Department of Nursing, College of Medicine, National Cheng Kung University and Hospital, No. 1, University Road, Tainan City 701, Taiwan.
Department of Social Work, University of North Dakota, 225 Centennial Drive, Stop 7135, Grand Forks, ND, 58202, USA.
Child Abuse Negl. 2019 May;91:88-94. doi: 10.1016/j.chiabu.2019.02.013. Epub 2019 Mar 7.
Although research on the negative effects of childhood poly-victimization is substantial, few studies have examined the relationship between poly-victimization and younger children's physical health and diseases.
This study examines the associations between poly-victimization and children's health problems requiring medical attention.
A national stratified cluster random sampling was used to select and approach 25% of the total primary schools in Taiwan, and 49% of the approached schools agreed to participate in this study. We collected data with a self-report questionnaire from 6233 (4th-grade) students aged 10-11, covering every city and county in Taiwan.
Logistic regression analyses demonstrate a significant dose-response relationship between children's poly-victimization exposure and their health problems including hospitalization, serious injury, surgery, daily-medication requirements, heart murmurs, asthma, dizziness or fainting, allergies, kidney disease, therapies for special needs, smoking, and alcohol use. The results indicate that children's risk of having a health problem grew significantly with each increase in the number of victimization types that children experienced.
These research findings underscore the effect of poly-victimization on children's health problems requiring medical attention, and stress the need for both proper screening methods for children's exposure to poly-victimization and stronger awareness of poly-victimization's effects on health conditions in healthcare clinics.
尽管有关儿童多重受害的负面影响的研究很多,但很少有研究探讨多重受害与年幼儿童身体健康和疾病之间的关系。
本研究调查了多重受害与需要医疗关注的儿童健康问题之间的关联。
采用全国分层聚类随机抽样方法,选择台湾地区全部小学的 25%作为目标,并对其中 49%的目标小学进行了接触,邀请这些小学的 4 年级学生参与研究。共收集了来自台湾地区各个城市和乡镇的 6233 名(4 年级)年龄在 10-11 岁的学生的自我报告问卷数据。
逻辑回归分析表明,儿童多重受害暴露与他们的健康问题之间存在显著的剂量反应关系,这些健康问题包括住院、严重伤害、手术、日常用药需求、心脏杂音、哮喘、头晕或晕厥、过敏、肾脏疾病、特殊需求治疗、吸烟和饮酒。结果表明,随着儿童经历的受害类型数量的增加,他们出现健康问题的风险显著增加。
这些研究结果强调了多重受害对需要医疗关注的儿童健康问题的影响,并强调需要针对儿童遭受多重受害的情况制定适当的筛查方法,同时在医疗保健诊所中提高对多重受害对健康状况影响的认识。