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儿童保护问题在 COVID-19 封锁期间的患者中凸显。

Child protection concern in patients during the COVID-19 lockdown.

机构信息

Department of General Paediatrics, Children's Health Ireland at Crumlin, Cooley Road, Dublin 12, Dublin, Ireland.

Department of General Paediatrics, Children's Health Ireland at Tallaght, Dublin 24, Dublin, Ireland.

出版信息

Ir J Med Sci. 2023 Jun;192(3):1281-1283. doi: 10.1007/s11845-022-03115-6. Epub 2022 Jul 26.

Abstract

During the COVID-19 lockdown, social isolation from school closures and home visitation restrictions compounded known risk factors for child maltreatment. The aim of our study was to determine the incidence and types of child protection concern (CPC) among inpatients during the COVID-19 lockdown compared to the matched timeframe in 2019. We retrospectively reviewed the CPC assessments performed at Children's Health Ireland at Crumlin and Tallaght from March 13 to August 31, 2020, and the same period in 2019. Eighty-six versus 163 inpatients were assessed for CPC in 2020 versus 2019. Higher proportions of physical abuse concerns (52.3% versus 11% (p < 0.001)) and emotional abuse concerns (7.0% versus 1.2% (p = 0.015)) were observed in 2020. Case complexity, defined as involving two or more types of CPC, increased with 48.8% in 2020 versus 13.5% in 2019 (p < 0.001). In conclusion, there were fewer assessments for CPC during the 2020 lockdown. However, the complexity of the CPC cases was significantly increased in 2020.

摘要

在 COVID-19 封锁期间,学校关闭和家访限制导致的社交隔离加剧了儿童虐待的已知风险因素。我们的研究目的是确定与 2019 年同期相比,COVID-19 封锁期间住院患者的儿童保护问题(CPC)发生率和类型。我们回顾性地审查了 2020 年 3 月 13 日至 8 月 31 日期间在爱尔兰儿童健康公司克鲁姆林和塔拉特进行的 CPC 评估,以及 2019 年同期的评估。2020 年有 86 名住院患者接受了 CPC 评估,而 2019 年有 163 名。2020 年观察到更多的身体虐待问题(52.3%对 11%(p < 0.001))和情绪虐待问题(7.0%对 1.2%(p = 0.015))。2020 年,涉及两种或两种以上 CPC 类型的案例复杂性增加,增加了 48.8%,而 2019 年为 13.5%(p < 0.001)。总之,2020 年的 CPC 评估较少。然而,2020 年 CPC 病例的复杂性显著增加。

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