Taylor Julie, Bradbury-Jones Caroline, Lazenbatt Anne, Soliman Francesca
Child Protection Research Centre, University of Edinburgh/NSPCC, Simon Laurie House, 186-198 Canongate, Edinburgh EH8 8AQ, UK.
School of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
J Public Health (Oxf). 2016 Sep;38(3):426-431. doi: 10.1093/pubmed/fdv117. Epub 2015 Aug 27.
The manifesto Start Well, Live Better by the UK Faculty of Public Health (Start Well, Live Better-A Manifesto for the Public's Health. London: UK Faculty of Public Health, 2014) sets out 12 compelling priorities for the protection of people's health. The focus of this document is preventative, calling for a comprehensive strategy to target a wide-ranging set of challenges to public health; however, it fails to mention child maltreatment and its negative impact on long-term health outcomes. In this article, we explore the long-term negative consequences of child maltreatment and how these can be conceptually aligned with four different characteristics of long-term health conditions. We suggest that situating child maltreatment within a long-term conditions framework could have significant advantages and implications for practice, policy and research, by strengthening a commitment across disciplines to apply evidence-based principles linked with policy and evaluation and recognizing the chronic effects of maltreatment to concentrate public, professional and government awareness of the extent and impact of the issue. We argue that a public health approach is the most effective way of focusing preventative efforts on the long-term sequelae of child maltreatment and to foster cooperation in promoting children's rights to grow and develop in a safe and caring environment free from violence and abuse.
英国公共卫生学院的宣言《良好开端，美好生活》（《良好开端，美好生活——公众健康宣言》。伦敦：英国公共卫生学院，2014年）提出了12项引人关注的保护公众健康的优先事项。该文件的重点是预防性的，呼吁制定一项全面战略，以应对一系列广泛的公共卫生挑战；然而，它没有提及儿童虐待及其对长期健康结果的负面影响。在本文中，我们探讨了儿童虐待的长期负面后果，以及这些后果如何在概念上与长期健康状况的四个不同特征相契合。我们认为，将儿童虐待置于长期健康状况框架内，可能会对实践、政策和研究产生重大优势和影响，通过加强各学科的承诺，应用与政策和评估相关的循证原则，并认识到虐待的长期影响，以集中公众、专业人士和政府对该问题的范围和影响的认识。我们认为，公共卫生方法是将预防工作重点放在儿童虐待的长期后遗症上，并促进合作以保障儿童在安全、关爱的环境中成长和发展、免受暴力和虐待权利的最有效方式。
