评估虐待的儿童的发展轨迹
Marlene Beyer Eg1, Troels Græsholt-Knudsen1, Annie Vesterby1
1Department of Forensic Medicine, Aarhus University, Denmark.
Danish medical journal
|September 25, 2024
概括
儿童遭受虐待与药物滥用,自我伤害,缺学率和生下更多孩子的风险增加有关. 这些发现凸显了针对受影响儿童及其家属提供有针对性的支持的必要性.
科学领域:
- 法医医学 法医医学
- 公共卫生 公共卫生
- 儿童心理学 儿童心理学
背景情况:
- 虐待儿童是药物滥用和自我伤害的已知风险因素.
- 缺乏关于学校缺勤率和与虐待儿童有关的后代人数的前性研究.
- 这项研究是第一个前性地评估这四个结果在儿童评估的虐待暴露的研究.
研究的目的:
- 为了前性地评估评估的儿童虐待暴露与四个关键结果之间的关联:药物滥用,非自杀自伤,学校缺勤率和后代数量.
- 为卫生和社会服务提供关键数据,以更好地支持遭受虐待的儿童.
主要方法:
- 在丹麦阿尔胡斯大学,2001-2007年间对375名儿童进行了虐待暴露评估.
- 来自人口登记册的年龄和性别匹配的对照 (1:6比),总计有2,573名儿童,不包括兄弟姐妹.
- 与丹麦国家登记处 (教育,患者,民事) 进行数据链接,以使用负二项式或Poisson模型进行结果和共变量估计,并直到2016年进行后续调查.
主要成果:
- 在怀疑滥用药物的10-16岁儿童中,观察到药物滥用的发病率比率 (IRR) 增加.
- 在7岁及以上的儿童中,发现严重的非自杀性自我伤害的IRR显著更高 (5.03).
- 在0-3岁儿童中,学校缺勤率显示了增加的IRR (1.30).
- 增加的后代数量与疑似性虐待 (12-16岁,IRR=1.67) 和任何虐待 (8-11岁,IRR=3.93) 相关.
结论:
- 与同龄人相比,对儿童虐待暴露的评估儿童在所有测量结果中显示出显著的差异.
- 这些发现强调了对这一弱势群体及其家属的专注关注和健康和社会服务的量身定制干预措施的迫切需要.
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