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Evidence for Better Lives Study: a comparative birth-cohort study on child exposure to violence and other adversities in eight low- and middle-income countries - foundational research (study protocol).

Accepted version
Peer-reviewed

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Type

Article

Change log

Authors

Murray, Aja 
Hughes, Claire 
Băban, Adriana 
Fernando, Asvini D 

Abstract

INTRODUCTION: Violence against children is a health, human rights and social problem affecting approximately half of the world's children. Its effects begin at prenatal stages with long-lasting impacts on later health and well-being. The Evidence for Better Lives Study (EBLS) aims to produce high-quality longitudinal data from cities in eight low- and middle-income countries-Ghana, Jamaica, Pakistan, the Philippines, Romania, South Africa, Sri Lanka and Vietnam-to support effective intervention to reduce violence against children. EBLS-Foundational Research (EBLS-FR) tests critical aspects of the planned EBLS, including participant recruitment and retention, data collection and analysis. Alongside epidemiological estimates of levels and predictors of exposure to violence and adversity during pregnancy, we plan to explore mechanisms that may link exposure to violence to mothers' biological stress markers and subjective well-being. METHODS AND ANALYSES: EBLS-FR is a short longitudinal study with a sample of 1200 pregnant women. Data are collected during the last trimester of pregnancy and 2 to 6 months after birth. The questionnaire for participating women has been translated into nine languages. Measures obtained from mothers will include, among others, mental and physical health, attitudes to corporal punishment, adverse childhood experiences, prenatal intimate partner violence, substance use and social/community support. Hair and dry blood spot samples are collected from the pregnant women to measure stress markers. To explore research participation among fathers, EBLS-FR is recruiting 300 fathers in the Philippines and Sri Lanka. ETHICS AND DISSEMINATION: The study received ethical approvals at all recruiting sites and universities in the project. Results will be disseminated through journal publications, conferences and seminar presentations involving local communities, health services and other stakeholders. Findings from this work will help to adjust the subsequent stages of the EBLS project.

Description

Keywords

Child protection, Community child health, EPIDEMIOLOGY, MENTAL HEALTH, Prenatal diagnosis, Child, Cohort Studies, Developing Countries, Exposure to Violence, Female, Ghana, Humans, Intimate Partner Violence, Jamaica, Longitudinal Studies, Pakistan, Philippines, Pregnancy, Romania, South Africa, Sri Lanka, Vietnam, Violence

Journal Title

BMJ Open

Conference Name

Journal ISSN

2044-6055
2044-6055

Volume Title

10

Publisher

BMJ

Rights

All rights reserved
Sponsorship
Fondation Botnar (Project 6132)
The work of the Evidence for Better Lives Study was supported by the Jacobs Foundation, UBS Optimus Foundation (Grant 9763), Fondation Botnar (Grant 6132), the Consuelo Zobel Alger Foundation , the British Academy , the Cambridge Humanities Research Grants Scheme , the ESRC Impact Acceleration Account Programme (RG76702JL), a Queensland University of Technology Postgraduate Research Award , Higher Degree Research Student Supplementary Research Funding from Queensland University of Technology (IF49-08653879), the University of Edinburgh College Office for the College of Arts , the Humanities and Social Sciences SFC ODA Global Challenges Internal Fund, the University of Cambridge GCRF Quality Research Fund (GCRF01), and the Wolfson Professor of Criminology Discretionary Fund .