在社区范围的预防性干预后,人口层面的儿童性虐待率
Jennie G Noll1,2, Johnny Felt3, Justin Russotti1,2
1Department of Psychology, University of Rochester, Rochester, New York.
JAMA pediatrics
|March 3, 2025
概括
一个社区范围的儿童性虐待 (CSA) 预防计划显著减少了有证据和无证据的CSA报告. 这种创新,多方位的方法表明,它有望降低人口层面的CSA发病率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 儿童福利 儿童福利
背景情况:
- 儿童性虐待 (CSA) 影响全球数百万人,美国的发病率停滞不前,需要新的初级预防策略.
- 目前关于预防虐待儿童的证据不足,这凸显了有效干预的关键差距.
- 高昂的公共成本和对幸存者的严重后果强调了有效预防CSA的紧迫性.
研究的目的:
- 评估协调,社区范围内的干预措施在减少儿童性虐待 (CSA) 发生率的有效性.
主要方法:
- 宾夕法尼亚州的一项人口队列研究利用合成控制方法评估了5个县的三支CSA预防干预措施.
- 干预包括广泛的成人培训,二年级学生的心理教育,以及儿童福利家庭的家长培训.
- 来自全州儿童福利系统的CSA发病率数据被分析为5个干预前和3个干预后的年.
主要成果:
- 在一年内,干预县与对照县相比,实证和不实证的CSA报告显著减少.
- 在经证实的报告中,治疗对被治疗者 (ATT) 的平均治疗效果为-17.22 (95% CI, -34.15至 -4.20).
- 没有证据的报道的ATT为-36.04 (95% CI,-74.40至-3.88).
结论:
- 一个基于地方的,协调的,全县范围的干预有效地减少了儿童性虐待 (CSA) 的人口级报告.
- 这些发现表明,多方面的预防策略在降低CSA发病率方面取得了成功.
- 这项研究证实了社区范围的方法在预防虐待儿童方面的有效性.
更多相关视频
05:59Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
Published on: March 7, 2019
6.7K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.6K
相关概念视频
01:30Community Based Intervention
28
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
28
01:22Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
01:30Preventive Healthcare Services
957
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
957
01:26Levels of Health Promotion and Illness Prevention
11.4K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
11.4K
01:19Autism Spectrum Disorder
53
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
53
01:28Conduct Disorder
23
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
23