Sharma A, Sunderland R
Children's Programme, Springfields, Birmingham.
Arch Dis Child. 1988 Feb;63(2):172-5. doi: 10.1136/adc.63.2.172.
During the decade January 1976 to December 1985, as a result of increased public awareness, the numbers of reported (but not proved) cases of abuse to children living in South Birmingham increased thirty-fold; the incidence of detected and proved cases of abuse increased fourfold. The increase was principally due to bruises, scalds, and neglect. The numbers of serious fractures and brain injuries did not increase. The first case of sexual abuse was reported in 1981 and this was followed by a subsequent rise in the detection rate. The combination of increased reporting, increased incidence of proved abuse, and the necessity for increased supervision of families and intervention has created a serious burden on the child health services that may necessitate a reduction in services to other children. Alternative ways of tackling the problems of child abuse may have to be introduced, but they may have unwelcome consequences.
在1976年1月至1985年12月的十年间，由于公众意识的提高，居住在伯明翰南部遭受虐待（但未经证实）的儿童报告数量增加了30倍；经检测和证实的虐待儿童案件发生率增加了4倍。这种增加主要是由于瘀伤、烫伤和忽视。严重骨折和脑损伤的数量没有增加。1981年报告了第一起性虐待案件，随后检测率上升。报告数量增加、经证实的虐待发生率上升以及加强家庭监管和干预的必要性，给儿童健康服务带来了沉重负担，可能需要减少对其他儿童的服务。可能不得不引入其他解决虐待儿童问题的方法，但这些方法可能会带来不良后果。
