Biswas Animesh, Rahman Aminur, Mashreky Saidur, Rahman Fazlur, Dalal Koustuv
Centre for Injury Prevention Research, Dhaka, Bangladesh.
Rural Remote Health. 2010 Jan-Mar;10(1):1199. Epub 2010 Mar 16.
Violence and injuries are under-reported in developing countries, especially during natural disasters such as floods. Compounding this, affected areas are isolated from the rest of the country. During 2007 Bangladesh experienced two consecutive floods which affected almost one-third of the country. The objective of this study was to examine unintentional injuries to children in rural Bangladesh and parental violence against them during floods, and also to explore the association of socioeconomic characteristics.
A cross-sectional rural household survey was conducted in the worst flood-affected areas. A group of 638 randomly selected married women of reproductive age with at least one child at home were interviewed face-to-face using pre-tested structured questionnaires. The chi2 test and logistic regression were used for data analysis.
The majority of families (90%) were affected by the flood and were struggling to find food and shelter, resulting in the parents becoming violent towards their children and other family members in the home. Cuts (38%), falls (22%) and near drowning (21%) comprised the majority of unintentional injuries affecting children during the floods. A large number of children were abused by their parents during the floods (70% by mothers and 40% by fathers). The incidence of child injuries and parental violence against children was higher among families living in poor socio-economic conditions, whose parents were of low occupational status and had micro-credit loans during the floods.
Floods can have significant effects on childhood injury and parental violence against children. The improvement of socio-economic conditions would assist in preventing child injuries and parental violence.
在发展中国家，暴力和伤害事件的报告不足，尤其是在洪水等自然灾害期间。更糟糕的是，受灾地区与该国其他地区隔绝。2007年，孟加拉国连续遭受两次洪水，几乎影响了该国三分之一的地区。本研究的目的是调查孟加拉国农村地区儿童在洪灾期间的意外伤害以及父母对他们的暴力行为，并探讨社会经济特征之间的关联。
在受灾最严重的地区进行了一项横断面农村家庭调查。一组638名随机挑选的有至少一个孩子在家的育龄已婚妇女，使用预先测试的结构化问卷进行面对面访谈。采用卡方检验和逻辑回归进行数据分析。
大多数家庭（90%）受到洪水影响，难以找到食物和住所，导致父母对家中的孩子和其他家庭成员变得暴力。割伤（38%）、摔倒（22%）和溺水未遂（21%）构成了洪灾期间影响儿童的大多数意外伤害。大量儿童在洪灾期间遭到父母虐待（70% 遭母亲虐待，40% 遭父亲虐待）。在社会经济条件差、父母职业地位低且在洪灾期间有小额信贷贷款的家庭中，儿童受伤和父母对儿童暴力行为的发生率更高。
洪水可能对儿童伤害和父母对儿童的暴力行为产生重大影响。改善社会经济条件将有助于预防儿童伤害和父母暴力行为。
