Preventing intimate partner violence among foreign-born Latinx mothers through relationship education during nurse home visiting

Qing Li, Fernando Riosmena, Patricia A Valverde, Shuo Zhou, Claudia Amura, Kerry A Peterson, Vincent J Palusci, Lynette Feder, Qing Li, Fernando Riosmena, Patricia A Valverde, Shuo Zhou, Claudia Amura, Kerry A Peterson, Vincent J Palusci, Lynette Feder

Abstract

Aims: This study aimed to examine the effectiveness of an augmented home visiting programme in preventing intimate partner violence among Latinx mothers by nativity.

Background: Intimate partner violence diminishes home visit programmes' effectiveness. Immigrant Latinx mothers are especially vulnerable and need culturally tailored prevention.

Methods: We performed secondary analyses of 33 US-born and 86 foreign-born Latinx mothers at baseline and 1- and 2-year follow-up in a longitudinal randomized controlled trial of the Nurse-Family Partnership programme augmented with nurse-delivered Within My Reach relationship education curriculum and violence screening and referrals in Oregon. We estimated proportional odds models via generalized estimating equations on total physical and sexual victimization and/or perpetration forms (an ordinal variable), adjusting for intervention, wave, age and education.

Results: The intervention-nativity interaction was not significant (p = .953). Foreign-born status was associated with lower reported violence at baseline (adjusted odds ratio: 0.29, 95% confidence interval: 0.13-0.67, p = .004). This association was marginally significant at 1-year follow-up (0.43, 0.17-1.08, p = .072) and not significant at 2-year follow-up (0.75, 0.33-1.67, p = .475).

Conclusions: This augmented programme was not effective for Latinx mothers by nativity. Their nativity gap diminished over time.

Implications for nursing management: Nursing leaders should support culturally tailored home visiting programmes to detect and prevent intimate partner violence affecting Latinx immigrants.

Clinical trial registration: This study is registered at www.

Clinicaltrials: gov NCT01811719. The full trial protocol can be accessed at https://ichgcp.net/clinical-trials-registry/NCT01811719.

Keywords: immigrant Latinx health; intimate partner violence; maternal and child health nursing; nurse-delivered home visitation; randomized controlled trial; relationship education programmes.

Conflict of interest statement

None of the authors have conflicts of interest. No financial disclosures were reported.

© 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.

Figures

FIGURE 1
FIGURE 1
Maternal nativity in intersectionality framework with an ecological model in the mechanisms of change on how relationship education prevents intimate partner violence, adapted from a manuscript (Li et al., 2021)

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