Freisthler Bridget, Midanik Lorraine T, Gruenewald Paul J
Prevention Research Center, Pacific Institute for Research and Evaluation, 1995 University Avenue, Suite 450, Berkeley, California 94704, USA.
J Stud Alcohol. 2004 Sep;65(5):586-92. doi: 10.15288/jsa.2004.65.586.
The purpose of this study is to examine whether or not alcohol access in neighborhood areas is differentially related to substantiated reports of child physical abuse and neglect.
This cross-sectional ecological study uses spatial regression procedures to examine the relationship between the number of bars, restaurants and off-premise outlets per population and rates of child physical abuse and neglect in 940 census tracts in California, while controlling for levels of social disorganization, population density and county of residence.
The number of off-premise outlets per population was positively associated with rates of child physical abuse (b = 3.34, SE = 1.14), and the number of bars per population was positively related to rates of child neglect (b = 1.89, SE = 0.59).
These results suggest that alcohol access is differentially related to type of child maltreatment, with higher densities of bars being related to higher rates of child neglect, and higher rates of off-premise outlets related to higher rates of child physical abuse. The findings suggest there is a spatial dynamic of neighborhoods that can result in child maltreatment and underscore the importance of examining the alcohol environment when developing programs to prevent child maltreatment.
本研究旨在探讨社区内酒精饮品的可及性与经证实的儿童身体虐待及忽视报告之间是否存在差异关联。
这项横断面生态研究运用空间回归程序，在控制社会失序程度、人口密度及居住县等因素的同时，考察加利福尼亚州940个人口普查区每人口酒吧、餐厅及店外销售点的数量与儿童身体虐待及忽视发生率之间的关系。
每人口店外销售点的数量与儿童身体虐待发生率呈正相关（b = 3.34，标准误 = 1.14），每人口酒吧的数量与儿童忽视发生率呈正相关（b = 1.89，标准误 = 0.59）。
这些结果表明，酒精饮品的可及性与儿童虐待类型存在差异关联，酒吧密度较高与儿童忽视发生率较高相关，店外销售点比例较高与儿童身体虐待发生率较高相关。研究结果表明，社区存在一种空间动态，可导致儿童虐待，并强调在制定预防儿童虐待项目时考察酒精环境的重要性。
