对因有问题的性行为寻求医疗护理的儿童进行描述性分析
Kara Thompson1, Sasha Svendsen1,2
1UMass Memorial Children's Medical Center, Worcester, MA, United States.
Frontiers in psychiatry
|November 29, 2023
概括
许多从事有问题的性行为 (PSB) 的儿童在医学评估中被遗漏,这表明严重低估了患病率. 这种差距阻止了对这些弱势儿童的关键干预和支持.
科学领域:
- 儿童心理学 儿童心理学
- 儿科医学 儿科医学
- 社会工作 社会工作 社会工作
背景情况:
- 儿童问题性行为 (PSB) 是影响儿童福祉的日益严重的问题.
- 由于识别不一致性和社区响应差距,PSB的准确量化受到阻碍.
研究的目的:
- 分析儿童人口统计和儿童病例特征,这些儿童向儿童保护计划 (CPP) 提出了PSB的担忧.
- 发现涉及PSB的儿童的鉴定和医疗评估中的差距.
主要方法:
- 一个单一中心的回顾性病例审查,儿童向CPP医疗专业团队提交.
- 在研究期间,对224名儿童进行了PSB的分析.
主要成果:
- 在224名患有PSB的儿童中,110名 (49%) 被转诊接受医疗评估,114名 (51%) 没有.
- 大多数被推的儿童 (69%) 是PSB的接受者,而20%的儿童表现出这种行为.
- 患有PSB的儿童仅在14.5%的接受病例中被转诊接受护理.
结论:
- 医学评估显著低估了PSB在儿童中的患病率.
- 识别方面的差距阻碍了提供基本服务和医疗评估的儿童参与PSB.
- 患有PSB的儿童经常被忽视,这代表了干预和支持的错失机会.
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