Path Analysis of Adverse Childhood Experiences, Early Marriage, Early Pregnancy, and Exposure to Intimate Partner Violence Among Young Women in Honduras

PurposeThe pathways by which adverse childhood experiences (ACEs) are associated with early marriage and early pregnancy are poorly understood. Early marriage and early pregnancy may be risk factors for adulthood intimate partner violence (IPV). The aim of this study was to assess the relationships...

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Bibliographic Details
Authors: Huber-Krum, Sarah (Author) ; Miedema, Stephanie (Author) ; Shortt, Joann Wu (Author) ; Villaveces, Andrés 1978- (Author) ; Kress, Howard (Author)
Format: Electronic Article
Language:English
Published: 2024
In: Journal of family violence
Year: 2024, Volume: 39, Issue: 4, Pages: 705-722
Online Access: Volltext (lizenzpflichtig)
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Keywords:
Honduras
Intimate Partner Violence
Early marriage
Early pregnancy
adverse childhood experiences
Description
Summary:PurposeThe pathways by which adverse childhood experiences (ACEs) are associated with early marriage and early pregnancy are poorly understood. Early marriage and early pregnancy may be risk factors for adulthood intimate partner violence (IPV). The aim of this study was to assess the relationships among ACEs, early marriage, early pregnancy, and IPV among women in Honduras.MethodWe used weighted data from 1,436 women aged 18–24 years from the nationally representative 2017 Honduras Violence Against Children and Youth Survey. We used path analysis to estimate relationships and accounted for sample design, non-response, and within-country clustering.ResultsWe found that ACEs had differential relationships with outcomes of interest. For example, witnessing violence in the community was directly associated with increased probability of early pregnancy (10 percentage points (PP); 95% CI: 0.04, 0.15) and IPV (6 PP; 95% CI: 0.01, 0.10), while emotional violence was not directly or indirectly associated with any outcome. Early marriage and early pregnancy had no direct or indirect effect on IPV, but the total effect of early marriage on IPV was significant.ConclusionsUnderstanding the relationship between ACEs, early marriage, early pregnancy, and IPV may help inform prevention efforts. For example, programs aiming to reduce early pregnancy may consider addressing sexual violence experienced in childhood.
ISSN:1573-2851
DOI:10.1007/s10896-023-00520-y