} and Kamani Jinadasa",
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doi = "10.1016/S2214-109X(17)30103-1",
language = "English",
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pages = "e512--e522",
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Pathways between childhood trauma, intimate partner violence, and harsh parenting : findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific. / UN Multi-country Study on Men and Violence study team.

In: The Lancet Global Health, Vol. 5, No. 5, 01.05.2017, p. e512-e522.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pathways between childhood trauma, intimate partner violence, and harsh parenting

T2 - findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific

AU - UN Multi-country Study on Men and Violence study team

AU - Fulu, Emma

AU - Miedema, Stephanie

AU - Roselli, Tim

AU - McCook, Sarah

AU - Chan, Ko Ling

AU - Haardörfer, Regine

AU - Jewkes, Rachel

AU - Fulu, Emma

AU - Jewkes, Rachel

AU - Warner, Xian

AU - Miedema, Stephanie

AU - Roselli, Tim

AU - Lang, James

AU - Naved, Ruchira Tabassum

AU - Huque, Hamidul

AU - Farah, Subrina

AU - Shuvra, Muhammad Mizanur Rashid

AU - Erken, Arthur

AU - Xiangxian, Wang

AU - Gang, Fang

AU - Hongtao, Li

AU - Mudrovcic, Zeljka

AU - Hua, Wen

AU - Hoekman, Arie

AU - Nikulainen, Elina

AU - Coquelin, Bernard

AU - Khan, Mariam

AU - Kusuma, Wenny

AU - Manero, Clara Magariño

AU - Larsen, Freya

AU - Fulu, Emma

AU - Warner, Xian

AU - Moussavi, Saba

AU - de Mel, Neloufer

AU - Peiris, Pradeep

AU - Gomez, Shyamala

AU - Team, Social Indicator

AU - Jinadasa, Kamani

AU - Jewkes, Rachel

AU - Sikweyiya, Yandisa

AU - Shai, Nwabisa

AU - Drapuluvik-Tinabar, Francesca

AU - Magoola, Peterson

AU - Agyenta, Anthony

AU - Shanahan, Thomas

AU - Vienings, Tracy

AU - Jewkes, Rachel

AU - Garcia-Moreno, Claudia

AU - Naved, Ruchira Tabassum

AU - Jinadasa, Kamani

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Background Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women. Methods In this multicountry study, we interviewed multistage representative samples of men and women, aged 18–49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment. Findings Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59% (n=478, 95% CI 54·0–63·3; Indonesia rural site) and 92% (n=791, 89·4–93·8; Bougainville, Papua New Guinea). For women, the results ranged from 44% (n=272, 37·7–50·8; Sri Lanka) to 84% (n=725, 80·7–86·8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men's and women's perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors. Interpretation The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men's power over women and children. Funding Partners for Prevention. National studies were funded by the UN Population Fund in Bangladesh and China, UN Women in Cambodia and Indonesia, UN Develoment Programme in Papua New Guinea, and CARE in Sri Lanka.

AB - Background Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women. Methods In this multicountry study, we interviewed multistage representative samples of men and women, aged 18–49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment. Findings Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59% (n=478, 95% CI 54·0–63·3; Indonesia rural site) and 92% (n=791, 89·4–93·8; Bougainville, Papua New Guinea). For women, the results ranged from 44% (n=272, 37·7–50·8; Sri Lanka) to 84% (n=725, 80·7–86·8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men's and women's perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors. Interpretation The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men's power over women and children. Funding Partners for Prevention. National studies were funded by the UN Population Fund in Bangladesh and China, UN Women in Cambodia and Indonesia, UN Develoment Programme in Papua New Guinea, and CARE in Sri Lanka.

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