农村儿童责打的频度和强度及其影响因素分析

Analysis of frequency and intensity of child punishment by flogging and its influential factors in rural areas.

【目的】 调查农村地区儿童责打的流行情况及其影响因素。 【方法】 对安徽省农村地区 1884户共 2 3 63名 1～ 14岁儿童责打管教行为及其相关因素进行调查。 【结果】 近 1个月内有 93 0名儿童受责打 ,发生率为 3 9.3 %;以近 1个月受责打次数达 3次且出现红肿 ,或青紫、或出血甚至更为严重后果为躯体虐待计 ,躯体虐待的发生率为 3 .3 %。儿童责打的主要原因为淘气不听话、学习问题和闯祸 ;主要部位为臀部和头部 ;主要方式为手打和枝条棍棒打。受责打后大多数儿童哭叫和无任何损伤反应 ,男童出现较为严重后果 ( 18.0 %)高于女童 ( 13 .2 %)。多因素非条件Logistic回归分析结果表明 ,儿童受责打的主要危险因素为低龄、女监护人受教育年限低 ,独生子女及抱养儿童是免受责打的保护因素。 【结论】 我国农村地区儿童责打现象较为普遍 ,合理教育儿童。

To survey the frequency and intensity of the child punishment by flogging, to get the incidence rate of child physical abuse, and to determine the influencial factors of child punishment by flogging in rural areas in China. To investigate 1 884 households including 2 363 children aged 1to 14 years old about child punishment by flogging and the child caregivers’demogranphic characters. The incidence rate of child punishment by flogging in a month was 39.3%. The incidence rate of physical abuse was 3.3%, if the child physical abuse was defined as the flogging occured more than 3 times in the previous month and at least one time with bruise or swelling, or hemorrage, or fracture, or even more serious consequence. The leading reason of flogging was naughty or indocile, having academic problem and child getting into trouble. The most flogging positions were hip and head, the ways of flogging were with bare hand, with branch or stick. Most children having no response or only crying, boys take on more serious consequence than girls. By using unconditional multivariate logisitic regression, senior child, singleton, foster and having the female caregiver of more education years were protective factors for child from flogging.[Conclusions] Child physical abuse is prevalent in rural areas in China. It needs collaboration of family and society to prevent children from physical abuse.