Individual,familial and community determinants of child physical abuse among high-school students in China |
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Authors: | William Chi Wai Wong Wei Qing Chen William B Goggins Catherine S Tang Phil W Leung |
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Institution: | 1. Department of General Practice, The University of Melbourne, 200 Berkeley Street, Carlton 3053, Melbourne, Victoria Australia;2. Department of Biostatistics and Epidemiology, Sun Yat-sen University, Guangzhou 510275, China;3. School of Public Health and Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, HKSAR, Hong Kong;4. Department of Psychology, National University of Singapore, AS4 #02-08, 9 Arts Link, Singapore 117570, Singapore;5. School of Public Health, The Chinese University of Hong Kong, Shatin, HKSAR, Hong Kong |
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Abstract: | While many risk factors for child physical abuse are known, little research exists examining these in multilevel contexts including both individual and environmental influences. The authors examined the roles of individual-, family- and community-level factors such as socioeconomic status (SES) in determining the likelihood of child physical abuse in Guangzhou, China. Twenty-four schools were recruited by stratified random sampling, with 6628 junior high-school students aged 13–16 years participating. Parental child physical abuse experience, together with family and community levels of SES among students were measured and their relationships were investigated by applying univariable, multivariable and multilevel logistic regression models. Univariable, multivariable and multilevel logistic regression models were applied. Six-month prevalence of minor, severe and very severe assaults were 23.2%, 15.1% and 2.8%, respectively. A U-shaped association between family SES and likelihood of severe assaults was identified. In the multilevel model, indicators of low family SES, mother's higher occupational and educational status remained significantly independent predictors of physical abuse. Internal migration status was associated with higher risk as was younger age. The authors suggest that previous categories of risk factors for physical abuse may be too simplistic, and that further research on social and environmental influences may usefully inform intervention programs. |
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Keywords: | China Child abuse Socioeconomic status (SES) Migration Age |
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