The status of violence against children in China,2013-2021
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 N1SS 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.
NETL
NSTL
万方数据
