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评估 COVID-19 大流行期间的儿童虐待和家庭暴力风险:利用远程保健家访计划作为与家庭沟通的渠道。

Evaluating child maltreatment and family violence risk during the COVID-19 Pandemic: Using a telehealth home visiting program as a conduit to families.

机构信息

School of Public Policy, Georgia Tech, Atlanta, Georgia, USA.

School of Public Health, Georgia State University, Atlanta, Georgia, USA.

出版信息

Infant Ment Health J. 2022 Jan;43(1):143-158. doi: 10.1002/imhj.21968. Epub 2021 Dec 30.

Abstract

The COVID-19 pandemic has affected many child maltreatment risk factors and may have affected maltreatment among vulnerable families. We surveyed 258 certified providers of an evidence-based home visiting program, SafeCare, about their perception of the impact of the pandemic on the families they serve. We examined if the providers perceived an overall change in child maltreatment and family violence risk among the families with young children they served and factors that may have contributed to changes. Regressions estimated the relationship between providers' assessment of families' ability to social distance, emotional struggles, and access to public resources/services with providers' perception of child maltreatment and family violence risk in the home. Findings indicate that 87% of providers believed maltreatment risk had increased during the pandemic. Providers serving families who were unable to social distance due to employment were more likely to report increased supervisory neglect and material neglect among the families they serve. Providers reporting that families were struggling with elevated frustration levels also reported more family conflict and material neglect among the families they serve. Results from this research can inform strategic decision-making for policies and programs that address the challenges low-income families with young children face in emergency situations.

摘要

COVID-19 大流行影响了许多儿童虐待风险因素,并可能对弱势家庭中的虐待行为产生影响。我们调查了 258 名经过认证的基于证据的家庭探访计划(SafeCare)提供者,了解他们对大流行对其服务对象家庭的影响的看法。我们研究了提供者是否认为他们所服务的幼儿家庭的儿童虐待和家庭暴力风险总体上发生了变化,以及可能导致这些变化的因素。回归分析估计了提供者对家庭社交距离能力、情绪困扰和获得公共资源/服务的评估与提供者在家中对儿童虐待和家庭暴力风险的看法之间的关系。研究结果表明,87%的提供者认为大流行期间虐待风险增加了。由于就业而无法保持社交距离的家庭的服务提供者更有可能报告其服务的家庭中监督疏忽和物质忽视的增加。报告家庭因挫折感水平升高而感到困扰的提供者也报告其服务的家庭中存在更多的家庭冲突和物质忽视。这项研究的结果可以为解决有年幼子女的低收入家庭在紧急情况下面临的挑战的政策和计划提供战略决策信息。

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