广西壮族地区儿童虐待影响因素病例对照研究  

Child abuse in Guangxi Zhuang Autonomous Region:a case-control study

作　　者：蔡秋玲[1] 李春灵[1] 梁芸[1] 蒙峥堡 韦先应 覃玉宇[1] 黄志碧[1] 冯启明[1] 

机构地区：[1]广西医科大学公共卫生学院儿少卫生与妇幼保健学教研室,广西南宁530021 [2]广西隆林县教育局 [3]广西田东县教育局

出　　处：《中国公共卫生》2011年第6期675-677,共3页Chinese Journal of Public Health

基　　金：2006年广西壮族自治区教育厅科研项目(200610MS111);2007年广西自然科学基金项目(桂科自0728136)

摘　　要：目的了解广西壮族地区中小学生儿童虐待(CA)发生的影响因素,为制定干预措施提供参考依据。方法采用1∶1配对病例对照研究方法对在广西隆林和田东2个壮族聚居县随机抽取的136对受虐组和非受虐组学生及其家长进行问卷调查。结果受虐组家长夫妻关系一般、不认同孩子不打不成材、不认同周围家长打孩子常见、有时了解孩子想法和感受、孩子有时、很少做家务、家长被其父母打骂持续时间到初中、高中或成年后、家长精神质为典型高型的比例分别为37.5%、63.2%、58.1%、43.4%、39.0%、9.5%、47.1%、22.0%、16.9%;非受虐组分别为25.0%、75.0%、71.3%、30.9%、52.2%、12.5%、32.4%、16.1%、5.9%,差异均有统计学意义(P<0.05);多因素条件Logistic回归分析结果表明,家长被其父母打骂持续时间到初中、高中或成年后和家长精神质为典型高型是CA发生的危险因素;家长不认同孩子不打不成材、孩子有时、很少做家务是CA发生的保护因素。结论家长是CA的决定因素,其个性特征、受虐经历、观念态度和亲子间交流程度对CA的发生有重要影响作用。Objective To know the influence factors of child abuse（CA） in Guangxi Zhuang Autonomous Region,and to provide reference for CA prevention.Methods With 1∶ 1 individual matching case-control study design,136 students with CA and their parents and 136 controls from Longlin and Tiandong Zhuang inhabiting counties in Guangxi were investigated.Results In CA case group,the ratios of discord relationship between parents,disagreeing with that children couldn＇t success without hitting or abusing,disagreeing with the behavior of hitting children,trying to umderstand children＇s thought sometimes,doing housework sometimes or occasionally,the child with parents＇ experience of CA by their parents during the periods of junior,senior school or adulthood,and with parents of P type personality as typical high type were 37.5%,63.2%,58.1%,43.4%,39.0%,9.5%,47.1%,22.0%,and 16.9%,respectively;and othose of the control group were 25.0%,75.0%,71.3%,30.9%,52.2%,12.5%,32.4%,16.1%,and 5.9%,respectively,with statistical significances between the two groups（P0.05 for all）.The results of multi-factor conditional logistic regression analyses showed that parents＇ personality of P type as typical high type and the experience of child abuse by their parents during the period of junior and senior school or adulthood were risk factors for CA.The parents＇s disagreeing with that children cann＇t success without hitting or abusing,the child＇s status of doing housework sometimes or occasionally were protective factors of CA.Conclusion Parents＇ personality,growth experience,opinion and attitude towards CA,and communication between parents and children are the most important influence factors for the incidence of CA.

关 键 词：壮族地区 中小学生 儿童虐待 病例对照研究 

分 类 号：R395.6[哲学宗教—心理学] B844.1[医药卫生—医学心理学]