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      Family cohesion and adaptability among rural children with sexual abuse experience

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          Abstract

          Objective To understand the prevalence of sexual abuse among rural children and its association with family cohesion and adaptability, and to explore factors that may affect household functions of the victims.

          Methods A total of 1 666 rural middle school students in Hanchuan and Yunxi, Hubei were recruited with stratified cluster sampling method, multivariate Logistic regression was used to analyze associated factors of the household functions of the victims.

          Results A total of 175 (10.50%) reported non-contact sexual abuse and 44 (2.64%) reported contact sexual abuse. Compared with control group, sexual abuse victims reported lower scores of family cohesion ( F = 8.97, P<0.01) and adaptability ( F = 4.09, P =0.02). Among the victims, maternal absence was a risk factor for poor family cohesion ( OR = 0.20, P<0.01), higher parental educational level and appropriate parenting methods ( P<0.05) were protective factors for family cohesion and family adaptability.

          Conclusion Household functions of children sexual abuse victims in rural areas are generally poor, especially for victims with mothers absence, low parental education and improper parenting style. More attention should be paid to such children to minimize the impact of negative events such as sexual abuse.

          Abstract

          【摘要】 目的了解农村儿童性侵害发生状况及其与家庭亲密度和适应性的关系, 分析可能影响受害儿童家庭功能的因 素, 为该类人群的创伤后干预提供科学依据。 方法 采用分层整群抽样方法, 在湖北省汉川市和郧西县抽取1 666名农村 中学生进行问卷调査, 应用多因素 Logistic 回归分析受害儿童家庭功能的影响因素。 结果 有175人 (10.50%)遭受过非 接触性性侵, 44人 (2.64%)遭受过接触性性侵。与正常儿童相比, 受害儿童的家庭亲密度 ( F =8.97)和适应性均较低 ( F = 4.09)( P值均<0.05)。在性侵害受害儿童中, 母亲离家 ( OR = 0.20)与家庭亲密度较差呈正相关, 看护人文化水平较髙以及 恰当的教育方式与家庭亲密度和适应性较低呈负相关( P值均<0.05)。 结论 农村性侵害儿童的家庭功能不容乐观, 其中 母亲离家、看护人文化水平较低和采用不合理教育方式家庭中的受害者家庭功能显著较差。应加强对此类儿童的重视, 尽 可能减小性侵等负性事件对孩子造成的影响

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 February 2021
          01 February 2021
          : 42
          : 2
          : 245-248
          Affiliations
          [1] 1School of Medicine, Wuhan University of Science and Technology, Wuhan (430065), China
          Author notes
          *Corresponding author: XIANG Bing, E-mail: 397126318@ 123456qq.com
          Article
          j.cnki.1000-9817.2021.02.021
          10.16835/j.cnki.1000-9817.2021.02.021
          aa753ba4-07a6-48c2-a71c-0f7ccb22e922
          © 2021 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Child,Rural population,Family,Sex,Adaptation, psychological,Regression analysis,Violence

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