Abstract
Multisystem, multi-level interventions are required to enable resilient, nurturing environments for children facing adversity. This study assesses parenting behavior associated with participation in a community-based, adapted microfinance program, and mediated by program-affiliated social capital, maternal depression and self-esteem among Kenyan women. Participants in the intervention, Kuja Pamoja kwa Jamii (KPJ, Swahili for “Come Together to Belong”), gather weekly to engage in trainings and group-based microfinance. Groups selected for the study had participated in the program for 0–15 months at the time of the first interview. Women (n = 400) completed surveys in June 2018 and June 2019. Measures included duration of program exposure, group-affiliated social capital (i.e. trust, belonging, cohesion, and expectation of mutual benefit), depression, self-esteem, and conflict tactics. We used regression analyses and generalized structural equation models to explore associations between program exposure, social capital, psychosocial variables and child maltreatment. Each standard deviation increase in duration of program exposure decreased odds of child physical abuse by 40% and child neglect by 35%. Each standard deviation in the social capital index predicted a significant reduction in odds of child physical abuse (aOR: 0.67), and child neglect (aOR: 0.71). Self-esteem and depression fully mediated observed associations between social capital and child maltreatment. Findings recommend further investigation of the potential for adapted microfinance programs to deliver parenting interventions, improve mental health and foster resilience-enabling social capital. A randomized control trial is required to validate the potential of the assessed intervention to improve parenting behaviors and supportive social conditions.
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SDG 1: End Poverty; SDG 3: Promote good health and well-being; SDG 5: Promote Gender Equality; SDG 10: Reduce inequality; SDG 11: Promote Sustainable Communities; SDG 16: Promote Peace / non-violence.
References
Assink, M., Spruit, A., Schuts, M., Lindauer, R., van der Put, C. E., & Stams, G. J. J. (2018). The intergenerational transmission of child maltreatment: A three-level meta-analysis. Child Abuse & Neglect, 84, 131–145.
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological Assessment.
Bell, A., & Jones, K. (2015). Explaining fixed effects: Random effects modeling of time-series cross-sectional and panel data. Political Science Research and Methods, 3(1), 133–153.
Brennan, M. A., Barnett, R. V., & McGrath, B. (2009). The intersection of youth and community development in Ireland and Florida: Building stronger communities through youth civic engagement. Community Development, 40(4), 331-345.
Buttrick, N. R., & Oishi, S. (2017). The psychological consequences of income inequality. Social and Personality Psychology Compass, 11(3), e12304
Carpiano, R. M., & Hystad, P. W. (2011). Sense of community belonging in health surveys: what social capital is it measuring?. Health & place, 17(2), 606-617.
Chen, M., & Chan, K. L. (2016). Effects of parenting programs on child maltreatment prevention: A meta-analysis. Trauma, Violence, & Abuse, 17(1), 88–104.
Christiansen, T. B., & Lauritsen, J. M. (2010). EpiData-Comprehensive Data Management and Basic Statistical Analysis System. Odense: EpiData Association.
Cluver, L. D., Meinck, F., Steinert, J. I., Shenderovich, Y., Doubt, J., Romero, R. H., ... & Nzima, D. (2018). Parenting for lifelong health: a pragmatic cluster randomised controlled trial of a non-commercialised parenting programme for adolescents and their families in South Africa. BMJ global health, 3(1).
Cox, J. E., Harris, S. K., Conroy, K., Engelhart, T., Vyavaharkar, A., Federico, A., & Woods, E. R. (2019). A parenting and life skills intervention for teen mothers: A randomized controlled trial. Pediatrics, 143(3), e20182303.
Crocker, J., Luhtanen, R., Blaine, B., & Broadnax, S. (1994). Collective self-esteem and psychological well-being among White, Black, and Asian college students. Personality and Social Psychology Bulletin, 20(5), 503–513.
Davies, S., & Gibaut, D. (2007). Jersey Annual Social Survey 2007. IN UNIT, SO JS (Ed.), States of Jersey.
De Bellis, M. D., Woolley, D. P., & Hooper, S. R. (2013). Neuropsychological findings in pediatric maltreatment: Relationship of PTSD, dissociative symptoms, and abuse/neglect indices to neurocognitive outcomes. Child Maltreatment, 18(3), 171–183.
Gaertner, L., & Schopler, J. (1998). Perceived ingroup entitativity and intergroup bias: An interconnection of self and others. European Journal of Social Psychology, 28(6), 963-980.
Glanville, J. L., & Story, W. T. (2018). Social capital and self-rated health: Clarifying the role of trust. Social Science Research, 71, 98-108.
Goodman, M. L., Grouls, A., Chen, C. X., Keiser, P. H., & Gitari, S. (2017). Adverse childhood experiences predict alcohol consumption patterns among Kenyan mothers. Substance Use & Misuse, 52(5), 632–638.
Goodman, M. L., Martinez, K., Keiser, P. H., Gitari, S., & Seidel, S. E. (2017). Why do Kenyan children live on the streets? Evidence from a cross-section of semi-rural maternal caregivers. Child abuse & neglect, 63, 51-60.
Goodman, M., Wangamati, S. A., Maranga, F. K., Gitari, S., Seidel, S., & Keiser, P. (2019). Childhood experiences and intimate partner violence among Kenyan males: mediation by self-esteem and impulsivity. Journal of interpersonal violence, 0886260519862278.
Goodman, M. L., Gibson, D. C., Baker, L., & Seidel, S. E. (2020). Family-level factors to reintegrate street-involved children in low-and middle-income countries: A scoping review. Children and Youth Services Review, 109, 104664.
Goodman, M. L., Elliott, A. J., Gitari, S., Keiser, P., Onwuegbuchu, E., Michael, N., & Seidel, S. (2020a). Come Together to Decrease Depression: Women’s mental health, social capital, and participation in a Kenyan combined microfinance program. International Journal of Social Psychiatry, 0020764020966014.
Goodman, M. L., Hindman, A., Keiser, P. H., Gitari, S., Ackerman Porter, K., & Raimer, B. G. (2020). Neglect, sexual abuse, and witnessing intimate partner violence during childhood predicts later life violent attitudes against children among Kenyan women: Evidence of intergenerational risk transmission from cross-sectional data. Journal of Interpersonal Violence, 35(3–4), 623–645.
Goodman, M. L., Elliott, A. J., Gitari, S., Keiser, P., Raimer-Goodman, L., & Seidel, S. E. (2021a). Come together to promote health: case study and theoretical perspectives from a Kenyan community-based program. Health Promotion International, 36(6), 1765-1774.
Goodman, M. L., Elliott, A. J., Gitari, S., Keiser, P., Onwuegbuchu, E., Michael, N., & Seidel, S. (2021b). Come together to decrease depression: women’s mental health, social capital, and participation in a Kenyan combined microfinance program. International Journal of Social Psychiatry, 67(6), 613-621
Gould, F., Clarke, J., Heim, C., Harvey, P. D., Majer, M., & Nemeroff, C. B. (2012). The effects of child abuse and neglect on cognitive functioning in adulthood. Journal of Psychiatric Research, 46(4), 500–506.
Gravel, R., & Béland, Y.(2005). The Canadian Community Health Survey: mental health and well-being. Canadian Journal of Psychiatry, 50(10), 573-579.
Han, S. (2015). Longitudinal association between social capital and self-esteem: A matter of context. Psychiatry Research, 226(1), 340–346.
Harrison, P. A., Fulkerson, J. A., & Beebe, T. J. (1997). Multiple substance use among adolescent physical and sexual abuse victims. Child Abuse & Neglect, 21(6), 529–539.
Infurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A., & Kaess, M. (2016). Associations between depression and specific childhood experiences of abuse and neglect: A meta-analysis. Journal of Affective Disorders, 190, 47–55.
Joiner, T., Coyne, J. C., & Blalock, J. (1999). On the interpersonal nature of depression: Overview and synthesis. In T. Joiner & J. C. Coyne (Eds.), The interactional nature of depression: Advances in interpersonal approaches (pp. 3–19). American Psychological Association. https://doi.org/10.1037/10311-013
Knack, S., & Keefer, P. (1997). Does social capital have an economic payoff? A cross country investigation. Quarterly journal of economics, 112(4), 1251-1288.
Leary, M. R., & Baumeister, R. F. (2000). The nature and function of self-esteem: Sociometer theory. In Advances in experimental social psychology (Vol. 32, pp. 1–62). Academic Press.
Lindert, J., von Ehrenstein, O. S., Grashow, R., Gal, G., Braehler, E., & Weisskopf, M. G. (2014). Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: Systematic review and meta-analysis. International Journal of Public Health, 59(2), 359–372.
Luhtanen, R., & Crocker, J. (1992). A collective self-esteem scale: Self-evaluation of one’s social identity. Personality and Social Psychology Bulletin, 18(3), 302–318.
Ma, V., & Schoeneman, T. J. (1997). Individualism versus collectivism: A comparison of Kenyan and American self-concepts. Basic and Applied Social Psychology, 19(2), 261–273.
Mair, J., Wolf, M., & Seelos, C. (2016). Scaffolding: A process of transforming patterns of inequality in small-scale societies. Academy of Management Journal, 59(6), 2021–2044.
Morris, S. S., Carletto, C., Hoddinott, J., & Christiaensen, L. J. (2000). Validity of rapid estimates of household wealth and income for health surveys in rural Africa. Journal of Epidemiology & Community Health, 54(5), 381-387.
Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Medicine, 9(11), e1001349.
Reading, R., Bissell, S., Goldhagen, J., Harwin, J., Masson, J., Moynihan, S., ... & Webb, E. (2009). Promotion of children's rights and prevention of child maltreatment. The Lancet, 373(9660), 332-343
Roth, M. C., Humphreys, K. L., King, L. S., & Gotlib, I. H. (2018). Self-reported neglect, amygdala volume, and symptoms of anxiety in adolescent boys. Child Abuse & Neglect, 80, 80–89.
Sanyal, P. (2009). From credit to collective action: The role of microfinance in promoting women’s social capital and normative influence. American Sociological Review, 74(4), 529–550.
Shin, K. E., & Newman, M. G. (2019). Self-and other-perceptions of interpersonal problems: Effects of generalized anxiety, social anxiety, and depression. Journal of Anxiety Disorders, 65, 1–10.
Stafford-Smith, M., Griggs, D., Gaffney, O., Ullah, F., Reyers, B., Kanie, N., ... & O’Connell, D. (2017). Integration: the key to implementing the Sustainable Development Goals. Sustainability science, 12(6), 911-919
Schellenberg, G., Lu, C.,Schimmele, C., & Hou, F. (2018). The correlates of self-assessed community belonging in Canada: Social capital, neighbourhood characteristics, and rootedness. Social Indicators Research, 140(2), 597-618.
Stith, S. M., Liu, T., Davies, L. C., Boykin, E. L., Alder, M. C., Harris, J. M., ... & Dees, J. E. M. E. G. (2009). Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and violent behavior, 14(1), 13-29
Stoltenborgh, M., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2013a). The neglect of child neglect: A meta-analytic review of the prevalence of neglect. Social Psychiatry and Psychiatric Epidemiology, 48(3), 345–355.
Stoltenborgh, M., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., & Alink, L. R. (2013b). Cultural–geographical differences in the occurrence of child physical abuse? A meta-analysis of global prevalence. International Journal of Psychology, 48(2), 81–94.
Straus, M. A., & Mattingly, M. J. (2007). A short form and severity level types for the Parent-Child Conflict Tactics Scales. Family Research Laboratory, University of New Hampshire.
Tam, V. C., Chan, J. W., Li, S. C., & Pow, J (2018). Developing and managing school human capital for information and communication technology integration: a case study of a school-based e-learning project in Hong Kong. International Journal of Leadership in Education, 21(4), 447-461.
Ungar, M., & Theron, L. (2020). Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry, 7(5), 441–448.
van Breda, A. D., & Theron, L. C. (2018). A critical review of South African child and youth resilience studies, 2009–2017. Children and Youth Services Review, 91, 237–247.
van der Put, C. E., Assink, M., Gubbels, J., & van Solinge, N. F. B. (2018). Identifying effective components of child maltreatment interventions: A meta-analysis. Clinical Child and Family Psychology Review, 21(2), 171–202.
Wahl, A., Bergland, A., & Løyland, B. (2010). Is social capital associated with coping, self-esteem, health and quality of life in long-term social assistance recipients? Scandinavian Journal of Caring Sciences, 24(4), 808–816.
Wilson, H. W., & Widom, C. S. (2011). Pathways from childhood abuse and neglect to HIV-risk sexual behavior in middle adulthood. Journal of Consulting and Clinical Psychology, 79(2), 236.
Wolford, S. N., Cooper, A. N., & McWey, L. M. (2019). Maternal depression, maltreatment history, and child outcomes: The role of harsh parenting. AmeriCan Journal of Orthopsychiatry, 89(2), 181.
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The authors are grateful for the families and staff who make this research possible, and provide us with the context to better understand social and behavioral processes within the research setting. We are also grateful to donors of Sodzo International and its efforts to improve the well-being of vulnerable children.
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Goodman, M.L., Temple, J.R., Elliott, A.J. et al. Child maltreatment, social capital, maternal mental health and duration of program involvement: Assessment from a community-based empowerment program in Kenya. J Fam Viol 38, 407–417 (2023). https://doi.org/10.1007/s10896-022-00391-9
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DOI: https://doi.org/10.1007/s10896-022-00391-9