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Published in: Child and Adolescent Psychiatry and Mental Health 1/2008

Open Access 01-12-2008 | Research

Prevalence and determinants of child maltreatment among high school students in Southern China: A large scale school based survey

Authors: Phil WS Leung, William CW Wong, WQ Chen, Catherine SK Tang

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2008

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Abstract

Background

Child maltreatment can cause significant physical and psychological problems. The present study aimed to investigate the prevalence and determinants of child maltreatment in Guangzhou, China, where such issues are often considered a taboo subject.

Methods

A school-based survey was conducted in southern China in 2005. 24 high schools were selected using stratified random sampling strategy based on their districts and bandings. The self-administered validated Chinese version of parent-child Conflict Tactics Scale (CTSPC) was used as the main assessment tool to measure the abusive experiences encountered by students in the previous six months.

Results

The response rate of this survey was 99.7%. Among the 6592 responding students, the mean age was 14.68. Prevalence of parental psychological aggression, corporal punishment, severe and very serve physical maltreatment in the past 6 months were 78.3%, 23.2%, 15.1% and 2.8% respectively. The prevalence of sexual abuse is 0.6%. The most commonly cited reasons for maltreatment included 'disobedience to parents', 'poor academic performance', and 'quarrelling between parents'. Age, parental education, places of origins and types of housing were found to be associated with physical maltreatments whereas gender and fathers' education level were associated with sexual abuse.

Conclusion

Though largely unspoken, child maltreatment is a common problem in China. Identification of significant determinants in this study can provide valuable information for teachers and health professionals so as to pay special attention to those at-risk children.
Literature
1.
go back to reference Essali MA: Intervention in Child Abuse and Neglect: an Emerging Subspeciality in child and adolescent psychiatry. World Psychiatry. 2005, 4 (3): 160. Essali MA: Intervention in Child Abuse and Neglect: an Emerging Subspeciality in child and adolescent psychiatry. World Psychiatry. 2005, 4 (3): 160.
2.
go back to reference Spataro J, Mullen PE, Burgess PM, Wells DL, Moss SA: Impact of child sexual abuse on mental health: Prospective study in males and females. Br J Psychiatry. 2004, 84 (5): 416-421. 10.1192/bjp.184.5.416.CrossRef Spataro J, Mullen PE, Burgess PM, Wells DL, Moss SA: Impact of child sexual abuse on mental health: Prospective study in males and females. Br J Psychiatry. 2004, 84 (5): 416-421. 10.1192/bjp.184.5.416.CrossRef
3.
go back to reference Corcoran P, Gallagher J, Keeley HS, Arensman E, Perry IJ: Adverse Childhood Experiences and Lifetime suicide ideation: a cross-sectional study in a non-psychiatric hospital setting. Ir Med J. 2006, 99 (2): 42-45.PubMed Corcoran P, Gallagher J, Keeley HS, Arensman E, Perry IJ: Adverse Childhood Experiences and Lifetime suicide ideation: a cross-sectional study in a non-psychiatric hospital setting. Ir Med J. 2006, 99 (2): 42-45.PubMed
4.
go back to reference Tonmyr L, Jamieson E, Mery LS, MacMillan HL: The relation between childhood adverse experiences and disability due to mental health problems in a community sample of women. Can J Psychiatry. 2005, 50 (12): 778-783.PubMed Tonmyr L, Jamieson E, Mery LS, MacMillan HL: The relation between childhood adverse experiences and disability due to mental health problems in a community sample of women. Can J Psychiatry. 2005, 50 (12): 778-783.PubMed
5.
go back to reference Lau JTF, Chan KK, Lam PKW, Choi PYW, Lai KYC: Psychological correlates of physical maltreatment in Hong Kong Chinese adolescents. Child Abuse Negl. 2003, 27: 63-75. 10.1016/S0145-2134(02)00507-0.CrossRefPubMed Lau JTF, Chan KK, Lam PKW, Choi PYW, Lai KYC: Psychological correlates of physical maltreatment in Hong Kong Chinese adolescents. Child Abuse Negl. 2003, 27: 63-75. 10.1016/S0145-2134(02)00507-0.CrossRefPubMed
6.
go back to reference Tang CSK: Corporal punishment and physical maltreatment against children: A community study on Chinese parents in Hong Kong. Child Abuse Negl. 2006, 30: 893-907. 10.1016/j.chiabu.2006.02.012.CrossRefPubMed Tang CSK: Corporal punishment and physical maltreatment against children: A community study on Chinese parents in Hong Kong. Child Abuse Negl. 2006, 30: 893-907. 10.1016/j.chiabu.2006.02.012.CrossRefPubMed
7.
go back to reference Lau JTF, Kim JH, Tsui HY, Cheung A, Lau M, Yu A: The relationship between physical maltreatment and substance use among adolescents: A survey of 95,788 adolescents in Hong Kong. J Adolesc Health. 2005, 37: 110-119. 10.1016/j.jadohealth.2004.08.005.CrossRefPubMed Lau JTF, Kim JH, Tsui HY, Cheung A, Lau M, Yu A: The relationship between physical maltreatment and substance use among adolescents: A survey of 95,788 adolescents in Hong Kong. J Adolesc Health. 2005, 37: 110-119. 10.1016/j.jadohealth.2004.08.005.CrossRefPubMed
8.
go back to reference Chen JQ: Study on physical maltreatment by parents and the influencing factors among Pupils. Chinese Journal of School Health. 2006, 27: 756-757. Chen JQ: Study on physical maltreatment by parents and the influencing factors among Pupils. Chinese Journal of School Health. 2006, 27: 756-757.
9.
go back to reference Chen JQ, Dunne MP, Han P: Child sexual abuse in China: A study of adolescents in four provinces. Child Abuse Negl. 2004, 28 (11): 1171-1186. 10.1016/j.chiabu.2004.07.003.CrossRefPubMed Chen JQ, Dunne MP, Han P: Child sexual abuse in China: A study of adolescents in four provinces. Child Abuse Negl. 2004, 28 (11): 1171-1186. 10.1016/j.chiabu.2004.07.003.CrossRefPubMed
10.
go back to reference Tang C: Childhood experience of sexual abuse among Hong Kong Chinese college students. Child Abuse Negl. 2002, 26: 23-37. 10.1016/S0145-2134(01)00306-4.CrossRefPubMed Tang C: Childhood experience of sexual abuse among Hong Kong Chinese college students. Child Abuse Negl. 2002, 26: 23-37. 10.1016/S0145-2134(01)00306-4.CrossRefPubMed
11.
go back to reference Berger LM: Income, family characteristics, and physical violence toward children. Child Abuse Negl. 2005, 29: 107-133. 10.1016/j.chiabu.2004.02.006.CrossRefPubMed Berger LM: Income, family characteristics, and physical violence toward children. Child Abuse Negl. 2005, 29: 107-133. 10.1016/j.chiabu.2004.02.006.CrossRefPubMed
12.
go back to reference Sidebotham P, Heron J, The ALSPAC Study Team: Child abuse in the "children of the nineties": A cohort study of risk factors. Child Abuse Negl. 2006, 30: 497-522. 10.1016/j.chiabu.2005.11.005.CrossRefPubMed Sidebotham P, Heron J, The ALSPAC Study Team: Child abuse in the "children of the nineties": A cohort study of risk factors. Child Abuse Negl. 2006, 30: 497-522. 10.1016/j.chiabu.2005.11.005.CrossRefPubMed
13.
go back to reference Tang CSK: Adolescent maltreatment in Hong Kong Chinese families. Child Abuse Negl. 1996, 20: 873-878. 10.1016/0145-2134(96)00075-0.CrossRefPubMed Tang CSK: Adolescent maltreatment in Hong Kong Chinese families. Child Abuse Negl. 1996, 20: 873-878. 10.1016/0145-2134(96)00075-0.CrossRefPubMed
14.
go back to reference Straus M, Hamby S, Finkelhor D, Moore D, Runyan D: Identification of child maltreatment with The Parent-Child Conflict Tactics Scales: Development and psychometric data for a national sample of American parents. Child Abuse Negl. 1998, 22: 249-270. 10.1016/S0145-2134(97)00174-9.CrossRefPubMed Straus M, Hamby S, Finkelhor D, Moore D, Runyan D: Identification of child maltreatment with The Parent-Child Conflict Tactics Scales: Development and psychometric data for a national sample of American parents. Child Abuse Negl. 1998, 22: 249-270. 10.1016/S0145-2134(97)00174-9.CrossRefPubMed
15.
go back to reference Tang CSK, Lu C, Wong C: A study of young female drug abusers: Identification of protective and risk factors for preventive and treatment programs. 1996, Report submitted to the Action Committee against Narcotics, Hong Kong Government Tang CSK, Lu C, Wong C: A study of young female drug abusers: Identification of protective and risk factors for preventive and treatment programs. 1996, Report submitted to the Action Committee against Narcotics, Hong Kong Government
16.
go back to reference Straus MA: Corporal Punishment and Primary Prevention of physical abuse. Child Abuse Negl. 2000, 24: 1109-14. 10.1016/S0145-2134(00)00180-0.CrossRefPubMed Straus MA: Corporal Punishment and Primary Prevention of physical abuse. Child Abuse Negl. 2000, 24: 1109-14. 10.1016/S0145-2134(00)00180-0.CrossRefPubMed
17.
go back to reference Tang CSK: The rate of physical child abuse in Chinese family: A community survey in Hong Kong. Child Abuse Negl. 1998, 22: 381-391. 10.1016/S0145-2134(98)00010-6.CrossRefPubMed Tang CSK: The rate of physical child abuse in Chinese family: A community survey in Hong Kong. Child Abuse Negl. 1998, 22: 381-391. 10.1016/S0145-2134(98)00010-6.CrossRefPubMed
18.
go back to reference Lau JTF, Liu J, Cheung J, Yu A, Wong C: Prevalence and correlates of physical maltreatment in Hong Kong Chinese adolescents: A population-based approach. Child Abuse Negl. 1999, 23: 549-557. 10.1016/S0145-2134(99)00029-0.CrossRefPubMed Lau JTF, Liu J, Cheung J, Yu A, Wong C: Prevalence and correlates of physical maltreatment in Hong Kong Chinese adolescents: A population-based approach. Child Abuse Negl. 1999, 23: 549-557. 10.1016/S0145-2134(99)00029-0.CrossRefPubMed
19.
go back to reference Sidebotham P, Golding J, The ALSPAC Study Team: Child abuse in the "Children of the Nineties": A longitudinal study of parental risk factors. Child Abuse Negl. 2001, 25: 1177-1200. 10.1016/S0145-2134(01)00261-7.CrossRefPubMed Sidebotham P, Golding J, The ALSPAC Study Team: Child abuse in the "Children of the Nineties": A longitudinal study of parental risk factors. Child Abuse Negl. 2001, 25: 1177-1200. 10.1016/S0145-2134(01)00261-7.CrossRefPubMed
20.
go back to reference Chen J, Dunne MP, Han P: Child sexual abuse in Henan province, China: associations with sadness, suicidality, and risk behaviors among adolescent girls. J Adolesc Health. 2006, 38: 544-549. 10.1016/j.jadohealth.2005.04.001.CrossRefPubMed Chen J, Dunne MP, Han P: Child sexual abuse in Henan province, China: associations with sadness, suicidality, and risk behaviors among adolescent girls. J Adolesc Health. 2006, 38: 544-549. 10.1016/j.jadohealth.2005.04.001.CrossRefPubMed
Metadata
Title
Prevalence and determinants of child maltreatment among high school students in Southern China: A large scale school based survey
Authors
Phil WS Leung
William CW Wong
WQ Chen
Catherine SK Tang
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2008
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/1753-2000-2-27

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