农村遭受性侵儿童家庭亲密度与适应性研究

邵丽晶; 曾婧; 何邱平; 蔡丽; 杨梅; 向兵

doi:10.16835/j.cnki.1000-9817.2021.02.021

农村遭受性侵儿童家庭亲密度与适应性研究

doi: 10.16835/j.cnki.1000-9817.2021.02.021

邵丽晶¹,
曾婧²,
何邱平¹,
蔡丽¹,
杨梅²,
向兵^2, ,

1.
武汉科技大学医学院，湖北 430065
2.
武汉科技大学妇女儿童健康促进中心

基金项目:

2015年国家社会科学基金项目 15BSH057

详细信息

作者简介:
邵丽晶(1997-)，女，湖北武汉人，在读硕士，主要研究方向为儿少卫生与妇幼保健

通讯作者:
向兵，E-mail：397126318@qq.com

中图分类号: G 78 R 179 R 193
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- 被引次数: 0
出版历程
- 收稿日期: 2020-07-11
- 修回日期: 2020-09-24
- 网络出版日期: 2021-04-06
- 刊出日期: 2021-02-25

Family cohesion and adaptability among rural children with sexual abuse experience

1.
School of Medicine, Wuhan University of Science and Technology, Wuhan (430065), China

摘要

摘要: 目的了解农村儿童性侵害发生状况及其与家庭亲密度和适应性的关系，分析可能影响受害儿童家庭功能的因素，为该类人群的创伤后干预提供科学依据。方法采用分层整群抽样方法, 在湖北省汉川市和郧西县抽取1 666名农村中学生进行问卷调查，应用多因素Logistic回归分析受害儿童家庭功能的影响因素。结果有175人(10.50%)遭受过非接触性性侵，44人(2.64%)遭受过接触性性侵。与正常儿童相比，受害儿童的家庭亲密度(F=8.97)和适应性均较低(F=4.09)(P均 < 0.05)。在性侵害受害儿童中，母亲离家(OR=0.20)与家庭亲密度较差呈正相关，看护人文化水平较高以及恰当的教育方式与家庭亲密度和适应性较低呈负相关(P均 < 0.05)。结论农村性侵害儿童的家庭功能不容乐观，其中母亲离家、看护人文化水平较低和采用不合理教育方式家庭中的受害者家庭功能显著较差。应加强对此类儿童的重视，尽可能减小性侵等负性事件对孩子造成的影响。
- 性 /
- 暴力 /
- 家庭 /
- 适应，心理学 /
- 回归分析 /
- 儿童 /
- 农村人口
Abstract: Objective To understand the prevalence of sexual abuse among rural children and its association with family cohesion and adaptability, and to explore factors that may affect household functions of the victims. Methods A total of 1 666 rural middle school students in Hanchuan and Yunxi, Hubei were recruited with stratified cluster sampling method, multivariate Logistic regression was used to analyze associated factors of the household functions of the victims. Results A total of 175 (10.50%) reported non-contact sexual abuse and 44 (2.64%) reported contact sexual abuse. Compared with control group, sexual abuse victims reported lower scores of family cohesion (F=8.97, P < 0.01) and adaptability (F=4.09, P=0.02). Among the victims, maternal absence was a risk factor for poor family cohesion(OR=0.20, P < 0.01), higher parental educational level and appropriate parenting methods(P < 0.05) were protective factors for family cohesion and family adaptability. Conclusion Household functions of children sexual abuse victims in rural areas are generally poor, especially for victims with mothers absence, low parental education and improper parenting style. More attention should be paid to such children to minimize the impact of negative events such as sexual abuse.
- Sex /
- Violence /
- Family /
- Adaptation, psychological /
- Regression analysis /
- Child /
- Rural population

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表 1 不同人口统计学特征农村儿童遭受性侵报告率比较

Table 1. Comparison of sexual abuse among rural children with different demographic characteristics

人口统计学指标	组别	人数	遭受性侵经历人数	χ²值	P值
年龄/岁	≤12	266	28(10.53)	2.23	0.33
	13~15	934	124(13.28)
	≥16	466	67(14.38)
性别	男	910	151(16.59)	20.88	< 0.01
	女	759	68(8.99)
留守类型	非留守	605	65(10.74)	4.86	0.18
	父亲离家	290	41(14.14)
	母亲离家	105	15(14.29)
	双亲离家	606	98(14.71)
看护人文化程度	小学及以下	546	69(12.64)	0.31	0.86
	中学	991	134(13.52)
	大专及以上	129	16(12.40)
教育方式	放任	90	13(14.44)	8.51	0.01
	打骂	264	49(18.56)
	说理	1 312	157(11.97)
注：()内数字为报告率/%。

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表 2 有无性侵中学生家庭亲密度与适应性得分比较(x±s)

Table 2. Comparision of family cohesion and adaptability between students with/without sexual abuse(x±s)

组别	人数	亲密度	适应性
无性侵经历	1 447	68.25±10.98	45.16±9.56
非接触性性侵	175	65.10±11.52	43.18±10.01
接触性性侵	44	64.30±11.16	43.14±10.32
F值		8.97	4.09
P值		< 0.01	0.02

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表 3 性侵犯受害者家庭亲密度与适应性影响因素的多因素Logistic回归分析(n=219)

Table 3. Multivariate Logistic regression analysis of influencing factors of family cohesion and adaptability of sexual abuse victims(n=219)

影响因素	选项	亲密度		适应性
影响因素	选项	OR值(OR值95%CI)	P值	OR值(OR值95%CI)	P值
留守类型	非留守	1.00		1.00
	父亲离家	1.18(0.60~2.35)	0.63	1.47(0.74~2.93)	0.27
	母亲离家	0.20(0.07~0.52)	0.00	0.49(0.18~1.31)	0.10
	双亲离家	1.03(0.59~1.80)	0.92	1.36(0.79~2.36)	0.27
看护人文化程度	小学及以下	1.00		1.00
	中学	1.69(1.00~2.84)	0.05	2.11(1.24~3.59)	0.01
	大专及以上	3.23(1.19~8.76)	0.02	4.35(1.62~11.70)	0.00
教育方式	放任	1.00		1.00
	打骂	1.42(0.47~4.34)	0.54	1.01(0.34~3.00)	0.99
	说理	4.17(1.47~11.87)	0.01	3.30(1.20~9.09)	0.02

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