Benedict M I, White R B, Wulff L M, Hall B J
Department of Maternal and Child Health, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.
Child Abuse Negl. 1990;14(2):207-17. doi: 10.1016/0145-2134(90)90031-n.
This study examined a population of children with multiple disabilities to investigate whether functional, developmental, or perinatal factors could differentiate children reported and substantiated as maltreated from those not so reported. Data were collected from medical records of a cohort of 500 children evaluated between 1973 and 1984 at the Kennedy Institute in Baltimore, Maryland. Maltreatment reporting was documented through the State of Maryland Abuse Registry and the counties of residence of all study children. Results indicated that the profiles of demographic and family characteristics associated with child maltreatment reporting in this population are consistent with the literature, but child functional and developmental characteristics were not confirmed as risk factors for substantiated maltreatment reports. Indeed, contrary to investigator expectations, the more severely disabled children, in terms of functioning, appeared at less risk of maltreatment than did disabled children functioning at more age-appropriate levels.
本研究对一群多重残疾儿童进行了调查，以探究功能、发育或围产期因素是否能够区分报告并经证实遭受虐待的儿童与未被如此报告的儿童。数据收集自1973年至1984年在马里兰州巴尔的摩肯尼迪研究所接受评估的500名儿童的病历。虐待报告通过马里兰州虐待登记处以及所有研究儿童的居住县进行记录。结果表明，该人群中与儿童虐待报告相关的人口统计学和家庭特征概况与文献一致，但儿童的功能和发育特征并未被确认为经证实的虐待报告的风险因素。事实上，与研究者的预期相反，就功能而言，残疾程度越严重的儿童遭受虐待的风险似乎比功能处于更符合年龄水平的残疾儿童更低。
