Legacy of the GDR: regional disparities in childhood maltreatment in post-unification Germany.

IF 4.6 3区 医学 Q1 PEDIATRICS Child and Adolescent Psychiatry and Mental Health Pub Date : 2025-03-20 DOI:10.1186/s13034-025-00876-7
C Kasinger, S Heiner, A Heller, T McLaren, M Beutel, V Clemens, E Brähler
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Abstract

Background: Previous research has identified growing up in the former German Democratic Republic (GDR) as a protective factor against childhood abuse and neglect compared to growing up in the former Federal Republic of Germany (FRG). This study investigates whether these differences persist among individuals born after German reunification, providing a novel focus on the post-unification generation and the possible transgenerational transmission of childhood maltreatment in Germany.

Method: The prevalence of self-reported abusive and neglected childhood experiences among 17- to 31-year-olds, stratified by gender and socio-political context (East/West), was examined using the Childhood Trauma Questionnaire (CTQ). Data of the German Health Interview and Examination Survey for Children and Adolescents (KIGGS-study) between 2014 and 2017 was used. Logistic regression models were used to assess the influence of covariates such as age, subjective social status, and education on childhood trauma experiences.

Results: Altogether, 18.6% (East = 15.8%/ West = 19.0%) of the N = 5,982 participants reported at least one type of maltreatment. The prevalence of at least moderate abuse was found to be 6.8% (East = 5.8%/West = 7.0%) for emotional, 3.7% (East = 2.4%/West = 3.9%) for physical, and 3.3% (East = 1.9%/West = 3.6%) for sexual abuse, and a prevalence of 9.2% (East = 8.5%/West = 9.3%) for emotional and 8.7% (East = 7.4%/West = 8.9%) for physical neglect. Individuals residing in eastern German regions reported significant lower prevalence rates for sexual and physical abuse, as well as overall maltreatment.

Conclusion: Significant regional disparities in childhood maltreatment were observed among individuals raised in post-unification Germany, suggesting the persistence of sociopolitical influences from the former GDR as a protective factor. These findings underscore the importance of understanding transgenerational transmission factors of childhood maltreatment, such as parenting behaviors within differing sociopolitical contexts. The results have important implications for child welfare policies, emphasizing the need to address regional disparities and to incorporate historical and sociopolitical factors into future research and intervention strategies.

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民主德国的遗产:统一后德国儿童虐待问题的地区差异。
背景:以往的研究发现,与在前德意志联邦共和国(FRG)长大的儿童相比,在前德意志民主共和国(GDR)长大的儿童更容易受到虐待和忽视。本研究调查了这些差异是否在德国统一后出生的个体中持续存在,从而为研究统一后的一代以及德国儿童虐待行为可能的代际传播提供了新的视角:方法:根据性别和社会政治背景(东/西方),使用童年创伤问卷(CTQ)对 17 至 31 岁青少年中自我报告的虐待和被忽视童年经历的发生率进行了研究。研究使用了2014年至2017年期间德国儿童和青少年健康访谈与体检调查(KIGGS-study)的数据。逻辑回归模型用于评估年龄、主观社会地位和教育程度等协变量对童年创伤经历的影响:在N=5982名参与者中,共有18.6%(东部=15.8%/西部=19.0%)的人报告了至少一种类型的虐待。在至少中度虐待中,情感虐待的发生率为 6.8%(东部=5.8%/西部=7.0%),身体虐待的发生率为 3.7%(东部=2.4%/西部=3.9%),性虐待的发生率为 3.3%(东部=1.9%/西部=3.6%),情感忽视的发生率为 9.2%(东部=8.5%/西部=9.3%),身体忽视的发生率为 8.7%(东部=7.4%/西部=8.9%)。居住在德国东部地区的人在性虐待和身体虐待以及整体虐待方面的发生率明显较低:结论:在统一后的德国长大的儿童在遭受虐待方面存在明显的地区差异,这表明前民主德国的社会政治影响仍是一个保护因素。这些发现强调了了解儿童虐待的跨代传播因素(如不同社会政治背景下的养育行为)的重要性。这些结果对儿童福利政策具有重要意义,强调了解决地区差异以及将历史和社会政治因素纳入未来研究和干预策略的必要性。
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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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