The burden of child maltreatment in China: a systematic review.
The burden of child maltreatment in China: a systematic review.
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DOI：
10.2471/blt.14.140970
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发表时间：
2015-03-01
影响因子：
11.1
通讯作者：
Dunne MP
中科院分区：
文献类型：
--
作者：
Fang X;Fry DA;Ji K;Finkelhor D;Chen J;Lannen P;Dunne MP
估计中国儿童虐待的健康和经济负担。我们使用PubMed、Embase、PsycInfo、CINAHL-EBSCO、ERIC和中国国家知识基础设施数据库对中国儿童虐待的研究进行了系统回顾。我们对符合纳入标准的研究进行了荟萃分析，以估计儿童忽视和儿童身体、情感和性虐待的普遍程度。我们使用2010年全球疾病负担估算数据来计算因儿童虐待而损失的残疾调整生命年（DALYs）。从68项研究中，我们估计26.6%的18岁以下儿童遭受过身体虐待、19.6%的精神虐待、8.7%的性虐待和26.0%的忽视。我们估计，儿童时期的情感虐待占因精神障碍而失去的残疾调整生命年的26.3%，占因自残而失去的残疾调整生命年的18.0%。在因抑郁而丧失的残疾调整生命年中，儿童时期的身体虐待占12.2%，因焦虑而丧失的残疾调整生命年占17.0%，因酗酒而丧失的残疾调整生命年占20.7%，因非法使用药物而丧失的残疾调整生命年占18.8%，因自残而丧失的残疾调整生命年占18.3%。2010年，对儿童的身体虐待造成的损失估计占中国国内生产总值的0.84%，即500亿美元。儿童时期情感虐待和性虐待造成的相应损失分别占国内生产总值的0.47%和0.39%。在中国，虐待儿童很常见，并造成巨大的经济损失，因为许多受虐待的儿童遭受严重的心理困扰，并可能采取增加其患慢性病风险的行为。
To estimate the health and economic burdens of child maltreatment in China. We did a systematic review for studies on child maltreatment in China using PubMed, Embase, PsycInfo, CINAHL-EBSCO, ERIC and the Chinese National Knowledge Infrastructure databases. We did meta-analyses of studies that met inclusion criteria to estimate the prevalence of child neglect and child physical, emotional and sexual abuse. We used data from the 2010 global burden of disease estimates to calculate disability-adjusted life-years (DALYs) lost as a result of child maltreatment. From 68 studies we estimated that 26.6% of children under 18 years of age have suffered physical abuse, 19.6% emotional abuse, 8.7% sexual abuse and 26.0% neglect. We estimate that emotional abuse in childhood accounts for 26.3% of the DALYs lost because of mental disorders and 18.0% of those lost because of self-harm. Physical abuse in childhood accounts for 12.2% of DALYs lost because of depression, 17.0% of those lost to anxiety, 20.7% of those lost to problem drinking, 18.8% of those lost to illicit drug use and 18.3% of those lost to self-harm. The consequences of physical abuse of children costs China an estimated 0.84% of its gross domestic product – i.e. 50 billion United States dollars – in 2010. The corresponding losses attributable to emotional and sexual abuse in childhood were 0.47% and 0.39% of the gross domestic product, respectively. In China, child maltreatment is common and associated with large economic losses because many maltreated children suffer substantial psychological distress and might adopt behaviours that increase their risk of chronic disease.