| 高欣,叶鹏鹏,金叶,汪媛,刘韫宁,纪翠蓉,司向,朱晓磊,杨一兵,段蕾蕾.2013-2021年中国儿童暴力状况分析[J].Chinese journal of Epidemiology,2024,45(10):1371-1375 |
| 2013-2021年中国儿童暴力状况分析 |
| The status of violence against children in China, 2013-2021 |
| Received:June 11, 2024 |
| DOI：10.3760/cma.j.cn112338-20240611-00337 |
| KeyWord: 暴力 儿童 死亡率 |
| English Key Word: Violence Children Mortality |
| FundProject: |
| Author Name | Affiliation | E-mail | | Gao Xin | Office of Non-communicable Disease and Ageing Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Ye Pengpeng | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Jin Ye | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Yuan | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Liu Yunning | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Ji Cuirong | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Si Xiang | Office of Non-communicable Disease and Ageing Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Zhu Xiaolei | Office of Non-communicable Disease and Ageing Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Yang Yibing | Office of Non-communicable Disease and Ageing Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Duan Leilei | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | duanleilei@ncncd.chinacdc.cn |
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| Abstract: |
| 目的 了解我国儿童暴力的流行情况和特点，为制定预防策略提供依据。方法 儿童暴力的死亡率相关数据来源于2013-2021年全国死因监测系统（DSP）。本研究分析了DSP中关于0~17岁儿童死于凶杀及其后遗症的数据。儿童暴力就诊病例信息来源于2013-2021年全国伤害监测系统（NISS），分析NISS中0~17岁儿童伤害意图为“故意伤害”的数据。本研究通过稳健线性回归分析暴力占比的时间趋势，采用χ2检验和校正Pearson残差分析不同性别暴力发生方式的构成差异。结果 儿童暴力死亡率总体呈现下降趋势，从2013年的0.33/10万下降至2021年的0.14/10万，男童暴力死亡率（0.15/10万）高于女童（0.13/10万）。儿童暴力病例占所有伤害病例的比例有所下降，从2013年的3.34%下降至2021年的2.29%。在2021年NISS的9 344例因暴力就诊病例中，男童就诊病例（7 503例）约为女童（1 841例）的4倍，前3位暴力方式为钝器（64.77%）、跌倒（7.46%）和锐器（6.18%），45例性暴力病例包括38例女童和7例男童。结论 儿童暴力流行的下降可能与中国社会的良性发展有关。应积极为监护人提供育儿技能培训，为儿童提供问题解决技能培训等预防儿童暴力的发生。 |
| English Abstract: |
| Objective This study aims to obtain the prevalence and features associated with Violence Against Children (VAC) in China and, thus, formulate a prevention strategy. Methods The mortality-related data of VAC was sourced from the National Disease Surveillance Points System (DSP) during 2013-2021. We analyzed the DSP data regarding children aged 0-17 years old who died from violence. The hospital cases of VAC was sourced from the National Injury Surveillance System (NISS), 2013-2021. We analyzed the data from NISS with the parameter of "intentional injury" caused by VAC in children aged between 0-17 years. Using robust linear regression, we analyze the time trend in the proportion of violence incidence. To understand the variations in the incidence of different types of violence across genders, we apply the chi-square test and adjusted Pearson residuals. Results The overall trend of death caused by VAC has declined; it was reduced to 0.14/100 000 in 2021 from 0.33/100 000 in 2013. In 2021, male VAC mortality (0.15/100 000) was higher than females (0.13/100 000). The proportion of VAC cases to all injury cases has declined from 3.34% in 2013 to 2.29% in 2021. Among 9 344 VAC cases supervised by hospitals in 2021, the number of males (7 503 cases) was around 4 times that of females (1 841 cases), and the top three modes of violence were blunt tools (64.77%), falls (7.46%) and sharp instruments (6.18%), and 45 cases of sexual violence included 38 girls and 7 boys. Conclusions The declining death rate due to VAC may be related to the benign development of Chinese society. Prevention strategies targeting training in parenting skills and problem-solving should be prioritized. |
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