Department of Psychiatry, University of California, San Diego, USA.
Child Maltreat. 2011 Aug;16(3):196-204. doi: 10.1177/1077559511415091. Epub 2011 Jul 29.
Few studies have investigated the prevalence of maltreatment among youths in public sectors of care despite the critical public health concern and the burden of suffering on such youths. The current study examined the prevalence of multiple types of maltreatment across five public sectors of care. Youths aged 11-18 (n = 1,135) enrolled in one of five public sectors of care reported on their maltreatment history using the Childhood Trauma Questionnaire. Across all sectors, 78% of youth reported experiencing at least moderate levels of maltreatment with the majority (58%) reporting multiple types of maltreatment. The prevalence of maltreatment was highest for youths involved in the alcohol/drug (86%) and child welfare (85%) sectors, and lowest in the serious emotional disturbance sector (72%). Logistic regressions were conducted to examine differences in the likelihood of multiple types of maltreatment by sector affiliation, controlling for the effects of gender, race/ethnicity, and age. The results indicate that rates of maltreatment across sectors do not differ greatly from those in child welfare. The high incidence of maltreatment across all sectors, not solely child welfare, indicates that all youth in public sectors of care should be screened for a history of maltreatment when they enter into care.
尽管虐待对这类年轻人造成了严重的公共卫生问题和痛苦，但鲜有研究调查公共照护部门中青少年的虐待发生率。本研究调查了五个公共照护部门中多种类型的虐待发生率。使用儿童期创伤问卷，年龄在 11-18 岁的青少年（n=1135）报告了他们的虐待史。在所有部门中，78%的青少年报告称至少经历过中度虐待，大多数（58%）报告称经历过多种类型的虐待。在涉及酒精/毒品（86%）和儿童福利（85%）部门的青少年中，虐待的发生率最高，而在严重情绪障碍部门中则最低（72%）。进行逻辑回归以检查部门关联对多种类型的虐待的可能性的差异，控制性别、种族/民族和年龄的影响。结果表明，各部门的虐待率与儿童福利部门的差异不大。所有部门的虐待发生率都很高，不仅仅是儿童福利部门，这表明所有进入公共照护部门的青少年在进入照护时都应该接受虐待史的筛查。
