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儿童虐待与城市中国儿童的生活质量。

Child Maltreatment and Quality of Life Among Urban Chinese Children.

机构信息

East China University of Science and Technology, Shanghai, China.

出版信息

J Interpers Violence. 2021 Dec;36(23-24):NP13077-NP13093. doi: 10.1177/0886260519900331. Epub 2020 Feb 11.

Abstract

Child maltreatment is an international public health problem. The aftermath can appear in multiple aspects of individual health and development, including decreased physical and emotional function, posttraumatic stress disorder (PTSD), and suicide attempts. However, there is lack of evidence regarding the quality of life of maltreated children. This study aims to examine the association between children's maltreatment experience and their quality of life. This study employed a cross-sectional design and surveyed 1,093 primary school children (including migrant children and nonmigrant children) in Shanghai, China. The Parent-Child Conflict Tactics Scale (CTSPC) and Pediatrics Quality of Life Inventory were used to measure children's experiences of child maltreatment and their quality of life. Corporal punishment (89.47%) was the most prevalent form of child maltreatment, followed by physical assault (80.21%), psychological abuse (65.00%), and neglect (52.26%). Children's migration status was not associated with their quality of life; however, social capital factors were all associated with increased levels of quality of life. Children's victimization experience, including severe to very severe physical assault (β = -3.34/-3.80, < .001), psychological assault (β = -3.74, < .001), corporal punishment (β = -2.46, < .01), and neglect (β = -4.31, < .001), was associated with their decreased quality of life. The results show that child maltreatment threatens the quality of life of children. There is a need for developing effective interventions to prevent child maltreatment and reduce the adverse outcomes among children with maltreatment experiences.

摘要

儿童虐待是一个国际性的公共卫生问题。其后果可能会出现在个人健康和发展的多个方面,包括身体和情绪功能下降、创伤后应激障碍(PTSD)和自杀企图。然而,关于受虐待儿童的生活质量的证据不足。本研究旨在探讨儿童虐待经历与生活质量之间的关系。本研究采用横断面设计,对中国上海的 1093 名小学生(包括流动儿童和非流动儿童)进行了调查。使用父母-子女冲突策略量表(CTSPC)和儿科生活质量量表评估儿童虐待经历和生活质量。身体惩罚(89.47%)是最常见的儿童虐待形式,其次是身体攻击(80.21%)、心理虐待(65.00%)和忽视(52.26%)。儿童的迁移状况与生活质量无关;然而,社会资本因素均与生活质量的提高有关。儿童受害经历,包括严重至非常严重的身体攻击(β=-3.34/-3.80,<0.001)、心理攻击(β=-3.74,<0.001)、身体惩罚(β=-2.46,<0.01)和忽视(β=-4.31,<0.001),与生活质量下降有关。研究结果表明,儿童虐待威胁儿童的生活质量。需要制定有效的干预措施来预防儿童虐待,减少受虐待儿童的不良后果。

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