JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Health Law, Policy and Management, Boston University, School of Public Health, Boston, MA United States.
JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Child Abuse Negl. 2018 Nov;85:1-8. doi: 10.1016/j.chiabu.2018.08.022. Epub 2018 Sep 7.
Physical child punishment is a critical public health problem that exhibits negative and long-lasting mental and physical health consequences. Yet, the predictors of physical punishment are understudied in developing countries, and disparities that exist between levels of economic status are not known well. The socioeconomic predictors of physical child punishment were investigated using three rounds of the Multiple Indicator Cluster Survey (MICS) results in a lower middle-income country, Viet Nam from 2006 to 2014. A total of 16,784 households that have answered the child punishment questionnaire from MICS data from 2006 to 2014 were included in the analysis. Descriptive statistics, univariate, and multivariate logistic regression analyses were conducted. A secular trend of disparity was investigated with and without the parents' normative values on physical punishment. Children in Viet Nam have been subject to some form of violent physical punishment by their parents or caregivers. About half of the children in the poorest households (44.7%) experienced physical child punishment while lesser percentage of children in the richer households experienced physical child punishment. Disparities existed across different wealth groups as the prevalence of physical child punishment decreased: the gap between the poorest and the richest group widened. Compared to the richest households, the poorest households were more likely to experience physical child punishment AOR 1.58 (95% CI 1.39-1.79). There is a decrease in the prevalence of physical punishment over the recent years in Viet Nam, socioeconomic disparities, in contrast, have increased, and the poorest children have a higher risk of experiencing physical child punishment. Such disparities should be considered in future research and intervention development.
身体惩罚儿童是一个严重的公共卫生问题,会对儿童身心健康产生负面影响且持续时间长。然而,在发展中国家,身体惩罚的预测因素研究还不够充分,也不清楚经济地位水平之间存在的差异。本研究使用 2006 年至 2014 年越南三次多指标类集调查(MICS)结果,调查了中低收入国家身体惩罚儿童的社会经济预测因素。共纳入了 2006 年至 2014 年 MICS 数据中回答了儿童惩罚问卷的 16784 户家庭。进行了描述性统计、单变量和多变量逻辑回归分析。并在考虑和不考虑父母对身体惩罚的规范价值观的情况下,调查了时间趋势的差异。越南的儿童受到父母或照顾者某种形式的暴力身体惩罚。最贫困家庭(44.7%)中约有一半的儿童经历过身体惩罚,而较富裕家庭中经历过身体惩罚的儿童比例较小。不同财富群体之间存在差异,因为身体惩罚的流行率降低:最贫困和最富裕群体之间的差距扩大。与最富裕的家庭相比,最贫困的家庭更有可能经历身体惩罚(AOR 1.58,95%CI 1.39-1.79)。近年来,越南身体惩罚的流行率有所下降,相比之下,社会经济差异有所增加,最贫困的儿童经历身体惩罚的风险更高。未来的研究和干预措施的制定应考虑到这些差异。