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dc.contributor.authorLopez Stewart, Carmenes_ES
dc.contributor.authorGeorge Lara, Miriames_ES
dc.contributor.authorHerrera Amighetti, Luis Diegoes_ES
dc.contributor.authorWissow, Lawrence Ses_ES
dc.contributor.authorGutierrez, Maria Isabeles_ES
dc.contributor.authorLevav, Itzhakes_ES
dc.contributor.authorMaddaleno, Matildees_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2000es_ES
dc.identifier.citationLopez Stewart, Carmen,George Lara, Miriam,Herrera Amighetti, Luis Diego,Wissow, Lawrence S,Gutierrez, Maria Isabel,Levav, Itzhak,Maddaleno, Matilde (2000) Parenting and physical punishment: primary care interventions in Latin America. Rev Panam Salud Publica;8(4) 257-267,oct. 2000. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892000000900005&lng=pt&nrm=iso&tlng=enen_US
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892000000900005&lng=pt&nrm=iso&tlng=enes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8574
dc.format.extenttabes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;8(4),oct. 2000es_ES
dc.subjectPuniçãopt_BR
dc.subjectRelações Pais-Filhopt_BR
dc.subjectEstudos de Intervençãopt_BR
dc.subjectAtenção Primária à Saúdept_BR
dc.subjectDisciplinas e Atividades Comportamentaispt_BR
dc.subjectBem-Estar da Criançaes_ES
dc.subjectCosta Ricaes_ES
dc.subjectChilees_ES
dc.titleParenting and physical punishment: primary care interventions in Latin Americaen_US
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesPhysical punishment is a form of intrafamilial violence associated with short - and long - term adverse mental health outcomes. Despite these possible consequences, it is among the most common forms of violent interpersonal behavior. For many children it begins within the first year of life. The goal of this study was to determine the feasibility of involving public sector primary health care providers to inform parents about alternatives to phuysical punishment. The study used a qualitative design utilizing focus groups and survey questionnaires with parents and providers at six clinic sites chosen to be representative of public sector practice settings in Costa Rica and in metropolitan Santiago, Chile. The data were collected during 1998 and 1999. In the focus groups and surveys the parents voiced a range of opinions about physical punishment. Most acknowledged its common use but listed it among their least preferred means of discipline. Frequency of its use correlated positively with the parents' belief in its effectiveness and inversely with their satisfaction with their children's behavior. Some parents wanted to learn more about discipline; others wanted help with life stresses they felt led them to use physical punishment. Parents reported they chose other family memebers more frequently as a source of parenting information than they did health care providers. Some parents saw providers as too rushed and not knowledgeable enough to give good advice. Providers, in turn, felt ill equipped to handle parents' questions, but many of the health professionals expressed interest in more training. Parents and providers agreed that problems of time, space, and resources were barriers to talking about child discipline in the clinics. Many parents and providers would welcome a primary-care-based program on physical punishment. Such a program would need to be customized to accommodate local differences in parent and provider atitudes and in clinic organization. Health care professionals need more training in child discipline and in the skills required to interact with parents on issues relating to child behavioren_US


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