Dubowitz H, Sawyer R J
Department of Pediatrics, University of Maryland School of Medicine, Baltimore.
Child Abuse Negl. 1994 Nov;18(11):899-911. doi: 10.1016/s0145-2134(05)80001-8.
This paper is based on the first comprehensive study of the health and educational status of children in kinship care, an increasingly frequent arrangement where children are placed in the care of relatives, mostly following neglect or abuse. Questionnaires were completed by teachers of 75% of the 374 school-age children in kinship care in one city, and additional information was obtained from caseworkers, caregivers, and school records. Compared to classroom peers, children in kinship care had poor study habits and attention and concentration skills. Other common problems included overactive, aggressive, and attention-seeking behavior. Most children had average or better relationships with teachers and peers. Multivariate analyses yielded several predictors that explained a modest amount of the variation in the children's school behavior. There was poor to moderate concordance in the assessments of teachers, caregivers, and caseworkers concerning various school related behaviors. Schools, caseworkers, and pediatricians should pay special attention to children in kinship care and ensure that this high-risk group of children receives necessary services.
本文基于对亲属抚养儿童的健康和教育状况的首次全面研究，亲属抚养是一种越来越常见的安置方式，即儿童大多在遭受忽视或虐待后被安置在亲属照顾之下。在一个城市中，对374名接受亲属抚养的学龄儿童中75%的教师进行了问卷调查，并从个案工作者、照顾者和学校记录中获取了额外信息。与同班同学相比，亲属抚养儿童的学习习惯以及注意力和专注力较差。其他常见问题包括多动、攻击性和寻求关注行为。大多数儿童与教师和同伴的关系处于中等或更好水平。多变量分析得出了几个预测因素，这些因素解释了儿童学校行为变化的适度比例。教师、照顾者和个案工作者对各种与学校相关行为的评估一致性较差到中等。学校、个案工作者和儿科医生应特别关注亲属抚养儿童，并确保这一高危儿童群体获得必要的服务。
