Feng Jui-Ying, Chang Yi-Ting, Chang Hsin-Yi, Fetzer Susan, Wang Jung-Der
Department of Nursing, College of Medicine, National Cheng Kung University and Hospital, Tainan, Taiwan.
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Child Abuse Negl. 2015 Apr;42:10-9. doi: 10.1016/j.chiabu.2014.11.010. Epub 2014 Dec 1.
Reported cases of child maltreatment are increasing in Taiwan. Yet, comprehensive epidemiological characteristics of adolescents' exposure over the wide spectrum of violence are still lacking. The purpose of this study was to estimate the prevalence and magnitude of child maltreatment among Taiwanese adolescents. A population-based study was conducted with 5,276 adolescents aged 12-18 from 35 schools in 17 cities and townships to determine the prevalence of five forms of child maltreatment in Taiwan. A total of 5,236 adolescents completed anonymous, self-report, structured questionnaires. Most adolescents (91%, n=4,788) experienced at least one form of maltreatment with 83% (n=4,347) exposed during the previous year. Violence exposure was the most common type of child maltreatment experienced, followed by psychological abuse, physical abuse, neglect, and sexual abuse. Adolescents reported an average of 7.4 (SD=5.87) victimizations over their lifetime and 4.8 (SD=4.82) victimizations during the past year. Females reported a higher rate of neglect, while males reported a higher rate of sexual abuse. Most of the sexual abuse perpetrators were known by their victims. Adolescents' victimization and polyvictimization from child maltreatment in Taiwan deserves a review and modification of national control and prevention policies.
台湾地区报告的虐待儿童案件数量正在增加。然而，对于青少年在广泛暴力形式下受虐情况的全面流行病学特征仍缺乏相关研究。本研究旨在估计台湾青少年中虐待儿童行为的发生率和严重程度。我们开展了一项基于人群的研究，对来自17个市乡镇35所学校的5276名12 - 18岁青少年进行调查，以确定台湾地区五种虐待儿童形式的发生率。共有5236名青少年完成了匿名的、自我报告的结构化问卷。大多数青少年（91%，n = 4788）经历过至少一种形式的虐待，其中83%（n = 4347）在过去一年中遭受过虐待。暴力侵害是最常见的虐待儿童形式，其次是心理虐待、身体虐待、忽视和性虐待。青少年报告称，他们一生中平均遭受7.4次（标准差 = 5.87）侵害，过去一年中平均遭受4.8次（标准差 = 4.82）侵害。女性报告的忽视率较高，而男性报告的性虐待率较高。大多数性虐待的实施者是受害者认识的人。台湾青少年遭受虐待儿童行为的侵害及多重受害情况值得对国家控制和预防政策进行审视和修订。
