Pathways to improved adolescent mental health via an economic and gender equality intervention with conflict affected families

通过对受冲突影响的家庭进行经济和性别平等干预来改善青少年心理健康的途径

• 批准号: 10570855
• 负责人: NANCY E GLASS
• 金额: $ 67.39万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-15 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10570855
• 关键词: Adolescent; Affect; Age; Agreement; Area; Attention; Authorization documentation; Behavior; Breeding; Caring; Child; Child Rearing; Childhood; Communication; Conflict (Psychology); Couples; Democratic Republic of the Congo; Discipline; Economics; Education; Educational Curriculum; Evidence based intervention; Exposure to; Family; Family Relationship; Fathers; Fees; Female Adolescents; Food; Friends; Gender; Goat; Health; Home; Household; Housing; Husband; Inequality; Inequity; Intervention; Investments; Knowledge; Learning; Male Adolescents; Medical; Mental Depression; Mental Health; Mentors; Mentorship; Mothers; Oryctolagus cuniculus; Parents; Pathway interactions; Patient Self-Report; Persons; Politics; Post-Traumatic Stress Disorders; Poverty; Program Sustainability; Province; Punishment; Randomized, Controlled Trials; Reporting; Rural; Rwanda; Schools; Self Efficacy; Shock; Symptoms; Testing; Training; Trauma; UNICEF; Victimization; Violence; Water; Wife; Woman; Work; Youth; arm; authority; boys; child poverty; childhood adversity; deprivation; design; empowerment; experience; externalizing behavior; food security; gender equality; gender equity; girls; improved; intervention effect; intimate partner violence; male; mental function; multidisciplinary; offspring; outcome disparities; peer; programs; resilience; rural area; rural residence; sex; sexual violence; skills; social norm; social stigma; trauma exposure; violence perpetration; violence victimization

Project Summary/Abstract In the Democratic Republic of Congo, families have experienced more than two decades of violence, displacement and political instability resulting in extreme poverty with limited educational and economic opportunities. Child poverty and exposure to trauma is widespread and particularly concentrated in conflict- affected and rural areas. Childhood exposure to multiple adversities can lead to a lifetime of poor mental health. In rural DRC, we found parent’s self-report of poor mental health and victimization or perpetration of intimate partner violence (IPV) had a significant negative impact on their young adolescents’ mental health, with different impacts for boys and girls. The underlying ideologies of male authority and women’s place being in the home has led to gender norms that restrict opportunities with limited attention to effects on mental health. The study provides a unique opportunity with a proven Congolese partner to examine the combined and synergistic effects of two proven structural interventions; 1) Rabbits for Resilience (RFR), youth-led economic empowerment program; and 2) Indashyikirwa (IK), a couples/parents-based gender equality program on adolescent mental health. Using a clustered randomized controlled trial with three groups (RFR only, IK only, RFR + IK), we examine the combined and synergistic effects of the interventions and the pathways through which RFR and IK improves adolescent mental health. We will test two hypotheses: 1) Adolescents in the RFR + IK and RFR only households will report greater improvement in mental health via pathway of improved self-efficacy, school attendance, food security and peer relationships compared to adolescents in IK only households; and 2) Adolescents in RFR + IK and IK only households will report greater improvement in mental health via the pathway of improved parent relationship quality and power sharing, reduced exposure to IPV, improved parental mental health and support of gender equitable norms compared to adolescents in RFR only households. Differences in pathways of the intervention effect will be examine by sex of adolescent. The significance cannot be underestimated given nearly 1 in 5 children live in conflict- affected areas, worldwide - and are facing a lifetime of poor mental health with inequitable access to education and economic opportunities.

项目概要/摘要 在刚果民主共和国，家庭经历了二十多年的暴力， 流离失所和政治不稳定导致赤贫，教育和经济有限 儿童贫困和遭受创伤的现象普遍存在，尤其集中在冲突地区。 受影响的地区和农村地区。童年经历多种逆境可能会导致一生精神不佳。 在刚果民主共和国农村地区，我们发现家长的自我报告称其心理健康状况不佳，并且遭受过伤害或犯罪。 亲密伴侣暴力（IPV）对青少年的心理健康产生了显着的负面影响， 男性权威和女性地位的潜在意识形态对男孩和女孩有不同的影响。 家庭中的性别规范限制了机会，而对精神影响的关注有限 该研究提供了一个与久经考验的刚果合作伙伴一起检查综合结果的独特机会。 以及两种经过验证的结构性干预措施的协同效应；1) 青年主导的兔子恢复力 (RFR) 经济赋权计划；2) Indashyikirwa (IK)，一项基于夫妇/父母的性别平等计划 青少年心理健康计划使用三组的整群随机对照试验（RFR） 仅，仅 IK，RFR + IK），我们检查了干预措施和 RFR 和 IK 改善青少年心理健康的途径我们将检验两个假设：1) RFR + IK 和仅 RFR 家庭中的青少年将通过以下方式报告心理健康状况有更大改善 与其他人相比，提高自我效能、入学率、粮食安全和同伴关系的途径 仅 IK 家庭中的青少年；以及 2) RFR + IK 和仅 IK 家庭中的青少年会报告更多 通过改善父母关系质量和权力分享来改善心理健康， 与相比，减少 IPV 接触、改善父母心理健康并支持性别平等规范 对于仅 RFR 家庭中的青少年，干预效果的途径差异将由以下机构进行审查。 鉴于近五分之一的儿童生活在冲突中，其重要性不容低估。 全世界受影响地区 - 终生面临着心理健康状况不佳和教育机会不平等的问题 和经济机会。