埃塞俄比亚儿童虐待的负担、后果及相关因素：一项系统综述和荟萃分析。
Burden, consequences and associate factors of childhood maltreatment in Ethiopia: A systematic review and meta-analysis.
作者信息
Kefale Demewoz, Aytenew Tigabu Munye, Tesfahun Yohannes, Simegn Amare, Wondim Mahilet, Zeleke Shegaw, Demis Solomon, Kerebeh Gashaw, Mekonnen Gebrehiwot Berie, Hailemeskel Habtamu Shimels, Agimas Muluken Chanie, Endalew Mastewal, Asferie Worku Necho, Kassaw Amare, Eshetie Yeshiambaw, Asnakew Sintayehu
机构信息
Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
Heliyon. 2024 Sep 3;10(17):e36776. doi: 10.1016/j.heliyon.2024.e36776. eCollection 2024 Sep 15.
INTRODUCTION
Child maltreatment is any type of abuse or child negligence which results the concrete or prospective hurt for those under age of eighteen. It is a global issue which severely endangered children's physical, emotional, behavioral, developmental and mental well-being for immediate and later in life. Although, its magnitude and devastating burden are difficult to comprehend, much remains to be done to know its prevalence and comprehensive impact. This meta-analysis and comprehensive review will provide important light on the burden, consequences, and contributing factors for child maltreatment.
METHODS
This meta-analysis and comprehensive review was coded at Prospero number of CRD42024503799. Universal online databanks including PubMed, Cochrane, Google, Google Scholar, SCOPUS, and Web of Science and Global Health were used to search for articles. Microsoft Excel was used for data extraction, and STATA17 was used to analyze this systematic review and meta-analysis. A random effect model exploration was employed when heterogeneity among included studies were evidenced.
RESULTS
The pooled prevalence of childhood maltreatment was 57.0 % (95 % CI = 32.00, 83.00). Included studies revealed that childhood maltreatment has multiple child health-related consequences. Being female (AOR = 2.94, 95 % CI: 1.48, 4.41), being young (AOR = 1.22, 95%CI: 1.09, 3.35), paternal illiteracy (AOR = 2.16, 95%CI: 1.012, 3.302) and have an open family discussion about sexual matters (AOR = 0.381 (95%CI: 0.121, 0.884) were considerably associated with child maltreatment.
CONCLUSION
This finding publicized that the burden and multiple consequences of childhood maltreatment need much attention. Childhood maltreatment has both immediate and life time consequences for children later in life. Being female, being young, having illiterate fathers, and open family discussion about sexual matters were associated factors of child maltreatment.
引言
儿童虐待是指任何形式的虐待或对儿童的疏忽行为，会对18岁以下的儿童造成实际或潜在的伤害。这是一个全球性问题，严重危及儿童的身体、情感、行为、发育和心理健康，无论是在当下还是日后的生活中。尽管其规模和毁灭性负担难以理解，但在了解其流行程度和全面影响方面仍有许多工作要做。这项荟萃分析和综合综述将为儿童虐待的负担、后果和影响因素提供重要线索。
方法
这项荟萃分析和综合综述在国际前瞻性系统评价注册库（Prospero）上的注册号为CRD42024503799。使用包括PubMed、Cochrane、谷歌、谷歌学术、Scopus、科学网和全球健康在内的通用在线数据库搜索文章。使用Microsoft Excel进行数据提取，并用STATA17对该系统评价和荟萃分析进行分析。当纳入研究之间存在异质性时，采用随机效应模型进行探索。
结果
儿童虐待的合并患病率为57.0%（95%置信区间=32.00，83.00）。纳入研究表明，儿童虐待会产生多种与儿童健康相关的后果。女性（比值比=2.94，95%置信区间：1.48，4.41）、年龄较小（比值比=1.22，95%置信区间：1.09，3.35）、父亲文盲（比值比=2.16，95%置信区间：1.012，3.302）以及家庭对性问题进行公开讨论（比值比=0.381（95%置信区间：0.121，0.884））与儿童虐待显著相关。
结论
这一发现表明，儿童虐待的负担和多种后果需要引起高度关注。儿童虐待对儿童日后的生活既有即时影响，也有终生影响。女性、年龄较小、父亲文盲以及家庭对性问题进行公开讨论是儿童虐待的相关因素。
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