Prevalence of child abuse in Kerala,India: An ICAST-CH based survey |
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| Institution: | 1. Institute for Mind and Brain (InMind Hospital), Thrissur, Kerala, India;2. Keele University, UK;3. Black Country Partnership NHS Foundation Trust, Wolverhampton, UK;4. Govt. Medical College, Alappuzha, Kerala, India;1. Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China;2. School of Medicine, The University of Adelaide, Adelaide, SA 5005, Australia;3. Changfeng Centers for Disease Control and Prevention, Hefei, China;4. The Second Affiliated Hospital of Anhui Medical University, Hefei, China;1. Department of Social Welfare, Keimyung University, Daegu, South Korea;2. Department of Public Health, Keimyung University, Daegu, South Korea;3. Department of Sociology, The Academy of Korean Studies (AKS), South Korea;1. National Cheng Kung University, No.1, University Rd., Tainan, 701, Taiwan;2. National Cheng Kung University Hospital, No.138, Sheng Li Rd., Tainan, 701, Taiwan;3. College Entrance Examination Center, 237, Zhou-Shan Rd., Taipei, 106, Taiwan;4. National Sun Yat-sen University, 70 Lienhai Rd., Kaohsiung, 804, Taiwan;1. Research and Action in Public Health, Kathmandu, Nepal;2. School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia;3. Kathmandu School of Law, Bhaktapur, Nepal;4. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;1. Ministry of Health, Nutrition & Indigenous Medicine, Suwasiripaya, No 38, Rev. Baddegama Wimalawansa Thero Mawatha, Colombo 10, Sri Lanka;2. Department of Pediatrics, Faculty of Medicine, University of Kelaniya, Sri Lanka;3. Dept. of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka |
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| Abstract: | BackgroundChild abuse is a major concern in India with frequent reports of extreme maltreatment and fatalities. A dearth of robust and methodologically sound studies has resulted in ambiguity regarding the extent of child abuse in the general population.ObjectivesTo estimate the one-year and lifelong prevalence of exposure to violence, physical abuse, emotional abuse, sexual abuse, and neglect using a validated instrument—the International Society for the Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool – Child, Home Version (ICAST-CH).Participants and Setting: Adolescents (n = 6957) attending randomly selected schools in one city in Kerala, India.MethodsCross-sectional survey using self-report instrument.ResultsThe one-year prevalence of any abuse was 89.9% (95% CI: 89.1–90.7) suggesting that child maltreatment was widespread. Physical and emotional abuses were also very common. Although sexual abuse was least common, a considerable proportion of adolescents reported it; one-year prevalence of sexual abuse was 16.7% and lifetime prevalence was 19.9%. Boys reported more abuse than girls across all the categories of abuse (including sexual abuse). Abuse was more frequent in the higher age groups and classes at school. Abuse was also more frequent in nuclear families and families that reported alcohol use. Children who reported an abusive experience usually faced more than one category of abuse; abuse in one category was significantly associated with abuse in other categories.ConclusionsAbuse of children is alarmingly common. There is an urgent need for improving the awareness surrounding this issue as it is a major public health challenge faced by the country. The priority should be on setting up easily accessible support services for children. |
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| Keywords: | Child abuse India Self report Adolescent Prevalence Exposure to violence |
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