Department of Emergency Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
Department of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Medicine (Baltimore). 2021 Apr 2;100(13):e25228. doi: 10.1097/MD.0000000000025228.
Low family income is a risk factor for child maltreatment. However, there has been no comparative study on the association between child maltreatment and family income. The objective of this study was to investigate the physical health and emotional and behavioral problems of maltreated children according to the economic status of their family.Cross-sectional nationwide studyData from 2012 to 2014 was extracted from the Korean National Child Abuse Registry (age <18 years) operated by the National Child Protection Agency (NCPA). Demographic characteristics and 34 physical health and emotional/behavioral problems of maltreated children were compared by family economic status. Family economic status was classified into 2 groups: families receiving the National Basic Livelihood Guarantee (NBLG) and those not receiving the guarantee (non-NBLG group).A total of 17,128 children were registered in the system. Mean age was 9.3 years (SD 4.8 years), 44.4% were females, and 29.2% were in the NBLG group. Poor hygiene, anxiety, and attention deficit were frequently reported physical and emotional health problems. Common behavioral problems included running away, rebelliousness/impulsivity/aggressiveness, maladjustment in school, learning problems at school, and frequent unauthorized absenteeism and truancy. Physical health problems (7 of 8 items) occurred more often in the NBLG group, and behavioral problems (6 of 17 items) occurred more often in the non-NBLG group.Children in Korea who are maltreated have different physical health, emotional, and behavioral problems depending on their family income level. These results can be useful in approaching the recognition of and interventions for child maltreatment.
低家庭收入是儿童虐待的一个风险因素。然而，目前还没有关于儿童虐待与家庭收入之间关系的比较研究。本研究的目的是根据家庭经济状况调查受虐待儿童的身体健康状况以及情绪和行为问题。
横断面全国性研究
从 2012 年至 2014 年，国家儿童保护机构（National Child Protection Agency，NCPA）运营的韩国国家儿童虐待登记处（年龄<18 岁）提取数据。根据家庭经济状况比较受虐待儿童的人口统计学特征和 34 项身体健康和情绪/行为问题。家庭经济状况分为 2 组：接受国家基本生活保障（National Basic Livelihood Guarantee，NBLG）的家庭和未接受保障的家庭（非 NBLG 组）。
该系统共登记了 17128 名儿童。平均年龄为 9.3 岁（SD 4.8 岁），44.4%为女性，29.2%为 NBLG 组。不良卫生习惯、焦虑和注意力缺陷是常见的身体健康问题，常见的行为问题包括离家出走、叛逆/冲动/攻击性、学校适应不良、学校学习问题以及频繁未经授权的逃学和旷课。身体健康问题（8 项中的 7 项）在 NBLG 组中更为常见，行为问题（17 项中的 6 项）在非 NBLG 组中更为常见。
在韩国，受虐待的儿童根据家庭收入水平，其身体健康、情绪和行为问题也有所不同。这些结果有助于识别和干预儿童虐待。
