Fung D S, Chow M H
Department of Child and Adolescent Psychiatry, Woodbridge Hospital/Institute of Mental Health, Singapore.
Singapore Med J. 1998 Apr;39(4):160-5.
To investigate the Singaporean doctor's and lawyer's definition of child abuse and neglect, their attitudes towards reporting and their manner of handling suspected cases.
A self-addressed questionnaire survey was carried out in a population of hospital doctors, family physicians and lawyers. A total of 368 respondents participated in the survey.
Most respondents had similar parenting attitudes. The majority felt that child abuse occurred sporadically but 25% of family physicians felt it seldom occurred. Thirty-eight per cent of family physicians had a personal definition of child abuse compared to less than a third of hospital doctors. There was a high consensus among all 3 groups concerning 21 behaviours studied. In all 3 groups, more than 80% agreed that having sex, burning child, tying child and not protecting the child from sexual advances were both unacceptable and abusive. More than 80% of respondents felt that some form of compulsory reporting is necessary in Singapore. Doctors preferred to refer cases of physical abuse to the hospital while lawyers preferred the police. All agreed that sexual abuse is a matter for the police. Respondents were more likely to act in cases of physical abuse and sexual abuse than for cases of emotional abuse and neglect.
There is a need to formalise definitions of child abuse in our society. More education and training in the understanding and handling of child abuse by doctors and lawyers may be necessary.
调查新加坡医生和律师对虐待和忽视儿童的定义、他们对报告的态度以及处理疑似案件的方式。
对医院医生、家庭医生和律师群体进行了一次自填式问卷调查。共有368名受访者参与了此次调查。
大多数受访者有相似的育儿态度。大多数人认为虐待儿童偶尔发生，但25%的家庭医生认为很少发生。38%的家庭医生对虐待儿童有个人定义，相比之下，医院医生中持此观点的不到三分之一。在研究的21种行为方面，所有三组人员达成了高度共识。在所有三组中，超过80%的人认为发生性行为、烧伤儿童、捆绑儿童以及不保护儿童免受性侵犯既不可接受也是虐待行为。超过80%的受访者认为新加坡有必要采取某种形式的强制报告。医生倾向于将身体虐待案件转介到医院，而律师则倾向于报警。所有人都认为性虐待问题应交由警方处理。与情感虐待和忽视案件相比，受访者在身体虐待和性虐待案件中采取行动的可能性更大。
有必要在我们的社会中规范虐待儿童的定义。医生和律师可能需要接受更多关于理解和处理虐待儿童问题的教育和培训。
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