University Children's Hospital Zürich, Steinwiesstrasse 75, 8032 Zürich, Switzerland.
Eur J Pediatr. 2010 Feb;169(2):173-80. doi: 10.1007/s00431-009-1001-5. Epub 2009 May 29.
The aim of this paper is to describe characteristics associated with maltreatment types in children referred to the child protection team at the University Children's Hospital Zürich. Since 2003, the child protection team has registered data on each case in a standardized form.
To examine differences in gender, age, nationality, and socioeconomic status by type of maltreatment, regression analyses were conducted for the 1,484 cases that were referred from 2003 to 2006.
The most common types of referred maltreatment were sexual (38%) and physical maltreatment (31%) with mean ages of 8.4 and 7 years, respectively. Compared to physical maltreatment, where gender distribution was equal, there was a higher risk for girls to become victims of sexual maltreatment. Younger children were at higher risk for neglect (mean age 5 years). Low socioeconomic status increased the risk for physical as compared to sexual maltreatment. However, whether the child was of Swiss or of foreign nationality was not associated with an increased risk for any type of maltreatment when controlling for socioeconomic status.
As this study is one of a few to analyze characteristics in child maltreatment referred to a hospital child protection team, further research is needed. To improve international comparability, thorough documentation of the cases is encouraged.
本文旨在描述在苏黎世大学儿童医院儿童保护团队转介的儿童虐待类型相关特征。自 2003 年以来，儿童保护团队已在标准化表格中记录了每例案件的数据。
为了通过虐待类型来检查性别、年龄、国籍和社会经济地位的差异，对 2003 年至 2006 年转介的 1484 例病例进行了回归分析。
最常见的转介虐待类型为性虐待（38%）和身体虐待（31%），平均年龄分别为 8.4 岁和 7 岁。与性别分布均等的身体虐待相比，女孩遭受性虐待的风险更高。年龄较小的儿童更容易受到忽视（平均年龄为 5 岁）。与性虐待相比，低社会经济地位增加了身体虐待的风险。但是，在控制社会经济地位后，儿童是否为瑞士或外国国籍与任何类型的虐待风险增加无关。
由于本研究是少数分析医院儿童保护团队转介的儿童虐待特征的研究之一，因此需要进一步研究。为了提高国际可比性，鼓励对案例进行全面记录。
