This study examine the effects of exposure to family violence on adolescent's school violence toward peers and whether attitude toward school violence mediate in the process to provide theoretical basis for prevention and treatment for the problems of adolescent who exposed to child abuse and interparental violence. Total 1140 adolescent answered were collected from and grade in middle school students to and grade in high school students in Seoul and Kyung-gi. Frequency analysis was done to assess the actual condition of school violence, child abuse, interparental violence, attitude toward school violence. Structural equation modeling was used to examine the effects of exposure to family violence on adolescent's school violence and the mediating role of attitude toward school violence in the process. The results of this study are: (1) exposure of child abuse have strong positive influences on adolescent's school violence, (2) attitude toward school violence mediate family violence and school violence.
Purpose: The purpose of this study was to develop a health education program for child care workers of infants, toddlers and preschoolers to improve their care ability. The program provided child care teachers and children with information on how to take care of their health. Method: This program development was based on a systematic design of instruction by Dick & Carey(1996). The process included a review of literature, setting an instructional goal, getting advice from various experts, designing instruction and instructional medias, designing formative evaluation, revising the program and making a summative evaluations. Result: The products of this program were the 'Teachers Guide Book & CD-ROM.' The guide book included health education programs for infants, toddlers and preschoolers. The infant program included a basic baby care program for teachers. The toddlers and preschoolers program included basic health promotion, dental health, nutrition management, communicable disease prevention, substance abuse prevention and a safety program. Conclusion: These programs provided a systematic content of health education for children and their teachers, and useful data which can be applied to child care centers.
Choi, Yoon Jin;Kim, Shin Mi;Sim, Eun Jung;Cho, Do Jun;Kim, Dug Ha;Min, Ki Sik;Yoo, Ki Yang
Clinical and Experimental Pediatrics
/
v.50
no.5
/
pp.436-442
/
2007
Purpose : To promote awareness and efforts by pediatricians to identity and prevent child abuse by investigation of characteristics of victim and types of injury caused by abuse. Methods : A retrospective study was performed with 20 patients who had been diagnosed or suspected as child abuse at Hallym University Hospital from January 1999 to December 2005. The medical records, radiologic documents, and social worker's notes were reviewed to investigate age, sex, visiting time, form of abuse, perpetrator, risk factor, and type of injury. Results : The mean age of the subjects was 2.8 years. Fourteen patients were between 0-1 years old, 2 patients between 1-6 years old, 3 patients between 7-12 years old, and 1 case over 13 years old. The ratio of male to female was 1:1. The majority of these patients (70%) visited via emergency department. Eight five percent of these patients reported with physical abuse, 5% psychological abuse, 5% sexual abuse, and 5% neglect respectively. The suspected perpetrator was the biological father in six cases, the biological mother in three cases, the stepmother in two cases, caregiver in one case, relatives in one case and "unknown" in six cases. Bruise and hematoma (80%) were the most common physical findings. Skull fractures were diagnosed in six cases, long bone fractures in two cases, hemoperitoneum in two cases, subdural hemorrhage in 10 cases, epidural hemorrhages in two cases, subarachnoidal hemorrhages in two cases, and retinal hemorrhages in five cases respectively. Seventeen cases required hospitalization and surgical operations performed were in nine cases. Four patients died and three patients had sequalae such as developmental delay and quadriplegia. Conclusion : Child abuse results in high mortality and morbidity in victims. Therefore early recognition and prevention is very important. Pediatricians should always suspect the possibilities of abuse in cases of fracture, intracranial hemorrhage, abdominal injury, or even any injury to the body. We recommend that the clinical investigation of suspicious children should include a full multidisciplinary social assessment, a skeletal survey and CT or MRI.
This study examined the co-occurrence of child maltreatment and domestic violence in South Korea, using the administrative data from Korean Child Protection Services. Existing literature showed that the co-occurrence rate was high and that the co-occurrence was important in prevention and intervention for child maltreatment. However, few studies have investigated the co-occurrence of child maltreament and domestic violence in South Korea. None of the studies have examined the co-occurrence from the perspective of child protective services. This study analyzed the rate of co-occurrence among abusive families involved with Korean Child Protective Services and examined the relationship between domestic violence and child maltreatment. Results showed that 21.4% of the abusive families had also experienced domestic violence. Various characteristics(i.e., detailed abuse characteristics, psychosocial characteristics of perpetrators) differed between co-occurrence families and maltreatment-only families. Domestic violence was a significant predictor of child maltreatment, but the detailed relationships differed according subtypes of maltreatment. Based on the results, implications for theory and service integration between services for domestic violence victims and child protective services were discussed.
Relations of factors associated with burnout were investigated among 124 child protective service workers currently working in Korean Child Abuse Prevention Centers nationwide. Three categories of factors associated with burnout were examined; (1) individual characteristics, (2) job-related characteristics, and (3) job-satisfaction. Social survey method using questionnaires by mail was employed. MBI(Maslach Burnout Inventory) for measuring burnout, a part of Smith, Kendal & Hulin's JDI(Job Description Index) for job-satisfaction, and a scale measuring the special characteristics of job developed by researchers were used. Mann-Whitney test and Kruskal-Wallis test were employed to analyze the data. Across all burnout sub-scales(emotional depletion, dehumanization of clients, lack of feelings of achievement), subjects reported a high degree(above the cutting point) of burnout. Several factors were identified as associated with burnout. Child protective service workers who are young, single with front line worker status reported higher burnout. Lack of education and training before the job location were another factors which contributed to worker burnout. Lack of proper supervision stood out as another burnout provoking factor. Job-satisfaction was negatively correlated with all three burnout sub-scales, which meant the lower the job-satisfaction, the higher the burnout of service workers. The findings implicate that the administrators of Child Abuse Prevention Centers should pay close attention to their workers' sign of burnout and develop carefully designed support system which include provision of excellent supervision, proper education and training opportunities and organizational effort to strengthen employees' overall job-satisfaction to secure their quality of services toward abused children and their family.
The aim of this study was to research and compare the demographic characteristics of drug abusers with non-drug abusers among junior high school students in Japan through a closed format questionnaire. The same questionnaire and face-to-face interviews were used in order to find the circumstances of drug abuser among Kyogoin(a sort of child welfare institution) students in Japan. The goal of the study was to provide basic materials for preventive education of drug abuse through the two investigations mentioned above. Between July 1993 and November 1993, the information for this study was collected from 964 students from 4 junior high schools, and also 142 students from 3 Kyogoin in Japan. A total of 1106 questionnaires were completed resulting in a following response rate of 90.4%. Information was based on the scales : family relation scale, school life scale, recognition on danger of drug abuse scale, family environment scale (Moos, 1986), self esteem inventory (Coopersmith, 1967), etc. The conclusions can be summarized as follows : 1. Drug abusers are more likely to lake communication in their families and have poorer human relations than non-drug abusers. Also their school life scores tended to be lawer non-drug abusers. 2. It was between their 6th year of elementary school and their first of Junior high school when the drug was first used. The drug of choice which they made their first attempt at using was a volatile solvent which was inhaled. It is likely that this drug is "gateway-drug" for adolescents in Japan because they then also tried other drugs (e.g. cocaine, marijuana, etc.) step by step. 3. It is therefore clearly important that greatly increasing education on the harmful effects of drug abuse before the summer vacation of the first term of the sixth year of elementary school. At the same time, intervention in the family will have an effective prevention strategy in Japan, as well., as well.
Purpose: The purpose of this study was to develop content for safety education to prevent hospital safety accidents among hospitalized children and to investigate the status of safety education performed by nurses. Methods: First, the Delphi method was used, with 18 experts, to develop educational contents for preventing safety accidents. Second, an exploratory survey was performed of the actual status of safety education for preventing safety accidents among hospitalized children using a questionnaire developed based on the Delphi method. The participants of this study were 159 nurses with at least 6 months of work experience. Results: The educational content developed through the Delphi method for preventing safety accidents among hospitalized children contained seven domains (falls, injury, electric shocks/burns, suffocation/aspiration, poisoning/abuse, kidnapping, medical devices) with 44 topics. The item mean of nurses'perceptions of the importance of child safety education was 4.18, and the actual performance score was 3.72, which was a statistically significant difference (t=11.58, p<.001). Conclusion: These seven comprehensive domains of accident prevention education for hospitalized children are expected to be useful for interventions to support the safety of hospitalized children.
This paper describes the results from a prevention program for low-income mothers of children under the age of 13 aiming at the positive change on parental attitudes toward their children, parenting satisfaction and attitudes toward the use of corporal punishment. The program duration was 8 weeks and consisted of two parts: parent education on understanding parent-child relationship, communication skill improvement, techniques of problem solving, non-punitive child rearing techniques; and the recognition and use of existing social support network including networking of the neighborhood resources. The pre-post test control group design was employed. The results are: the program is effective on bringing some positive changes on an three variables: parental attitudes toward their children, parenting satisfaction and attitudes toward the use of corporal punishment. Increased social support was found to have significant positive effect on the above variables except the attitudes toward corporal punishment. To decrease the risk factors as well as to increase the protective factors of child abuse, well designed parent education and social support program is recommended on every community level.
Objective: The purpose of this study is to identify and prioritize sub-goals for infants and young children among the Korean Sustainable Development Goals (K-SDGs). Methods: The expert panel of this study consisted of 15 faculty members from the department of early childhood education or children's studies at 12 universities and was put together in order to conduct a Delphi survey. Results: As a result of the study, first, a total of 16 sub-goals were developed in order to target infants and young children. Second, the 16 sub-goals were then ranked according to their importance and urgency, and the most important goal were 'the improvement of mental health and prevention of drug abuse (K-SDG 3-2)'. And 'the elimination of violence and discrimination against girls (K-SDG 5-1, 5-2)', 'the safe and inclusive learning environment (K-SDG 4-8)' and 'end of abuse, trafficking, exploitation and all forms of violence against children (K-SDG 16-2)' were the next important and urgent goals. These priority objectives reflect the inviolable rights that infants and young children in Korea should be guaranteed by default. Conclusion/Implications: This study provided a basis for its effective implementation by identifying goals and priorities for infants and young children in comprehensive and interdependent K-SDGs.
The purpose of this study is to classify the underlying and parsimonious types of child maltreatment and examine whether the effects of risk factors on child maltreatment recurrence differ by type of maltreatment. We utilized the multiyear national administrative data from the National Child Maltreatment Information System collected by Child Protection Agency in Korea. Of 26,921 child maltreatment victims reported and substantiated on or after January 1, 2012, 1,447 children who had recurrence of child maltreatment until December 31, 2015 were selected as maltreatment recurrence group and 4,580 children who had not experienced maltreatment since first substantiation were assigned as maltreatment non-recurrence group. Latent class analysis(LCA) and latent transition analysis(LTA) were used to group children with similar maltreatment subtypes into discrete classes of child maltreatment recurrence. Logistic regression is employed to examine the association between the child maltreatment predominant types and risk factors for recurrence. Results of LCA and LTA showed four latent classes representing predominant type of child maltreatment: 'physical abuse predominant type', 'emotional abuse predominant type', 'sexual abuse predominant type', and 'neglect type'. Significant differences in the effect of risk factors among latent classes were found in child's age and gender, perpetrator's gender, family poverty, biological parent as the perpetrator, domestic violence toward partner, perpetrator's alcoholic problem, insufficient parenting skills, and out-of-home care service, Based on these findings, results suggested how the typology can be used to guide decision about who to target in prevention and intervention programs, and which features of risk factors to target. Practice and policy implications as well as further research tasks were discussed in the lights of searching for useful and important strategies to prevent recurrence of child maltreatment.
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