Kitano Naomi, Lee Kumsun, Nakamura Yasuhide
Research Center for Community Medicine, Wakayama Medical University.
Department of Public Health, School of Medicine, Wakayama Medical University.
Nihon Eiseigaku Zasshi. 2019;74(0). doi: 10.1265/jjh.18032.
In this study, we examined the changes in the demographic characteristics of foreign residents in Japan (FRJ) and the current status of FRJ from a global health perspective. We also considered child maltreatment that occurred in FRJ families and language problems in child welfare. Japan's official statistics in the end of 2017 indicated that there were more than 2.56 million FRJ from over 190 countries. This population was diverse with heterogeneous characteristics, such as age structure, dwelling place, marital status, and childbirth. At the end of 2017, there were 219,982 FRJ children aged 0-14 of various nationalities, including Chinese, Brazilian, South Korean, North Korean, Filipino, Vietnamese, Peruvian, Nepalese, and Indian. In 2010, we conducted our first survey of child maltreatment in FRJ families, targeting 219 child protection centers across Japan. Between April 2007 and August 2010, 1,639 child maltreatment cases were reported from 56% of these centers. Details of 1,111 cases were collected and descriptive analyses were conducted. The male-to-female ratio was 0.88 and the median age was 8 years: however, the age distribution showed that females were significantly older than males (P < 0.01). The proportions of physical abuse, child neglect, emotional abuse, and sexual abuse were 38%, 33%, 21%, and 7%, respectively. Native language problems created numerous challenges and required a large amount of effort from child welfare practitioners. However, most solutions to identified problems were still at the beginning stage and some were found to be ineffective. More interdisciplinary and integrated researches are needed targeting child welfare of FRJ. An ethical framework for good counseling practices should be developed.
在本研究中,我们从全球健康的角度审视了在日本的外国居民(FRJ)的人口特征变化以及FRJ的现状。我们还考虑了FRJ家庭中发生的儿童虐待问题以及儿童福利方面的语言问题。日本2017年底的官方统计数据表明,有来自190多个国家的超过256万FRJ。这一群体具有多样化的异质性特征,如年龄结构、居住地点、婚姻状况和生育情况。2017年底,有219,982名0至14岁的不同国籍的FRJ儿童,包括中国、巴西、韩国、朝鲜、菲律宾、越南、秘鲁、尼泊尔和印度的儿童。2010年,我们针对日本各地的219个儿童保护中心,首次对FRJ家庭中的儿童虐待情况进行了调查。在2007年4月至2010年8月期间,这些中心中有56%报告了1639起儿童虐待案件。收集了1111起案件的详细信息并进行了描述性分析。男女比例为0.88,中位年龄为8岁:然而,年龄分布显示女性明显比男性年龄大(P < 0.01)。身体虐待、忽视儿童、情感虐待和性虐待的比例分别为38%、33%、21%和7%。母语问题带来了诸多挑战,儿童福利工作者需要付出大量努力。然而,针对已发现问题的大多数解决方案仍处于起步阶段,有些被发现是无效的。需要针对FRJ儿童福利开展更多跨学科和综合性研究。应制定良好咨询实践的伦理框架。