• Title/Summary/Keyword: 학대

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A SURVEY OF INTRAFAMILIAL CHILD SEXUAL ABUSE BY PHYSICIANS' REPORTS (의사들의 보고에 의한 근친간 아동성학대 연구)

  • Hong, Kang-E;Kang, Byung-Goo;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.138-147
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    • 1998
  • Authors surveyed intrafamilial child sexual abuse in the children under 15years old in clinical. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as follows. 1) The numbers of respondents who have had the experience of treating victims of intrafamilial child sexual abuses were 157(13.0% of total respondents). 2) Among the perpetrators, 58(36.9%) were siblings and 32(20.4%) 26(16.6%) were step-fathers, and respectively. The most common age bracket was 10s(39.5%), and the next was 40s and 50s (33.7%) Almost all(98.7%) of the perpetrators were male. 3) The mean age of victims was $12.1{\pm}3.3$ years old, and all of the victims were female, and the number of victims who had previous mental or physical handicaps and behavior problems were 5(3.2%) and 8(5.1%) respectively. 4) The ways by which intrafamilial child sexual abuses were found were abnormal behaviors 45(28.7%), victim's own report 40(25.5%), pregnancy 18(11.5%), pain complaint 13(8.3%), other person's report 13(8.3%), and detection during examination 12(7.6%). 5) Time lags between intrafamilial child sexual abuses and hospital visits were after 1 month 97(61.8%), from 1 day to 1 week 29(18.5%), within 1 day 21(13.4%), and from 1 week to 1 month 10(6.4%). 6) Physical complications were perineal wound 93(59.2%), hymen rupture 90(57.3%), pregnancy 68(43.3%), wound of other part of body 11(7.0%), and sexually transmitted disease 4(4.5%). 7) Treatment for victims were discharge 92(58.6%), admission, operation or transfer to a bigger hospital 25(15.9%), psychiatry consult 19(12.1%), report to police(10.9%) and social work consult 3(1.9%). These results suggest that considerable numbers of physicians have had the experience of treating victims of intrafamilial child sexual abuses, and intrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.

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Policy suggestions for active reporting of medical professionals for early detection of child abuse (아동학대의 조기발견을 위한 제도적 개선 방안: 「아동학대범죄의 처벌 등에 대한 특례법」이 정한 의료인에 의한 신고를 중심으로)

  • Bae, Seung Min;Lee, Sun Goo
    • The Korean Society of Law and Medicine
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    • v.18 no.1
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    • pp.143-169
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    • 2017
  • The Act on Special Cases Concerning the Punishment, etc. of Child Abuse Crimes intends to encourage reporting and punishment of child abuse by using the concept of 'crime' in child abuse cases. Article 10 of the Act imposes duty to report child abuse on a number of different professions, including medical professionals. Currently, more than 80% of child abuse cases occur among family members and the detection rate of child abuse is as low as 0.5% in Korea. On the other hand, medical professionals can identify child abuse relatively clearly with specific medical opinions. Therefore, it is necessary that medical professions are informed of this duty and does not bear disincentive from reporting. This paper makes policy suggestions in this regard. First, it is necessary that medical students and medical professionals receive regular education about the obligation to report child abuse. Education should include details of the reporting duty, as well as the fact that there is legal obligation to report even if the child abuse is "suspicious", not certain. Second, it is imperative to establish and implement protective programs for medical professionals who report child abuse. The current law provides a rough framework for protection of people who report child abuse, but it is necessary to produce detailed guidelines that are applicable in the context of medical setting. Education for medical students and medical professionals should include the contents of these guidelines, so that they do not hesitate reporting because they fear the aftermath of reporting. Third, it is highly recommended that physicians use the national Baby/Infant Health Checkup Program as an opportunity to detect child abuse. In Korea, the Baby/Infant Health Checkup Program provides physicians to periodically monitor health condition of all babies and children until the age of 71 months. In order to utilize this program for early detection of child abuse, it is imperative that the bBaby/Infant Health Checkup Program is modified to involve child abuse experts and medical professionals who participate in the program are educated about child abuse.

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Analysis on Determination of Punishment in Sentencing for Cases Involving Child Maltreatment Fatalities (아동학대 사망사건 판결의 양형 분석)

  • Chung, Ick Joong;Choi, Sun Young;Jeong, Su Jeong;Park, Na Rae;Kim, Yu Ri
    • Korean Journal of Social Welfare
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    • v.68 no.2
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    • pp.131-160
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    • 2016
  • In this study, we analyzed determination of punishment of victimizers presented in sentencing(81 plaintiffs, 95 sentencing) for 55 cases involving child maltreatment fatalities between 2001 and 2015. The results showed that about 40% of main victimizers were imposed relatively minor punishment such as probation or imprisonment for less than 3 years. Judgments that deviated from lower limit comprised large proportion in connection with compliance with standards for statutory punishment and punishment determination. The elements of punishment determination, such as earnest rearing of child, psychological pain arising from death of child, sense of guilt, motivation that can be considered, were found to have a significant influence on mitigation of punishment although such elements could be judged differently, depending on perception or subjective tendency of judges towards child abuse. Even abetters in a position to prevent death of child were imposed minor punishment mostly by probation or monetary penalty. This study presented the need to reconsider the circumstances of punishment determination which has been conventionally mentioned in cases involving child maltreatment fatalities, such as first offender, accidental crime, person with parental rights, fosters, agreement with family of the deceased, etc. Moreover, this study suggested the need to reinforce child abuse prevention training for law enforcement officers and to revamp standards for determining punishment unique to the cases of child abuse in the future.

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Trends in Child Sexual Abuse Literature -Articles Published from 2000 to 2008- (아동성학대 연구 경향 -2000~2008에 발표된 국내외 주요 학술지 논문을 중심으로-)

  • Yoon, Hye-Mee
    • Journal of the Korean Society of Child Welfare
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    • no.32
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    • pp.129-160
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    • 2010
  • This paper provides a review of research in the area of child(hood) sexual abuse. Particularly, the paper focuses on understanding the direction of research trends in Korea on this topic by evaluating the methodological changes, diversity of topics, and factors associated with research participants. The systemic, comprehensive review includes 28 articles in 14 primary Korean Journals and 261 articles in "Child Abuse and Neglect" and "Child Maltreatment" published from 2000 to 2008. Foci of the reviewing process were; (1) Do the transition of research methods follow scientific saturation? (2) What are the main subject areas of the field? (3)Who are the research participants and from where were they recruited? The review finds that overall, the number of CSA studies fluctuated in early 2000, but remained stable which means that academic interests have remained along with the social concern. The Korean CSA studies are imbalanced in terms of scientific saturation. Studies with theoretical methods are short in numbers, but there is a rapidly growing number of research using qualitative approaches. The review also highlights that most quantitative research utilized cross-sectional survey methodology. The major research themes that were most frequently found were studies on factors associated with CSA and evaluation of treatment modalities. However, research on perpetrators and measurement scale development were rather rare. In the CA&N and CM articles, study participants are frequently recruited from mental health clinics or related social agencies. Korean samples usually come from schools than communities and young children and their mothers seem to be excessively represented. Balanced research efforts are strongly suggested.

The Associations among Poor Single Mothers' Economic Hardship, Depressive Symptoms, Parenting Stress, Child Abuse and Neglect, and their Children's Development (빈곤 미혼모의 경제적 어려움과 우울증상, 양육스트레스, 아동학대와 방임이 아동의 사회행동발달에 미치는 영향)

  • Pyun, Ho-Soon;Choi, Jeong-Kyun
    • Journal of the Korean Society of Child Welfare
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    • no.53
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    • pp.1-23
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    • 2016
  • With using a subsample of 1,373 poor single mothers and their children from the Fragile Families and Child Wellbeing study, the present study examined the associations among mothers' economic hardship, depressive symptoms, and parenting stress, child abuse and neglect, and their children's behavior problems, delinquency, and social skill. These families were tracked through follow-up interviews at the time of birth, and when the children were three, five, and nine years old. The results indicated that mothers' economic hardship, depressive symptoms, and parenting stress were significant predictors to determine their children's abuse and neglect. Findings also suggest that higher levels of child abuse and neglect are positively associated with more behavior problems and delinquency, and negatively associated with social skills. Further discussions include policy and services to prevent child abuse and neglect and to alleviate mothers' financial difficulties, depression, and parenting stress.

A Comparative Study on Policies of Elderly Abuse in the Long-Term Care Facilities on WHO, Main countries (장기요양시설내 노인학대 대응정책에 관한 연구: WHO 및 주요국의 정책 비교를 중심으로)

  • Moon, yongpil;Lee, hoyong
    • 한국사회정책
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    • v.24 no.1
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    • pp.67-95
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    • 2017
  • This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.

An Analysis of The Relationship Among Nursing Students' Perception of Target Vulnerability and Target Advocacy, Child Rights Awareness, and Child Abuse Reporting Intention (간호대학생이 지각한 대상자 취약성 및 옹호, 아동권리인식, 아동학대 신고의도 간의 관계 분석)

  • Ji-Ah Song;Jae Woo Oh
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.155-163
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    • 2024
  • Nursing students, as prospective nurses, are expected to act as child abuse reporters and advocates for child targets. Therefore, this study aimed to provide a basis for developing a child abuse prevention education program for nursing students by determining the extent of nursing students' perceived target vulnerability and target advocacy, child rights awareness, and intention to report child abuse, and analyzing the relationships among the variables. This study is a descriptive survey study to identify the effects of target vulnerability, target advocacy, and child rights awareness on intention to report child abuse among 154 nursing students, and the data collection period was from July 3 to July 31, 2023, and the collected data were analyzed using SPSS 25.0 program. As a result of identifying the influential factors on nursing students' intention to report child abuse, child abuse education, championing social justice as a sub-variable of target advocacy, and target vulnerability, the explanatory power of these variables was 35.8%. Based on the results of this study, it is suggested that it is necessary to increase activities through the development and application of simulation education based on actual clinical cases in order to increase nursing students' interest in and education about child abuse.

Study on the Factors Relating and the Abuse of Immigrant Women (결혼이민여성의 학대와 관련요인연구)

  • Kim, Min-Kyeong
    • Korean Journal of Human Ecology
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    • v.18 no.6
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    • pp.1181-1198
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    • 2009
  • The purposes of this study were to find the general trends of individuals, marital relation, migrated-cultural variables and abuse, and to analyze the effects of the individual, marital relation, and migrated-cultural variables on the abuse. The subjects were 174 immigrant women. The data was analyzed with frequency, t-test, ANOVA and multiple regression by SPSS. The major findings were as follows; Physical abuse amongst immigrant women was significantly different according to residence and income factors, psychological abuse was dependent on residence and native country, sexual abuse was dependent on education level, and total abuse was dependent on residence and native country. The level of abuse (range 1-4) was 2.07, Psychological abuse was the highest with 2.23, physical abuse was next with 1.92 and sexual abuse was 1.78. All the abuse types were influenced by the husband's alcohol behavior, communication efficiency, marital conflict, and knowledge of Korean culture. In conclusion, it is important to protect immigrant women who have been abused. So understanding, reasonable coping, prevention programs and counseling of abuse victims were provided to immigrant women.