Peking University, Beijing, China.
Uppsala University, Uppsala, Sweden.
J Interpers Violence. 2022 Jul;37(13-14):NP11413-NP11435. doi: 10.1177/0886260521991895. Epub 2021 Feb 12.
To estimate the prevalence of violent discipline at home against young children, and to explore the potential association between violent discipline at home and multifaceted health risks in children. A community-based cross-sectional survey was conducted in twenty rural counties of weight provinces in western China. The information about child neglect and socio-demographic factors, exposure to different forms of violent discipline at home and four health outcomes was collected by face-to-face interview. Before analysis, the included interviews were weighted by the double-weighted comprehensive weighting. The proportion of children reported by primary caregivers to have experienced different forms of violent discipline by gender were calculated. To adjust the clustering effect of the survey design, two-level univariate and multivariate logistic regression models were constructed to evaluate the potential association between a child's exposure to violent discipline at home and risk of suffering from diarrhea, fever, cough and injury. A total of 3,682 weighted interviews were finally included in the analysis. The prevalence of any violent discipline, psychological aggression, any physical punishment and severe physical punishment were 76.4%, 57.5%, 68.3% and 14.1%, respectively. In multivariate analysis, after adjusting for clustering, there was still a positive association between a child's exposure to psychological aggression and risk of diarrhea (adjusted OR: 1.47, 95%CI: 1.14-1.90) and injury (adjusted OR: 1.95, 95%CI: 1.36-2.80); a child's exposure to any physical punishment and risk of diarrhea (adjusted OR: 1.36, 95%CI: 1.04-1.77), cough (adjusted OR: 1.37, 95%CI: 1.14-1.66), and injury (adjusted OR: 2.05, 95%CI: 1.37-3.06); and a child's exposure to severe physical punishment and risk of injury (adjusted OR: 2.07, 95%CI: 1.41-3.05). Considering that using violent discipline at home is prevalent in rural western China, and it could threaten young children's health, effective measures to prevent young children from violent discipline are urgently needed.
为了估计儿童在家中遭受暴力管教的流行程度，并探讨家庭中暴力管教与儿童多方面健康风险之间的潜在关联，我们在中国西部 5 个省份的 20 个农村县进行了一项基于社区的横断面调查。通过面对面访谈收集了儿童忽视和社会人口因素、家庭中不同形式的暴力管教暴露情况以及 4 项健康结果的信息。在分析之前，通过双重加权综合加权对纳入的访谈进行了加权。按性别计算了主要照顾者报告的经历过不同形式暴力管教的儿童比例。为了调整调查设计的聚类效应，构建了两水平单变量和多变量逻辑回归模型，以评估儿童在家中遭受暴力管教与腹泻、发热、咳嗽和受伤风险之间的潜在关联。最终纳入了 3682 次加权访谈进行分析。任何形式的暴力管教、心理攻击、任何形式的身体惩罚和严重身体惩罚的流行率分别为 76.4%、57.5%、68.3%和 14.1%。在多变量分析中，在校正聚类后，儿童遭受心理攻击与腹泻（调整后的 OR：1.47，95%CI：1.14-1.90）和受伤（调整后的 OR：1.95，95%CI：1.36-2.80）风险之间仍存在正相关；儿童遭受任何形式的身体惩罚与腹泻（调整后的 OR：1.36，95%CI：1.04-1.77）、咳嗽（调整后的 OR：1.37，95%CI：1.14-1.66）和受伤（调整后的 OR：2.05，95%CI：1.37-3.06）风险之间仍存在正相关；儿童遭受严重身体惩罚与受伤（调整后的 OR：2.07，95%CI：1.41-3.05）风险之间仍存在正相关。考虑到农村西部地区在家中使用暴力管教很普遍，并且可能会威胁到幼儿的健康，迫切需要采取有效措施防止幼儿遭受暴力管教。
