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Global Public Health
An International Journal for Research, Policy and Practice
Volume 17, 2022 - Issue 12
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Articles

Exploring caregivers’ gender attitudes’ influence on adolescent health in the eastern Democratic Republic of Congo: A mixed methods study

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Pages 3700-3720 | Received 18 May 2021, Accepted 19 Feb 2022, Published online: 20 Apr 2022

References

  • audiotranskription. (2018). F4analyse. 2.5.1 (Computer Program).
  • Baird, S., Bhutta, Z. A., Hamad, B. A., Hicks, J. H., Jones, N., & Muz, J. (2019). Do restrictive gender attitudes and norms influence physical and mental health during very young adolescence? Evidence from Bangladesh and Ethiopia. SSM – Population Health, 9, 100480. https://doi.org/10.1016/j.ssmph.2019.100480
  • Barter, C., & Renold, E. (2000). “I wanna tell you a story”: Exploring the application of vignettes in qualitative research with children and young people. International Journal of Social Research Methodology, 3(4), 307–323. https://doi.org/10.1080/13645570050178594
  • Basu, S., Zuo, X., Lou, C., Acharya, R., & Lundgren, R. (2017). Learning to be gendered: Gender socialization in early adolescence among urban poor in Delhi, India, and shanghai, China. Journal of Adolescent Health, 61(4), S24–S29. https://doi.org/10.1016/j.jadohealth.2017.03.012
  • Betancourt, T. S., Bass, J., Borisova, I., Neugebauer, R., Speelman, L., Onyango, G., & Bolton, P. (2009). Assessing local instrument reliability and validity: A field-based example from northern Uganda. Social Psychiatry and Psychiatric Epidemiology, 44(8), 685–692. https://doi.org/10.1007/s00127-008-0475-1
  • Betancourt, T. S., Yang, F., Bolton, P., & Normand, S. (2014). Developing an African youth psychosocial assessment: An application of item response theory. International Journal of Methods in Psychiatric Research, 23(2), 142–160. https://doi.org/10.1002/mpr.1420
  • Blum, R. W., Astone, N. M., Decker, M. R., & Mouli, V. C. (2014). A conceptual framework for early adolescence: A platform for research. International Journal of Adolescent Medicine and Health, 26(3), 321–331. https://doi.org/10.1515/ijamh-2013-0327
  • Blum, R. W., Mmari, K., & Moreau, C. (2017). It begins at 10: How gender expectations shape early adolescence around the world. Journal of Adolescent Health, 61(4), S3–S4. https://doi.org/10.1016/j.jadohealth.2017.07.009
  • Blum, R. W., Sheehy, G., Li, M., Basu, S., El Gibaly, O., Kayembe, P., Zuo, X., Ortiz, J., Chan, K. S., & Moreau, C. (2019). Measuring young adolescent perceptions of relationships: A vignette-based approach to exploring gender equality. PLoS One, 14(6), e0218863. https://doi.org/10.1371/journal.pone.0218863
  • Bolton, L. (2020). Barriers to education for girls in the Democratic Republic of Congo (K4D Helpdesk Report 750). Institute of Development Studies. https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/15194.
  • British Council. (n.d.). Sub-Saharan Africa education series: What does the evidence tell us about girls’ education? British Council. https://www.britishcouncil.org/sites/default/files/sub-saharan_africa_education_series_21_july_r.pdf.
  • Buvinic, M., Das Gupta, M., Casabonne, U., & Verwimp, P. (2013). Violent conflict and gender inequality: An overview. The World Bank Research Observer, 28(1), 110–138. https://doi.org/10.1093/wbro/lks011
  • Chávez, C., Cuesta, J., Godwin, M., & Shusterman, J. (2018). The long-term effect of humanitarian emergencies on adolescents: Existing evidence, gaps and considerations for research and practitioners. Innocenti Discussion Paper, 3. https://www.unicef-irc.org/publications/pdf/DP%202018-03.pdf.
  • Cislaghi, B., & Heise, L. (2018). Theory and practice of social norms interventions: Eight common pitfalls. Globalization and Health, 14(1), 1–10. https://doi.org/10.1186/s12992-018-0398-x
  • Coates, J., Swindale, A., & Bilinsky, P. (2007). Household Food Insecurity Access Scale (HFIAS) for measurement of food access: Indicator guide: Version 3.
  • Cooper, B., & Crockett, C. (2016). Gender norms as health harms: Reclaiming a life course perspective on sexual and reproductive health and rights. Reproductive Health Matters, 24(48), 6–13. https://doi.org/10.1016/j.rhm.2016.11.003
  • Corley, A., Glass, N., Remy, M. M., & Perrin, N. (2021). A latent class analysis of gender attitudes and their associations with intimate partner violence and mental health in the Democratic Republic of Congo. International Journal of Environmental Research and Public Health, 18(8), https://doi.org/10.3390/ijerph18084063
  • Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research. Sage.
  • de la Barrera, U., Schoeps, K., Gil-Gómez, J.-A., & Montoya-Castilla, I. (2019). Predicting adolescent adjustment and well-being: The interplay between socio-emotional and personal factors. International Journal of Environmental Research and Public Health, 16(23), 4650. https://doi.org/10.3390/ijerph16234650
  • Dunn, H., & Matthew, R. (2015). Natural resources and gender in conflict settings. Peace Review, 27(2), 156–164. https://doi.org/10.1080/10402659.2015.1037619
  • Falb, K. L., Asghar, K., Laird, B., Tanner, S., Graybill, E., Mallinga, P., & Stark, L. (2017). Caregiver parenting and gender attitudes: Associations with violence against adolescent girls in South Kivu, Democratic Republic of Congo. Child Abuse & Neglect, 69, 278–284. https://doi.org/10.1016/j.chiabu.2017.04.032
  • FAO. (2008). Report on use of the Household Food Insecurity Access Scale and Household Dietary Diversity Score in two survey rounds in Manica and Sofala Provinces, Mozambique, 2006–2007. In Food and Agricultural Organization of the United Nations. FAO Food Security Project GCP/MOZ/079/BEL
  • Fuhrman, S., Janoch, E., Koch, R., Oo, K., Parra, V., & Rawe, T. (2020). Left out and left behind: Ignoring women will prevent us from solving the hunger crisis. In CARE. CARE. https://www.care-international.org/files/files/LeftOutandLeftBehind.pdf
  • Glass, N., Mpanano, M. R., Jennings Mayo-Wilson, L., Kohli, A., Sommer, M., Turner, R., & Perrin, N. (2020). Comparative effectiveness of an economic empowerment program on young adolescent asset building, school attendance, mental health, stigma and food security outcomes in a humanitarian setting. BMC Public Health, 20(1), 170. https://doi.org/10.1186/s12889-020-8219-6
  • Greene, M. E., & Patton, G. (2020). Adolescence and gender equality in health. Journal of Adolescent Health, 66(1), S1–S2. https://doi.org/10.1016/j.jadohealth.2019.10.012
  • Heise, L., Greene, M. E., Greene, M. E., Opper, N., Stavropoulou, M., Harper, C., Nascimento, M., Zewdie, D., Darmstadt, G. L., Hawkes, S., Henry, S., Heymann, J., Klugman, J., Levine, R., Raj, A., & Rao Gupta, G. (2019). Gender inequality and restrictive gender norms: Framing the challenges to health. The Lancet, 393(10189). https://doi.org/10.1016/S0140-6736(19)30652-X
  • Innocenti. (2017). The adolescent brain: A second window of opportunity. In United Nations Children’s Fund (pp. 29–45). UNICEF. https://www.unicef-irc.org/publications/pdf/adolescent_brain_a_second_window_of_opportunity_a_compendium.pdf
  • Internal Displacement Monitoring Centre. (2019). Global report on internal displacement 2019. In Norwegian Refugee Council. https://www.internal-displacement.org/sites/default/files/publications/documents/2019-IDMC-GRID.pdf.
  • Kågesten, A., Gibbs, S., Blum, R. W., Moreau, C., Chandra-Mouli, V., Herbert, A., & Amin, A. (2016). Understanding factors that shape gender attitudes in early adolescence globally: A mixed-methods systematic review. PLoS One, 11(6), e0157805. https://doi.org/10.1371/journal.pone.0157805
  • Kågesten, A. E., Zimmerman, L., Robinson, C., Lee, C., Bawoke, T., Osman, S., & Schlecht, J. (2017). Transitions into puberty and access to sexual and reproductive health information in two humanitarian settings: A cross-sectional survey of very young adolescents from Somalia and Myanmar. Conflict and Health, 11(Suppl. 1), 24–23. https://doi.org/10.1186/s13031-017-0127-8
  • Kane, S., Rial, M., Matere, A., Dieleman, M., Broerse, J. E. W., & Kok, M. (2016). Gender relations and women’s reproductive health in South Sudan. Global Health Action, 9(1), 33047–33011. https://doi.org/10.3402/gha.v9.33047
  • Kim, H., Sefcik, J. S., & Bradway, C. (2017). Characteristics of qualitative descriptive studies: A systematic review. Research in Nursing & Health, 40(1), 23–42. https://doi.org/10.1002/nur.21768
  • Kuépié, M. (2016). Determinants of labour market gender inequalities in Cameroon, Senegal and Mali. Canadian Journal of Development Studies, 37(1), 66–82. https://doi.org/10.1080/02255189.2016.1122580
  • Lavi, I., & Slone, M. (2012). Parental practices and political violence: The protective role of parental warmth and authority-control in Jewish and arab Israeli children. American Journal of Orthopsychiatry, 82(4), 550–561. https://doi.org/10.1111/j.1939-0025.2012.01183.x
  • Levy, J. K., Darmstadt, G. L., Ashby, C., Quandt, M., Halsey, E., Nagar, A., & Greene, M. E. (2020). Characteristics of successful programmes targeting gender inequality and restrictive gender norms for the health and wellbeing of children, adolescents, and young adults: A systematic review. The Lancet Global Health, 8(2), e225–e236. https://doi.org/10.1016/S2214-109X(19)30495-4
  • Meagher, K., Attal, B., & Patel, P. (2021). Exploring the role of gender and women in the political economy of health in armed conflict: A narrative review. Globalization and Health, 17(88), 1–9. https://doi.org/10.1186/s12992-021-00738-9
  • Mistrale Hendrickson, Z., Byrne, M., Sawadogo, N., Mafuta, E., Bazié, F., & Moreau, C. (2019). Santé des adolescents de 10 à 14 ans à Kinshasa et Ouagadougou: Risques et opportunités. Santé Publique, 31(6), 845–853. https://doi.org/10.3917/spub.196.0845
  • Mmari, K., Moreau, C., Gibbs, S. E., De Meyer, S., Michielsen, K., Kabiru, C. W., Bello, B., Fatusi, A., Lou, C., Zuo, X., Yu, C., Al-Attar, G. S. T., & El-Gibaly, O. (2018). “Yeah, I’ve grown; I can’t go out anymore”: Differences in perceived risks between girls and boys entering adolescence. Culture, Health & Sexuality, 20(7), 787–798. https://doi.org/10.1080/13691058.2017.1382718
  • Noble, E., Ward, L., French, S., & Falb, K. (2017). State of the evidence: A systematic review of approaches to reduce gender-based violence and support the empowerment of adolescent girls in humanitarian settings. Trauma, Violence & Abuse, 20(3), 428–434. https://doi.org/10.1177/1524838017699601
  • OCHA. (2021). République démocratique du Congo: Aperçu des besoins humanitaires 2021. https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/documents/files/hno_2021_drc_finalv3.pdf.
  • Okello, J., Nakimuli-Mpungu, E., Klasen, F., Voss, C., Musisi, S., Broekaert, E., & Derluyn, I. (2015). The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda. Journal of Affective Disorders, 180, 62–67. https://doi.org/10.1016/j.jad.2015.03.052
  • Ortiz-Echevarria, L., Greeley, M., Bawoke, T., Zimmerman, L., Robinson, C., & Schlecht, J. (2017). Understanding the unique experiences, perspectives and sexual and reproductive health needs of very young adolescents: Somali refugees in Ethiopia. Conflict and Health, 11(Suppl. 1), 26–42. https://doi.org/10.1186/s13031-017-0129-6
  • Panter-Brick, C., Grimon, M., & Eggerman, M. (2014). Caregiver–child mental health: A prospective study in conflict and refugee settings. Journal of Child Psychology and Psychiatry, 55(4), 313–327. https://doi.org/10.1111/jcpp.12167
  • Parent, M. C., & Moradi, B. (2009). Confirmatory factor analysis of the Conformity to Masculine Norms Inventory and development of the Conformity to Masculine Norms Inventory-46. Psychology of Men & Masculinity, 10(3), 175. https://doi.org/10.1037/a0015481
  • Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Adolescent health 3: Mental health of young people: A global public-health challenge. The Lancet, 369(9569), 1302. https://doi.org/10.1016/S0140-6736(07)60368-7
  • Perez-Fuentes, M. C., Molero Jurado, M. M., Gázquez Linares, J. J., Oropesa Ruiz, N. F., Simón Márquez, M. M., & Saracostti, M. (2019). Parenting practices, life satisfaction, and the role of self-esteem in adolescents. International Journal of Environmental Research and Public Health, 16(20), 4045. https://doi.org/10.3390/ijerph16204045
  • Perrin, N., Marsh, M., Clough, A., Desgroppes, A., Yope Phanuel, C., Abdi, A., Kaburu, F., Heitmann, S., Yamashina, M., Ross, B., Read-Hamilton, S., Turner, R., Heise, L., & Glass, N. (2019). Social norms and beliefs about gender based violence scale: A measure for use with gender based violence prevention programs in low-resource and humanitarian settings. Conflict and Health, 13(1), 6. https://doi.org/10.1186/s13031-019-0189-x
  • Priess-Groben, H. A., & Lindberg, S. M. (2016). Gender intensification. In R. Levesque (Ed.), Encyclopedia of adolescence (pp. 1–10). Springer.
  • Romeo, R. D. (2013). The teenage brain: The stress response and the adolescent brain. Current Directions in Psychological Science, 22(2), 140–145. https://doi.org/10.1177/0963721413475445
  • Rushwan, H., & Morris, J. L. (2015). Adolescent sexual and reproductive health: The global challenges. International Journal of Gynecology & Obstetrics, 131, S40–S42. https://doi.org/10.1016/j.ijgo.2015.02.006
  • Samuels, F., Jones, N., Watson, C., & Brodbeck, A. (2015). Doing qualitative field research on gender norms with adolescent girls. In ODI (pp. 14–15). Overseas Development Institute. https://cdn.odi.org/media/documents/9809.pdf.
  • Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G
  • Slone, M., & Shoshani, A. (2017). Children affected by war and armed conflict: Parental protective factors and resistance to mental health symptoms. Frontiers in Psychology, 8, 1397. https://doi.org/10.3389/fpsyg.2017.01397
  • Sommer, M., Munoz-Laboy, M., Wilkinson Salamea, E., Arp, J., Falb, K. L., Rudahindwa, N., & Stark, L. (2018). How narratives of fear shape girls’ participation in community life in two conflict-affected populations. Violence Against Women, 24(5), 565–585. https://doi.org/10.1177/1077801217710000
  • Stark, L., Seff, I., Asghar, K., Roth, D., Bakamore, T., MacRae, M., Fanton D’Andon, C., & Falb, K. L. (2018). Building caregivers’ emotional, parental and social support skills to prevent violence against adolescent girls: Findings from a cluster randomised controlled trial in Democratic Republic of Congo. BMJ Global Health, 3(5), e000824. https://doi.org/10.1136/bmjgh-2018-000824
  • StataCorp. (2017). Stata statistical software: Release 15. 15 (Computer Program).
  • Stearns, J. (2012). North Kivu: The background to conflict in north Kivu province of eastern Congo. In Rift Valley Institute (pp. 9–43). Rift Valley Institute. https://www.refworld.org/pdfid/51d3d5f04.pdf
  • Stearns, J. K., & Vogel, C. (2015). The landscape of armed groups in the eastern DRC. In Congo Research Group | Groupe d’Étude sur le Congo. Center on International Cooperation at New York University.
  • Stewart, D. E., MacMillan, H., & Kimber, M. (2021). Recognizing and responding to intimate partner violence: An update. The Canadian Journal of Psychiatry, 66(1), 71–106. https://doi.org/10.1177/0706743720939676
  • Swindale, A., & Bilinksy, P. (2006). Household Dietary Diversity Score (HDDS) for measurement of household food access: Indicator guide (v.2).
  • UNICEF. (2018). UNICEF programme guidance for the second decade: Programming with and for adolescents. In UNICEF (pp. 7–22). UNICEF. https://www.unicef.org/media/57336/file.
  • United Nations Population Fund. (2018). Adolescents and youth report: West and Central Africa. United Nations Population Fund West and Central Africa Regional Office.
  • Venugopalan, H. (2016). Understanding the Conflict in Congo (pp. 1–12). Observer Research Foundation. https://www.orfonline.org/wp-content/uploads/2016/05/ORF_IssueBrief_139_Venugopalan_Final.pdf
  • Weber, A. M., Cislaghi, B., Meausoone, V., Abdalla, S., Mejía-Guevara, I., Loftus, P., Hallgren, E., Seff, I., Stark, L., Victora, C. G., Buffarini, R., Barros, A. J. D., Domingue, B. W., Bhushan, D., Gupta, R., Nagata, J. M., Shakya, H. B., Richter, L. M., Norris, S. A., … Rao Gupta, G. (2019). Gender norms and health: Insights from global survey data. The Lancet, 393(10189), 2455–2468. https://doi.org/10.1016/S0140-6736(19)30765-2
  • World Bank. (2005). Education in the Democratic Republic of Congo: Priorities and options for regeneration. World Bank Country Study. In World Bank (pp. 22–23). https://openknowledge.worldbank.org/handle/10986/7466.
  • World Health Organization. (2021). Ebola virus disease – Democratic Republic of the Congo. https://www.who.int/csr/don/10-february-2021-ebola-drc/en/
  • Yu, C., Zuo, X., Blum, R. W., Tolman, D. L., Kågesten, A., Mmari, K., De Meyer, S., Michielsen, K., Basu, S., & Acharya, R. (2017). Marching to a different drummer: A cross-cultural comparison of young adolescents who challenge gender norms. Journal of Adolescent Health, 61(4), S48–S54. https://doi.org/10.1016/j.jadohealth.2017.07.005

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