School- and community-level protective factors for resilience among chronically maltreated children in Japan
School- and community-level protective factors for resilience among chronically maltreated children in Japan
复制标题
日本长期受虐待儿童的学校和社区层面的复原力保护因素
DOI：
10.1007/s00127-022-02322-x
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发表时间：
2022
影响因子：
4.4
通讯作者：
Fujiwara Takeo
中科院分区：
文献类型：
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作者：
Isumi Aya;Doi Satomi;Ochi Manami;Kato Tsuguhiko;Fujiwara Takeo
目的很少有研究调查学校和社区层面的可改变因素如何增强长期受虐待的青春期前儿童的复原力，复原力的定义是从逆境中恢复和应对逆境的能力。本研究旨在调查可以提高儿童遭受虐待后的复原力的学校和社区因素。方法我们使用了生活困难对足立儿童健康影响 (A-CHILD) 研究的数据，这是一项以人群为基础的前瞻性纵向研究，从 2015 年日本东京足立市所有公立小学的一年级儿童开始。在一年级和四年级时经历过长期虐待的儿童，其复原力分数可在这些学校获得 成绩包含在分析中（N= 789）。使用粗略回归和多元回归来检验儿童报告的学校因素（即学校社会资本、可供咨询的朋友数量）和社区因素（即拥有非父母的榜样和支持性成年人、拥有第三个地方，即放学后在家里以外消磨时间的地方）与家长报告的四年级复原力之间的关系。这些回归也按性别进行分层。结果在调整协变量后，学校社会资本和四年级的非父母角色模型与弹性呈正相关，包括一年级的弹性[系数 = 3.63，95%置信区间（CI）2.26-4.99；系数 = 2.52, 95% CI 分别为0.57–4.38]。按性别分析显示，拥有支持性成年人而非榜样与女孩的复原力相关（系数 = 5.50，95% CI 0.20–10.8）。结论研究结果表明，学校和社区因素可以促进儿童遭受虐待后的复原力，而且这些因素在男孩和女孩之间是不同的。
PurposeFew studies have investigated how school- and community-level modifiable factors might enhance resilience, defined as an ability to recover from and cope with adversity, among chronically maltreated pre-adolescent children. This study aims to investigate school and community factors that can increase children’s resilience following maltreatment.MethodsWe used data from the Adachi child health impact of living difficulty (A-CHILD) Study, a population-based prospective longitudinal study starting with first-grade children in all public elementary schools in Adachi City, Tokyo, Japan in 2015. Children who experienced chronic maltreatment while in 1st and 4th grades and whose resilience scores were available at those grades were included in the analysis (N= 789). Crude and multiple regressions were used to examine associations of child-reported school factors (i.e., school social capital, number of friends to consult with) and community factors (i.e., having a non-parental role model and supportive adult, having a third place, which is defined as a place other than home to spend time after school) with parent-reported resilience at 4th grade. These regressions were also performed stratified by sex.ResultsSchool social capital and having a non-parental role model at 4th grade were positively associated with resilience after adjusting covariates, including resilience at 1st grade [coefficient = 3.63, 95% confidence intervals (CI) 2.26–4.99; coefficient = 2.52, 95% CI 0.57–4.38, respectively]. Analysis by sex revealed that having a supportive adult, but not a role model, was associated with resilience among girls (coefficient = 5.50, 95% CI 0.20–10.8).ConclusionsThe findings suggest that school and community factors can promote resilience following child maltreatment, and these factors are different between boys and girls.