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Chai L. Perceived Community Belonging as a Moderator: Effects of Childhood Abuse on Health and Well-Being Among Middle-Aged and Older Canadians. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2024; 67:474-491. [PMID: 38466950 DOI: 10.1080/01634372.2024.2326684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 01/11/2024] [Indexed: 03/13/2024]
Abstract
This study examined the moderating role of perceived community belonging in the relationship between childhood abuse and health and well-being outcomes among Canadian individuals aged 55 and older. Using data from the 2014 Canadian General Social Survey (n = 14,416), multiple linear regression models revealed that women who experienced either childhood physical or sexual abuse reported poorer self-rated general and mental health, as well as lower life satisfaction, compared to those without such histories. The most pronounced effects were observed among women who experienced both types of abuse. For men, a similar pattern was evident only for those who experienced childhood physical abuse. Notably, among women, a strong sense of community belonging lessened the negative effects of both types of childhood abuse on all examined outcomes. These findings underscore the protective role of perceived community belonging against the consequences of childhood abuse for older women. They illuminate the crucial role of gerontological social workers and scholars in promoting community integration and support. Focusing on these areas, especially for those with traumatic histories, can potentially improve their overall health and well-being.
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Affiliation(s)
- Lei Chai
- Department of Sociology, University of Toronto, Toronto, ON, Canada
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Campeau A, Tanaka M, McTavish JR, MacMillan H, McKee C, Hovdestad WE, Gonzalez A, Afifi TO, Stewart-Tufescu A, Tonmyr L. Asking youth and adults about child maltreatment: a review of government surveys. BMJ Open 2022; 12:e063905. [PMID: 36410827 PMCID: PMC9680163 DOI: 10.1136/bmjopen-2022-063905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES In this review we: (1) identify and describe nationally representative surveys with child maltreatment (CM) questions conducted by governments in low-income, middle-income and high-income countries and (2) describe procedures implemented to address respondents' safety and minimise potential distress. DESIGN We conducted a systematic search across eight databases from 1 January 2000 to 5 July 2021 to identify original studies with information about relevant surveys. Additional information about surveys was obtained through survey methods studies, survey reports, survey websites or by identifying full questionnaires (when available). RESULTS Forty-six studies representing 139 surveys (98 youth and 41 adult) conducted by governments from 105 countries were identified. Surveys implemented a variety of procedures to maximise the safety and/or reduce distress for respondents including providing the option to withdraw from the survey and/or securing confidentiality and privacy for the respondent. In many surveys, further steps were taken such as providing information for support services, providing sensitivity training to survey administrators when interviews were conducted, among others. A minority of surveys took additional steps to empirically assess potential distress experienced by respondents. CONCLUSIONS Assessing risk and protective factors and developing effective interventions and policies are essential to reduce the burden of violence against children. While asking about experiences of CM requires careful consideration, procedures to maximise the safety and minimise potential distress to respondents have been successfully implemented globally, although practices differ across surveys. Further analysis is required to assist governments to implement the best possible safety protocols to protect respondents in future surveys.
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Affiliation(s)
- Aimée Campeau
- Health Promotion and Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Masako Tanaka
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Jill R McTavish
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Harriet MacMillan
- Departments of Psychiatry and Behavioural Neurosciences, and Pediatrics, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Chris McKee
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Wendy E Hovdestad
- Health Promotion and Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Andrea Gonzalez
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Tracie O Afifi
- Departments of Community Health Sciences, and Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada
| | | | - Lil Tonmyr
- Health Promotion and Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada
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Blair DL, Shields M, Tonmyr L. Concerns about Household Violence during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14633. [PMID: 36429353 PMCID: PMC9691068 DOI: 10.3390/ijerph192214633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 10/27/2022] [Accepted: 11/04/2022] [Indexed: 06/16/2023]
Abstract
Evidence about how the pandemic affected household violence in Canada is mixed, but inarguably, the risk factors increased. This study used data from the 2020 Canadian Perspective Survey Series and the 2020 and 2021 Surveys of COVID-19 and Mental Health to examine the following: changes in the prevalence of concern about violence in individuals' own homes during the pandemic; the characteristics of those who expressed concern; and the prevalence of concerns for specific household members. Among Canadians, the prevalence of concern about violence in individuals' own homes decreased significantly between July and Fall 2020 (5.8% to 4.2%). Among women, the characteristics that were significantly associated with higher adjusted odds of concern about household violence included larger household size and lower household income. Lower education among women was associated with lower adjusted odds of concern. The associations with higher adjusted odds of concern among men included: being an immigrant, larger household size, and lower household income. From Fall 2020 to Spring 2021, the prevalence of concerns for oneself and for a child/children increased (1.7% to 2.5% and 1.0% to 2.5%, respectively), but concern for other adults in the household decreased (1.9% to 1.2%). Ongoing surveillance is needed to understand vulnerable populations' exposure to household violence and to inform policies and programs.
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A century of sexual abuse victimisation: A birth cohort analysis. Soc Sci Med 2021; 270:113574. [PMID: 33445116 DOI: 10.1016/j.socscimed.2020.113574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 11/30/2020] [Accepted: 12/01/2020] [Indexed: 11/22/2022]
Abstract
This study examined changes in the reported prevalence of adult and child sexual abuse over the last century and explored how changes in social and political circumstances may have affected rates. Data from two population-based face-to-face surveys conducted in New Zealand (samples of 2855 women in 2003 and 1464 women in 2019) were used to produce birth cohort prevalence estimates of three forms of sexual abuse including by an intimate partner (lifetime and 12-month), by non-partners, and child sexual abuse. A timeline of major population influences that might be associated with violence occurrence was developed. There were no changes in reported lifetime intimate partner sexual abuse prevalence estimates found over the past century. The most recent birth cohort reported the lowest rates of 12-month prevalence estimates for intimate partner sexual abuse, lifetime rates of non-partner sexual abuse, and also suggest lower reported rates of child sexual abuse. Macro-social events including feminist movements, changes in legislation, and an increase in public awareness might have contributed to women's awareness about the non-acceptability of violent behaviour, and their ability to leave relationships after violence has occurred. This may have contributed to the small recent decreases in reported 12-month rate of sexual IPV and CSA, as women's ability to leave relationships may be protective for their children. The recent decrease in reported non-partner sexual violence may also be attributed to women's greater awareness of, and agency to avoid sexual abuse. The lack of change for the lifetime prevalence of sexual IPV over the past century highlights the need for ongoing prevention efforts. While recent reductions in reported rates of child and adult sexual abuse are encouraging, even reduced rates are high and warrant sustained implementation of prevention policies and programs.
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Joshi D, Raina P, Tonmyr L, MacMillan HL, Gonzalez A. Prevalence of adverse childhood experiences among individuals aged 45 to 85 years: a cross-sectional analysis of the Canadian Longitudinal Study on Aging. CMAJ Open 2021; 9:E158-E166. [PMID: 33653771 PMCID: PMC8034300 DOI: 10.9778/cmajo.20200064] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Population-level prevalence estimates for a broad range of adverse childhood experiences (ACEs), which are known to affect health across the lifespan, are currently unavailable in Canada. The purpose of this study was to estimate the prevalence of individual ACEs by sociodemographic factors among middle-aged and older adults. METHODS Data for this cross-sectional analysis were obtained from the first follow-up (2015-2018) of the Canadian Longitudinal Study on Aging (baseline recruitment from 2011 to 2015). Participants included individuals aged 45-85 years and residing in the community in the 10 Canadian provinces. Exposure to ACEs was assessed using a retrospective, self-report questionnaire. Logistic regression was used to obtain the adjusted prevalence estimates of ACEs within groups formed by the sociodemographic characteristics and each variable was adjusted for all other sociodemographic variables. RESULTS Of the 44 817 participants in the first follow-up, 61.6% (weighted) reported exposure to at least 1 ACE. Exposure to physical abuse (weighted prevalence of 25.7%), intimate partner violence (22.4%) and emotional abuse (21.8%) were the most prevalent types of ACEs. Individuals younger than 65 years (born in 1950-1969), with no postsecondary education or education below a bachelor's degree, or with annual household income less than $20 000 reported greater exposure to ACEs. Reporting for many ACEs was higher among women and those of nonheterosexual orientation. Overall, British Columbia, Alberta, Manitoba, Ontario and Quebec reported relatively higher prevalence for several examined categories of ACEs. INTERPRETATION Adverse childhood experiences were highly prevalent across all demographic groups with substantial heterogeneity in the distribution among the middle and older age population. The high prevalence of ACEs and their potential negative consequences on health and well-being emphasize the need to develop and promote trauma-informed care to assist individuals affected by ACEs.
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Affiliation(s)
- Divya Joshi
- Department of Health Research Methods, Evidence, and Impact (Joshi, Raina), McMaster University; McMaster Institute for Research on Aging (Raina), Hamilton, Ont.; Public Health Agency of Canada (Tonmyr), Ottawa, Ont.; Department of Sociology and Anthropology (Tonmyr), Carleton University, Ottawa, Ont.; Department of Pediatrics (MacMillan) and of Psychiatry and Behavioural Neurosciences (MacMillan, Gonzalez), McMaster University; Offord Centre for Child Studies (Gonzalez), Hamilton, Ont
| | - Parminder Raina
- Department of Health Research Methods, Evidence, and Impact (Joshi, Raina), McMaster University; McMaster Institute for Research on Aging (Raina), Hamilton, Ont.; Public Health Agency of Canada (Tonmyr), Ottawa, Ont.; Department of Sociology and Anthropology (Tonmyr), Carleton University, Ottawa, Ont.; Department of Pediatrics (MacMillan) and of Psychiatry and Behavioural Neurosciences (MacMillan, Gonzalez), McMaster University; Offord Centre for Child Studies (Gonzalez), Hamilton, Ont
| | - Lil Tonmyr
- Department of Health Research Methods, Evidence, and Impact (Joshi, Raina), McMaster University; McMaster Institute for Research on Aging (Raina), Hamilton, Ont.; Public Health Agency of Canada (Tonmyr), Ottawa, Ont.; Department of Sociology and Anthropology (Tonmyr), Carleton University, Ottawa, Ont.; Department of Pediatrics (MacMillan) and of Psychiatry and Behavioural Neurosciences (MacMillan, Gonzalez), McMaster University; Offord Centre for Child Studies (Gonzalez), Hamilton, Ont
| | - Harriet L MacMillan
- Department of Health Research Methods, Evidence, and Impact (Joshi, Raina), McMaster University; McMaster Institute for Research on Aging (Raina), Hamilton, Ont.; Public Health Agency of Canada (Tonmyr), Ottawa, Ont.; Department of Sociology and Anthropology (Tonmyr), Carleton University, Ottawa, Ont.; Department of Pediatrics (MacMillan) and of Psychiatry and Behavioural Neurosciences (MacMillan, Gonzalez), McMaster University; Offord Centre for Child Studies (Gonzalez), Hamilton, Ont
| | - Andrea Gonzalez
- Department of Health Research Methods, Evidence, and Impact (Joshi, Raina), McMaster University; McMaster Institute for Research on Aging (Raina), Hamilton, Ont.; Public Health Agency of Canada (Tonmyr), Ottawa, Ont.; Department of Sociology and Anthropology (Tonmyr), Carleton University, Ottawa, Ont.; Department of Pediatrics (MacMillan) and of Psychiatry and Behavioural Neurosciences (MacMillan, Gonzalez), McMaster University; Offord Centre for Child Studies (Gonzalez), Hamilton, Ont.
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Quayle E. Prevention, disruption and deterrence of online child sexual exploitation and abuse. ACTA ACUST UNITED AC 2020. [DOI: 10.1007/s12027-020-00625-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AbstractEuropean law has recognised the need for international cross-disciplinary collaboration to both identify, locate and safeguard victims and prevent, investigate and prosecute online child exploitation and abuse (OCSEA). However, there is evidence that these crimes are continuing to increase and develop in step with technological advances. Changing the behaviour of both perpetrators and victims is both challenging and expensive and there is little evidence of what works to reduce these crimes. In this paper an argument is presented that changing the environments which support OCSEA is necessary if we are to detect and manage these crimes, and more importantly prevent them.
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