Child maltreatment by nursing staff and caregivers in German institutions: A population-representative analysis |
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| Institution: | 1. Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhövelstr. 5, 89073 Ulm, Germany;2. Department for Psychosomatic Medicine and Psychotherapy, University Medical Center of Johannes Gutenberg University of Mainz, Untere Zahlbacher Str. 8, 55131 Mainz, Germany;3. Department of Medical Psychology and Medical Sociology, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany;1. School of Social Work, Louisiana State University, United States;2. George Warren Brown School of Social Work, Washington University in St. Louis, United States;1. Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599-7445, United States;2. Injury Prevention Research Center, University of North Carolina at Chapel Hill, 137 East Franklin Street, Suite 500, Chapel Hill, NC, 27599-7505, United States;3. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599-7445, United States;4. Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, 27599-7595, United States;5. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599-7445, United States;1. Department of Medical Microbiology, Leiden University Medical Centre, Leiden, the Netherlands;2. Department of Clinical Microbiology, Royal College of Surgeons in Ireland, Dublin, Ireland;3. Department of Clinical Microbiology, Beaumont Hospital, Dublin, Ireland;4. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands;5. Department of Geriatric and Stroke Medicine, Beaumont Hospital, Dublin, Ireland;6. Department of Geriatric and Stroke Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland;1. Doctor, Profesor Sustituto, Departamento de Enfermería y Podología, Universidad de Málaga (UMA), Málaga, Spain;2. Profesor, Doctor, Universidad de Alcalá (UAH), Madrid, Spain;1. University of Ulm, Department of Child and Adolescent Psychiatry/Psychotherapy, Steinhoevelstr. 5, 89075 Ulm, Germany;2. Diocese of Trier, Life Coaching, Hinter dem Dom 6, 54290 Trier, Germany |
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| Abstract: | BackgroundChild maltreatment by caregivers seem to make a significant contribution to general maltreatment rates. Interestingly, research assessing prevalence rates of maltreatment mainly focuses on individual components either in relation to different types of maltreatment or in relation to different types of institutions.ObjectiveThe current study assesses prevalence rates for child maltreatment by caregivers in hospitals, rehabilitation centers, facilities for the disabled, schools, Kindergartens, and after-school care or residential care.Participants and setting: In a cross-sectional survey, a representative sample of the German population above the age of 14 (N = 2,516) was selected in a random route approach. Participants were questioned retrospectively for the experience of physical, emotional and sexual abuse and neglect by caregivers in institutions.ResultsThe results demonstrate a relatively high rate of child maltreatment in German institutions. In detail, during inpatient stays in medical institutions, 19.0% of the participants reported to have experienced at least one type of maltreatment by nursing staff. Furthermore, 30.3% reported to have experienced at least one type of maltreatment by teachers during school life and 11.6% reported maltreatment by caregivers in care facilities. A significant number of participants reported multiple forms of maltreatment in all assessed institutions. Younger age of the respondents was associated with lower prevalence rates, which could be attributed to higher awareness for maltreatment in institutions nowadays.ConclusionsOur results demonstrate that child maltreatment by caregivers in institutions is a prevalent problem. A higher awareness for caregivers as potential perpetrators of maltreatment in institutions, including schools, medical institutions and care facilities, is needed in order to improve this alarming situation. |
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| Keywords: | Child maltreatment Child abuse Child neglect Epidemiology Institutions Caregivers |
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