Prevalence of child physical and sexual abuse in the community - Results from the Ontario health supplement

Prevalence of child physical and sexual abuse in the community - Results from the Ontario health supplement
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DOI:
10.1001/jama.278.2.131
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发表时间:
1997-07-09
影响因子:
120.7
通讯作者:
Offord, DR
Offord, DR
中科院分区:
医学1区
文献类型:
--
作者:
MacMillan, HL;Fleming, JE;Offord, DR

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背景。-虽然儿童虐待被认为很常见,但很少有社区调查检查了男性和女性中超过 1 种类型的虐待的发生率。目的。-确定一般人群中儿童时期身体虐待和性虐待史的发生率。设计。-一般人口调查。背景。-加拿大安大略省的家庭住宅。参与者。-参与安大略省健康调查的 15 岁及以上居民的随机样本 (N=9953)补充.主要结果测量.-关于儿童期身体虐待和性虐待史的自填问卷。结果.-男性(31.2%)比女性(21.1%)更常报告儿童身体虐待史,而女性(12.8%)比男性(4.3%)报告儿童期性虐待更常见。报告严重身体虐待的男性(10.7%)和女性(9.2%)比例相似,报告有严重性虐待史的女性(11.1%)比例高于男性(3.9%)。在男性的任何类别中,受访者的年龄与童年虐待没有显着相关。然而,对于女性来说,报告的童年期性虐待发生率、身体虐待和性虐待同时发生以及两类严重虐待的发生率随着受访者年龄的增加而下降。结论:安大略省居民中童年受虐待的历史很常见。与年长女性相比,年轻女性中虐待儿童的情况可能更为普遍,或者年轻女性可能更愿意举报虐待行为。
Context.-Although child maltreatment is considered common, few community surveys have examined the prevalence of more than 1 type of maltreatment among both males and females.Objective.-To determine the prevalence of a history of physical and sexual abuse during childhood among the general population.Design.-General population survey.Setting.-Household dwellings in the province of Ontario, Canada.Participants.-A random sample (N=9953) of residents aged 15 years and older participated in the Ontario Health Supplement.Main Outcome Measure.-Self-administered questionnaire about a history of physical and sexual abuse in childhood.Results.-A history of child physical abuse was reported more often by males (31.2%) than females (21.1%), while sexual abuse during childhood was more commonly reported by females (12.8%) than males (4.3%). Severe physical abuse was reported by similar proportions of males (10.7%) and females (9.2%), A greater percentage of females reported a history of severe sexual abuse (11.1%) compared with males (3.9%). Age of the respondent was not significantly associated with childhood abuse within any category for males. However, for females, the reported prevalence in childhood of sexual abuse, co-occurrence of physical and sexual abuse, and both categories of severe abuse decreased with increasing age of the respondent.Conclusions.-A history of childhood maltreatment among Ontario residents is common. Child abuse may be more prevalent in younger women compared with older women, or there may be a greater willingness among younger women to report abuse.