暴露于亲密伴侣暴力对待母亲的孩子是否会有更多的功能性胃肠道障碍?
Jackelyne Faierstein Carneiro1, Elisabete Pereira Silva1, Giselia Alves Pontes da Silva1
1Universidade Federal de Pernambuco, Pós-graduação em Saúde da Criança e do Adolescente do Centro de Ciências Médicas, Recife, PE, Brazil.
Jornal de pediatria
|June 25, 2023
概括
儿童接触亲密伴侣暴力 (CEIPV) 显著增加了学龄儿童功能性胃肠道疾病 (FGID) 的风险. 早期发现和干预对于CEIPV和FGID的预防至关重要.
科学领域:
- 儿童心理学 儿童心理学
- 儿科胃肠病学 儿科胃肠病学
- 公共卫生 公共卫生
背景情况:
- 儿童接触亲密伴侣暴力 (CEIPV) 是一个重大的公共卫生问题.
- 功能性胃肠道疾病 (FGIDs) 在学龄儿童中很普遍.
- CEIPV和FGID之间的联系需要在生物心理社会框架内进一步调查.
研究的目的:
- 分析儿童暴露在亲密伴侣暴力 (CEIPV) 和学龄儿童的功能性胃肠道疾病 (FGID) 之间的关联.
- 调查CEIPV的特定因素,如暴露次数,发病年龄和犯罪者,与FGID发展有关.
- 为了解儿科健康结果中的生物心理社会模型做出贡献.
主要方法:
- 在巴西东北部的一个城市地区对626对母婴对进行前性队列研究.
- 儿童暴露在亲密伴侣暴力 (CEIPV) 中,使用霍尔登分类来评估,检查十种暴力类型.
- 功能性胃肠道疾病 (FGIDs) 用罗马III问卷的母报告版本确定,适应巴西葡萄牙语.
主要成果:
- 暴露于暴力的儿童中,FGID的发生频率明显高 (OR: 1.64;p=0.03).
- 在四种或更多类型的CEIPV暴露 (OR:1.81;p=0.01),在生命的前两年开始暴露 (OR:1.93;p=0.02) 和当亲生父亲是犯罪者 (OR:1.62;p=0.02) 时,观察到FGID风险增加.
结论:
- 儿童接触亲密伴侣暴力 (CEIPV) 与学龄儿童出现功能性胃肠道疾病 (FGID) 的可能性增加有关.
- 研究结果支持生物心理社会模型,强调暴力暴露对儿科健康的影响.
- 建议对CEIPV和FGID进行早期识别和干预策略,以改善儿童的福祉.
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