Impact of Asking Sensitive Questions about Violence to Children and Adolescents
Impact of Asking Sensitive Questions about Violence to Children and Adolescents
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DOI：
10.1016/j.jadohealth.2009.03.009
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发表时间：
2009-11-01
影响因子：
7.6
通讯作者：
Diener-West, Marie
中科院分区：
文献类型：
--
作者：
Ybarra, Michele L.;Langhinrichsen-Rohling, Jennifer;Diener-West, Marie
目的：一个主要的差距，我们的理解的道德要求敏感的健康问题，以儿童的影响，这些问题对他们的wellbeing.Methods：一项调查，其中包括敏感的问题，受害，犯罪，并暴露于暴力是在全国范围内1588青少年之间的10至15岁。在调查结束时，青年被问到是否有任何关于暴力的问题使他们感到不安。十个主题出现在年轻人对具体困扰他们的问题的开放式回答中，包括被特定类型的问题困扰（例如，性，毒品），对年轻人从事这些行为的想法感到痛苦，并发现调查的基调是解释性的。沮丧的年轻人比不沮丧的年轻人年轻的可能性高出三倍。直接暴力的受害者（例如，身体攻击）和间接暴力（例如，结论：调查询问敏感主题必须包括年轻的青年，以提供准确的流行率估计，并避免地板效应。应十分注意了解这些问题对青年的影响，并确保在必要时适当转介到支助服务机构。(C)2009年，为青少年医学。All rights reserved.
Purpose: A major gap in our understanding of the ethics of asking sensitive health questions to children is the impact these questions have on their well-being.Methods: A survey which included sensitive questions about victimization, perpetration, and exposure to violence was fielded nationally among 1588 youth between 10 and 15 years old. At the end of the survey, youth were asked whether any questions about violence upset them.Results: One in four youth (23%) indicated that they were upset by the survey questions about violence. Ten themes emerged from the youth's open-ended responses to what specifically upset them, including being upset by specific types of questions (e.g., sex, drugs), being distressed by the thought that young people were engaging in these behaviors, and finding the tone of the survey to be accusatory. Upset youth were three times more likely to be younger than non-upset youth. Victims of direct violence (e.g., physical assault) and indirect violence (e.g., witnessing violence) were no more likely to report being upset than were non-victims.Conclusions: Surveys querying sensitive topics must include younger youth to provide accurate prevalence estimates and to avoid floor effects. Great care should be taken to understand the impact that these questions have on youth and to ensure appropriate referral to support services if needed. (C) 2009 Society for Adolescent Medicine. All rights reserved.