Prevalence and risk of violence against children with disabilities: a systematic review and meta-analysis of observational studies
Prevalence and risk of violence against children with disabilities: a systematic review and meta-analysis of observational studies
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DOI：
10.1016/s0140-6736(12)60692-8
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发表时间：
2012-09-08
期刊：
影响因子：
168.9
通讯作者：
Officer, Alana
中科院分区：
文献类型：
--
作者：
Jones, Lisa;Bellis, Mark A.;Officer, Alana
全球至少有9300万儿童患有中度或重度残疾。残疾儿童被认为比非残疾同龄人更有可能成为暴力受害者。对这一问题的规模作出可靠的估计是制定有效预防方案的重要第一步。因此，我们进行了系统的审查和荟萃分析，以综合证据的流行和风险的暴力侵害儿童disability.Methods的系统审查和荟萃分析，我们搜索了12个电子数据库，以确定横断面，病例对照，或队列研究报告之间的1990年1月1日，2010年8月17日，估计暴力侵害儿童（75%）的发生率。变异不一致的解释与荟萃回归分析的特点studies.Interpretation-这一系统的审查结果证实，残疾儿童更有可能成为暴力的受害者比他们的同龄人谁不是残疾。然而，由于缺乏精心设计的研究，残疾和暴力的衡量标准不佳，以及对暴力是否先于残疾发展的评估不足，因此仍然缺乏有力的证据，这就留下了需要填补的知识空白。
Background Globally, at least 93 million children have moderate or severe disability. Children with disabilities are thought to have a substantially greater risk of being victims of violence than are their non-disabled peers. Establishment of reliable estimates of the scale of the problem is an essential first step in the development of effective prevention programmes. We therefore undertook a systematic review and meta-analysis to synthesise evidence for the prevalence and risk of violence against children with disabilities.Methods For this systematic review and meta-analysis, we searched 12 electronic databases to identify cross-sectional, case-control, or cohort studies reported between Jan 1, 1990, and Aug 17, 2010, with estimates of prevalence of violence against children (aged 75%). Variations were not consistently explained with meta-regression analysis of the characteristics of the studies.Interpretation The results of this systematic review confirm that children with disabilities are more likely to be victims of violence than are their peers who are not disabled. However, the continued scarcity of robust evidence, due to a lack of well designed research studies, poor standards of measurement of disability and violence, and insufficient assessment of whether violence precedes the development of disability, leaves gaps in knowledge that need to be addressed.