Thomas B H, Jamieson E
School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Child Abuse Negl. 1995 Sep;19(9):1019-29. doi: 10.1016/0145-2134(95)50006-8.
The purpose of this national survey was to determine the knowledge and attitudes of Canadian health and social services professionals about the occurrence of sexually transmitted diseases (STDs) in children and its implications for child sexual abuse. A mailed questionnaire was sent to a randomly selected sample of 4,500 nurses, physicians, and youth/social workers across the country. Response rates varied from over 60% of nurses and youth/social workers to only 38% of the physicians. Nurses and youth/social workers were younger than physicians, had a proportionately higher number of females within their groups, and more frequently reported that they had or might have been sexually abused as children. Although there was no statistically significant difference among the groups on the composite knowledge score, physicians scored higher than the other two groups on knowledge about STDs, and youth/social workers had the highest knowledge scores about sexual abuse. Some differences in attitudes among the groups were also noted. Overall, the rates of respondents reporting confidence in their ability to treat children with STDs or child sexual abuse were low (26% and 35% respectively). This paper presents the overall results of the survey, and makes recommendations for strategies to enhance professional expertise in the area.
这项全国性调查的目的是确定加拿大卫生和社会服务专业人员对儿童性传播疾病（STD）的发生情况及其对儿童性虐待的影响的了解程度和态度。一份邮寄问卷被发送给全国随机抽取的4500名护士、医生和青少年/社会工作者。回复率从护士和青少年/社会工作者的60%以上到医生的仅38%不等。护士和青少年/社会工作者比医生年轻，其群体中女性比例相对较高，并且更频繁地报告他们在儿童时期曾遭受或可能遭受过性虐待。尽管在综合知识得分上各群体之间没有统计学上的显著差异，但医生在性传播疾病知识方面的得分高于其他两组，而青少年/社会工作者在性虐待知识方面的得分最高。各群体在态度上也存在一些差异。总体而言，报告有信心治疗患有性传播疾病的儿童或处理儿童性虐待问题的受访者比例较低（分别为26%和35%）。本文呈现了调查的总体结果，并针对提高该领域专业知识的策略提出了建议。
