广西壮族地区10～16岁学生儿童虐待状况调查分析

Investigation of child abuse in 10-16 years old students in Zhuang nationality areas of Guangxi

目的：了解壮族地区10～16岁学生儿童虐待流行状况，为探讨儿童虐待发生的影响因素、制定适合民族文化背景的预防干预措施提供参考依据。方法选取经济发展处于好、中、差水平的壮族聚居县各1个，抽取10～16岁中小学生共3936人。采用学生基本情况调查表收集学生个人及家庭基本情况。使用儿童受虐筛查表（SQCA）进行儿童虐待情况筛查。结果广西壮族地区中小学生儿童虐待（CA）筛查阳性率为29.3%。好、中、差经济水平县的 CA 筛查阳性率分别为22.8%、31.6%和33.9%，差别有统计学意义（P＜0.01）。城乡 CA 筛查阳性率分别为30.7%和27.9%，差别无统计学意义（P ＞0.05）；小学阶段和中学阶段CA筛查阳性率分别为41.8%和17.7%，差别有统计学意义（P＜0.05）；男女生CA筛查阳性率分别为30.8%和27.8%，差别有统计学意义（P＜0.05）。结论广西壮族地区学生有随着年龄增长虐待筛查阳性率下降的趋势，儿童虐待可能与地区经济发展水平有关。

Objective To understand the epidemiological features and associated factors of child abuse in students aged 10-16 years old in Zhuang nationality areas of Guangxi, to explore intervence measures for prevention child abuse with special national culture. Method Students aged 10-16 years old were sampled from each county of high, middle and low economic level, which were dominated by Zhuang population. Questionnaire suvery was conducted on a total number of 3 936 students for personal and family general information. The child abuse satus was screened by the Screen Questionnaire of Child Abuse （SQCA）. Results The prevalence of child abuse in sampled students was 29.3%. The prevalences of child abuse in high, middle and low economic level county were 22.8%, 31.6% and 33.9%, respectively; there were statistical significance among them（P〈0.01）.The prevalences of child abuse in county and village students were 30.7% and 27.9%, and no statistical significance were found（P〉0.05）. The prevalences of child abuse in primary school and middle school students were 41.7% and 17.7%, there was statistical significance between them （P〈0.05）.The prevalences of abused children in boys and girls were 30.8%and 27.8%,and statistical significance were found between them（P〈0.05）.Conclusion The prevalence of child abuse in Zhuang nationality areas showes a decline tendency as age rose up. Area economical development level might influence the child abuse incidence.