Physical punishment of children by US parents: moving beyond debate to promote children's health and well-being

Maternal parenting stress from birth to 36 months, maternal depressive symptoms, and physical punishment to 10-year-old children: a population-based birth cohort study

PURPOSE

This study aimed to investigate the association between parenting stress, maternal depressive symptoms, and use of physical punishment when the child is 10 years old.

METHODS

Data from the Tokyo Early Adolescence Survey on early adolescents and primary caregivers (N = 4478) were used. Frequency of using physical punishment, level of depressive symptoms (Kessler Psychological Distress Scale 6), and maternal parenting stress experienced at 1, 3, 9, 18, and 36 months after birth were evaluated. Multiple linear and multinomial logistic regression analyses were conducted.

RESULTS

Mothers (1633) who provided information on parenting stress at all the five points were included for the analysis. After controlling for the child's age, sex, birth weight, maternal age, and annual household income, presence of maternal parenting stress at every time point, except at three months after birth, was significantly associated with an increased risk of using physical punishment with the 10-year-old. After adjusting for levels of depressive symptoms, significant associations were found between use of physical punishment and maternal parenting stress at 1 month (adjusted odds ratio [OR] 1.71, 95% confidence interval [Cl] 1.12-2.61) and 36 months (adjusted OR 1.70, 95% CI 1.10-2.61) after birth.

CONCLUSION

Maternal parenting stress experienced at 1 and 36 months after birth predicted use of physical punishment, even after adjusting for maternal depressive symptoms. Maternal support should, therefore, be provided to mothers to cope with parenting stress even three years after birth to prevent the use of physical punishment in early adolescence.

Childhood Experiences and Attitudes toward Corporal Punishment: The Mediating Role of Perceived Efficacy of Alternative Discipline Strategies among Low-income Black, Hispanic, and White Parents

Corporal punishment (CP) is associated with harmful outcomes to child development. Favorable attitudes toward CP are a major predictor of CP use. Thus, identifying and changing factors influencing such attitudes help to prevent CP. Although research has confirmed the effect of childhood experiences of CP on attitudes toward CP, few studies have examined mechanisms underpinning this association. To fill this gap, this study investigated the role of perceived efficacy of alternative discipline strategies in mediating the association between childhood experiences of CP and attitudes toward CP among low-income Black, Hispanic, and White parents. A cross-sectional online survey was conducted with 230 parents (M_age = 31; Black = 62, Hispanic = 62; White = 106). Structural equation modeling results revealed that more positive childhood experiences of CP were associated with lower perceived efficacy of alternative discipline strategies. In turn, lower perceived efficacy of alternative discipline strategies was associated with more favorable attitudes toward CP. Mediation analysis performed by the bootstrapping methods confirmed the mediating effect of perceived efficacy of alternative discipline strategies. When race was considered, this mediation pathway was held for Hispanic and White parent groups. These results suggested that future research should pay more attention to the role of perceived efficacy of alternative discipline strategies. Additionally, public education campaigns should consider incorporating efficacy messages to effectively reduce positive attitudes toward CP among low-income parents.

Identifying knowledge, self-efficacy and response efficacy of alternative discipline strategies among low-income Black, Latino and White parents

Corporal punishment (CP) leads to detrimental mental and physical consequences for a child. One way to prevent CP is to encourage parents to apply alternative discipline strategies that do not involve violence. Based on the knowledge-behavior gap framework in public health education, this study analyzed the focus group data of 75 low-income Black, Latino and White parents to uncover commonalties and differences in their knowledge, self-efficacy and response efficacy of alternative discipline strategies. Findings revealed that parents knew several alternative discipline strategies and had confidence in their ability to conduct these strategies. However, parents reported that some strategies were hard to implement because they lacked the relevant resources. Moreover, parents did not perceive that alternative discipline strategies were effective without using some forms of CP. Knowledge, self-efficacy and response efficacy of alternative discipline strategies are risk factors for child physical abuse and addressing them will help prevent injury and health impacts on children, while providing safe, stable, nurturing relationships and environments for child development.