摘要
目的探讨童年期躯体虐待经历对中国农村4~6年级小学生攻击行为的影响。方法于2014年11月—2015年5月,采用多阶段分层整群抽样方法,选取安徽、云南、广东、黑龙江、湖北五省农村地区8406名8~14岁小学生,其中男生4443人,女生3963人,利用攻击行为量表和儿童期虐待经历量表进行问卷调查。结果小学生攻击平均分数为(68.58±16.86),攻击水平处于中等。经历中重度躯体虐待的小学生有4061人(48.3%),其中的重度躯体虐待有954人。不同性别(t=10.413,P<0.001)、不同家庭经济水平(F=3.868,P=0.021)儿童攻击得分不同。童年期遭遇过躯体虐待的小学高年级学生的攻击水平均高于未遭遇虐待者(F=285.138,P<0.001)。回归模型整体性检验(F=66.16,P<0.001),R=0.335,R2=0.112,躯体虐待对儿童攻击性影响最大(b’=0.288),其次为性别(b’=-0.067);家庭经济水平可正向预测儿童攻击水平;重组家庭(t=2.823,P=0.005)和隔代家庭(t=5.004,P<0.001),与生活在核心家庭的儿童相比,其攻击性更高。溺爱、放任、粗暴和变化无常教养方式下的儿童的攻击性相比民主教养的孩子要高。结论性别、家庭类型、家庭收入、教养方式、遭受躯体虐待都会影响小学儿童攻击行为,其中童年期遭受躯体虐待是农村4~6年级小学生增加攻击行为的危险因素。
Objective To explore the effect of childhood physical abuse on aggressive behaviors of 4 -6 grade pupils in rural areas. Methods A questionnaire survey was conducted on physical abuse and aggression of 8406 students in rural primary schools from five provinces （Anhui, Yunnan, Guangdong, Heilongjiang, Hubei） by stratified cluster sampling method between November 2014 and May 2015. Results The aggression average score was （68.58 ± 16. 86）, its level was intermediate. 4061 pupils （48.3%） experienced moderate or severe physical abuse, 954 of whom were severely abused. Statistical significance in different gender （ t = 10. 413, P 〈 0. 001 ） , different family economic level （F = 3. 868 ,P =0.02l ）had been found. The level of aggression on primary school students who suffered physical abuse was higher than that of who did not, and the differences in scores of various aggressive types were statistically significant （ F = 285. 138,P〈0.001）. Regression analysis （F=66.16, P〈0.001, R =0.335, R2 = 0. 112）showed that physical abuse had the greatest influence on children＇s aggressive （b＇=0. 288）, followed by gender（b＇ = -0. 067）. Family economic level can positively predict the level of child aggression, children lived in recombination family （ t = 2. 823, P =0. 005） and the grandparent family （ t = 5. 004, P 〈 0. 001 ） were more aggressive than those living in the corer family. Children who lived in extended family performed well with less aggressive behaviors. Besides, children who were reared in democratic atmosphere got lower scores of the aggression than those who were educated by indulgent, laissez-faire, rough or capricious ways and the differences were statistically significant （P 〈0.05）. Conclusion Children＇s aggression is closely related with gender, family type, family income, parenting style, physical abuse in childhood. Among them, physical abuse in childhood is the most important risk factor for aggression of 4 -6 grade students in rural primary s
作者
袁姗姗
向晶晶
吴春侠
郝文
张艳梅
余毅震
Yuan Shanshan;Xiang Jingjing;Wu Chunxia;Hao Wen;Zhang Yanmei;Yu Yizhen(Department of Child and Adolescent Health and Maternal Care,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《卫生研究》
CAS
CSCD
北大核心
2018年第5期756-762,共7页
Journal of Hygiene Research
基金
国家自然科学基金(No.81373022)
关键词
攻击行为
躯体虐待
小学生
农村
aggressive behavior
physical abuse
pupils
rural
