| Titre : | Preventing child abuse and neglect with a program of nurse home visitation : The limiting effects of domestic violence. (2000) |
| Auteurs : | John ECKENRODE ; Robert COLE ; Barbara GANZEL ; Charles-Rjr HENDERSON ; Harriett KITZMAN ; David-L OLDS ; Jane POWERS ; Kimberly SIDORA ; Elliott Smith ; Department of Human Development. Cornell University. Ithaca. NY. USA ; Family Life Development Center. Cornell University. Ithaca. NY. USA ; School of Nursing. University of Rochester. Rochester. NY. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 284, n° 11, 2000) |
| Pagination : | 1385-1391 |
| Langues: | Anglais |
| Mots-clés : | Prévention santé ; Politique santé ; Infirmier ; Violence ; Enfant ; Homme ; Traumatisme |
| Résumé : | [BDSP. Notice produite par INIST 4R0xxoUa. Diffusion soumise à autorisation]. Context Home visitation to families with young children has been promoted as an effective way to prevent child maltreatment, but few studies have examined the conditions under which such programs meet this goal. Objective To investigate whether the presence of domestic violence limits the effects of nurse home visitation interventions in reducing substantiated reports of child abuse and neglect. Design Fifteen-year follow-up study of a randomized trial. Setting Semirural community in upstate New York. Participants Of 400 socially disadvantaged pregnant women with no previous live births enrolled consecutively between April 1978 and September 1980,324 mothers and their children participated in the follow-up study. Interventions Families were randomly assigned to receive routine perinatal care (control group ; n=184 participated in follow-up), routine care plus nurse home visits during pregnancy only (n=100), or routine care plus nurse home visits during pregnancy and through the child's second birthday (n=116). Main Outcome Measures Number of substantiated reports over the entire 15-year period involving the study child as subject regardless of the identity of the perpetrator or involving the mother as perpetrator regardless of the identity of the child ed from state records and analyzed by treatment group and level of domestic violence in the home as measured by the Conflict Tactics Scale. (...) |
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