Health insurance expansion and family violence prevention: A conceptual framework.

Autor: Letourneau EJ; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: ElizabethLetourneau@jhu.edu., Assini-Meytin LC; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Nair R; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Stuart EA; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Decker MR; Department of Population Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., McGinty EB; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jazyk: angličtina
Zdroj: Child abuse & neglect [Child Abuse Negl] 2022 Jul; Vol. 129, pp. 105664. Date of Electronic Publication: 2022 May 14.
DOI: 10.1016/j.chiabu.2022.105664
Abstrakt: Family violence, including child maltreatment (CM) and intimate partner violence (IPV), plagues far too many American families, particularly those in low-income communities. CM and IPV are intertwined and impose a significant emotional, health and financial burden on children and families and an economic burden on our country. Although these and other forms of violence are influenced by shared risk factors across the socioecological spectrum, prevention efforts typically intervene on a single type of violence at a microsystem level via individual or family intervention. Research is needed to identify policies operating at macrosystem levels that reduce, at scale, multiple forms of violence affecting children. In this paper, we propose a three-step theory of change through which health insurance expansions might reduce rates of CM and IPV, using Medicaid expansion as an exemplar. The proposed framework can inform research examining the link between health insurance and the primary prevention of CM and IPV.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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