3岁儿童虐待的危险因素在日本的多个和单身:一个基于人口的研究
Yoshie Yokoyama1, Yasue Ogata1,2, Karri Silventoinen3
1Health Promotion Care Science, Osaka Metropolitan University, Osaka, Japan.
概括
双胞胎或三胞胎出生的孩子面临的虐待的风险明显高于单胞胎. 这种增加的风险凸显了针对多胎家庭提供有针对性的支持的需要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 儿童心理学 儿童心理学
背景情况:
- 虐待儿童是一个重大的公共卫生问题.
- 多重分娩,如双胞胎和三胞胎,给家庭带来了独特的挑战.
- 现有的关于多重虐待儿童的研究有限,特别是在非西方人口中.
研究的目的:
- 为了确定3岁多的多胞胎 (双胞胎和三胞胎) 儿童虐待的患病率和危险因素.
- 为了比较儿童虐待的发生率和特征,多人与单人.
- 确定与多胎儿虐待相关的特定风险因素.
主要方法:
- 利用来自公共卫生中心的日本人口数据,包括健康检查和儿童虐待记录.
- 分析了17125名单身,488名双胞胎和18名3岁三胞胎的数据 (2007年4月至2011年3月).
- 采用后勤回归模型来评估虐待儿童和潜在风险因素之间的关联.
主要成果:
- 总体记录的虐待率为每1000名儿童中的4.31.
- 双胞胎的虐待率较高 (14.31/1000),而单身双胞胎的虐待率较高 (4.03/1000).
- 在调整共变量后,双胞胎有明显更高的虐待风险 (OR3.39),身体和情绪虐待普遍存在. 母亲抑郁症是双胞胎虐待的事者中显著的危险因素.
结论:
- 多胎是虐待儿童的一个独立风险因素.
- 多人家庭需要提高医疗保健提供者的意识和支持,以减轻风险.
- 早期干预和对母亲心理健康的支持对于防止多胎家庭虐待儿童至关重要.
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