Abstract:
In recent years there has been a growing public and professional interest in situations of risk, abuse, and exploitation of children with disabilities (CWDs). Despite the increasing awareness of CWDs experiencing child sexual abuse (CSA) at high rates, research in this area is still in its infancy. The current study seeks to identify, map, and thoroughly analyze the existing knowledge to better inform future research, policy, and practice. A scoping review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, identifying 35 articles addressing CSA among CWDs based on self-report surveys, official report data, and qualitative interviews. The findings addressed the phenomenon\'s epidemiology, disclosure, identification patterns, and consequences. Studies showed that CWDs experience CSA two to four times more often than children without disabilities and that they suffer longer and harsher abuse due to factors that complicate the identification of CSA of CWDs. This review highlights the diverse methodologies, producing a high variance in phenomenon rates, as well as unique methodological strategies for addressing challenges in CSA and disability research. Future research should focus on qualitative-retrospective studies of the perceptions of survivors and significant others in their lives (e.g., parents). Moreover, an intersectionality paradigm must be adopted in future studies to address the diverse contexts that construct the phenomenon (including sociocultural contexts). There is also a need to develop integrative interventions to allow higher accessibility of services, adaptive identification mechanisms, and more effective collaboration between professionals and CWDs.
摘要:
近年来,公众和专业人士对风险状况的兴趣日益浓厚,滥用,和剥削残疾儿童(CWD)。尽管人们越来越认识到遭受儿童性虐待(CSA)的CWD的发生率很高,这方面的研究还处于起步阶段。当前的研究试图确定,地图,并彻底分析现有知识,以更好地为未来的研究提供信息,政策,和实践。使用系统审查和荟萃分析(PRISMA)指南的首选报告项目进行范围审查。根据自我报告调查,在CWD中确定35篇解决CSA的文章,官方报告数据,定性采访。研究结果解决了这种现象的流行病学,披露,识别模式,和后果。研究表明,CWD的CSA发生率是无残疾儿童的两到四倍,并且由于使CWD的CSA识别复杂化的因素,他们遭受的虐待时间更长,更严厉。这篇综述强调了不同的方法,产生现象率的高差异,以及应对CSA和残疾研究挑战的独特方法论策略。未来的研究应侧重于对幸存者和生命中重要其他人的看法的定性回顾性研究(例如,父母)。此外,在未来的研究中必须采用交叉性范式,以解决构建现象的不同背景(包括社会文化背景)。还需要制定综合干预措施,以提高服务的可及性,自适应识别机制,以及专业人员和CWD之间更有效的合作。