Murray Joseph, Menezes Ana M B, Hickman Matthew, Maughan Barbara, Gallo Erika Alejandra Giraldo, Matijasevich Alicia, Gonçalves Helen, Anselmi Luciana, Assunção Maria Cecília F, Barros Fernando C, Victora Cesar G
Department of Psychiatry, University of Cambridge, Douglas House, 18b Trumpington Road, Cambridge, CB2 8AH, UK,
Soc Psychiatry Psychiatr Epidemiol. 2015 Apr;50(4):579-89. doi: 10.1007/s00127-014-0976-z. Epub 2014 Oct 16.
Most children live in low- and middle-income countries (LMICs), many of which have high levels of violence. Research in high-income countries (HICs) shows that childhood behaviour problems are important precursors of crime and violence. Evidence is lacking on whether this is also true in LMICs. This study examines prevalence rates and associations between conduct problems and hyperactivity and crime and violence in Brazil and Britain.
A comparison was made of birth cohorts in Brazil and Britain, including measures of behaviour problems based on parental report at age 11, and self-reports of crime at age 18 (N = 3,618 Brazil; N = 4,103 Britain). Confounders were measured in the perinatal period and at age 11 in questionnaires completed by the mother and, in Brazil, searches of police records regarding parental crime.
Conduct problems, hyperactivity and violent crime were more prevalent in Brazil than in Britain, but nonviolent crime was more prevalent in Britain. Sex differences in prevalence rates were larger where behaviours were less common: larger for conduct problems, hyperactivity, and violent crime in Britain, and larger for nonviolent crime in Brazil. Conduct problems and hyperactivity predicted nonviolent and violent crime similarly in both countries; the effects were partly explained by perinatal health factors and childhood family environments.
Conduct problems and hyperactivity are similar precursors of crime and violence across different social settings. Early crime and violence prevention programmes could target these behavioural difficulties and associated risks in LMICs as well as in HICs.
大多数儿童生活在低收入和中等收入国家(LMICs),其中许多国家暴力水平很高。高收入国家(HICs)的研究表明,儿童行为问题是犯罪和暴力的重要先兆。在低收入和中等收入国家是否也是如此,目前缺乏证据。本研究调查了巴西和英国品行问题、多动与犯罪及暴力之间的患病率和关联。
对巴西和英国的出生队列进行了比较,包括基于11岁时家长报告的行为问题测量,以及18岁时的犯罪自我报告(巴西N = 3618;英国N = 4103)。混杂因素在围产期和11岁时通过母亲填写的问卷进行测量,在巴西还包括查询警方关于父母犯罪的记录。
品行问题、多动和暴力犯罪在巴西比在英国更普遍,但非暴力犯罪在英国更普遍。患病率的性别差异在行为不太常见的地方更大:在英国,品行问题、多动和暴力犯罪的性别差异更大;在巴西,非暴力犯罪的性别差异更大。品行问题和多动在两个国家对非暴力和暴力犯罪的预测相似;这些影响部分由围产期健康因素和儿童期家庭环境解释。
品行问题和多动在不同社会环境中都是犯罪和暴力的相似先兆。早期犯罪和暴力预防项目可以针对低收入和中等收入国家以及高收入国家的这些行为困难及相关风险。