Child abuse in 28 developing and transitional countries-results from the Multiple Indicator Cluster Surveys
Child abuse in 28 developing and transitional countries-results from the Multiple Indicator Cluster Surveys
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DOI：
10.1093/ije/dyq168
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发表时间：
2011-02-01
影响因子：
7.7
通讯作者：
Akmatov, Manas K.
中科院分区：
文献类型：
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作者：
Akmatov, Manas K.
背景虐待儿童是世界范围内公认的公共卫生和社会问题。使用多指标类集调查(MICS)的数据，我们的目的是(I)比较不同国家和地区的不同形式的虐待儿童，以及(Ii)检查与不同形式的虐待儿童相关的因素。方法从2005年至2006年进行的MICS第三轮调查(n=124916名2至14岁的儿童)，在28个发展中国家和转型国家获得有关虐待儿童的信息。调查前一个月儿童心理虐待、中度虐待和重度虐待的发生率，并对不同形式虐待儿童的相关因素进行多水平Logistic回归分析。结果非洲地区83%的儿童经历过心理虐待，43%的儿童遭受过中度虐待和重度虐待。转型期国家儿童遭受这些形式的虐待的比例相当低(分别为56%、46%和9%)。父母对体罚的态度是与所有形式的虐待儿童有关的最强烈的变量。男童、家庭成员较多和较贫穷家庭的男童发生各种形式虐待儿童的风险也较高。我们发现，不同国家和地区的流行率有很大差异，非洲国家的流行率最高。应采取以人口为基础的干预措施(例如教育方案)，以提高公众对这一问题的认识。改变父母对体罚儿童的态度的行动可能有助于防止虐待儿童。在选择干预战略时，应考虑到每个国家的具体当地情况。
Background Child abuse is a recognized public health and social problem worldwide. Using data from the Multiple Indicator Cluster Surveys (MICS) we aimed to (i) compare different forms of child abuse across countries and regions, and (ii) examine factors associated with different forms of child abuse.Methods Information on child abuse was available in 28 developing and transitional countries from the third round of the MICS conducted in 2005 and 2006 (n=124 916 children aged between 2 and 14 years). We determined the prevalence of psychological, and moderate and severe physical abuse for the preceding month and examined correlates of different forms of child abuse with multilevel logistic regression analysis.Results A median of 83, 64 and 43% of children in the African region experienced psychological, and moderate and severe physical abuse, respectively. A considerably lower percentage of children in transitional countries experienced these forms of abuse (56, 46 and 9%, respectively). Parental attitudes towards corporal punishment were the strongest variable associated with all forms of child abuse. The risk of all forms of child abuse was also higher for male children, those living with many household members and in poorer families.Conclusions Child abuse is a very common phenomenon in many of the countries examined. We found substantial variations in prevalence across countries and regions, with the highest prevalence in African countries. Population-based interventions (e.g. educational programmes) should be undertaken to increase public awareness of this problem. Actions on changing parental attitudes towards corporal punishment of children may help to prevent child abuse. The specific local situation in each country should be considered when selecting intervention strategies.