McGill Group on Suicide Studies, Montréal, Québec, Canada.
Psychiatry Department, Montréal University, Montreal, Québec, Canada.
Eur J Pediatr. 2019 Sep;178(9):1423-1432. doi: 10.1007/s00431-019-03432-6. Epub 2019 Jul 23.
Physical and sexual abuse in childhood is a worldwide phenomenon with potentially dramatic consequences of both a psychological and physical nature. Measures of primary prevention have been developed in some countries. In the USA, child protection services reports and research surveys indicate that child sexual abuse has been on the decline in recent decades. Results are less clear for physical and overall abuse. The aim of this study was to describe how childhood abuse has changed over the years in Canada through an analysis of the 2012 Canadian Community Health Survey: Mental Health Edition data. The sample comprised 22,775 respondents ages 20 and over who completed a child abuse questionnaire. Respondents born from 1983 to 1992 reported significantly less overall abuse, physical abuse, and sexual abuse than did older generations, with the exception of people born in 1942 or earlier. The decrease was observed among men and women and across all the regions of Canada.Conclusion: The results are encouraging in that they may have an impact on life expectancy, severity of various chronic disorders, and suicide in the population. They also support policies that have focused on improving the childhood environment in the 1990s. Results also underline the importance of using different kinds of data sources for evaluating child abuse. What is Known: • Physical and sexual abuse in childhood has been associated with lower life expectancy in connection with an array of chronic diseases, including mental disorders, and with suicide. • Measures of primary prevention have been developed in some countries, such as the USA and Canada. What is New: • Canadians born from 1983 to 1992 report significantly less overall abuse, physical abuse, and sexual abuse than older generations do. • These encouraging results support policies implemented in the 1990s focused on improving the childhood environment.
儿童期的身体和性虐待是一种全球性现象,可能会产生心理和生理两方面的巨大后果。一些国家已经制定了初级预防措施。在美国,儿童保护服务报告和研究调查表明,儿童性虐待在最近几十年呈下降趋势。身体和总体虐待的结果则不太明确。本研究的目的是通过分析 2012 年加拿大社区健康调查:心理健康版的数据,描述加拿大多年来儿童虐待情况的变化。该样本包括 22775 名年龄在 20 岁及以上完成儿童虐待问卷的受访者。与前几代人相比,1983 年至 1992 年出生的人报告的总体虐待、身体虐待和性虐待明显较少,1942 年或更早出生的人除外。这种下降现象在男性和女性以及加拿大所有地区都观察到。结论:这些结果令人鼓舞,因为它们可能对人口的预期寿命、各种慢性疾病的严重程度和自杀率产生影响。这些结果还支持了 90 年代以来专注于改善儿童环境的政策。研究结果还强调了使用不同类型的数据源评估儿童虐待的重要性。已知情况:•儿童期的身体和性虐待与一系列慢性疾病(包括精神障碍)和自杀有关,会导致预期寿命缩短。•一些国家,如美国和加拿大,已经制定了初级预防措施。新情况:•1983 年至 1992 年出生的加拿大人报告的总体虐待、身体虐待和性虐待明显少于前几代人。•这些令人鼓舞的结果支持了 90 年代实施的专注于改善儿童环境的政策。