St. George's Hospital, Stafford, United Kingdom; Institute for Mind and Brain,Inmind, Thrissur, Kerala, India.
Govt. Medical College, Thrissur, Kerala, India.
Child Abuse Negl. 2017 Aug;70:356-363. doi: 10.1016/j.chiabu.2017.06.025. Epub 2017 Jul 7.
Very few studies focus on childhood abuse in developing countries and only a small fraction of such studies explicitly deal with abuse in a school environment. The purpose of this study was to estimate the prevalence of sexual, physical, and emotional abuse in a school environment in a developing country. Abuse history was collected using the International Society for the Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool - Children's Institutional Version (ICAST-CI). Demographic variables were also collected. Student supportive measures were provided both during and after the survey. 6682 school attending adolescents in Thrissur, Kerala participated in this cross sectional self report study. One year and lifetime prevalence of physical (75.5%, 78.5%), emotional (84.5%, 85.7%) and sexual (21.0%, 23.8%) abuse was high. Abuse was considered to be present even if an individual item from these three categories was reported. Most abuse was reported as occurring 'sometimes' rather than 'many times'. More males than females reported being victims of abuse; figures for one-year prevalence were: physical abuse (83.4% vs. 61.7%), emotional abuse (89.5% vs. 75.7%), and sexual abuse (29.5% vs. 6.2%). Various factors significantly increase the likelihood of abuse-male gender, low socioeconomic status, regular use of alcohol and drugs by family member at home, and having other difficulties at school. Children tended to report abuse less frequently if they liked attending school and if they always felt safe at school. The results highlight the urgent need to address the issue of abuse in the school environment and minimize its impact.
很少有研究关注发展中国家的儿童虐待问题，只有一小部分此类研究明确涉及学校环境中的虐待问题。本研究旨在评估发展中国家学校环境中性虐待、身体虐待和情感虐待的发生率。使用国际儿童虐待预防和处理协会（ISPCAN）儿童虐待筛查工具-儿童机构版（ICAST-CI）收集虐待史。还收集了人口统计学变量。在调查期间和之后都提供了学生支持措施。在喀拉拉邦的特里苏尔，有 6682 名在校青少年参与了这项横断面自我报告研究。身体虐待（75.5%，78.5%）、情感虐待（84.5%，85.7%）和性虐待（21.0%，23.8%）的一年和终身患病率都很高。即使报告了这三个类别中的一个项目，也认为存在虐待。大多数虐待被报告为“有时”而不是“多次”发生。与女性相比，更多的男性报告遭受虐待；一年期患病率的情况为：身体虐待（83.4%比 61.7%）、情感虐待（89.5%比 75.7%）和性虐待（29.5%比 6.2%）。各种因素显著增加了遭受虐待的可能性-男性性别、低社会经济地位、家庭成员经常在家中使用酒精和毒品，以及在学校有其他困难。如果孩子喜欢上学并且在学校总是感到安全，他们报告虐待的频率就会降低。研究结果突出表明，迫切需要解决学校环境中的虐待问题，并尽量减少其影响。
