Child maltreatment in China: An ecological review of the literature

This article presents findings of a systematic review of empirical studies on child maltreatment in China that were published in either English or Chinese. The review uses Bronfenbrenner's ecological systems theory as a lens to examine risk and protective factors of child maltreatment within micro-, meso-, exo-, macro-, and chrono- system levels. A search of 5 electronic bibliographic databases and websites identified 24 outcome studies on child maltreatment in China, which included studies that examined physical/emotional/sexual abuse, and neglect. The most direct influences of child maltreatment in the micro-level system include the parent-child relationship and intergenerational transmission of abuse. At the macro-system level, maltreatment is explained by cultural values such as filial piety and familism. In essence, different factors are found within the various system levels that indicate the complexities of the factors that influence child maltreatment. Throughout the article, we highlight the need to understand the cultural dynamics, values, and mores of Chinese families. The discussion includes practical suggestions and implications for intervention with children, parents, and grandparents that school teachers, social workers, policy makers, and researchers can utilize.     

Disentangling over-representation of parents with disabilities in the child welfare system: Exploring child maltreatment risk factors of parents with disabilities

The study explores the risk factors for child maltreatment and self-reported child maltreatment among a population-based sample of parents with disabilities. Drawing on a nationally-representative, population-based data file that oversampled people of color, income-adjusted odds ratio tests were conducted to establish population differences among parents with and without limitations in activities of daily living (ADLs). Results suggest that parents with disabilities were more likely to report many of the risk factors associated with child maltreatment than parents without disabilities, including witnessing interpersonal violence as a child; experiencing violence, neglect or a foster care stay as a child; mood or substance use disorders; and engaging in or receiving interpersonal violence as an adult. Before controlling for income, parents with disabilities had only a negligibly higher rate of engaging in violence against their children. After controlling for income, parents with disabilities were 2.5 times more likely to engage in violence against their children. Parents with disabilities who did engage in violence against their children had greater amounts of some of the child maltreatment risk factors in comparison to parents with disabilities who did not engage in violence, particularly their own childhood experiences of maltreatment, witnessing of interpersonal violence as a child, childhood stays in foster care, and experiences with interpersonal violence as an adult. Findings add to the understanding of the risk factors for child maltreatment that are related to the collateral effects of having a disability, and through the use of income-adjusted data, help disentangle why parents with disabilities are over-represented in the child welfare system. The findings highlight the need for the child welfare system to increase its disability competence in working with both children and parents with disabilities.     

Generations Linked: A Case Example of Māori Grandparents

This article offers an analysis of the significance of intergenerational living patterns and relationships as the mechanisms by which Pacific grandparents preserve and transmit indigenous cultural values, beliefs, and practices. A case example from a study conducted among Māori grandparents in Aotearoa, New Zealand, serves as the core focus of discussion. Seventeen grandparents were interviewed about their lived experiences in their multiple generation homes. Findings indicate that intergenerational life is a means for linking generations and transmission of indigenous culture to the next generation. Participants discussed their intergenerational relationship with much affection and love for their grandchildren and family. Discussion and implications for future research and practice are provided.     

Sexual Risk‐Taking Among Recently Emancipated Female Foster Youth: Sexual Trauma and Failed Family Reunification Experiences

Foster youth evidence shows elevated rates of risk behaviors, including sexual risk‐taking (e.g., unprotected sex). Some studies have identified child maltreatment, particularly sexual abuse, as a risk for later sexual risk‐taking, but none have examined how child welfare placement experiences relate to youth's sexual risk‐taking. This study investigated relations among child maltreatment, child welfare placements, and sexual risk‐taking among 114 recently emancipated female foster youth. Sexual abuse and failed reunifications with parents were associated with greater sexual risk‐taking. Moreover, dissociative symptoms exacerbated the relation between sexual abuse and sexual risk‐taking. These findings highlight the need for greater consideration of risks associated with emancipated youth's sexual risk‐taking and for more research to understand how youth experience unsuccessful family reunifications.     

Domestic Violence and Intergenerational Rates of Child Sexual Abuse: A Case Record Analysis

Using case review at a shelter for battered women and their children, this exploratory study investigated the association between physical abuse, exposure to domestic violence and intergenerational occurrence of child sexual abuse. The charts of 570 children were reviewed in an attempt to explore the relationship between the children's experiences with sexual abuse and their nonoffending parent's own history of having been sexually abused. Results indicated that a significant percentage of nonoffending parents who reported a history of child sexual abuse also had children who were sexually abused. Additionally, we found that most (93%) of the children studied had been exposed to domestic violence, and while the base rate of sexual abuse was relatively low (11%), the rate of physical abuse of the children was substantial (41%). Logistic regression results indicated that children of sexually abused nonoffending parents may be at heightened risk for sexual abuse. Implications for treatment and intervention are discussed.     

“My nest is full:” Intergenerational relationships at midlife

Incorporating a life course perspective, this qualitative study used focus groups to explore the experiences of midlife adults who were simultaneously providing support to emerging adult children and aging parents. Results indicated that adults situated in middle generations held beliefs that endorsed family-based responsibility to both younger and older members. Parents gladly supported children despite their longer transition to adulthood. Often unanticipated but accepted, provisions of care to aging parents were experienced with ambivalence — a joy and a burden. The transition of their parents to greater dependence helped participants gain insights into the terrain of late life and encouraged reflections about the intersection of aging, independence, and family responsibility. Participants expressed intentions to preserve their own independence and spare their children of caregiving burdens through self-directed actions. Implications focused on negotiations of family relationships around issues of independence and family responsibilities as a way to reduce intergenerational ambivalence.     

“One should follow the wind”: Individualized filial piety and support exchanges in Indian immigrant families in the United States

Within the context of social and demographic transformation, including trend toward globalization, changing patterns of longevity and immigration, this study examines the informal support exchanges between older parents and their adult children in Indian (South Asian) multi-generational families in the United States. Guided by symbolic interactionist thought and a life course perspective, this paper draws on qualitative data from in-depth, semi-structured interviews with 10 older adults in Atlanta, Georgia to study their expectations of and experiences with family support and the principles of Grounded Theory Methods informed our analysis. Filial piety, known as seva in the Indian culture, was used as a framework by the participants to make sense of support exchanges and intergenerational relationships within their own families. Participants' accounts of support exchanges with their parents in India do not always match with the support exchanged with their children in the U.S. The similarities and differences participants speak of as they compare themselves to the traditional practices surrounding seva suggest “individualized” practices of intergenerational relationships/familial support and the influence of and interplay between individual, familial, and wider societal forces. Our findings have implications for policy and practice with older immigrant adults and their families, and shed light on the experiences of growing old in a foreign land.     

Care-leavers and their children placed for adoption

Young people in and leaving state care are more likely than the general population to become parents at a young age. Relatively little is known about the experiences and progress of care leaver parents and their children, but emerging evidence suggests an increased risk of intergenerational state intervention. Drawing on data from the Wales Adoption Study, this paper examines the prevalence and profiles of care leavers amongst birth parents whose children were placed for adoption. Findings showed that more than a quarter (27%) of birth mothers and a fifth (19%) of birth fathers with children placed for adoption were themselves care leavers. There were no significant differences between care leaver and non-care leaver birth parents in terms of involvement in crime or substance misuse, but carer leaver birth parents were distinguishable from other birth parents by their own experiences of abuse and neglect. Care leaver birth mothers were also more likely than their non-care leaver counterparts to have diagnosed mental health problems and were less likely to appeal the adoption plan. The profiles of children placed for adoption between care leaver and non-care leaver birth parents were similar. The findings presented in this paper strengthen the moral imperative to address the over-representation of care leavers amongst birth parents whose children are placed for adoption. There is an urgent need to revise how children and young people in state care are prepared for parenthood and supported as parents.     

Beliefs and Behaviors of Pregnant Women with Addictions Awaiting Treatment Initiation

Substance use during pregnancy poses clear risks to children’s healthy development. However, women with addictions face unique barriers to accessing substance abuse treatment and often delay or avoid treatment seeking. The objective of this study was to examine women’s beliefs about the impact of use on the developing baby and to examine the protective behaviors that women with addictions engage in during the period of time between when they first find out they are pregnant and when they begin substance abuse treatment. Semi-structured interviews were conducted with 15 women who were either pregnant or postpartum and who had used illicit substances during pregnancy. All participants were currently receiving inpatient substance abuse treatment services to address their addiction and were asked to retrospectively report on their experiences. Interviews were transcribed, imported into a qualitative data analysis software, and iteratively coded for themes. Women reported being concerned about the impact of substance use on the developing baby, in particular, about the physical and long-term developmental consequences of prenatal exposure. Given these concerns, women described trying to protect the baby from harm on their own, outside of accessing traditional treatment services. They sought information anonymously, increased their engagement in health-promoting behaviors, and decreased their use of alcohol and other drugs. The results suggest that women who use alcohol and other drugs during pregnancy are often motivated to protect their baby from harm and are engaging in harm reduction behaviors prior to accessing treatment services.     

Perceptions of Parental Intimate Relationships and Their Affects on the Experience of Romantic Relationship Development Among African American Emerging Adults

The quality of romantic relationships that parents maintain has an impact on their children. Emerging adult children base their relationships on similar values and/or opposing beliefs of their parental romantic relationships. This phenomenological study aimed to identify how African American emerging adults experience their parental romantic relationships and how they find meaning in the romantic relationships of their parents. Results suggest that African American emerging adults develop both positive and negative perceptions about romantic relationships from their parents’ relationships, which affect the way these adults perceive, develop, and maintain their own romantic unions. African American emerging adults also find meaning in their parental couple relationships as they share similar experiences in their relationship quality, mate choice, and/or personal or mate characteristics and personality traits as their parents.     

Sexual Abuse Prevention for Preschoolers

The purpose of this study was to measure parents' prevention-related behaviors, altitudes, and beliefs. Responses from 375 parents of preschoolers indicated a supportive attitude toward sexual abuse prevention programs, early education. and parental involvement in prevention efforts. Over half the sample reported discussing sexual abuse with theu preschoolers, and the content of their discussions is described. Reasons for not discussing the topic were obtained, and comparisons were made between parents who had and had not discussed sexual abuse with their preschoolers. Parents' beliefs regarding what concepts should bc taught and the risks and benefits associated with these programs are described. Implications of these findings for prevention policy are provided     

Adolescents Caught in Parental Loyalty Conflicts

A group of 220 13- to 16-year old Catholic high school boys were administered a questionnaire regarding their exposure to parental loyalty conflict behaviors, physical abuse, sexual abuse, psychological maltreatment, depression, and rule-breaking behaviors. Results revealed high rates of exposure to parental loyalty conflict—especially in divorced families—as well as statistically significant associations with psychological maltreatment and depression. These data build on and extend earlier findings documenting the prevalence of children's involvement in parental conflict and the negative effects of that experience.     

“It Is Not a Big Deal,I Can Do It,Too”: Influence of Parental Divorce on Professional Women's Marital Experience in Turkey

This article reports on a study of how parental divorce affects the marriage and divorce experiences of professional women in Turkey. Drawing on the retrospective accounts of eight professional women in relation to their own divorce and those of their parents, this study highlights the role of parental divorce and cultural context in adult children's attitudes, beliefs, and experiences regarding their own union formation. Based on this small qualitative sample, results demonstrate that parental divorce affected women's entire lives, with considerable impact on their commitment to marriage and view of divorce in general. They learn from their parents that marriages can be broken when they do not function properly. As a result, instead of being more patient or self- sacrificing, as is frequently advised to women in Turkish society, the women in this study readily tended toward divorce as a viable solution to marital problems.     

Italian College Student-Reported Childhood Exposure to Parental Alienation: Correlates With Well-Being

Two hundred and fifty-seven undergraduate psychology students in Chieti, Italy completed an anonymous and confidential survey regarding their childhood exposure to parental alienation, psychological maltreatment, and measures of current functioning. Results revealed high levels of reported exposure to parental alienation behaviors by those whose parents divorced or separated and by those who reported that—regardless of marital status—their parents’ relationship was “very bad.” Those with any exposure to parental alienation reported higher rates of parental psychological maltreatment, lower rates of parental caring, as well as poor functioning with respect to self-esteem, depression, adult attachment styles, alcohol abuse, self-direction, and cooperation. These findings support the theory that parental alienation represents a risk factor for compromised outcomes across the life span.     

Resilient Southern Women

ABSTRACT

Using stories from Southern women, fictional and real, this article explores early life experiences and maltreatment in birth families, placement in out-of-home care, and outcomes. The method is qualitative, using unstructured interviews with two sisters, the creation of stories, and identification of patterns throughout the women's lives. Their experiences are compared with the experiences of resilient Southern women as presented in popular fiction. Patterns include resiliency, multiple episodes and types of maltreatment, lack of protection, shame, repetition of relationship patterns and intergenerational transmission of trauma, abandonment, scars and ghosts from the past, and mixed success in adulthood. Recommendations for research and practice to improve child and family well being conclude the article.     

Mothers' abusive childhood predicts child abuse

To examine the intergenerational transmission of abuse, the study compared 25 mothers whose child had been under the supervision of the child protection services (CPS) with 25 mothers who had had no contact with the CPS. The groups were compared with respect to their own self‐reported childhood abuse, their abuse of their own child and punitiveness. The data were gathered using interviews and files. There were no significant differences between the groups in self‐reported childhood physical abuse, but the CPS mothers had experienced more childhood psychological abuse, especially rejection, accusations, terrorizing and corrupting. The groups did not differ in the self‐reported physical or psychological abuse inflicted upon one's own child. In the total sample of 50 mothers, hierarchical regression analyses showed, however, that the mothers' childhood abuse experiences predicted their abuse of their own child. Punitiveness was best predicted by maternal childhood psychological abuse. The results thus provide evidence for the cycle of abuse model. Copyright © 1999 John Wiley & Sons, Ltd.     

Parent-child aggression: association with child abuse potential and parenting styles

The present investigation predicted that greater use of corporal punishment as well as physical maltreatment would be associated with child abuse potential and selected parenting styles. Three independent studies were examined, two with community samples and a third with a clinical at-risk sample of parents. Parents across all studies anonymously completed the Child Abuse Potential Inventory, the Parent-Child Conflict Tactics Scale to assess physical discipline and maltreatment, as well as the Parenting Scale to measure dysfunctional parenting styles. Findings support that overall parent-child aggression, as well as physical maltreatment behaviors specifically, were associated with child abuse potential. Parent-child aggression was also related to dysfunctional parenting styles, particularly an overreactive, authoritarian parenting style. Permissive parenting was also identified as potentially associated with physical maltreatment, although the findings regarding such lax parenting styles are less clear. Intriguing findings emerged regarding the connection of psychological aggression to both child abuse potential and dysfunctional parenting style. Child abuse potential was also associated with dysfunctional parenting style, particularly harsh, overreactive approaches. Recommendations for future study with at-risk samples and additional research on permissive parenting and psychological aggression are discussed.     

Risky Sexual Behaviors and Pregnancy Outcomes in Young Adulthood Following Substantiated Childhood Maltreatment: Findings From a Prospective Birth Cohort Study

Childhood maltreatment is associated with a range of adverse mental and physical health outcomes, including increased rates of sexually transmitted infections (STIs) later in life. However, the impact on risky sexual behaviors and pregnancy outcomes has not been adequately studied. This is particularly true for physical abuse, emotional abuse, and neglect. We examined associations between prospectively substantiated childhood maltreatment and reports of risky sexual behaviors by men and women, as well as selected pregnancy outcomes in women. We followed up 3,081 (45.7% female) participants from the Mater-University of Queensland Study of Pregnancy, a prospective Australian birth cohort study. Using logistic regression, we examined the association between substantiated childhood maltreatment from birth to 14 years, and self-reported risky sexual behaviors and youth pregnancy outcomes at the 21-year follow-up. In adjusted analyses, children who had experienced multiple childhood maltreatment exhibited more risky sexual behaviors than their nonmaltreated counterparts. In specific models, those exposed to each form of childhood maltreatment, independent of co-occurring forms of childhood maltreatment, had an increased likelihood of risky sexual behaviors, particularly an early sexual debut and, for women, youth pregnancy. Neglect was also associated with multiple sexual partners, and emotional abuse with higher rates of miscarriage. There was no difference between men and women in how different forms of childhood maltreatment predicted risky sexual behaviors in young adulthood. All forms of substantiated childhood maltreatment, including multiple substantiations, were associated with risky sexual behavior in both sexes as well as higher rates of youth pregnancy in women. Moreover, emotional abuse persistently predicted miscarriages in young adult women. Understanding the association between childhood maltreatment and risky sexual behaviors and youth pregnancy outcomes may help suggest preventive strategies.     

RELIGION AND INTERGENERATIONAL ASSISTANCE: Distinct Differences by Adult Children's Gender and Parent's Marital Status

Using data from a national and intergenerational survey in 1997, this study examines the link between religion and intergenerational assistance between parents and adult children. Two possibilities are tested. First, religion and assistance are positively associated because religion promotes general prosocial and helping beliefs and behaviors. Second, assistance is greater between parents and adult children who are religiously congruent because strong intergenerational relations are based on parent-child consensus on values and beliefs. The hypotheses are tested separately for continuously married and divorced parents, and interaction models are estimated to determine if the effect of religion varies between adult daughters and sons. Findings support the second argument—religious congruence is more important than individual religiosity in influencing intergenerational assistance. The link between religion and assistance is positive among continuously married parents and adult children, but religion has a mostly negative effect among divorced parents and adult children. Assistance is especially low when either the divorced parent or adult child or both are evangelical Protestants. The disparity in the findings may highlight the different religious and family philosophies of conservative versus mainline religions.     

Multidisciplinary Child Protection Decision Making About Physical Abuse: Determining Substantiation Thresholds and Biases

The current study examined the threshold at which multidisciplinary child protection team (CPT) professionals substantiate physical abuse allegations and the extent that they utilize potentially biased constructs in their decision making when presented with the same case evidence. State legal definitions of child maltreatment are broad. Therefore, the burden of interpretation is largely on CPT professionals who must determine at what threshold physical acts by parents surpass corporal discipline and constitute child physical abuse. Biased or subjective decisions may be made if certain case-specific characteristics or CPT professionals' personal characteristics are used in making physical abuse determinations. Case vignettes with visual depictions of inflicted injuries were sent to CPT professionals in Florida and their substantiation decisions, personal beliefs about corporal discipline, and coercive discipline were collected. Results of the study demonstrated relatively high agreement among professionals across vignettes about what constitutes physical abuse. Further, CPT professionals strongly considered their perceptions of the severity of inflicted injuries in substantiation decisions. Although case specific characteristics did not bias decisions in a systematic way, some CPT professional characteristics influenced the substantiation of physical abuse. Practice implications and future directions of research are discussed.