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儿童福利应对措施与亲密伴侣暴力的亚型相关:来自加拿大报告儿童虐待和忽视的发生率研究的证据。

Child Welfare Responses Linked to Subtypes of Exposure to Intimate Partner Violence: Evidence From the Canadian Incidence Study of Reported Child Abuse and Neglect.

机构信息

McMaster University, Hamilton, Ontario, Canada.

Public Health Agency of Canada, Ottawa, Ontario, Canada.

出版信息

J Interpers Violence. 2020 Jul;35(13-14):2607-2623. doi: 10.1177/0886260517705661. Epub 2017 Apr 20.

DOI:10.1177/0886260517705661
PMID:29294723
Abstract

Children exposed to intimate partner violence (CE-IPV) are at increased risk for later health and social difficulties. To date, studies have primarily focused on CE-IPV as a unitary construct; this may lead to the mistaken assumption that all subtypes of CE-IPV (i.e., exposure to direct or indirect physical abuse, or exposure to emotional abuse) are equally harmful requiring similar responses from child welfare services. The purpose of this study was to examine child welfare responses by CE-IPV subtype in a large Canadian child welfare sample. Using data from the Canadian Incidence Study of Reported Child Abuse and Neglect-2008 ( = 2,184), we examined child welfare responses to CE-IPV subtypes or their co-occurrence. Information was obtained from child welfare workers' reports. Cases with co-occurring subtypes of CE-IPV were more likely to be substantiated and involved multiple incidents compared with that with single CE-IPV subtypes. Cases with direct physical CE-IPV and co-occurring CE-IPV were also more likely to remain open and have an application considered or made to child welfare court. Exposure to emotional IPV was the least likely to warrant interventions by welfare services, including referrals to specialized services. These results suggest that within CE-IPV subtypes, there is evidence of different responses (recommendations and services) once a case has been opened by a worker. Future research is needed to examine the effectiveness of the responses and outcomes for children following child welfare interventions.

摘要

儿童暴露于亲密伴侣暴力(CE-IPV)会增加以后出现健康和社会困难的风险。迄今为止,研究主要集中在作为一个整体结构的 CE-IPV;这可能导致错误的假设,即所有类型的 CE-IPV(即,暴露于直接或间接身体虐待,或暴露于情感虐待)同样具有危害性,需要儿童福利服务做出类似的反应。本研究的目的是在一个大型加拿大儿童福利样本中检查 CE-IPV 亚型的儿童福利反应。使用来自加拿大报告的儿童虐待和忽视发生率研究-2008 年(= 2184)的数据,我们检查了针对 CE-IPV 亚型或其共同发生的儿童福利反应。信息是从儿童福利工作者的报告中获得的。与单一 CE-IPV 亚型相比,共同发生的 CE-IPV 亚型的案件更有可能得到证实,并且涉及多个事件。同时存在直接身体 CE-IPV 和共同发生的 CE-IPV 的案件也更有可能保持开放状态,并考虑或向儿童福利法院提出申请。情感 IPV 的暴露最不可能需要福利服务的干预,包括向专门服务的转介。这些结果表明,在 CE-IPV 亚型内,一旦工人打开案件,就有证据表明存在不同的反应(建议和服务)。需要进一步研究以检验儿童福利干预后儿童的反应和结果的有效性。

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