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Understanding the dynamics and interplay of public support and adherence to five key mitigation behaviors over the course of the evolving COVID-19 pandemic 了解在COVID-19大流行演变过程中公众支持和遵守五种关键缓解行为的动态和相互作用
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-24 DOI: 10.1016/j.ssmph.2025.101847
Frank C. Gootjes , John B.F. de Wit , Denise D.T. de Ridder , F. Marijn Stok , Floor M. Kroese , Marijn de Bruin
{"title":"Understanding the dynamics and interplay of public support and adherence to five key mitigation behaviors over the course of the evolving COVID-19 pandemic","authors":"Frank C. Gootjes ,&nbsp;John B.F. de Wit ,&nbsp;Denise D.T. de Ridder ,&nbsp;F. Marijn Stok ,&nbsp;Floor M. Kroese ,&nbsp;Marijn de Bruin","doi":"10.1016/j.ssmph.2025.101847","DOIUrl":"10.1016/j.ssmph.2025.101847","url":null,"abstract":"<div><div>Behavioral measures played a critical role in mitigating the COVID-19 pandemic, and their success hinged on continued public support and adherence. This study provides novel evidence on changes in support and adherence to behavioral mitigation measures and appraises the role of pandemic fatigue to provide robust guidance for effective governance of future public health and safety crises. Data were collected from a population cohort study in the Netherlands. This study used data from six assessments (December 2020–March 2022) at 12-week intervals, aligned with differences in pandemic severity and policy stringency. The analytic sample consisted of participants (N = 20,475) randomly allocated to answer questions on support and adherence to measures, focusing on physical distancing, avoiding crowds, mask-wearing on public transport, COVID-19 testing when symptomatic, and staying home when symptomatic. Changes in adherence and support and their interplay across time were assessed using random intercept cross-lagged panel models, controlling for age, gender and education. At the end of 2020, support for mitigation measures was found to be high, with little difference between measures. Subsequent changes in support for most measures broadly paralleled changes in pandemic severity and policy stringency. Adherence was less responsive to pandemic severity and policy stringency, and was mostly stable, albeit with differences between behavioral measures. Support and adherence to COVID-19 testing steadily increased after this was recommended as of early 2021. Changes in support and adherence did not reflect the notion of pandemic fatigue as a monotonic decline in support and adherence across behaviors. Findings highlight the need to better understand and address the factors influencing differing dynamics in support and adherence to specific protective behaviors.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101847"},"PeriodicalIF":3.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Daughter's college completion and parents' psychosocial wellbeing: quasi-experimental evidence from South Korea 女儿大学毕业与父母心理健康:来自韩国的准实验证据
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-23 DOI: 10.1016/j.ssmph.2025.101846
Ah-Reum Lee, K. Renata Flores Romero, Jacqueline Torres
{"title":"Daughter's college completion and parents' psychosocial wellbeing: quasi-experimental evidence from South Korea","authors":"Ah-Reum Lee,&nbsp;K. Renata Flores Romero,&nbsp;Jacqueline Torres","doi":"10.1016/j.ssmph.2025.101846","DOIUrl":"10.1016/j.ssmph.2025.101846","url":null,"abstract":"<div><div>The educational achievements of offspring are reported to be positively associated with the wellbeing of older parents, although observational research on this topic is likely subject to residual confounding bias. We use data on over 7,000 older adults who responded to the Korean Longitudinal Study on Aging (KLoSA), a population-based study that captures data on the wellbeing and family dynamics of adults 45 years along with detailed rosters of respondents' living children, including their age and educational attainment. We use these rosters to characterize offspring exposure to a 1993 higher education reform that increased college enrollment rates, particularly for young women, by over 45 percentage points over a decade. Prior research has leveraged this reform to identify the causal effects of college completion on women's fertility and labor market outcomes; we similarly demonstrate its utility as a natural experiment in our study, showing a meaningful discontinuity in the college completion of respondents' daughters based on exposure to the reform. We show that college completion among daughters reduced the risk of depression for older parents by 6–25% (with variation by parents' gender and model specification) but had no effects on ratings of life satisfaction. The returns to offspring college completion were most pronounced for older mothers, parents in living urban regions and those with fewer of their own household assets. Daughter's college completion also had an impact on some domains of intergenerational support that could explain effects on depressive symptoms, including the frequency of parent-child contact.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101846"},"PeriodicalIF":3.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does regular engagement with arts and creative activities improve adolescent mental health and wellbeing? A systematic review and assessment of causality 经常参加艺术和创造性活动能改善青少年的心理健康和幸福吗?对因果关系的系统回顾和评估
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-22 DOI: 10.1016/j.ssmph.2025.101845
Sam Hugh-Jones , Stephanie Ray , Anna Wilding , Matt Sutton , Neil Humphrey , Luke Munford
{"title":"Does regular engagement with arts and creative activities improve adolescent mental health and wellbeing? A systematic review and assessment of causality","authors":"Sam Hugh-Jones ,&nbsp;Stephanie Ray ,&nbsp;Anna Wilding ,&nbsp;Matt Sutton ,&nbsp;Neil Humphrey ,&nbsp;Luke Munford","doi":"10.1016/j.ssmph.2025.101845","DOIUrl":"10.1016/j.ssmph.2025.101845","url":null,"abstract":"<div><h3>Background</h3><div>There is a growing body of evidence on the relationship between arts and creative activities and adolescent mental health and wellbeing. However, most research has focused on short, sharp creative arts interventions, and not on regular, day-to-day engagement with arts and creative activities. It is unclear the extent to which this complex relationship can be considered causal. This systematic review aimed to summarise the quantitative evidence on engagement with arts and creative activities and assess whether it supports causal conclusions.</div></div><div><h3>Methods</h3><div>We systematically searched 10 databases. We included any quantitative studies (cross-sectional and longitudinal observational studies, natural and quasi-experimental designs, and controlled trials) assessing the link between regular engagement (multiple instances over a period of more than one week) with arts and creative activities, and adolescent (10-19y) mental health and wellbeing. We included studies published in English from 2014 to 2024. Methodological quality was assessed using JBI critical appraisal tools. Support for causal conclusions was assessed using the Bradford Hill Viewpoints.</div></div><div><h3>Results</h3><div>Of 7769 records screened, 28 were selected for inclusion. Most studies suggested a positive association between arts engagement and adolescent mental health and wellbeing. We found some support for all Bradford Hill viewpoints, but less support for experimental evidence and a dose-response relationship.</div></div><div><h3>Discussion</h3><div>This review provides moderate support for a causal relationship between arts engagement and adolescent mental health and wellbeing. More evidence from randomised experiments or generated by applying causal inference methods to observational data is needed to better account for selection, confounding, and reverse-causality.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101845"},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144712970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The biological consequences of grandparental death for children: An analysis of telomere length 祖父母死亡对儿童的生物学影响:端粒长度分析
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-21 DOI: 10.1016/j.ssmph.2025.101843
Michelle Sarah Livings , Emily Smith-Greenaway , Brandon G. Wagner , Ashton M. Verdery
{"title":"The biological consequences of grandparental death for children: An analysis of telomere length","authors":"Michelle Sarah Livings ,&nbsp;Emily Smith-Greenaway ,&nbsp;Brandon G. Wagner ,&nbsp;Ashton M. Verdery","doi":"10.1016/j.ssmph.2025.101843","DOIUrl":"10.1016/j.ssmph.2025.101843","url":null,"abstract":"<div><div>Increasingly, health scholars acknowledge bereavement as a determinant of population health. Some research suggests that childhood health is especially affected by the deaths of family members. Although most research has focused on losing a parent or sibling in childhood, more recently, scholarship has established grandparental death as a source of poor mental health. We know less, however, about whether grandparental death affects children biologically, potentially imprinting them in a way that is consequential for their physical health and development. In this study, we offer the first analysis of the association between grandparental loss and U.S. children's telomere length—a common biomarker that reflects cumulative stress exposure. We use data from the Future of Families and Child Wellbeing Study to study grandparental death and children's telomere length at around age 9. Boys' telomere length is not associated with grandparental death; however, girls, and in particular girls who did not co-reside with their grandmother around age 5, had shorter telomere lengths following the death of their grandmother compared to girls whose grandmothers were still alive. Specifically, a non-co-resident grandmother's recent death corresponds with 11 % shorter telomeres among girls (<em>p</em> &lt; 0.001), which persists net of covariates. This study demonstrates that grandparental death is a unique health risk factor for children, emphasizing the need to consider grandparental death as an underappreciated source of childhood health disparities.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101843"},"PeriodicalIF":3.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital health literacy and trust in health information sources: A comparative study of university students in Japan, the United States, and India 数字健康素养与对健康信息来源的信任:日本、美国和印度大学生的比较研究
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-20 DOI: 10.1016/j.ssmph.2025.101844
Hirono Ishikawa , Rina Miyawaki , Mio Kato , Jessica Legge Muilenburg , Yuki Azaad Tomar , Yoko Kawamura
{"title":"Digital health literacy and trust in health information sources: A comparative study of university students in Japan, the United States, and India","authors":"Hirono Ishikawa ,&nbsp;Rina Miyawaki ,&nbsp;Mio Kato ,&nbsp;Jessica Legge Muilenburg ,&nbsp;Yuki Azaad Tomar ,&nbsp;Yoko Kawamura","doi":"10.1016/j.ssmph.2025.101844","DOIUrl":"10.1016/j.ssmph.2025.101844","url":null,"abstract":"<div><div>The rapid expansion of the Internet and social media has transformed health communication, highlighting the critical importance for digital health literacy - particularly during the “infodemics” of the COVID-19 pandemic. This study examined digital health literacy and online health information–seeking behaviors among university students - the digital native generation - in Japan, the United States, and India. A cross-national comparison across these culturally and technologically diverse countries provides insights into global variations in digital health literacy.</div><div>An online survey was administered to 1500 undergraduate students (500 per country) using the Digital Health Literacy Instrument (DHLI) to evaluate their ability in utilizing digital health information. DHLI scores were compared across countries, and associated factors were analyzed.</div><div>The mean age of participants was 20.6 years. DHLI scores were significantly higher in the US (3.10 ± 0.38) than in India (2.94 ± 0.38) and Japan (2.89 ± 0.42). While students generally demonstrated strong operational skills, many lacked sufficient ability to critically evaluate information and contribute self-generated content, indicating the need for targeted educational support. Importantly, trust in online health information sources, rather than mere usage, was strongly associated with higher DHLI scores.</div><div>These findings highlight the importance of enhancing individual skills in identifying credible sources and increasing the availability of trustworthy digital health content, particularly from public agencies and official social media platforms. Future research should explore cultural and systemic factors underlying cross-country differences to inform targeted strategies for improving digital health literacy globally.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101844"},"PeriodicalIF":3.6,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of slow mobility and built environment characteristics on 12.5-year all-cause mortality among older women and men: A prospective cohort study from Poland 慢流动性和建筑环境特征对老年男女12.5年全因死亡率的影响:来自波兰的一项前瞻性队列研究
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-11 DOI: 10.1016/j.ssmph.2025.101841
Katarzyna Zawisza , Michalina Gajdzica , Alberto Raggi , Beata Tobiasz-Adamczyk
{"title":"The impact of slow mobility and built environment characteristics on 12.5-year all-cause mortality among older women and men: A prospective cohort study from Poland","authors":"Katarzyna Zawisza ,&nbsp;Michalina Gajdzica ,&nbsp;Alberto Raggi ,&nbsp;Beata Tobiasz-Adamczyk","doi":"10.1016/j.ssmph.2025.101841","DOIUrl":"10.1016/j.ssmph.2025.101841","url":null,"abstract":"<div><div>Worldwide initiatives promoting mobility modes such as walking or cycling as low-cost and zero-emission forms of transport, have highlighted the possible health benefits of slow mobility. Identifying crucial elements of the built environment (BE) for slow mobility users, especially older adults, is important.</div><div>The study aimed to: compare the mortality risk of slow mode users with other transport mode users in both men and women; verify, which aspects of subjective and objective assessment of the BE are relevant as risk factors of 12.5-year all-cause mortality across various mobility mode users; examine social participation as a mediator of the relationship.</div><div>The Polish part of the COURAGE in Europe cross-sectional baseline study was conducted in 2011. The analysis included 1166 face-to-face interviews with randomly selected community-dwelling individuals aged 65 years or older from Poland. Information about deaths was obtained from the State Systems Department on Mar 1, 2024. The outdoor BE was assessed by trained interviewers’ direct observations. The Cox proportional hazard models were used.</div><div>Higher quality of streetscapes (in women) and walkways (in men) for those who mainly walk in their neighborhood, and bikeways (in women who cycle) were found to be significant protective factors against mortality. Walkways and bikeways were associated with a higher risk of death in the fast mode of transportation group of men. Mediation effect of social participation was found in unadjusted models.</div><div>The findings underline the importance of planning and organizing the BE from an age–friendly perspective and the need for a holistic approach to urban planning.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101841"},"PeriodicalIF":3.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a participatory learning and action programme in women's groups on adolescent girls: a cluster-randomized controlled trial in Bihar, India 妇女团体参与性学习和行动方案对少女的影响:印度比哈尔邦的一项集群随机对照试验
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-10 DOI: 10.1016/j.ssmph.2025.101840
Lisa Bogler , Abhijeet Kumar , S.V. Subramanian , Sebastian Vollmer
{"title":"Effects of a participatory learning and action programme in women's groups on adolescent girls: a cluster-randomized controlled trial in Bihar, India","authors":"Lisa Bogler ,&nbsp;Abhijeet Kumar ,&nbsp;S.V. Subramanian ,&nbsp;Sebastian Vollmer","doi":"10.1016/j.ssmph.2025.101840","DOIUrl":"10.1016/j.ssmph.2025.101840","url":null,"abstract":"<div><h3>Background</h3><div>Adolescence is a critical development period where young people acquire health behaviours, making this a crucial time for interventions targeting health. Participatory learning and action programmes aimed at improving maternal and child health are usually delivered through women's groups but could potentially impact adolescent girls as well, either through their direct participation or through information sharing in the community.</div></div><div><h3>Methods</h3><div>We used a cluster-randomized controlled trial to evaluate the impact of a large-scale participatory learning and action programme called <em>Gram Varta</em> on attitudes and health-related knowledge of adolescent girls in rural Bihar. The programme was implemented between 2015 and 2016 by state-supported agencies in women's self-help groups and additionally targeted adolescent girls for programme participation. Using household survey data on almost 700 girls aged 13–19 years, we estimated the community-level intention-to-treat effect of <em>Gram Varta</em> on adolescent girls. Outcomes included female empowerment, outlook on the future, preferences regarding marriage and childbearing, care given by parents, and knowledge and practices regarding reproductive health and contraception.</div></div><div><h3>Findings</h3><div>Out of 53 indicators, only one was statistically significantly affected by <em>Gram Varta</em> across specifications, suggesting an increase in the share of girls engaging in unpaid housework by about 12 percentage points.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that <em>Gram Varta</em> did not change attitudes and knowledge of adolescent girls on the community-level. This could be due to low participation of girls in programme meetings as well as low levels of information sharing between adults who took part in this programme and adolescent girls.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101840"},"PeriodicalIF":3.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salutogenesis for thriving nations: Sense of coherence and longevity across income strata 繁荣国家的健康成因:跨收入阶层的一致性和长寿感
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-10 DOI: 10.1016/j.ssmph.2025.101839
Naeimah Alkharafi
{"title":"Salutogenesis for thriving nations: Sense of coherence and longevity across income strata","authors":"Naeimah Alkharafi","doi":"10.1016/j.ssmph.2025.101839","DOIUrl":"10.1016/j.ssmph.2025.101839","url":null,"abstract":"<div><div>Traditional salutogenesis literature and theories in health and development have emphasized the role of sense of coherence dimensions—comprehensibility, manageability, and meaningfulness—in shaping population health. However, their relevance at a macro scale, across varying contexts, has been overlooked. What is the relationship between these dimensions and population health at the national level? Do they exert a uniform effect across countries with varying income levels? Using the sense of coherence framework dimensions at the macro-level, we argue that comprehensibility, manageability, and meaningfulness are related to national life-expectancy. We examine their relationship across various economic contexts to refine the boundaries of their links with population health and provide a nuanced understanding of their interplay. Drawing on a panel dataset of 135 countries from 2017 to 2020 from the Quality of Government institute, International Telecommunications Union, and World Bank, we test our hypotheses using a high-dimensional fixed effects model. We find support for two dimensions, manageability, and meaningfulness, in improving life expectancy. We unpack these findings to understand whether they exert a uniform effect or vary across different levels of income. Our findings show that the effectiveness of each dimension on longevity varies by income level, suggesting their relevance is context specific. Through an ecological approach, this study extends Antonovsky's theory of salutogenesis to demonstrate how structural factors at the population level contribute to maintaining health.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101839"},"PeriodicalIF":3.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can early prenatal care initiation reduce racial inequalities in birth outcomes? A causal decomposition approach 早期产前护理能减少出生结果的种族不平等吗?因果分解方法
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-08 DOI: 10.1016/j.ssmph.2025.101838
Karl Vachuska
{"title":"Can early prenatal care initiation reduce racial inequalities in birth outcomes? A causal decomposition approach","authors":"Karl Vachuska","doi":"10.1016/j.ssmph.2025.101838","DOIUrl":"10.1016/j.ssmph.2025.101838","url":null,"abstract":"<div><div>There are large and persistent racial inequalities in adverse birth outcomes in the United States. While much research presents “causal” effects of race on birth outcomes, such analyses are not counterfactually formulated and fail to inform policy in a meaningful way. Recent methodological advances in causal decomposition have developed double machine-learning-based approaches for understanding how a causal intermediate variable can potentially mitigate a gap between groups. Drawing on population-level birth data from California in 2018 and 2019, I consider the causal role of prenatal care timing in contributing to racial disparities in birth outcomes as measured by APGAR score and intrauterine growth restriction. My results suggest that prenatal care timing plays little to no role in contributing to racial inequalities in birth outcomes, indicating that research should focus on other factors driving disparities in neonatal health.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101838"},"PeriodicalIF":3.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of domestic violence legislation on reported intimate partner violence: a difference-in-differences analysis across 16 countries 家庭暴力立法对报告的亲密伴侣暴力的影响:跨16个国家的差异分析
IF 3.6 2区 医学
Ssm-Population Health Pub Date : 2025-07-03 DOI: 10.1016/j.ssmph.2025.101837
Robin A. Richardson , Anita Raj , Kira Downs , Irina Bergenfeld , Charis Wiltshire , Anna Dimitrova , Tarik Benmarhnia
{"title":"Impact of domestic violence legislation on reported intimate partner violence: a difference-in-differences analysis across 16 countries","authors":"Robin A. Richardson ,&nbsp;Anita Raj ,&nbsp;Kira Downs ,&nbsp;Irina Bergenfeld ,&nbsp;Charis Wiltshire ,&nbsp;Anna Dimitrova ,&nbsp;Tarik Benmarhnia","doi":"10.1016/j.ssmph.2025.101837","DOIUrl":"10.1016/j.ssmph.2025.101837","url":null,"abstract":"<div><h3>Background</h3><div>Intimate partner violence (IPV) is a highly prevalent threat to women's health globally. Domestic violence (DV) legislation – encompassing criminal sanctions and civil remedies – has been implemented in many countries but evidence on its effects are lacking. In this study, we evaluate the impact of national-level DV legislation on married women's IPV victimization.</div></div><div><h3>Methods</h3><div>We used self-reported IPV information from 183,222 women across 16 countries, collected in repeated cross-sectional surveys (2000–2021) by the Demographic and Health Surveys, which we linked to DV legislation information from the World Bank. We evaluated impact with a staggered difference-in-differences approach and controlled for time-varying country-level factors.</div></div><div><h3>Results</h3><div>Adoption of DV legislation resulted in an increase in any reported IPV (average treatment effect on the treated (ATT) = 0.07, 95 % CI: 0.00, 0.14). All investigated types of IPV increased slightly, including physical (ATT = 0.05, 95 % CI: −0.05, 0.15), sexual (ATT = 0.04, 95 % CI: −0.03, 0.10), and psychological IPV (ATT = 0.02, 95 % CI: −0.04, 0.08), although estimates were imprecise and included the null. Further assessment shows that reported IPV increased more soon after adoption of legislation, and that women with accepting attitudes about IPV experienced the greatest increase in IPV. We did not observe effect heterogeneity by other factors including age, education level, or number of children.</div></div><div><h3>Conclusions</h3><div>Adoption of DV legislation may increase women's reported IPV victimization. Future research could explore effect heterogeneity across multiple socio-demographic subgroups and the potential mechanisms through which such policies may benefit women's health.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"31 ","pages":"Article 101837"},"PeriodicalIF":3.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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