农村地区9～18岁儿童青少年的同胞暴力经历与情绪行为问题

Association between sibling violence experience and emotional and behavioral problems among children and adolescents aged 9-18 years in rural areas

目的:探讨儿童青少年的同胞暴力经历与情绪行为问题的关联性。方法:在湖南省采用多阶段分层整群抽样,调查1735例多子女家庭的儿童青少年经历同胞暴力的情况,并使用长处和困难问卷(SDQ)(学生版)评定其情绪与行为问题。结果:经历同胞暴力的儿童青少年SDQ异常检出率高于未经历者[45.6%(236/518)vs.26.8%(326/1217)]。经历同胞暴力者中,既遭受又实施同胞暴力者SDQ异常检出率高于单纯遭受者和单纯实施者[52.8%(132/250)vs.37.9%(74/195)vs.41.1%(30/73)];单纯遭受者和单纯实施者的异常率差异无统计学意义。遭受和实施4种以上不同类型同胞暴力的SDQ异常检出率分别为63.4%(53/93)和76.9%(60/78)。结论:农村地区儿童青少年的同胞暴力经历与其情绪与行为问题存在关联。

Objective:To explore the association between sibling violence experience and emotional and behavioral problems.Methods:A Multistage stratified cluster sampling was used in Hunan province,1735 participants from multiple-child family were recruited to survey the prevalence of sibling violence and the occurrence of emotional and behavioral problems with the Strength and Difficulties Questionnaires(SDQ).Results:According to SDQ total score,the rate of abnormal emotion and behavior in children and adolescents involved in sibling violence was higher than that in students who were not experienced sibling violence [45.6%(236/518) vs.26.8%(326/1217)],the rate in bully-victim was higher than that in pure-victim and pure-bully [52.8%(132/250) vs.37.9%(74/195) vs.41.1%(30/73)].The rates in children and adolescents who were bullied and perpetrated more than 4 sub-types of sibling violence were 63.4%(53/93) and 76.9%(60/78).Conclusion:There is an association between sibling violence experience and emotional and behavioral problems among children and adolescents in rural areas.