Child maltreatment in the United States: Prevalence, risk factors, and adolescent health consequences
Child maltreatment in the United States: Prevalence, risk factors, and adolescent health consequences
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DOI：
10.1542/peds.2005-2452
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发表时间：
2006-09-01
期刊：
影响因子：
8
通讯作者：
Kotch, Jonathan B.
中科院分区：
文献类型：
--
作者：
Hussey, Jon M.;Chang, Jen Jen;Kotch, Jonathan B.
目标.本研究的目的是估计在美国儿童虐待的患病率，并检查其与社会人口因素和主要的青少年健康风险的关系。国家青少年健康纵向研究是一项前瞻性队列研究，对全国青少年成年样本进行研究。在2001-2002年，15 197名年轻人完成了第三波访谈（应答率为77.4%），包括对儿童虐待的回顾性测量。我们使用这些措施来估计自我报告的监督忽视，身体忽视，身体攻击和接触性虐待儿童时期的患病率。接下来，我们调查了社会人口特征和虐待之间的关系。最后，我们研究了儿童虐待和青少年自我评价的健康之间的关联;超重状态;抑郁症;香烟，酒精，大麻和吸入使用;和暴力行为。儿童时期被单独留在家中，表明可能忽视了监督，这是最普遍的情况（41.5%的受访者报告），其次是身体攻击（28.4%），身体忽视（11.8%）和接触性虐待（4.5%）。每个社会人口学特征与>= 1种虐待类型相关，种族/民族与所有4种虐待类型相关。每一种类型的虐待与10种青少年健康风险中的至少8种相关。自我报告的童年虐待是常见的。虐待的可能性因许多社会人口特征而异。每一种虐待都与多种青少年健康风险有关。
OBJECTIVES. The purpose of this study was to estimate the prevalence of child maltreatment in the United States and examine its relationship to sociodemographic factors and major adolescent health risks.METHODS. The National Longitudinal Study of Adolescent Health is a prospective cohort study following a national sample of adolescents into adulthood. The wave III interview, completed by 15 197 young adults in 2001-2002 (77.4% response rate), included retrospective measures of child maltreatment. We used these measures to estimate the prevalence of self-reported supervision neglect, physical neglect, physical assault, and contact sexual abuse during childhood. Next, we investigated the relationship between sociodemographic characteristics and maltreatment. Finally, we examined the association between child maltreatment and adolescent self-rated health; overweight status; depression; cigarette, alcohol, marijuana, and inhalant use; and violent behavior.RESULTS. Having been left home alone as a child, indicating possible supervision neglect, was most prevalent (reported by 41.5% of respondents), followed by physical assault (28.4%), physical neglect (11.8%), and contact sexual abuse (4.5%). Each sociodemographic characteristic was associated with >= 1 type of maltreatment, and race/ethnicity was associated with all 4. Each type of maltreatment was associated with no fewer than 8 of the 10 adolescent health risks examined.CONCLUSIONS. Self-reported childhood maltreatment was common. The likelihood of maltreatment varied across many sociodemographic characteristics. Each type of maltreatment was associated with multiple adolescent health risks.