Skip to main content
×
×
Home

The impact of the 2014 Ebola virus disease outbreak in Liberia on parent preferences for harsh discipline practices: a quasi-experimental, pre-post design

  • Eric Green (a1), Rhea M Chase (a2), John Zayzay (a3), Amy Finnegan (a1) and Eve S. Puffer (a1) (a4)...
Abstract
Background.

This paper uses data from a cohort of parents and guardians of young children living in Monrovia, Liberia collected before and after the 2014 outbreak of Ebola virus disease (EVD) to estimate the impact of EVD exposure on implicit preferences for harsh discipline. We hypothesized that parents exposed to EVD-related sickness or death would exhibit a stronger preference for harsh discipline practices compared with non-exposed parents.

Methods.

The data for this analysis come from two survey rounds conducted in Liberia as part of an intervention trial of a behavioral parenting skills intervention. Following a baseline assessment of 201 enrolled parents in July 2014, all program and study activities were halted due to the outbreak of EVD. Following the EVD crisis, we conducted a tracking survey with parents who completed the baseline survey 12 months prior. In both rounds, we presented parents with 12 digital comic strips of a child misbehaving and asked them to indicate how they would react if they were the parent in the stories.

Results.

Parents from households with reported EVD sickness or death became more ‘harsh’ (Glass's delta = 1.41) in their hypothetical decision-making compared with non-exposed parents, t (167)=−2.3, p  <  0.05. Parents from households that experienced EVD-related sickness or death not only reported significantly more household conflict and anxiety, but also reported that their child exhibited fewer difficulties.

Conclusions.

Results support the need for family-based interventions, including strategies to help parents learn alternatives to harsh punishment.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      The impact of the 2014 Ebola virus disease outbreak in Liberia on parent preferences for harsh discipline practices: a quasi-experimental, pre-post design
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      The impact of the 2014 Ebola virus disease outbreak in Liberia on parent preferences for harsh discipline practices: a quasi-experimental, pre-post design
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      The impact of the 2014 Ebola virus disease outbreak in Liberia on parent preferences for harsh discipline practices: a quasi-experimental, pre-post design
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
*Address for correspondence: Eric Green, Duke University, Duke Global Health Institute, Box 90519, Durham, NC 27708, USA (Email: eric.green@duke.edu)
References
Hide All
Abramowitz, SA, McLean, KE, McKune, SL, Bardosh, KL, Fallah, M, Monger, J, Tehoungue, K, Omidian, PA (2015). Community-centered responses to Ebola in urban Liberia: the view from below. PLoS Neglected Tropical Diseases 9, e0003706.
CDC (2016). Outbreaks chronology: Ebola virus disease. https://www.cdc.gov/vhf/ebola/outbreaks/history/chronology.html.
Cicchetti, D, Lynch, M (1993). Toward an ecological/transactional model of community violence and child maltreatment: consequences for children's development. Psychiatry 56, 96118.
Davtyan, M, Brown, B, Folayan, MO (2014). Addressing Ebola-related stigma: lessons learned from HIV/AIDS. Global Health Action 7: 1, 26058, DOI: 10.3402/gha.v7.26058.
DHS Program (2017). Wealth index construction. http://www.dhsprogram.com/topics/wealth-index/Wealth-Index-Construction.cfm.
Goodman, R (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry 38, 581586.
Green, EPD, Chase, R, Zayzay, J, Finnegan, A, Puffer, E (2017). A discrete choice task to measure preferences for harsh discipline among parents of young children. Retrieved from http://psyarxiv.com/egqjv.
Hanson, J, Decosimo, A, Quinn, M (2016). Diminished quality of life among women affected by Ebola. Journal of Social, Behavioral and Health Sciences 10, 112133.
Howlett, P, Walder, A, Lisk, D, N'jai, A, Lado, M, Brown, C, Sesay, F, Semple, M, Scott, J (2017). Neurological and psychiatric manifestations of post Ebola syndrome in Sierra Leone. The Lancet 389, S48.
Kirsch, TD, Moseson, H, Massaquoi, M, Nyenswah, TG, Goodermote, R, Rodriguez-Barraquer, I, Lessler, J, Cumings, D, Peters, DH (2017). Impact of interventions and the incidence of Ebola virus disease in Liberia: implications for future epidemics. Health Policy and Planning 32, 205214.
LISGIS, Ministry of Health and Social Welfare/Liberia, National AIDS Control Program/Liberia, ICF International (2014). Liberia Demographic and Health Survey 2013. Technical Report, LISGIS and ICF International: Monrovia, Liberia.
Maguire-Jack, K, Wang, X (2016). Pathways from neighborhood to neglect: the mediating effects of social support and parenting stress. Children and Youth Services Review 66, 2834.
Mohammed, A, Sheikh, TL, Gidado, S, Poggensee, G, Nguku, P, Olayinka, A, Ohuabunwo, C, Waziri, N, Shuaib, F, Adeyemi, J, Uzoma, O, Ahmed, A, Doherty, F, Nyanti, SB, Nzuki, CK, Nasidi, A, Oyemakinde, A, Oguntimehin, O, Abdussalam, IA, Obiako, RO (2015). An evaluation of psychological distress and social support of survivors and contacts of Ebola virus disease infection and their relatives in Lagos, Nigeria: a cross sectional study 2014. BMC Public Health 15.
Onishi, N (2014). Clashes erupt as Liberia sets an Ebola quarantine, The New York Times.
Rabelo, I, Lee, V, Fallah, MP, Massaquoi, M, Evlampidou, I, Crestani, R, Decroo, T, Van den Bergh, R, Severy, N (2016). Psychological distress among Ebola survivors discharged from an Ebola Treatment Unit in Monrovia, Liberia – a qualitative study. Frontiers in Public Health 4, 17.
Van Bortel, T, Basnayake, A, Wurie, F, Jambai, M, Koroma, AS, Muana, AT, Hann, K, Eaton, J, Martina, S, Nellumsa, LB (2016). Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bulletin of the World Health Organization 94, 210214.
WHO Ebola Response Team (2016). After Ebola in West Africa—unpredictable risks, preventable epidemics. New England Journal of Medicine 375, 587596.
World Bank (2016). 2014-2015 West Africa Ebola Crisis: Impact Update. Technical Report, World Bank. http://www.worldbank.org/en/topic/macroeconomics/publication/2014-2015-west-africa-ebola-crisis-impact-update.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Global Mental Health
  • ISSN: -
  • EISSN: 2054-4251
  • URL: /core/journals/global-mental-health
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Type Description Title
PDF
Supplementary materials

Green et al. supplementary material
Appendix A

 PDF (249 KB)
249 KB