1 King Abdullah International Medical Research Center (KAIMRC) and King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Saudi Arabia.
2 National Family Safety Program (NFSP).
Scand J Public Health. 2017 Jul;45(5):536-542. doi: 10.1177/1403494817703211. Epub 2017 Apr 12.
The aim of this study was to examine the relationship between child maltreatment (CM) and school performance among adolescents in Saudi Arabia.
A cross-sectional study was conducted in Riyadh, Saudi Arabia, in 2014. The enrolment criteria included both male and female Saudi students ( n=674; 52.7% male) aged 12-19 years ( M=15.6±1.6 years), attending intermediate and secondary schools belonging to the Ministry of National Guard. A self-administered questionnaire was used to gather information on different forms of abuse that had occurred in the past or were currently occurring.
Poor school performance was more likely in students who lived among substance-use family members or guardians compared with those who did not (33.3% vs. 11.4%; p<0.01), those with an imprisoned family member compared with those without (26.5% vs. 11.2%; p<0.01), those who were psychologically abused compared with those who were not abused (21.0% vs. 10.1%; p<0.01), those who were physically abused compared with those who were not abused (18.9% vs. 9.3%; p<0.01), and those suffering multiple forms of abuse compared with those not abused (23.4% vs. 9.7%; p<0.01). Logistic regression analysis showed that household dysfunction was the most predisposing factor to poor performance in school, and included living among substance-use family members or guardians (odds ratio=4.0; 95% confidence interval=1.7-9.5) and living with imprisoned family member (odds ratio=3.1, 95% confidence interval=1.5-6.3).
CM, along with family structure and dynamics, has an adverse relationship with students' school performance. These findings highlight the importance of increasing awareness of the impact of CM on school performance among families, schools and the community.
本研究旨在探讨沙特阿拉伯青少年中儿童虐待（CM）与学校表现之间的关系。
2014 年在沙特阿拉伯利雅得进行了一项横断面研究。纳入标准包括年龄在 12-19 岁（M=15.6±1.6 岁）的男女沙特学生（n=674；52.7%为男性），他们都在属于国民警卫队的中学和高中就读。使用自我管理问卷收集过去或目前发生的不同形式虐待的信息。
与没有生活在滥用药物的家庭成员或监护人中的学生相比，生活在滥用药物的家庭成员或监护人中的学生（33.3%比 11.4%；p<0.01）、有监禁家庭成员的学生（26.5%比 11.2%；p<0.01）、遭受心理虐待的学生（21.0%比 10.1%；p<0.01）、遭受身体虐待的学生（18.9%比 9.3%；p<0.01）和遭受多种形式虐待的学生（23.4%比 9.7%；p<0.01）更有可能表现不佳。逻辑回归分析表明，家庭功能障碍是导致学业成绩不佳的最主要因素，包括生活在滥用药物的家庭成员或监护人中（优势比=4.0；95%置信区间=1.7-9.5）和与监禁家庭成员一起生活（优势比=3.1，95%置信区间=1.5-6.3）。
CM 以及家庭结构和动态与学生的学校表现呈负相关。这些发现强调了提高家庭、学校和社区对 CM 对学校表现影响的认识的重要性。
