自然灾害和冲突中的儿童虐待:系统评价。

Child Abuse in Natural Disasters and Conflicts: A Systematic Review.

机构信息

Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Health in Disaster and Emergency, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Trauma Violence Abuse. 2021 Jan;22(1):176-185. doi: 10.1177/1524838019835973. Epub 2019 Mar 13.

Abstract

Violence against children affects a significant portion of youth around the world. Emergencies and natural disasters escalate the risk due to weakened child protection systems and disruption of preventative mechanisms. In this systematic review, 692 related papers were searched in various databases in the initial search. After review, 11 papers were finally selected for full review. These papers were selected based on publication date, relevance to emergencies, their geographical area type of violence, age of subjects, and their gender. Most families affected by natural disasters, especially those in lower socioeconomic status, face greater social and economic pressures. The families that are more vulnerable to loss of food and shelter commit violence against children more frequently. On the other hand, while the rate of violence increases in emergencies, the reported rate of violence is less than the actual rate due to lack of required infrastructure and reporting mechanisms. The emergency housing increased risk of some types of child abuse. The history of exposure to violence, parental substance abuse, poverty, and child labor were predictors of increased violence against children in emergency situations. Sexual violence against girls after conflicts and physical violence against boys after emergencies are common forms of violence. Poverty as another predictor exposes children to more violence due to limited family economic resources and support. Given the identified predictors of violence, humanitarian organizations can come closer to providing appropriate plans to reduce the risk during and postdisaster.

摘要

儿童暴力问题影响着全球很大一部分青少年。紧急情况和自然灾害会加剧这一风险,因为儿童保护系统被削弱,预防机制被打乱。在本次系统综述中,最初在多个数据库中搜索到了 692 篇相关论文。经过审查,最终有 11 篇论文被选为全文审查。这些论文是根据发表日期、与紧急情况的相关性、暴力发生的地理区域类型、研究对象的年龄以及他们的性别来选择的。大多数受自然灾害影响的家庭,尤其是那些社会经济地位较低的家庭,面临着更大的社会和经济压力。那些更容易失去食物和住所的家庭更频繁地对儿童施暴。另一方面,尽管紧急情况下暴力发生率上升,但由于缺乏必要的基础设施和报告机制,报告的暴力发生率低于实际发生率。紧急住房增加了某些类型虐待儿童的风险。遭受过暴力侵害的经历、父母的药物滥用、贫困和童工等是紧急情况下儿童遭受更多暴力的预测因素。冲突后对女孩的性暴力和紧急情况后对男孩的身体暴力是常见的暴力形式。作为另一个预测因素,贫困使儿童更容易遭受更多暴力,因为家庭经济资源和支持有限。鉴于已确定的暴力预测因素,人道主义组织可以更接近地提供适当的计划,以减少灾害期间和之后的风险。

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