Jack S M
School of Nursing, McMaster University, Hamilton, Ontario.
Chronic Dis Can. 2010 Dec;31(1):39-44.
Child maltreatment is a significant health and social issue given its prevalence across the general population and the significant short- and long-term outcomes associated with maltreatment in childhood. There is a need for a comprehensive, collaborative and multisectoral approach for identification, prevention and intervention of this complex issue. Within this multisectoral collaboration, it is essential for public health in Canada to define its role in addressing and preventing child maltreatment. This commentary summarizes how public health can address the issue of child maltreatment in Canada by specifically: 1) measuring the magnitude of maltreatment through public health surveillance systems such as the Canadian Incidence Study of Reported Child Abuse and Neglect; 2) identifying modifiable risk factors; 3) identifying and evaluating community-based interventions to prevent violence; and 4) implementing evidence-based primary prevention strategies.
儿童虐待是一个重大的健康和社会问题,因为它在普通人群中普遍存在,且与儿童期虐待相关的短期和长期后果严重。对于这一复杂问题的识别、预防和干预,需要采取全面、协作和多部门的方法。在这种多部门合作中,加拿大公共卫生部门明确其在解决和预防儿童虐待方面的作用至关重要。本评论总结了公共卫生部门如何通过以下具体方式解决加拿大的儿童虐待问题:1)通过公共卫生监测系统,如《加拿大儿童虐待和忽视举报事件发生率研究》,来衡量虐待的程度;2)识别可改变的风险因素;3)识别和评估基于社区的预防暴力干预措施;4)实施基于证据的一级预防策略。