Child Maltreatment and Household Dysfunction in a British Birth Cohort
Child Maltreatment and Household Dysfunction in a British Birth Cohort
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DOI：
10.1002/car.2235
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发表时间：
2013-09-01
影响因子：
1.6
通讯作者：
Li, Leah
中科院分区：
文献类型：
--
作者：
Denholm, Rachel;Power, Chris;Li, Leah
在这篇文章中，我们评估了儿童虐待的流行程度，他们的共同发生以及与家庭功能障碍的关系。研究使用了1958年英国出生队列在45岁和童年时期记录的关于童年虐待、忽视和家庭功能障碍的信息。在三个样本中计算患病率：每个测量的个体（n=9310-15 583）；45岁的参与者（n=9310）；所有存活至45岁（n= 17313）的数据均包含估算数据。得出了累积忽视评分。应用潜类分析（LCA）确定虐待的共现性。在三个样本中，14.2%至17.1%的参与者报告了任何形式的虐待：心理（10.0-12.5%），身体（6.1-9.0%），性（1.6-2.9%）和目睹虐待（6.0-8.5%）。忽视得分高（3分；患病率25.9-32.1%）与任何形式的虐待呈正相关（每单位增加30%）。LCA发现8.2%的参与者有被虐待和被忽视的风险，24.9%的参与者有被高度忽视的风险。家庭功能障碍的测量与所有类型的儿童虐待，特别是虐待和忽视有关。大约三分之一的人口样本显示儿童遭受虐待的风险很高；超过十分之一的人报告了任何形式的虐待。那些来自不正常家庭背景的儿童特别容易受到虐待和忽视。版权所有：John Wiley & Sons， Ltd。
In this article, we assess the prevalence of child maltreatments, their co-occurrence and associations with household dysfunction in a large population cohort. Information from the 1958 British birth cohort on childhood abuse, neglect and household dysfunction recorded at 45years and during childhood was used. Prevalence was calculated in three samples: individuals with each measure (n=9310-15 583); 45-year-old participants (n=9310); and all surviving to 45years (n=17 313) includes imputed data. A cumulative neglect score was derived. Latent Class Analysis (LCA) was applied to establish the co-occurrence of maltreatments. In the three samples, 14.2 to 17.1 per cent of participants reported any form of abuse: psychological (10.0-12.5%), physical (6.1-9.0%), sexual (1.6-2.9%) and witnessing abuse (6.0-8.5%). A high neglect score ( 3; prevalence 25.9-32.1%) was positively associated with any form of abuse (30% increase/unit). LCA identified 8.2 per cent of participants at risk of both abuse and neglect, and 24.9 per cent at high risk of neglect only'. Measures of household dysfunction were associated with all types of child maltreatment, particularly with abuse and neglect. Approximately one-third of this population sample showed a high risk of child maltreatment; over one in ten reported any form of abuse. Those from dysfunctional family backgrounds were particularly vulnerable to both child abuse and neglect. Copyright (c) 2013 John Wiley & Sons, Ltd.