Wee Sharyl E, Dietrich Mary S, Adkins Amanda, Masciale Marina, Carr Victoria L, Gigante Catherine I, Holden George W, Scholer Seth J
University of Texas at Austin, Dell Medical School, United States of America.
Vanderbilt University School of Nursing, United States of America.
Child Abuse Negl. 2025 Mar;161:107257. doi: 10.1016/j.chiabu.2025.107257. Epub 2025 Jan 23.
To prevent child abuse, efforts are needed to identify potentially unhealthy parenting behaviors.
To assess the proportion of parents with potentially unhealthy parenting attitudes and behaviors who receive parenting support.
Parents of children ages 6 months to 10 years completed a survey in a pediatric clinic serving low-income families in Nashville Tennessee.
Measures included parents' attitudes toward spanking (Attitudes Toward Spanking (ATS)) and parents' discipline practices (Quick Parenting Assessment (QPA)). Higher ATS and QPA scores indicate increased use of potentially unhealthy parenting. We assessed associations between the ATS and QPA and sociodemographic factors. We performed a blinded chart review to identify parents who received some type of parenting support, either education in clinic or referral to a parenting class.
807 parents completed the survey. 59 % had a low ATS score, 35 % had a medium ATS score, and 5 % had a high ATS score. 54 % had a low QPA score, 24 % had a medium QPA score, and 22 % participants had a high QPA score. Elevated QPA scores were associated with the parent being unmarried and having other children. Overall, 13 % of parents received education about parenting and 2 % were referred to a parenting class. For parents with either elevated ATS scores or QPAs, <20 % received some type of parenting support.
Pediatric health care providers are missing opportunities to support parents in their use of healthy discipline behaviors. The findings have implications for the prevention of child abuse and other health problems.
为预防虐待儿童，需要努力识别潜在的不健康育儿行为。
评估有潜在不健康育儿态度和行为的父母接受育儿支持的比例。
6个月至10岁儿童的父母在田纳西州纳什维尔一家为低收入家庭服务的儿科诊所完成了一项调查。
测量指标包括父母对打屁股的态度（打屁股态度量表（ATS））和父母的管教方式（快速育儿评估（QPA））。较高的ATS和QPA分数表明潜在不健康育儿方式的使用增加。我们评估了ATS、QPA与社会人口学因素之间的关联。我们进行了一项盲法图表审查，以识别接受过某种育儿支持的父母，包括在诊所接受教育或被转介到育儿课程。
807名父母完成了调查。59%的父母ATS分数低，35%的父母ATS分数中等，5%的父母ATS分数高。54%的父母QPA分数低，24%的父母QPA分数中等，22%的参与者QPA分数高。较高的QPA分数与父母未婚及有其他子女有关。总体而言，13%的父母接受了育儿教育，2%的父母被转介到育儿课程。对于ATS分数或QPA分数较高的父母，不到20%的人接受了某种育儿支持。
儿科医疗服务提供者错失了支持父母采用健康管教行为的机会。这些发现对预防虐待儿童及其他健康问题具有启示意义。
