The relationships between harsh physical punishment and child maltreatment in childhood and intimate partner violence in adulthood
The relationships between harsh physical punishment and child maltreatment in childhood and intimate partner violence in adulthood
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DOI：
10.1186/s12889-017-4359-8
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发表时间：
2017-05-23
影响因子：
4.5
通讯作者：
MacMillan, Harriet L.
中科院分区：
文献类型：
--
作者：
Afifi, Tracie O.;Mota, Natalie;MacMillan, Harriet L.
背景：体罚儿童是一个重要的公共卫生问题。然而，很少有研究探讨体罚如何与其他类型的虐待和暴力的儿童在整个生命周期。因此，本研究的目的是审查严厉的体罚（即，被推、抓、推、打和/或拍打而不造成痕迹、瘀伤或伤害）与更严重的儿童虐待的可能性增加有关（即，儿童期的身体虐待、情感虐待、性虐待、身体忽视、情感忽视和遭受亲密伴侣暴力（IPV））以及成年期的IPV实施或受害。数据来自2004年至2005年收集的全国酒精及相关疾病流行病学调查（n = 34，402，应答率= 86.7%），一个具有代表性的美国成人样本。严厉的体罚与儿童期虐待的几率增加有关，包括情感虐待、性虐待、身体虐待、身体忽视、情感忽视，在调整社会人口学因素、功能障碍家族史和其他儿童虐待类型后，IPV暴露（范围为1.6至26.6）。严厉的体罚也与成年后IPV发生几率的增加有关（范围1.4至1.7）。重要的是，父母和从事儿童工作的专业人员要意识到，推、抓、推、打或拍打儿童可能会增加情感虐待、性虐待、身体虐待、身体忽视、情感忽视、在儿童时期暴露于IPV，并且在成年后期也经历IPV受害和/或犯罪。
Background: Physical punishment of children is an important public health concern. Yet, few studies have examined how physical punishment is related to other types of child maltreatment and violence across the lifespan. Therefore, the objective of the current study was to examine if harsh physical punishment (i.e., being pushed, grabbed, shoved, hit, and/or slapped without causing marks, bruises, or injury) is associated with an increased likelihood of more severe childhood maltreatment (i.e., physical abuse, emotional abuse, sexual abuse, physical neglect, emotional neglect, and exposure to intimate partner violence (IPV)) in childhood and perpetration or victimization of IPV in adulthood.Methods: Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions collected in 2004 to 2005 (n = 34,402, response rate = 86.7%), a representative United States adult sample.Results: Harsh physical punishment was associated with increased odds of childhood maltreatment, including emotional abuse, sexual abuse, physical abuse, physical neglect, emotional neglect, and exposure to IPV after adjusting for sociodemographic factors, family history of dysfunction, and other child maltreatment types (range 1.6 to 26.6). Harsh physical punishment was also related to increased odds of experiencing IPV in adulthood (range 1.4 to 1.7).Conclusions: It is important for parents and professionals working with children to be aware that pushing, grabbing, shoving, hitting, or slapping children may increase the likelihood of emotional abuse, sexual abuse, physical abuse, physical neglect, emotional neglect, and exposure to IPV in childhood and also experiencing IPV victimization and/or perpetration in later adulthood.