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目的分析广西少数民族偏远山区儿童虐待现况及受虐儿童社交焦虑情况,为儿童虐待预防干预、促进受虐儿童心理行为健康发展提供依据。方法运用多阶段整群随机抽样方法,采用儿童受虐筛查表和儿童社交焦虑量表对广西少数民族偏远山区5 390名中小学生进行调查。结果 1年内5 390名儿童中,有2 128人曾遭受家人虐待,报告率为39.48%,其中言语侮辱、经济控制、用刀棒等伤人、忽视、拳打脚踢、隔离、抓咬打耳光等、性侵犯虐待的报告率分别为30.80%、29.98%、19.70%、13.88%、13.08%、10.93%、10.89%和3.64%,8种类型虐待行为发生率比较差异有统计学意义(χ2=2 501.57,P=0.000),以儿童受言语侮辱和经济控制发生率最高;受虐儿童社交焦虑感高于未受虐儿童,女性受虐儿童社交焦虑感高于男性受虐儿童,农村受虐儿童社交焦虑感高于城镇受虐儿童,不同民族受虐儿童社交焦虑感无差异。结论少数民族边远山区儿童虐待发生率较高,受虐儿童特别是女生和农村受虐儿童社交焦虑严重。
Objective To analyze the situation of child abuse and social anxiety among children in remote mountainous areas in Guangxi Zhuang Autonomous Region and provide basis for preventing child abuse abuse and promoting the healthy development of child abuse behavior. Methods A multistage cluster random sampling method was used to investigate 5 390 primary and secondary school students in remote mountainous areas of Guangxi Zhuang Autonomous Region, using the Child Abuse Screening Checklist and Children’s Social Anxiety Scale. As a result, 2,128 out of 5,390 children suffered abuse of family members within a year, with a reported rate of 39.48%. Among them, verbal insults, economic controls, wounding with knives and sticks, neglect, punching, insisting and slapping The reported rates of sexual abuse and abuse were 30.80%, 29.98%, 19.70%, 13.88%, 13.08%, 10.93%, 10.89% and 3.64%, respectively. The incidence of abuse among the 8 types was statistically significant (χ2 = 2 501.57, P = 0.000). The incidence of verbal abuse and economic control was the highest among children. The social anxiety of the abused children was higher than that of the abused children. The social anxiety of the abused children was higher than that of the male battered children and the rural ones The social anxiety of children was higher than that of urban children, and there was no difference in social anxiety between children of different ethnic groups. Conclusion The incidence of child abuse in remote mountainous areas of ethnic minorities is high, and the social anxiety among abused children, especially girls and rural abused children, is serious.