Evidence map›Paper›PMID 40233554›Full record

ArticleChild abuse & neglect2025

"Part of the abuse is not letting me get him medical care": A qualitative examination of children's unmet health needs in the context of post-separation abuse.

Kathryn J Spearman, Lea Marineau, Adebola Owolabi, Kamila A Alexander, Jennifer Hardesty, Viola Vaughan-Eden, Christina Bethell, Jacquelyn Campbell

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Article in Child abuse & neglect, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kathryn J SpearmanJohns Hopkins University, School of Nursing, USA. Electronic address: kspearm2@jhu.edu.
Lea MarineauJohns Hopkins School of Nursing, USA.
Adebola OwolabiJohns Hopkins University, School of Nursing, USA.
Kamila A AlexanderJohns Hopkins University, School of Nursing, USA.
Jennifer HardestyUniversity of Illinois Urbana-Champaign, USA.
Viola Vaughan-EdenNorfolk State University, The Ethelyn R. Strong School of Social Work, USA.
Christina BethellJohns Hopkins University, Bloomberg School of Public Health, USA.
Jacquelyn CampbellJohns Hopkins University, School of Nursing, USA.

Funding

Understanding the Impact of Post-Separation Abuse on Children's Health and Flourishing OutcomesF31HD111297 · NICHD · JOHNS HOPKINS UNIVERSITY · PI SPEARMAN, KATHRYN JANE · 2023 to 2025
$144k
NICHD NIH HHS F31 HD111297
6 · The paper itself

Abstract

backgroundChildren exposed to intimate partner violence (IPV) experience disparities in health outcomes and healthcare access. Mechanisms explaining how IPV affects children's health needs, particularly after parental separation, are poorly understood.

objectiveThe aim of this qualitative study is to examine maternal survivors' experiences of IPV following separation from an abusive co-parent ("post-separation abuse") and their children's health needs. PARTICIPANTS AND

settingThe research team conducted individual semi-structured interviews with N = 33 maternal post-separation abuse survivors from 18 states in the United States.

methodsQualitative interviews were coded and analyzed using ATLAS.ti through an iterative thematic inquiry approach, with each interview coded by at least 2 study team members.

resultsMost participants (85 %) reported difficulty accessing healthcare for their children. The analysis team identified five broad domains of post-separation abuse tactics contributing to children's unmet health needs: (1) obstruction and manipulation of children's healthcare, (2) stalking and intimidation, (3) legal abuse, (4) disregarding children's well-being, and (5) economic abuse.

conclusionsThis study provides foundational insights into specific behaviors by abusive co-parents and court-imposed barriers that impact children's health needs. Improved understanding of post-separation abuse is essential to design interventions and policies to ensure children's access to needed healthcare and to reduce health disparities.

Indexed as

Adult Survivors of Child AbuseFamily SeparationHealth Services AccessibilityHealth Services Needs and DemandIntimate Partner ViolenceAdolescentAdultChildChild, PreschoolFemaleHumansInterviews as TopicMaleQualitative ResearchUnited StatesChildren's unmet health needsFamily courtIntimate partner violenceMedical neglectPost-separation abuse

Identifiers

PMID40233554
PMCPMC12077252

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.