Factors Associated With Violence Against Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Regression of Nationally Representative Data.

Factors Associated With Violence Against Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Regression of Nationally Representative Data.
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DOI:
10.1177/1524838020985532
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发表时间:
2021-04
期刊:
Trauma, violence & abuse
影响因子:
--
通讯作者:
Meinck F
Meinck F
中科院分区:
其他
文献类型:
--
作者:
Cerna-Turoff I;Fang Z;Meierkord A;Wu Z;Yanguela J;Bangirana CA;Meinck F

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这项系统的回顾和元回归试图确定与低收入和中等收入国家对儿童的身体、情感和性暴力有关的因素的相对重要性。了解与暴力有关的因素对于在人口一级进行有针对性的方案拟订和预防十分重要。我们搜索了从1989年到2018年的17个电子数据库和儿童暴力调查报告。国家代表性研究描述了与暴力侵害18岁以下儿童有关的潜在因素的证据。搜索仅限于英语。使用稳健方差估计对每种暴力类型的因素进行了定量综合,其可信区间为95%。我们确定了8,346项无重复研究,103篇论文符合我们的资格标准。数据在地区、国家收入状况、因素和暴力类型之间分布不均。在量化综合的94项符合条件的研究中,没有特定因素对身体暴力有显著影响。家庭中较低的社会经济地位、女孩身份以及母亲和成年人的初等教育与情感暴力有关,而女孩身份与性暴力有关。在低收入和中等收入国家的一般儿童人口中,身体暴力政策和预防需要考虑广泛的因素。相反,为了防止情绪和性暴力,可能有必要采取量身定制的方法。信息在国家、因素和暴力类型之间分布不均。应更加重视收集关于一般人口和弱势群体的代表性数据,以实现国家减少对儿童的暴力行为。
This systematic review and meta-regression sought to identify the relative importance of factors associated with physical, emotional, and sexual violence against children in low- and middle-income countries. Understanding of factors associated with violence is important for targeted programming and prevention on the population level. We searched 17 electronic databases from 1989 to 2018 and reports from child violence surveys. Nationally representative studies that described evidence on potential factors associated with violence against children under 18 years old were included. The search was restricted to the English language. Factors were synthesized quantitatively using robust variance estimation, with 95% confidence intervals, for each violence type. We identified 8,346 unduplicated studies, and 103 publications met our eligibility criteria. The data distribution was uneven across region, country income status, factors, and violence types. Of the 94 eligible studies quantitatively synthesized, no specific factors were significant for physical violence. Lower household socioeconomic status, being a girl, and primary education of mothers and adults in the household were associated with emotional violence, and being a girl was associated with sexual violence. A broad spectrum of factors merit consideration for physical violence policy and prevention among the general population of children in low- and middle-income countries. Conversely, a tailored approach may be warranted for preventing emotional and sexual violence. Information is unequally distributed across countries, factors, and violence types. Greater emphasis should be placed on collecting representative data on the general population and vulnerable subgroups to achieve national reductions in violence against children.
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