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儿童认知和社会情感困难对儿童虐待的影响:母亲对亲密伴侣暴力的合理化是否也起作用?

Impact of child's cognitive and social-emotional difficulties on child abuse: Does mother's justification of intimate partner violence also play a role?

机构信息

Institute of Statistical Research and Training (ISRT), University of Dhaka, Dhaka, 1000, Bangladesh.

出版信息

Child Abuse Negl. 2021 Jul;117:105028. doi: 10.1016/j.chiabu.2021.105028. Epub 2021 Mar 26.

Abstract

BACKGROUND

Violence against children has been a persistent problem in developing nations. The adverse effects of physical violence bear a considerable impact on children's physical and psychological development resulting in both short and long-term issues.

OBJECTIVE

The aim of this study was to explore whether children with cognitive and social-emotional difficulties (CSEDs) were at a higher risk of experiencing physical abuse and whether mothers' views on intimate partner violence (IPV) were also related to physical abuse against children.

PARTICIPANTS AND SETTING

The Bangladesh Multiple Indicator Cluster Survey-2019 was used with a sample of 27,086 children aged 5-14.

METHODS

Generalized linear modelling along with a machine learning method of classification trees was employed to investigate the important sociodemographic characteristics and identify the most vulnerable groups of children based on their likelihood of exposure to household-violence.

RESULTS

Nearly 62.5 % of the children were physically abused by their mothers. Children with CSEDs were 53 % (OR 1.53; 95 % CI: 1.41, 1.67) more likely to experience physical abuse and mothers' justification of IPV was associated with a 16 % higher risk (OR 1.16; 95 % CI: 1.08, 1.26). Moreover, younger children aged 11 or below belonged to the high-risk groups of experiencing abuse.

CONCLUSIONS

The findings suggest that violence against children is widespread in Bangladesh, especially in children having CSEDs. Mothers' acceptance of IPV was also associated with increased abusive practice against children. Sincere focus on these issues is imperative if Bangladesh intends to achieve the sustainable development goal 16.2 of eradicating all forms of violence against children and ensure their safe development.

摘要

背景

针对儿童的暴力行为一直是发展中国家的一个长期存在的问题。身体暴力的不良影响对儿童的身体和心理发育造成了相当大的影响,导致短期和长期问题。

目的

本研究旨在探讨认知和社会情感困难(CSED)儿童是否面临更高的身体虐待风险,以及母亲对亲密伴侣暴力(IPV)的看法是否也与针对儿童的身体虐待有关。

参与者和设置

本研究使用了孟加拉国 2019 年多指标类集调查(Bangladesh Multiple Indicator Cluster Survey-2019)的数据,样本量为 27086 名 5-14 岁的儿童。

方法

采用广义线性模型和分类树机器学习方法,调查了重要的社会人口学特征,并根据儿童遭受家庭暴力的可能性,确定了最脆弱的儿童群体。

结果

近 62.5%的儿童受到母亲的身体虐待。有 CSED 的儿童遭受身体虐待的可能性高 53%(OR 1.53;95%CI:1.41,1.67),母亲对 IPV 的合理化与 16%的更高风险相关(OR 1.16;95%CI:1.08,1.26)。此外,年龄在 11 岁或以下的年幼儿童属于遭受虐待的高风险群体。

结论

研究结果表明,孟加拉国针对儿童的暴力行为普遍存在,尤其是在有 CSED 的儿童中。母亲对 IPV 的接受也与针对儿童的虐待行为增加有关。如果孟加拉国要实现消除一切形式针对儿童暴力行为并确保其安全发展的可持续发展目标 16.2,就必须认真关注这些问题。

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