Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey.
Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey.
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DOI：
10.1136/bmjopen-2016-013583
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发表时间：
2017-02-28
期刊：
影响因子：
2.9
通讯作者：
Naker D
中科院分区：
文献类型：
--
作者：
Devries KM;Knight L;Child JC;Kyegombe N;Hossain M;Lees S;Watts C;Naker D
现有证据（主要来自高收入国家）表明，在家目睹亲密伴侣暴力（IPV）的儿童更有可能经历其他形式的暴力，但来自低收入国家的证据很少。在本文中，我们旨在探讨在家目睹 IPV 的乌干达儿童是否也更有可能遭受其他形式的虐待、与目击和经历暴力相关的因素，以及任何增加的风险是否来自父母或家庭以外的其他人。小学代表性横断面调查。 3427名非寄宿小学生，年龄约11-14岁。乌干达卢韦罗区，2012 年。使用国际防止虐待儿童协会和忽视儿童虐待筛查工具 - 儿童机构来测量儿童遭受虐待的情况，并测量见证 IPV 的 2 个问题。 26% 的儿童报告目睹过 IPV，但几乎所有这些儿童自己也经历过暴力。只有 0.6% 的男孩和 1.6% 的女孩目睹过伴侣暴力，但没有经历过暴力。暴力风险的增加来自父母，也来自父母以外的其他施暴者。目击和经历过暴力的女孩和男孩报告心理健康问题的几率分别为 1.66（95% CI 0.96 至 2.87）至 4.50（95% CI 1.78 至 11.33）倍，报告心理健康困难的几率为 3.23（95% CI 1.99 至 5.24）至 8.12（95% CI 5.15 至 12.80）倍。本身使用身体或性暴力的可能性。在这个样本中，目睹 IPV 几乎从来都不是孤立发生的——几乎所有目睹伴侣暴力的儿童自己也经历过暴力。我们的结果表明，遭受多种形式暴力的乌干达儿童可能会受益于减轻心理健康后果和减少暴力使用的干预措施。应考虑采取 IPV 预防干预措施来减少虐待儿童。许多儿童也在没有伴侣暴力的家庭中遭受虐待，这凸显了采取干预措施以更广泛地防止儿童虐待的必要性。 NCT01678846，结果。
Existing evidence, mainly from high-income countries, shows children who witness intimate partner violence (IPV) at home are more likely to experience other forms of violence, but very little evidence is available from lower income countries. In this paper we aim to explore whether Ugandan children who witness IPV at home are also more likely to experience other forms of maltreatment, factors associated with witnessing and experiencing violence, and whether any increased risk comes from parents, or others outside the home. A representative cross-sectional survey of primary schools. 3427 non-boarding primary school students, aged about 11–14 years. Luwero District, Uganda, 2012. Exposure to child maltreatment was measured using the International Society for the Prevention of Child Abuse and Neglect Child Abuse Screening Tool-Child Institutional, and 2 questions measured witnessing IPV. 26% of children reported witnessing IPV, but nearly all of these children had also experienced violence themselves. Only 0.6% of boys and 1.6% of girls had witnessed partner violence and not experienced violence. Increased risk of violence was from parents and also from other perpetrators besides parents. Both girls and boys who witnessed and experienced violence had between 1.66 (95% CI 0.96 to 2.87) and 4.50 (95% CI 1.78 to 11.33) times the odds of reporting mental health difficulties, and 3.23 (95% CI 1.99 to 5.24) and 8.12 (95% CI 5.15 to 12.80) times the odds of using physical or sexual violence themselves. In this sample, witnessing IPV almost never occurred in isolation—almost all children who witnessed partner violence also experienced violence themselves. Our results imply that children in Uganda who are exposed to multiple forms of violence may benefit from intervention to mitigate mental health consequences and reduce use of violence. IPV prevention interventions should be considered to reduce child maltreatment. Large numbers of children also experience maltreatment in homes with no partner violence, highlighting the need for interventions to prevent child maltreatment more broadly. NCT01678846, results.