Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Crimes Against Children Research Center, Department of Sociology, University of New Hampshire, Durham, New Hampshire.
Am J Prev Med. 2018 Jan;54(1):129-132. doi: 10.1016/j.amepre.2017.08.031. Epub 2017 Nov 11.
Official data sources do not provide researchers, practitioners, and policy makers with complete information on physical injury from child abuse. This analysis provides a national estimate of the percentage of children who were injured during their most recent incident of physical abuse.
Pooled data from three cross-sectional national telephone survey samples (N=13,052 children) included in the National Survey of Children's Exposure to Violence completed in 2008, 2011, and 2014 were used.
Analyses completed in 2016 indicate that 8.4% of children experienced physical abuse by a caregiver. Among those with injury data, 42.6% were injured in the most recent incident. No differences in injury were observed by sex, age, race/ethnicity, or disability status. Victims living with two parents were less likely to be injured (27.1%) than those living in other family structures (53.8%-59%, p<0.001). Incidents involving an object were more likely to result in injury (59.3% vs 38.5%, p<0.05). Injured victims were significantly more likely to experience substantial fear (57.3%) than other victims (34.4%, p<0.001).
A substantial percentage of physical abuse victims are physically hurt to the point that they still feel pain the next day, are bruised, cut, or have a broken bone. Self-report data indicate this is a more common problem than official data sources suggest. The lack of an object in an incident of physical abuse does not protect a child from injury. The results underscore the impact of childhood physical abuse and the importance of early prevention activities.
官方数据来源并未向研究人员、从业者和政策制定者提供关于儿童虐待所致身体伤害的完整信息。本分析提供了全国范围内因近期遭受身体虐待而受伤的儿童比例的估计值。
使用 2008 年、2011 年和 2014 年完成的全国儿童遭受暴力情况调查中包含的三个横截面全国电话调查样本（N=13052 名儿童）的汇总数据。
2016 年完成的分析表明，8.4%的儿童受到照顾者的身体虐待。在有受伤数据的儿童中，42.6%在最近一次事件中受伤。按性别、年龄、种族/族裔或残疾状况观察，受伤情况没有差异。与生活在双亲家庭的受害者（27.1%）相比，生活在其他家庭结构中的受害者（53.8%-59%，p<0.001）更有可能受伤。涉及物体的事件更有可能导致受伤（59.3%比 38.5%，p<0.05）。受伤的受害者明显更有可能感到极度恐惧（57.3%比其他受害者 34.4%，p<0.001）。
相当一部分身体虐待受害者身体受伤，以至于第二天仍感到疼痛、有瘀伤、割伤或骨折。自我报告的数据表明，这是一个比官方数据来源显示的更常见的问题。身体虐待事件中没有物体并不能保护儿童免受伤害。结果强调了儿童身体虐待的影响以及早期预防活动的重要性。
