儿童虐待危险因素及识别方法研究进展

李永珍; 谢丽; 王文超; 刘静; 陈扬; 宋君; 胡菲; 贡海蓉

doi:10.16835/j.cnki.1000-9817.2023.07.036

儿童虐待危险因素及识别方法研究进展

doi: 10.16835/j.cnki.1000-9817.2023.07.036

李永珍¹,
谢丽²,
王文超³,
刘静²,
陈扬²,
宋君⁴,
胡菲¹,
贡海蓉^{1, 3, ,}

1.
上海星晨儿童医院儿童健康管理中心, 上海 201107
2.
上海交通大学医学院临床研究中心
3.
复旦大学附属儿科医院重症医学科
4.
复旦大学附属儿科医院骨科

基金项目:

上海市卫生健康委员会课题 202140086

复旦大学附属儿科医院院级课题 2020ZBDL12

详细信息

作者简介:
李永珍(1995-), 女, 安徽省人, 硕士, 营养医师, 主要研究方向为儿童青少年伤害及营养健康

通讯作者:
贡海蓉, E-mail: gonghairong2@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 B844.1 R193
计量
- 文章访问数: 218
- HTML全文浏览量: 87
- PDF下载量: 34
- 被引次数: 0
出版历程
- 收稿日期: 2022-11-20
- 修回日期: 2022-12-22
- 网络出版日期: 2023-07-25
- 刊出日期: 2023-07-25

Research progress on risk factors and identification tools for child abuse

1.
Child Health Management Center, Starkids Children's Hospital, Shanghai (201107), China

摘要

摘要: 儿童虐待是全球性的公共卫生问题, 已成为全球发展中一个被忽视但又亟待解决的问题。及时、准确识别低年龄段儿童所遭受的虐待对损伤治疗、降低儿童再次受虐待风险及促进儿童身心健康发展具有重要意义。该文从儿童虐待的临床特征、危险因素及目前存在的虐待识别与筛查工具进行综述, 为中国儿童虐待风险识别工具的开发和识别系统的建立提供循证依据, 以及时采取干预措施, 预防不良结局的发生或降低其严重程度。
- 暴力 /
- 虐待 /
- 危险因素 /
- 儿童
Abstract: Child abuse is a global public health problem, which has emerged as a neglected yet pressing issue in global development. Early and accurate identification of abuse at a lower-age group is of great significance for treatment, which might reduce the risk of re-maltreatment and promote children's physical and mental health development. Therefore, by reviewing the clinical characteristics, risk factors and existing abuse identification and screening tools of child abuse, the study aims at providing basic evidence for the development of child abuse risk identification tools and the establishment of child maltreatment system in China, so as to take timely intervention measures to prevent adverse outcomes or reduce their severity.
- Violence /
- Torture /
- Risk factors /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 儿童发生虐待的风险因素及特征

Table 1. Risk factors and characteristics of abuse in children

因素	特征
儿童	未满4岁
	情绪/行为问题
	爱哭闹
	患有慢性病
	身体残疾/异常身体特征
	发育障碍
	早产
	计划外出生
	家中不得宠/不被需要或未满足父母期望
家长	冲动控制能力差
	自卑
	很难与孩子建立亲密关系
	家庭关系差或破裂
	药物滥用/酗酒/母亲吸烟/参与犯罪活动
	年轻的父亲或母亲
	儿童时期受虐史
	抑郁症或者其他精神疾病
	对儿童的成长缺乏了解，对正常儿童行为的负面认知或不切
	实际的期望
环境(社区和社会)	家庭的养育支持中断
	社交孤立
	男女/社会不平等
	贫困
	失业/社会经济不平等
	文化程度低
	单亲家庭
	家庭中没有血缘关系
	家庭或者伴侣暴力

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