University of Toronto, Ontario, Canada.
Child Abuse Negl. 2011 Apr;35(4):236-9. doi: 10.1016/j.chiabu.2011.03.001. Epub 2011 Apr 8.
To examine evidence available in large-scale North American datasets on child abuse and neglect that can assist in understanding the complexities of child protection case classifications.
A review of child abuse and neglect data from large North American epidemiological studies including the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS), the National Child Abuse and Neglect Data System (NCANDS), and the National Incidence Studies of Reported Child Abuse and Neglect (NIS).
The authors of this paper argue that recent evidence from large North American epidemiological studies examining the incidence of child abuse and neglect demonstrate that children and families identified as being at risk of maltreatment present with as many household and caregiver concerns as investigations that are substantiated.
In order to continue to develop appropriate services and policies for vulnerable children the authors urge continue definitional clarity for research in child maltreatment that considers the exemplars or indicators of categories, in tandem with parental and child characteristics which can provide one source of evidence-basis to meaningful child protection case classifications. Continued monitoring, refined by the dilemmas faced in practice, are critical for a continued public health investment in children's well-being, predicated upon upholding children's rights.
在大规模的北美数据集上检查有关虐待和忽视儿童的现有证据，以帮助理解儿童保护案件分类的复杂性。
对来自加拿大报告儿童虐待和忽视情况的发生率研究（CIS）、国家儿童虐待和忽视数据系统（NCANDS）以及国家报告儿童虐待和忽视发生率研究（NIS）等大型北美流行病学研究中的儿童虐待和忽视数据进行了回顾。
本文的作者认为，最近来自大型北美流行病学研究的证据表明，被确定有虐待风险的儿童和家庭与经证实的虐待调查一样，存在许多家庭和照顾者的问题。
为了继续为弱势儿童制定适当的服务和政策，作者强烈要求在儿童虐待研究中继续明确定义，同时考虑到类别范例或指标，以及父母和儿童的特征，这可以为有意义的儿童保护案件分类提供证据基础之一。持续监测，并结合实践中面临的困境进行改进，对于维护儿童权利前提下对儿童福祉的公共卫生投资至关重要。
