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2015 ; 136
(5
): e1195-203
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Stigma and Parenting Children Conceived From Sexual Violence
#MMPMID26438704
Rouhani SA
; Scott J
; Greiner A
; Albutt K
; Hacker MR
; Kuwert P
; VanRooyen M
; Bartels S
Pediatrics
2015[Nov]; 136
(5
): e1195-203
PMID26438704
show ga
BACKGROUND AND OBJECTIVES: Since armed conflict began in 1996, widespread sexual
violence in eastern Democratic Republic of Congo has resulted in many sexual
violence-related pregnancies (SVRPs). However, there are limited data on the
relationships between mothers and their children from sexual violence. This study
aimed to evaluate the nature and determinants of these maternal-child
relationships. METHODS: Using respondent-driven sampling, 757 women raising
children from SVRPs in South Kivu Province, Democratic Republic of Congo were
interviewed. A parenting index was created from questions assessing the
maternal-child relationship. The influences of social stigma, family and
community acceptance, and maternal mental health on the parenting index were
assessed in univariate and multivariable analyses. RESULTS: The majority of
mothers reported positive attitudes toward their children from SVRPs. Prevalence
of perceived family or community stigma toward the women or their children ranged
from 31.8% to 42.9%, and prevalence of perceived family or community acceptance
ranged from 45.2% to 73.5%. In multivariable analyses, stigma toward the child,
as well as maternal anxiety and depression, were associated with lower parenting
indexes, whereas acceptance of the mother or child and presence of a spouse were
associated with higher parenting indexes (all P ? .01). CONCLUSIONS: In this
study with a large sample size, stigma and mental health disorders negatively
influenced parenting attitudes, whereas family and community acceptance were
associated with adaptive parenting attitudes. Interventions to reduce
stigmatization, augment acceptance, and improve maternal mental health may
improve the long-term well-being of mothers and children from SVRPs.
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