了解肯尼亚街头儿童和青少年的街头暴露和虐待:从例行收集的程序数据中获得结构性干预见解
Michael Goodman1,2, Kelvin Munene3, Nora Gardner2
1Global Health, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA migoodma@utmb.edu.
BMJ paediatrics open
|October 30, 2024
概括
涉及街头儿童和青少年 (SICY) 面临高虐待率,在街上三周后风险增加. 早期干预和量身定制的支持对于他们的重新融入和保护至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 儿童福利 儿童福利
背景情况:
- 在全球范围内,涉及街头儿童和青少年 (SICY) 面临着严重的挑战,包括排斥和虐待.
- 据估计,全球有1000万-1500万SICY,肯尼亚有超过25万.
- 了解虐待经历的时间对于有效的干预至关重要.
研究的目的:
- 分析前肯尼亚SICY的街头暴露时间,睡眠地点和虐待经历之间的关系.
- 确定与滥用风险增加相关的关键时间点和环境因素.
主要方法:
- 对228名参与肯尼亚救援计划 (2016-2022) 的前SICY (6-19岁) 数据的分析.
- 虐待的分类为身体,情感,经济和性形式.
- 统计方法,包括罗伊斯曲线图和分段后勤回归来探索关联.
主要成果:
- 报告的身体虐待 (37%),情感虐待 (36%) 和经济虐待 (28%) 的高患病率;整体虐待率为69%.
- 对SICY暴露在街上3周或更长时间的人来说,滥用风险显著增加.
- 在阳台下睡觉与经济和整体虐待的更高几率相关;长时间暴露超过10个月并没有进一步增加几率.
结论:
- 患病者经历了严重的虐待,需要以数据为基础,以创伤为基础的重返社会支持.
- 根据虐待的时间和类型量身定制的早期干预策略至关重要.
- 政策和资金应优先考虑预防街头移民,替代住房和长期重返社会支持.
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