育儿,虐待儿童和社会劣势:基于证据的育儿支持三P系统的基于人口的实施和评估
Matthew R Sanders1,2, Denise Clague2,3, Tomasz Zając2,3
1Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, Australia.
Child maltreatment
|June 6, 2024
概括
通过公共卫生方法提供的Triple P系统 (TPS) 育儿支持,在弱势社区显著减少了儿童虐待 (CM) 案件. 这种以证据为基础的干预措施表明,它有望在人口层面上预防CM.
科学领域:
- 公共卫生 公共卫生
- 儿童发展 儿童发展
- 社会工作 社会工作 社会工作
背景情况:
- 儿童虐待 (CM) 带来了重大的公共卫生挑战,并产生了持久的负面影响.
- 通过公共卫生框架提供的基于证据的育儿支持是预防CM的潜在策略.
研究的目的:
- 评估Triple P系统 (TPS) 在防止弱势社区内虐待儿童 (CM) 的有效性.
- 评估公共卫生方法对提供育儿支持对CM率的影响.
主要方法:
- 一个准实验性设计比较了64个匹配的低社会经济水平的社区.
- 社区接受了完整的多层次Triple P系统 (TPS) 或通常照顾 (CAU).
- 使用Welch的t测试,对CM (有证据的病例和通知) 的种群指标进行了比较.
主要成果:
- 中大效应大小有利于TPS社区减少CM证据 (d = 0.57) 和通知 (d = 1.86).
- 在干预两年后,CM指标的显著减少被观察到.
- 在社会不利的环境中,TPS在预防CM方面表现出有效性.
结论:
- 作为公共卫生倡议实施的Triple P系统对于防止弱势社区虐待儿童有很大的价值.
- 这种方法显示了针对儿童保护的更广泛的公共卫生战略的潜力.
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