Disclosure, reporting and help seeking among child survivors of violence: a cross-country analysis
Disclosure, reporting and help seeking among child survivors of violence: a cross-country analysis
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DOI：
10.1186/s12889-020-09069-7
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发表时间：
2020-07-02
影响因子：
4.5
通讯作者：
Palermo, Tia
中科院分区：
文献类型：
--
作者：
Pereira, Audrey;Peterman, Amber;Palermo, Tia
背景暴力侵害儿童行为是一个普遍的公共卫生问题，在多种情况下提供的数据有限。这项研究探讨了很少研究的患病率和动态周围的披露，报告和寻求帮助的行为的儿童谁经历过身体和/或sexual violence.MethodsUsing全国代表性的暴力侵害儿童的调查在六个国家：柬埔寨，海地，肯尼亚，马拉维，尼日利亚和坦桑尼亚，我们提出了描述性统计流行率的四个结果之间的儿童年龄在13- 17岁：非正式披露、知道到哪里寻求正式帮助、正式披露/寻求帮助和接受正式帮助。我们跑了特定国家的多元Logistic回归预测结果的因素在个人，家庭和社区levels.ResultsThe患病率的寻求帮助的行为范围从23至54%的非正式披露，16至28%的知识，在哪里寻求正式的帮助，在1至25%的正式披露或寻求帮助，和1至11%的正式帮助的接收。与促进求助行为相关的因素包括家庭中成年女性人数和没有生父，而与减少求助行为相关的因素包括男性和生活在女性户主家庭中。不寻求帮助的主要原因因国家而异，包括自责，冷漠和不需要或想要services.ConclusionsAcross国家检查，寻求帮助和接受正式服务是低的儿童经历身体和/或性暴力，很少有一致的因素确定，促进寻求帮助。进一步了解寻求帮助，同时提高数据质量和可用性，将有助于预防对策，包括及时援助儿童幸存者的能力。
BackgroundViolence against children is a pervasive public health issue, with limited data available across multiple contexts. This study explores the rarely studied prevalence and dynamics around disclosure, reporting and help-seeking behaviours of children who ever experienced physical and/or sexual violence.MethodsUsing nationally-representative Violence Against Children Surveys in six countries: Cambodia, Haiti, Kenya, Malawi, Nigeria and Tanzania, we present descriptive statistics for prevalence of four outcomes among children aged 13-17years: informal disclosure, knowledge of where to seek formal help, formal disclosure/help seeking and receipt of formal help. We ran country-specific multivariate logistic regressions predicting outcomes on factors at the individual, household and community levels.ResultsThe prevalence of help-seeking behaviours ranged from 23 to 54% for informal disclosure, 16 to 28% for knowledge of where to seek formal help, under 1 to 25% for formal disclosure or help seeking, and 1 to 11% for receipt of formal help. Factors consistently correlated with promoting help-seeking behaviours included household number of adult females and absence of biological father, while those correlated with reduced help-seeking behaviours included being male and living in a female-headed household. Primary reasons for not seeking help varied by country, including self-blame, apathy and not needing or wanting services.ConclusionsAcross countries examined, help-seeking and receipt of formal services is low for children experiencing physical and/or sexual violence, with few consistent factors identified which facilitated help-seeking. Further understanding of help seeking, alongside improved data quality and availability will aid prevention responses, including the ability to assist child survivors in a timely manner.