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成年社区样本中儿童期虐待的患病率及其人口统计学关联因素

Prevalence and demographic correlates of childhood maltreatment in an adult community sample.

作者信息

Scher Christine D, Forde David R, McQuaid John R, Stein Murray B

机构信息

Department of Psychology, University of Missouri-St. Louis, St. Louis, MO, USA.

出版信息

Child Abuse Negl. 2004 Feb;28(2):167-80. doi: 10.1016/j.chiabu.2003.09.012.

Abstract

PURPOSE

This study had two aims: (1) to determine the prevalence of five categories of retrospectively reported childhood maltreatment in an adult community sample and (2) to examine relationships between three theoretically and practically chosen demographic variables and childhood maltreatment.

METHOD

Participants were a representative sample of 967 adult men and women in the metropolitan Memphis, Tennessee area. They completed a telephone survey that included a reliable, valid questionnaire assessing five types of childhood maltreatment (i.e., emotional abuse, emotional neglect, physical abuse, physical neglect, and sexual abuse) and demographic questions. Simultaneous logistic regression analyses were used to identify demographic correlates of specific trauma types.

RESULTS

Prevalence of childhood maltreatment ranged from approximately 30% for women to over 40% for men. Approximately 13% of participants reported multiple forms of maltreatment. The most common forms of trauma for both men and women were physical abuse, physical neglect, and emotional abuse, all of which were highly likely to co-occur. Race, sex, and current educational level were each associated with an increased likelihood of childhood maltreatment; differential relationships with particular maltreatment types were also observed.

IMPLICATIONS

These findings highlight the importance of research on the prevalence of and risks for multiple types of childhood maltreatment, particularly in the somewhat neglected area of emotional abuse and neglect. These findings can be used to highlight the need for preventive interventions aimed at the negative sequelae of childhood maltreatment and to tailor preventive interventions to the needs and expectations of those at high risk.

摘要

目的

本研究有两个目标:(1)确定在一个成年社区样本中,五类回顾性报告的童年期虐待情况的发生率;(2)考察从理论和实践角度选定的三个人口统计学变量与童年期虐待之间的关系。

方法

参与者是田纳西州孟菲斯市大都市区967名成年男性和女性的代表性样本。他们完成了一项电话调查,其中包括一份可靠、有效的问卷,该问卷评估了五种童年期虐待类型(即情感虐待、情感忽视、身体虐待、身体忽视和性虐待)以及人口统计学问题。采用同时逻辑回归分析来确定特定创伤类型的人口统计学相关因素。

结果

童年期虐待的发生率在女性中约为30%,在男性中超过40%。约13%的参与者报告了多种形式的虐待。男性和女性最常见的创伤形式都是身体虐待、身体忽视和情感虐待,所有这些都很可能同时发生。种族、性别和当前教育水平均与童年期虐待可能性增加相关;还观察到了与特定虐待类型的不同关系。

启示

这些发现凸显了对多种类型童年期虐待的发生率和风险进行研究的重要性,尤其是在情感虐待和忽视这一有些被忽视的领域。这些发现可用于强调针对童年期虐待负面后果的预防性干预措施的必要性,并根据高风险人群的需求和期望调整预防性干预措施。

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