关键词: Child maltreatment Chronicity Epidemiology Timing Trauma Violence

来  源:   DOI:10.1016/j.puhe.2024.06.019

Abstract:
OBJECTIVE: Child maltreatment (CM) is a major risk factor across the lifespan. While research on CM and its consequences has risen strongly during the last decades, research is mainly focused on the prevalence of types of CM incidents. As valid prevalence rates on timing and chronicity of CM are lacking to date, we aimed to assess the timing of experienced CM by describing the age of onset, duration, and prevalence at each year of age for each CM subtype in a population-based sample.
METHODS: Cross-sectional, observational study in a representative sample.
METHODS: Using different sampling steps including a random route procedure, a probability sample of the German population above the age of 16, encompassing 2514 persons (50.6% female, mean age: 50.08 years) was generated. Participants were asked about sociodemographic information in a face-to-face interview, CM was assessed using the ICAST-R questionnaire.
RESULTS: The earliest mean age of onset was seen in neglect with 8.07 (±3.07) years for boys and 7.90 (±2.96) years for girls, while the mean age of onset for sexual abuse was in adolescence with 13.65 (±3.86) years for boys and 13.91(±3.17) years for girls. The overall duration of CM was lowest for sexual abuse with 2.12 (±2.01) years for boys and 2.35 (±1.73) years for girls, the highest duration was seen for emotional abuse with 4.00 (±3.54) years for boys and 4.21 (±3.77) years for girls.
CONCLUSIONS: Our novel results provide important epidemiological information for prevention efforts.
摘要:
目的:儿童虐待(CM)是整个生命周期的主要危险因素。虽然在过去的几十年里,对CM及其后果的研究有了强劲的增长,研究主要集中在CM事件类型的患病率上。由于迄今为止缺乏关于CM时间和慢性的有效患病率,我们旨在通过描述发病年龄来评估有经验的CM的时间,持续时间,以及基于人群的样本中每个CM亚型在每个年龄的患病率。
方法:横截面,代表性样本中的观察性研究。
方法:使用不同的采样步骤,包括随机路由程序,16岁以上德国人口的概率样本,包括2514人(50.6%女性,平均年龄:50.08岁)。参与者在面对面采访中被问及社会人口统计信息,使用ICAST-R问卷评估CM。
结果:最早的平均发病年龄为忽略年龄,男孩为8.07(±3.07)岁,女孩为7.90(±2.96)岁,而性虐待的平均发病年龄在青春期,男孩为13.65(±3.86)岁,女孩为13.91(±3.17)岁。性虐待的CM总体持续时间最低,男孩为2.12(±2.01)年,女孩为2.35(±1.73)年。情感虐待的持续时间最长,男孩为4.00(±3.54)年,女孩为4.21(±3.77)年。
结论:我们的新结果为预防工作提供了重要的流行病学信息。
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