Dahouri Amirmohammad, Mirghafourvand Mojgan, Zahedi Hamideh, Maghalian Mahsa, Hosseinzadeh Mina
Department of Community Health Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Public Health. 2025 Apr 16;25(1):1426. doi: 10.1186/s12889-025-22600-y.
Child-to-parent violence (CPV) is an increasing issue globally, leading to serious adverse effects on families. This research aimed to conduct a systematic review and meta-analysis to assess the prevalence of CPV and identify its associated risk factors, thereby enhancing understanding of this escalating global issue.
In this systematic review and meta-analysis, a thorough search was carried out across various databases in English. The inclusion criteria were developed based on the SPIDER framework, targeting quantitative studies that focused on the prevalence and risk factors associated with CPV. Data were extracted systematically using a validated collection form, and the risk of bias was assessed using the Newcastle-Ottawa Scale. Statistical analyses included meta-regression and sensitivity analyses to determine the prevalence of CPV using Comprehensive Meta-Analysis version 3 software. Among the 25 included studies, 12 studies were included in the meta-analysis for prevalence, both overall and separately for violence against mothers and fathers. Additionally, 8 studies were analyzed through systematic and narrative data synthesis to examine determinants of CPV.
The meta-analysis involving 25,000 participants revealed that the overall prevalence of CPV against both parents was 34.8%. Subgroup analyses indicated that physical violence prevalence was 10.0%, while psychological violence was significantly higher at 82.6%. Additionally, the descriptive analysis identified key determinants of CPV, including family conflict, parental stress, and adolescent behavioral issues, highlighting the complex interplay of factors contributing to this phenomenon and emphasizing the need for targeted interventions.
The findings underscore the urgent need for targeted interventions that address these multifaceted issues to effectively reduce CPV and its impact on families. Future research should continue to explore these dynamics to inform effective prevention strategies.
儿童对父母的暴力行为(CPV)在全球范围内日益严重,对家庭造成了严重的负面影响。本研究旨在进行系统综述和荟萃分析,以评估CPV的患病率并确定其相关风险因素,从而加深对这一日益严重的全球问题的理解。
在这项系统综述和荟萃分析中,我们对各种英文数据库进行了全面搜索。纳入标准是根据SPIDER框架制定的,目标是针对关注CPV患病率和风险因素的定量研究。使用经过验证的收集表系统地提取数据,并使用纽卡斯尔-渥太华量表评估偏倚风险。统计分析包括元回归和敏感性分析,以使用综合荟萃分析第3版软件确定CPV的患病率。在纳入的25项研究中,有12项研究纳入了总体患病率以及针对母亲和父亲的暴力行为的单独患病率的荟萃分析。此外,通过系统和叙述性数据综合分析了8项研究,以检查CPV的决定因素。
涉及25000名参与者的荟萃分析显示,针对父母双方的CPV总体患病率为34.8%。亚组分析表明,身体暴力患病率为10.0%,而心理暴力患病率显著更高,为82.6%。此外,描述性分析确定了CPV的关键决定因素,包括家庭冲突、父母压力和青少年行为问题,突出了导致这一现象的因素之间复杂的相互作用,并强调了有针对性干预的必要性。
研究结果强调迫切需要采取有针对性的干预措施来解决这些多方面的问题,以有效减少CPV及其对家庭的影响。未来的研究应继续探索这些动态,为有效的预防策略提供信息。