Risk of mother-reported child abuse in the first 3 years of life
Risk of mother-reported child abuse in the first 3 years of life
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DOI：
10.1016/j.chiabu.2004.01.003
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发表时间：
2004-06-01
影响因子：
4.8
通讯作者：
Duggan, AK
中科院分区：
文献类型：
--
作者：
Windham, AM;Rosenberg, L;Duggan, AK
目的：本研究的目的是调查，在一个高危人群，父母和孩子的特征与母亲的自我报告的严重的身体攻击和攻击的自尊的孩子在第一个3 years of life.Design：研究人群包括一个以社区为基础的样本的新生儿母亲确定为儿童虐待的风险（n = 595）。从孩子出生到3岁，每年使用具有既定心理测量特性的工具对家庭进行评估。调查的独立变量包括：家庭社会人口统计学，奇偶性，母亲的社会支持，产妇抑郁症，产妇问题药物或酒精的使用，伴侣暴力，儿童的年龄，儿童的性别，低出生体重/小于胎龄儿（SGA），和母亲对儿童的需求水平的看法。与虐待协会采用多变量方法纵向data.Results：儿童严重的身体攻击显着相关的父母的特点（母亲抑郁症和伴侣暴力）;和儿童的特点（SGA）。对儿童自尊的攻击与母亲抑郁、母亲非法使用药物、伴侣暴力和母亲对儿童需求水平的看法显著相关。控制家庭社会人口学特征并没有改变这种关联。同样，虽然母亲的看法，儿童的需求水平有一个独立的协会与自尊攻击，上述协会持续存在，而需求水平保持不变。在这个高风险的样本中，虐待是不相关的母亲的年龄，教育，种族，奇偶校验，或家庭收入level.Conclusions：虽然特点，如SGA可以作为标记滥用风险增加，他们是不适合干预后，孩子出生。然而，某些其他风险因素，如产妇抑郁症和家庭暴力是可塑性的，应该有针对性地进行干预，以防止虐待儿童。(C)2004 Elsevier Ltd.保留所有权利。
Objective: The purpose of this research was to investigate, within an at-risk population, parent and child characteristics associated with a mother's self-reports of severe physical assault and assault on the self-esteem of the child in the first 3 years of life.Design: The study population consisted of a community-based sample of mothers of newborns identified as at-risk for child maltreatment (n = 595). Families were assessed annually from the child's birth through age 3 using instruments with established psychometric properties. Independent variables investigated included: family socio-demographics, parity, mother's social support, maternal depression, maternal problem drug or alcohol use, partner violence, child's age, child's sex, low birth weight/small for gestational age (SGA), and mother's perception of child's demand level. Associations with maltreatment were examined using multivariable methods for longitudinal data.Results: Child severe physical assault was significantly associated with parent characteristics (maternal depression and partner violence); and child characteristics (SGA). Assault to the child's self-esteem was significantly associated with maternal depression, maternal illicit drug use, partner violence and mother's perception of child's demand level. Controlling for family sociodemographic characteristics did not change the associations. Likewise, while mother's perception of child demand level had an independent association with self-esteem assault, the associations described above persisted while demand level was held constant. In this high-risk sample, abuse was not associated with mother's age, education, race, parity, or household income level.Conclusions: While characteristics such as SGA can serve as markers for increased abuse risk, they are not amenable to intervention after the child is born. However, certain other risk factors, such as maternal depression and domestic violence are malleable and should be targeted for intervention with the goal of preventing child maltreatment. (C) 2004 Elsevier Ltd. All rights reserved.