六岁以下的儿童可能会在2个月内,在父母的回归后,从部署在美国军队中的虐待和忽视的风险增加,风险可能会上升的军队家庭与士兵谁是部署超过一次。
在费城儿童医院的研究人员从policylab(CHOP)进行的最大的一个纵向的回顾性研究,对军人家庭的虐待和忽视儿童。在国防卫生计划的支持下,这项研究出现在今天的美国公共卫生杂志。
“Prior research had revealed an increased risk to children while parents were deployed, mostly due to supervisory neglect while parents were overseas,” said the study’s senior author, David M。 Rubin, MD, MSCE, the co-director of PolicyLab。 “This study is the first to reveal an increased risk when soldiers with young children return home from deployment。 This demonstrates that elevated stress when a soldier returns home can have real and potentially devastating consequences for some military families。”
“While incidents of child abuse and neglect among military families are well below that of the general population, this study is another indicator of the stress deployments place on soldiers, family members and caregivers,” said Karl F。 Schneider, Principal Deputy Assistant Secretary of the Army for Manpower and Reserve Affairs。 “Since the end of the data collection period in 2007, the Army has enacted myriad programs to meet these kinds of challenges head on, and we will continue working to ensure services and support are available to soldiers, families, and their children。”
The study drew on two different measures of child abuse from Army databases: substantiated child maltreatment reports and medical diagnoses of child maltreatment。 The substantiated reports, collected by the Family Advocacy Program (FAP) of the Department of Defense, captured four types of child maltreatment: physical, sexual, emotional, and neglect。 The medical diagnoses were identified from TRICARE, the healthcare program for U。S。 service members and their families。
The study included children under age 2 in Army families of over 112,000 soldiers deployed once or twice during the years 2001 to 2007。 The first two years of a child’s life are known to be a period of high stress for families。
The researchers compared patterns of abuse and neglect in Army families of soldiers deployed only once versus those deployed twice。 The study focused on the first two years of a child’s life because of the elevated risk for life-threatening child abuse among infants that exceeds risk in all other age groups。
Although the proportion of families whose children were identified with abuse or neglect was low, the researchers found there was an elevated risk of abuse and neglect specifically during the six months immediately following a soldier’s one-time deployment。 When soldiers were deployed twice, the highest rate of abuse and neglect occurred during the second deployment, and was usually perpetrated by a non-soldier caregiver。 The rate of substantiated child abuse and neglect doubled during the second deployment compared to the first deployment period。
泰勒 “The finding that in most cases the perpetrators were not the soldiers themselves reveals to us that the stress that plays out in Army families during or after deployment impacts the entire family, and is not simply a consequence of the soldier’s experience and stress following deployment,” said Christine Taylor, the study’s lead author, a project manager at CHOP’s PolicyLab。
The Family Advocacy Program offers a breadth of valuable services to families, such as parenting classes, child care services, and classes focused on a soldier’s reintegration into home life。 Ultimately, these findings may inform efforts by the military and civilian systems to standardize care and support military families during all periods of elevated risk。
(注:转载时请注明复诊网)