Severe physical punishment: Risk of mental health problems for poor urban children in Brazil

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dc.contributor.authorBordin I.A.
dc.contributor.authorDuarte C.S.
dc.contributor.authorPeres C.A.
dc.contributor.authorNascimento R.
dc.contributor.authorCurto B.M.
dc.contributor.authorPaula C.S.
dc.date.accessioned2024-03-13T01:34:53Z
dc.date.available2024-03-13T01:34:53Z
dc.date.issued2009
dc.description.abstractObjective: 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 was 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.
dc.description.firstpage336
dc.description.issuenumber5
dc.description.lastpage344
dc.description.volume87
dc.identifier.doi10.2471/BLT.07.043125
dc.identifier.issn0042-9686
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/37372
dc.relation.ispartofBulletin of the World Health Organization
dc.rightsAcesso Aberto
dc.titleSevere physical punishment: Risk of mental health problems for poor urban children in Brazil
dc.typeArtigo
local.scopus.citations63
local.scopus.eid2-s2.0-66149161906
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=66149161906&origin=inward
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