Disabling conditions and registration for child abuse and neglect: A population-based study
Disabling conditions and registration for child abuse and neglect: A population-based study
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DOI：
10.1542/peds.2004-1882
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发表时间：
2005-09-01
期刊：
影响因子：
8
通讯作者：
Logan, S
中科院分区：
文献类型：
--
作者：
Spencer, N;Devereux, E;Logan, S
Objective.在一个19年的全人口出生队列设置中，研究残疾状况与儿童虐待和忽视登记之间的关系。英国西萨塞克斯郡。研究设计.回顾性全人群队列研究.主要结果.儿童保护登记，身体虐待，性虐待，精神虐待和忽视.人口和参与者. 1983年1月至2001年12月在西萨塞克斯郡出生的婴儿（119729），完整的数据包括出生体重、胎龄、母亲年龄和邮政编码。在调整前，脑瘫、言语和语言障碍、学习困难、品行障碍和非品行心理障碍都与儿童保护登记显著相关，在调整出生体重、胎龄和社会经济地位后，除脑瘫外，所有这些都保持了显著性。自闭症和感官残疾（视力和听力）与儿童保护登记的风险增加无关。在调整了社会经济地位、出生体重和胎龄后，品行障碍和中度/重度学习困难与4个类别中的每一个类别的登记相关。有语言障碍和轻度学习困难的儿童遭受身体虐待、情感虐待和忽视的风险增加。非行为性心理障碍与除忽视外的所有类别相关，脑瘫与除身体虐待和忽视外的所有类别相关。有残疾的儿童似乎更有可能因虐待和忽视儿童而登记，尽管登记的模式因具体的残疾情况而异。与登记的条件，如品行障碍和学习困难的强烈关联可能会出现，部分原因是这些条件与虐待和忽视儿童有共同的病因学途径。
Objective. To study the relationship between disabling conditions and registration for child abuse and neglect in a 19- year whole- population birth cohortSetting. West Sussex area of the United Kingdom. Study Design. Retrospective whole- population cohort.Main Outcomes. Child- protection registration, physical abuse, sexual abuse, emotional abuse, and neglect.Population and Participants. Infants born in West Sussex ( 119 729) between January 1983 and December 2001 with complete data including birth weight, gestational age, maternal age, and postal code.Results. Cerebral palsy, speech and language disorder, learning difficulties, conduct disorders, and nonconduct psychological disorders were all significantly associated with child- protection registration before adjustment, and all but cerebral palsy retained significance after adjustment for birth weight, gestational age, and socioeconomic status. Autism and sensory disabilities ( vision and hearing) were not associated with an increased risk of child- protection registration. Conduct disorders and moderate/ severe learning difficulty were associated with registration in each of the 4 categories after adjustment for socioeconomic status, birth weight, and gestational age. Children with speech and language disorders and mild learning difficulties were at increased risk of physical abuse, emotional abuse, and neglect. Nonconduct psychological disorders were associated with all categories except neglect, and cerebral palsy was associated with all categories except physical abuse and neglect.Conclusions. Children with disabling conditions seem to be at increased risk of registration for child abuse and neglect, although the pattern of registration varies with the specific disabling condition. The strong association with registration noted for conditions such as conduct disorder and learning difficulties is likely to arise, in part, because these conditions share a common etiologic pathway with child abuse and neglect.