Child Protection and Practice最新文献_第7页

Bruised bodies to open minds: Importance of gender transformative parenting programs in violence prevention and how to make them accessible to all Kenyan parents 伤痕累累的身体使思想开放：性别变革的育儿计划在预防暴力中的重要性，以及如何使所有肯尼亚父母都能参与其中

Child Protection and Practice

Pub Date : 2025-07-25 DOI: 10.1016/j.chipro.2025.100214

Beatrice Nyakwaka Ogutu

In Kenyan families, the pervasive issue of violence impacts everyone, though it disproportionately affects women and children. While family violence, encompassing both violence against children and intimate partner violence, is indeed preventable, the current intervention landscape is challenging. Traditional parenting programs in Kenya, while numerous and focused on improving general parenting skills and child outcomes through direct instruction and reflection, often have limited impact and fail to address the complex, intersecting forms of family violence and lack a gender transformative approach. Furthermore, many promising programmes in the region remain largely as NGO-led research or pilot projects, rarely reaching the scale necessary to benefit the vast number of families that need them. Despite their proven potential, widespread adaptation and implementation of these programs remains limited. While global adaptation and scaling frameworks, including the widely recognized INSPIRE framework, exist to guide governments and NGOs looking to scale evidence-based violence prevention programs, these frameworks often underplay the dynamic, real-world complexities inherent in achieving true, sustained scale-up. This paper documents the journey of Kenya's Positive Parenting Programme, detailing its evolution from an NGO-led initiative to a nationally adopted and budgeted intervention. It distills findings essential for successful program scaling, offering concrete guidance for governments and practitioners striving to institutionalize gender-transformative parenting programs within national systems. Success with scaling in Kenya required a departure from traditional scaling frameworks, underscoring the critical role of informed gender-based advocacy coupled with strong organizational capacity to leverage support from both government and donors alike.

在肯尼亚家庭中，普遍存在的暴力问题影响着每个人，尽管它对妇女和儿童的影响尤为严重。虽然家庭暴力，包括对儿童的暴力和亲密伴侣的暴力，确实是可以预防的，但目前的干预情况具有挑战性。肯尼亚的传统育儿项目数量众多，重点是通过直接指导和反思来提高一般育儿技能和儿童成果，但往往影响有限，无法解决复杂、交叉的家庭暴力形式，也缺乏性别变革的方法。此外，该区域许多有希望的方案基本上仍然是非政府组织领导的研究或试点项目，很少达到使需要它们的大量家庭受益所需的规模。尽管这些计划已被证明具有潜力，但广泛的适应和实施仍然有限。虽然包括广受认可的INSPIRE框架在内的全球适应和扩大框架旨在指导政府和非政府组织扩大基于证据的暴力预防规划，但这些框架往往低估了实现真正、持续扩大所固有的动态、现实世界的复杂性。本文记录了肯尼亚积极育儿计划的历程，详细介绍了其从非政府组织主导的倡议到全国采用和预算干预的演变过程。它提炼了成功扩大项目规模所必需的发现，为努力在国家体系内将性别变革的育儿项目制度化的政府和从业者提供了具体指导。肯尼亚扩大规模的成功需要脱离传统的扩大框架，强调基于性别的知情宣传的关键作用，以及利用政府和捐助者支持的强大组织能力。

{"title":"Bruised bodies to open minds: Importance of gender transformative parenting programs in violence prevention and how to make them accessible to all Kenyan parents","authors":"Beatrice Nyakwaka Ogutu","doi":"10.1016/j.chipro.2025.100214","DOIUrl":"10.1016/j.chipro.2025.100214","url":null,"abstract":"<div><div>In Kenyan families, the pervasive issue of violence impacts everyone, though it disproportionately affects women and children. While family violence, encompassing both violence against children and intimate partner violence, is indeed preventable, the current intervention landscape is challenging. Traditional parenting programs in Kenya, while numerous and focused on improving general parenting skills and child outcomes through direct instruction and reflection, often have limited impact and fail to address the complex, intersecting forms of family violence and lack a gender transformative approach. Furthermore, many promising programmes in the region remain largely as NGO-led research or pilot projects, rarely reaching the scale necessary to benefit the vast number of families that need them. Despite their proven potential, widespread adaptation and implementation of these programs remains limited. While global adaptation and scaling frameworks, including the widely recognized INSPIRE framework, exist to guide governments and NGOs looking to scale evidence-based violence prevention programs, these frameworks often underplay the dynamic, real-world complexities inherent in achieving true, sustained scale-up. This paper documents the journey of Kenya's Positive Parenting Programme, detailing its evolution from an NGO-led initiative to a nationally adopted and budgeted intervention. It distills findings essential for successful program scaling, offering concrete guidance for governments and practitioners striving to institutionalize gender-transformative parenting programs within national systems. Success with scaling in Kenya required a departure from traditional scaling frameworks, underscoring the critical role of informed gender-based advocacy coupled with strong organizational capacity to leverage support from both government and donors alike.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Subjective well-being of Kenyan children reunified with families from residential care institutions: A closer look at child disability 从寄宿照料机构与家庭团聚的肯尼亚儿童的主观幸福感：对儿童残疾的进一步观察

Child Protection and Practice

Pub Date : 2025-07-22 DOI: 10.1016/j.chipro.2025.100212

Sarah Elizabeth Neville , Joanna Wakia , John Hembling , Beth Bradford , Martin Kiandiko , Michael Ochieng , Edith Apiyo , Khadija Karama , Alividzah Kituku , Maureen Obuya , Missie Oindo , Wilson Ochuka , Indrani Saran , Margaret Lombe , Thomas M. Crea

Background

Living in residential care has been well documented as causing harm to children in some parts of the world, especially children with disabilities. However, very little empirical research has looked at the intersection of child disability and living in residential care in Kenya or elsewhere in Sub-Saharan Africa.

Objective

To examine how the subjective well-being of children who reunified with family after living in residential care may vary by child disability status, as well as by other child characteristics such as orphanhood status.

Participants and Setting

Children aged 11 to 17 receiving services from an initiative that oversaw the reunification of children from residential care into families in three counties in Kenya.

Methods

We drew upon a cross-sectional household survey of N = 105 children and conducted multiple linear regressions with clustered errors that controlled control for child sex, age, and time since family reunification.

Findings

Children with disabilities, who comprised 13 % of the sample, had lower self-reported well-being in the domains of basic needs, leisure and freedom, and care and safety, and a larger decrease in life satisfaction after reunification, compared to children without disabilities.

Conclusion

Further research must examine reasons for this lower well-being, and policymakers should strengthen supports for children with disabilities who are reunifying with families after living in residential care.

在世界某些地区，居住在寄宿照料中对儿童，特别是残疾儿童造成伤害的情况已有充分记录。然而，在肯尼亚或撒哈拉以南非洲的其他地方，很少有实证研究关注儿童残疾与寄宿照料之间的关系。目的探讨儿童残疾状况和孤儿身份等其他儿童特征对寄养后与家庭团聚儿童主观幸福感的影响。11至17岁的儿童和参与者接受肯尼亚三个县的一项倡议的服务，该倡议监督了来自寄宿照料的儿童与家庭的团聚。方法对105名儿童进行了横断面家庭调查，并对儿童的性别、年龄和家庭团聚后的时间进行了多聚类误差线性回归。残疾儿童占样本的13%，他们在基本需求、休闲和自由、照顾和安全方面的自我报告幸福感较低，与没有残疾的儿童相比，统一后的生活满意度下降幅度更大。结论必须进一步研究这种低幸福感的原因，政策制定者应加强对残疾儿童在寄宿照顾后与家庭团聚的支持。

{"title":"Subjective well-being of Kenyan children reunified with families from residential care institutions: A closer look at child disability","authors":"Sarah Elizabeth Neville , Joanna Wakia , John Hembling , Beth Bradford , Martin Kiandiko , Michael Ochieng , Edith Apiyo , Khadija Karama , Alividzah Kituku , Maureen Obuya , Missie Oindo , Wilson Ochuka , Indrani Saran , Margaret Lombe , Thomas M. Crea","doi":"10.1016/j.chipro.2025.100212","DOIUrl":"10.1016/j.chipro.2025.100212","url":null,"abstract":"<div><h3>Background</h3><div>Living in residential care has been well documented as causing harm to children in some parts of the world, especially children with disabilities. However, very little empirical research has looked at the intersection of child disability and living in residential care in Kenya or elsewhere in Sub-Saharan Africa.</div></div><div><h3>Objective</h3><div>To examine how the subjective well-being of children who reunified with family after living in residential care may vary by child disability status, as well as by other child characteristics such as orphanhood status.</div></div><div><h3>Participants and Setting</h3><div>Children aged 11 to 17 receiving services from an initiative that oversaw the reunification of children from residential care into families in three counties in Kenya.</div></div><div><h3>Methods</h3><div>We drew upon a cross-sectional household survey of N = 105 children and conducted multiple linear regressions with clustered errors that controlled control for child sex, age, and time since family reunification.</div></div><div><h3>Findings</h3><div>Children with disabilities, who comprised 13 % of the sample, had lower self-reported well-being in the domains of basic needs, leisure and freedom, and care and safety, and a larger decrease in life satisfaction after reunification, compared to children without disabilities.</div></div><div><h3>Conclusion</h3><div>Further research must examine reasons for this lower well-being, and policymakers should strengthen supports for children with disabilities who are reunifying with families after living in residential care.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144712932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parents’ views of the acceptability and efficacy of the Safe Environment for Every Kid model in the Swedish child health services 家长对瑞典儿童保健服务中“每个孩子的安全环境”模式的可接受性和有效性的看法

Child Protection and Practice

Pub Date : 2025-07-22 DOI: 10.1016/j.chipro.2025.100213

Junia Joffer , Maria Engström , Johanna Tell , Marie Golsäter , Eva Randell , Steven Lucas

Background

Safe Environment for Every Kid (SEEK) is one of few evidence-based approaches to identify psychosocial problems and facilitate support to families within pediatric primary care. The Swedish version of SEEK, called BarnSäkert (“Child Safe”), is being evaluated as a complex intervention in the Swedish child health services (CHS) for children aged 0–6 years.

Objective

Assessment of parents’ views of the acceptability and efficacy of the BarnSäkert/SEEK model within the CHS in Sweden.

Participants and setting

Mothers and fathers (n = 353) whose children were enrolled in the CHS.

Methods

An anonymous web-based survey posed questions regarding how parents perceived BarnSäkert/SEEK and whether services had been offered, accessed or planned as a result. Efficacy was measured as parents’ reports of an improved life situation or having been helped by the model.

Results

Among parents who discussed their situation with the nurse, 80 % reported that it had helped, 24 % had received help that they otherwise would not have and 20 % that their situation had improved. Appropriateness of the model was scored at 91/100 by mothers and 86/100 by fathers. Logistic regression showed significantly higher odds ratios for efficacy measures and service uptake for parents who were younger, born outside of Sweden or had lower levels of education.

Conclusions

Parents reported that the model was highly acceptable and efficacious in meeting their psychosocial needs. The findings lend support for application of the BarnSäkert/SEEK model in the Swedish CHS as an equitable approach to address psychosocial problems in families with young children.

背景：为每个孩子提供安全环境（SEEK）是为数不多的以证据为基础的方法之一，用于在儿科初级保健中识别社会心理问题并促进对家庭的支持。瑞典版的SEEK，称为BarnSäkert（“儿童安全”），正在被评价为瑞典儿童保健服务（CHS）对0-6岁儿童的一项复杂干预措施。目的评价瑞典儿童卫生服务中心BarnSäkert/SEEK模式的可接受性和有效性。参与者和背景：孩子被纳入CHS的父母（n = 353）。方法一项基于网络的匿名调查提出了以下问题：家长如何看待BarnSäkert/SEEK，以及是否为此提供、获取或计划了服务。有效性是通过父母对改善生活状况或得到该模型帮助的报告来衡量的。结果在与护士讨论自己的情况的家长中，80%的人表示有帮助，24%的人得到了他们本来不会得到的帮助，20%的人情况有所改善。母亲对该模型的适用性评分为91/100，父亲为86/100。逻辑回归显示，对于年龄较小、出生在瑞典境外或受教育程度较低的父母，疗效测量和服务接受的比值比显著较高。结论家长反映该模式在满足其心理社会需求方面具有较高的可接受性和有效性。研究结果支持BarnSäkert/SEEK模型在瑞典CHS中的应用，作为解决幼儿家庭心理社会问题的公平方法。

{"title":"Parents’ views of the acceptability and efficacy of the Safe Environment for Every Kid model in the Swedish child health services","authors":"Junia Joffer , Maria Engström , Johanna Tell , Marie Golsäter , Eva Randell , Steven Lucas","doi":"10.1016/j.chipro.2025.100213","DOIUrl":"10.1016/j.chipro.2025.100213","url":null,"abstract":"<div><h3>Background</h3><div>Safe Environment for Every Kid (SEEK) is one of few evidence-based approaches to identify psychosocial problems and facilitate support to families within pediatric primary care. The Swedish version of SEEK, called BarnSäkert (“Child Safe”), is being evaluated as a complex intervention in the Swedish child health services (CHS) for children aged 0–6 years.</div></div><div><h3>Objective</h3><div>Assessment of parents’ views of the acceptability and efficacy of the BarnSäkert/SEEK model within the CHS in Sweden.</div></div><div><h3>Participants and setting</h3><div>Mothers and fathers (n = 353) whose children were enrolled in the CHS.</div></div><div><h3>Methods</h3><div>An anonymous web-based survey posed questions regarding how parents perceived BarnSäkert/SEEK and whether services had been offered, accessed or planned as a result. Efficacy was measured as parents’ reports of an improved life situation or having been helped by the model.</div></div><div><h3>Results</h3><div>Among parents who discussed their situation with the nurse, 80 % reported that it had helped, 24 % had received help that they otherwise would not have and 20 % that their situation had improved. Appropriateness of the model was scored at 91/100 by mothers and 86/100 by fathers. Logistic regression showed significantly higher odds ratios for efficacy measures and service uptake for parents who were younger, born outside of Sweden or had lower levels of education.</div></div><div><h3>Conclusions</h3><div>Parents reported that the model was highly acceptable and efficacious in meeting their psychosocial needs. The findings lend support for application of the BarnSäkert/SEEK model in the Swedish CHS as an equitable approach to address psychosocial problems in families with young children.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Human trafficking across the Americas: Victims, services, and the law 美洲人口贩运：受害者、服务和法律

Child Protection and Practice

Pub Date : 2025-07-16 DOI: 10.1016/j.chipro.2025.100211

Tom D. Kennedy, Brittany Plombon, Caroline Haskamp, Bianca Howard, Cammi Shoultz, Danielle Millen, David Detullio, Jennifer Davidtz

Human trafficking has garnered increasing attention and global awareness as a significant violation of fundamental human rights. This modern-day slavery is actively occurring both internationally and in our local communities. The Trafficking in Persons (TIP) Report outlines the extent and typical services allocated for survivors of human trafficking by country. Additionally, the report details the funding allocated toward prevention and services, as well as the annual efforts of each country's government to meet the minimum standards outlined by the Trafficking Victims Protection Act (TVPA, 2000). This study aimed to examine the chronological growth and decline of specific government efforts to combat human trafficking in countries across North, South, and Central America. Specifically, descriptive differences in trends and services were explored country by country, comparing the narratives provided in 2014 to those offered in the 2018 TIP report. The overall trends indicate that almost two-thirds of the governments of countries in the Americas have remained relatively unchanged in their efforts to comply with the minimum standards of the TVPA (TIP, 2014; TIP, 2018). Only three countries have consistently remained in the top tier (i.e., Canada, the United States of America, and Chile).

人口贩运作为一种严重侵犯基本人权的行为，已引起越来越多的关注和全球认识。这种现代奴隶制在国际上和我们当地社区都在积极发生。《人口贩运问题报告》概述了各国为人口贩运幸存者分配的服务范围和典型服务。此外，报告还详细说明了用于预防和服务的拨款情况，以及各国政府为达到《贩运受害者保护法》（TVPA， 2000年）规定的最低标准所作的年度努力。本研究旨在考察南北美洲和中美洲各国政府打击人口贩运的具体努力的时间增长和下降。具体而言，研究人员对各国在趋势和服务方面的描述性差异进行了探讨，并将2014年提供的叙述与2018年TIP报告中的叙述进行了比较。总体趋势表明，几乎三分之二的美洲国家政府在遵守《贸易保护协定》最低标准的努力方面保持相对不变(TIP, 2014；提示,2018)。只有三个国家一直保持在最前列（即加拿大、美利坚合众国和智利）。

{"title":"Human trafficking across the Americas: Victims, services, and the law","authors":"Tom D. Kennedy, Brittany Plombon, Caroline Haskamp, Bianca Howard, Cammi Shoultz, Danielle Millen, David Detullio, Jennifer Davidtz","doi":"10.1016/j.chipro.2025.100211","DOIUrl":"10.1016/j.chipro.2025.100211","url":null,"abstract":"<div><div>Human trafficking has garnered increasing attention and global awareness as a significant violation of fundamental human rights. This modern-day slavery is actively occurring both internationally and in our local communities. The Trafficking in Persons (TIP) Report outlines the extent and typical services allocated for survivors of human trafficking by country. Additionally, the report details the funding allocated toward prevention and services, as well as the annual efforts of each country's government to meet the minimum standards outlined by the Trafficking Victims Protection Act (TVPA, 2000). This study aimed to examine the chronological growth and decline of specific government efforts to combat human trafficking in countries across North, South, and Central America. Specifically, descriptive differences in trends and services were explored country by country, comparing the narratives provided in 2014 to those offered in the 2018 TIP report. The overall trends indicate that almost two-thirds of the governments of countries in the Americas have remained relatively unchanged in their efforts to comply with the minimum standards of the TVPA (TIP, 2014; TIP, 2018). Only three countries have consistently remained in the top tier (i.e., Canada, the United States of America, and Chile).</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse childhood experiences and tobacco smoke exposure among U.S. school-aged children 美国学龄儿童的不良童年经历和烟草烟雾暴露

Child Protection and Practice

Pub Date : 2025-07-12 DOI: 10.1016/j.chipro.2025.100210

Ashley L. Merianos , Madelyn J. Hill , Kayleigh A. Gregory , Sinem Toraman Turk , Matthew Lee Smith , E. Melinda Mahabee-Gittens

Background

Adverse childhood experiences (ACEs) are traumatic events linked to poor health outcomes in childhood. While children are vulnerable to ACEs and tobacco smoke exposure (TSE), little is known about the association between ACEs and home TSE.

Objective

This study aimed to assess the association between ACEs and home TSE status among U.S. school-aged children.

Participants and setting

A secondary analysis of the 2020–2021 National Survey of Children's Health data, including 26,422 children 6–11 years old, was conducted.

Methods

ACEs were assessed cumulatively and based on type, including household-, community-, and financial-based ACEs. Home TSE status included no home TSE, defined as the child not living with smokers; home thirdhand smoke (THS) exposure only, defined as the child living with smokers who did not smoke indoors; and home secondhand smoke (SHS) and THS exposure, defined as the child living with smokers who smoked indoors. Weighted adjusted multinomial logistic regression analysis was performed.

Findings

Concerning the number of ACEs, 22.4 % of children experienced one ACE, 12.2 % experienced 2–3 ACEs, and 4.9 % experienced 4–10 ACEs. Children with one ACE (AOR = 1.59, 95 %CI = [1.26, 1.99]; AOR = 2.00, 95 %CI = [1.17, 3.41]), 2–3 ACEs (AOR = 2.62, 95 %CI = [1.98, 3.45]; AOR = 4.36, 95 %CI = [2.52, 7.56]), and 4–10 ACEs (AOR = 5.16, 95 %CI = [3.48, 7.65]; AOR = 9.71, 95 %CI = [4.74, 19.88]) had increased odds of home THS exposure only and home SHS + THS exposure, respectively, compared to children with zero ACEs. Household-, community-, and financial-based ACEs increased the odds of home THS exposure only and home SHS + THS exposure.

Conclusion

ACEs were associated with home TSE status in school-aged children.

童年不良经历（ace）是与儿童时期不良健康结果相关的创伤性事件。虽然儿童易患ace和烟草烟雾暴露（TSE），但对ace和家庭TSE之间的关系知之甚少。目的本研究旨在评估美国学龄儿童ace与家庭TSE状况之间的关系。参与者和背景对2020-2021年全国儿童健康调查数据进行了二次分析，其中包括26,422名6-11岁儿童。方法采用累积性和基于类型的评估方法，包括基于家庭、社区和财务的ace。家庭吸烟状况包括无家庭吸烟，定义为儿童不与吸烟者生活在一起；仅在家中接触三手烟，定义为与不在室内吸烟的吸烟者生活在一起的儿童；家庭二手烟（SHS）和三手烟暴露，定义为与室内吸烟的吸烟者生活在一起的儿童。进行加权调整多项logistic回归分析。关于ACE的数量，22.4%的儿童经历过一次ACE， 12.2%经历过2-3次ACE， 4.9%经历过4-10次ACE。一次ACE患儿(AOR = 1.59, 95% CI = [1.26, 1.99]；AOR = 2.00, 95% CI = [1.17, 3.41]), 2 - 3 ace(优势比= 2.62,95% CI = [1.98, 3.45];AOR = 4.36, 95% CI =[2.52, 7.56])和电场ace(优势比= 5.16,95% CI = [3.48, 7.65];AOR = 9.71, 95% CI =[4.74, 19.88])分别增加了家庭仅暴露于三手烟和家庭SHS +三手烟的几率。以家庭、社区和金融为基础的ace增加了家庭仅暴露于THS和家庭SHS + THS暴露的几率。结论ace与学龄期儿童家庭TSE状况有关。

{"title":"Adverse childhood experiences and tobacco smoke exposure among U.S. school-aged children","authors":"Ashley L. Merianos , Madelyn J. Hill , Kayleigh A. Gregory , Sinem Toraman Turk , Matthew Lee Smith , E. Melinda Mahabee-Gittens","doi":"10.1016/j.chipro.2025.100210","DOIUrl":"10.1016/j.chipro.2025.100210","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) are traumatic events linked to poor health outcomes in childhood. While children are vulnerable to ACEs and tobacco smoke exposure (TSE), little is known about the association between ACEs and home TSE.</div></div><div><h3>Objective</h3><div>This study aimed to assess the association between ACEs and home TSE status among U.S. school-aged children.</div></div><div><h3>Participants and setting</h3><div>A secondary analysis of the 2020–2021 National Survey of Children's Health data, including 26,422 children 6–11 years old, was conducted.</div></div><div><h3>Methods</h3><div>ACEs were assessed cumulatively and based on type, including household-, community-, and financial-based ACEs. Home TSE status included no home TSE, defined as the child not living with smokers; home thirdhand smoke (THS) exposure only, defined as the child living with smokers who did not smoke indoors; and home secondhand smoke (SHS) and THS exposure, defined as the child living with smokers who smoked indoors. Weighted adjusted multinomial logistic regression analysis was performed.</div></div><div><h3>Findings</h3><div>Concerning the number of ACEs, 22.4 % of children experienced one ACE, 12.2 % experienced 2–3 ACEs, and 4.9 % experienced 4–10 ACEs. Children with one ACE (AOR = 1.59, 95 %CI = [1.26, 1.99]; AOR = 2.00, 95 %CI = [1.17, 3.41]), 2–3 ACEs (AOR = 2.62, 95 %CI = [1.98, 3.45]; AOR = 4.36, 95 %CI = [2.52, 7.56]), and 4–10 ACEs (AOR = 5.16, 95 %CI = [3.48, 7.65]; AOR = 9.71, 95 %CI = [4.74, 19.88]) had increased odds of home THS exposure only and home SHS + THS exposure, respectively, compared to children with zero ACEs. Household-, community-, and financial-based ACEs increased the odds of home THS exposure only and home SHS + THS exposure.</div></div><div><h3>Conclusion</h3><div>ACEs were associated with home TSE status in school-aged children.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where is the disability? A critical analysis of case reports of online sexual abuse of children with disabilities 残疾在哪里？对残疾儿童网络性虐待案件报告的批判性分析

Child Protection and Practice

Pub Date : 2025-07-10 DOI: 10.1016/j.chipro.2025.100207

Gal Friedman-Hauser , Carmit Katz

Background

Children with disabilities (CWD) face a heightened risk of experiencing sexual abuse. Despite the severity and persistence of these cases, they often receive inadequate responses from child protection systems compared to incidents involving non-disabled children. Moreover, recent technological advancements have extended the risk of sexual abuse beyond physical spaces to online environments. This creates an escalated risk and challenges for the protection of CWD.

Objective

This study aims to conduct a qualitative-critical analysis of case reports detailing incidents of online child sexual abuse (OCSA) involving CWD to explore how these cases are documented and addressed.

Participants and setting

The data comprised 25 reports from a hotline in Israel receiving reports of online child sexual abuse of CWD aged 11–17 across Israel.

Methods

Influenced by a critical paradigm, the study utilizes a qualitative methodology to undertake a reflexive thematic analysis of the reports.

Results

The analysis revealed a significant underrepresentation of CWD's voices in the reports, which predominantly reflected parental perspectives. Moreover, the disability aspect was often overlooked, with limited acknowledgment or reference to the child's disability.

Conclusion

The findings underscored the marginalization of CWD in child protection processes. They highlighted the urgent need to integrate disability-specific considerations into post-abuse treatment and intervention, advocating for the inclusion of children's perspectives in reporting and response efforts. Recommendations include enhancing professional training, refining reporting protocols to address disability explicitly, and implementing policy reforms to ensure inclusive support systems. Future research should explore comparative analysis and gather qualitative insights from CWD to enhance intervention strategies effectively.

残疾儿童（CWD）面临着遭受性虐待的高风险。尽管这些案件严重且持续存在，但与涉及非残疾儿童的事件相比，儿童保护系统对这些案件的反应往往不足。此外，最近的技术进步已经将性虐待的风险从物理空间扩展到网络环境。这给CWD的保护带来了更大的风险和挑战。本研究旨在对涉及CWD的在线儿童性虐待（OCSA）事件的案例报告进行定性分析，以探讨如何记录和处理这些案件。参与者和数据包括来自以色列热线的25份报告，该热线接收以色列11-17岁的CWD在线儿童性虐待报告。方法受批判性范式的影响，本研究采用定性方法对报告进行反思性专题分析。结果分析显示，报告中CWD的声音明显不足，这些声音主要反映了父母的观点。此外，残疾方面往往被忽视，对儿童残疾的承认或提及有限。结论CWD在儿童保护过程中处于边缘化地位。他们强调迫切需要在虐待后的治疗和干预中纳入针对残疾的考虑，并倡导在报告和应对工作中纳入儿童的观点。建议包括加强专业培训，完善报告协议以明确解决残疾问题，实施政策改革以确保包容性支持系统。未来的研究应探索对比分析，从CWD中收集定性的见解，以有效地加强干预策略。

{"title":"Where is the disability? A critical analysis of case reports of online sexual abuse of children with disabilities","authors":"Gal Friedman-Hauser , Carmit Katz","doi":"10.1016/j.chipro.2025.100207","DOIUrl":"10.1016/j.chipro.2025.100207","url":null,"abstract":"<div><h3>Background</h3><div>Children with disabilities (CWD) face a heightened risk of experiencing sexual abuse. Despite the severity and persistence of these cases, they often receive inadequate responses from child protection systems compared to incidents involving non-disabled children. Moreover, recent technological advancements have extended the risk of sexual abuse beyond physical spaces to online environments. This creates an escalated risk and challenges for the protection of CWD.</div></div><div><h3>Objective</h3><div>This study aims to conduct a qualitative-critical analysis of case reports detailing incidents of online child sexual abuse (OCSA) involving CWD to explore how these cases are documented and addressed.</div></div><div><h3>Participants and setting</h3><div>The data comprised 25 reports from a hotline in Israel receiving reports of online child sexual abuse of CWD aged 11–17 across Israel.</div></div><div><h3>Methods</h3><div>Influenced by a critical paradigm, the study utilizes a qualitative methodology to undertake a reflexive thematic analysis of the reports.</div></div><div><h3>Results</h3><div>The analysis revealed a significant underrepresentation of CWD's voices in the reports, which predominantly reflected parental perspectives. Moreover, the disability aspect was often overlooked, with limited acknowledgment or reference to the child's disability.</div></div><div><h3>Conclusion</h3><div>The findings underscored the marginalization of CWD in child protection processes. They highlighted the urgent need to integrate disability-specific considerations into post-abuse treatment and intervention, advocating for the inclusion of children's perspectives in reporting and response efforts. Recommendations include enhancing professional training, refining reporting protocols to address disability explicitly, and implementing policy reforms to ensure inclusive support systems. Future research should explore comparative analysis and gather qualitative insights from CWD to enhance intervention strategies effectively.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100207"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of intimate partner violence on children from their point of view: A swiss study 从儿童的角度看亲密伴侣暴力对儿童的影响：一项瑞士研究

Child Protection and Practice

Pub Date : 2025-07-10 DOI: 10.1016/j.chipro.2025.100206

Anne Cattagni , Imane Semlali , Nicky Stanley , Nathalie Romain-Glassey

Background

Living with intimate partner violence (IPV) puts children at risk of negative short- and long-term outcomes. Studies on this topic are mainly quantitative and often focused on psychological and behavioral outcomes.

Objective

This qualitative study examines, more broadly and from their own perspective, impacts on the health and well-being of children.

Participants and setting

In 2022, we interviewed 20 adolescents and young adults who had experienced parental IPV when they were minors and whose parent attended a Swiss clinical forensic consultation for IPV between 2011 and 2018.

Methods

Semi-structured individual interviews were carried out, covering the main areas of the participants’ life since birth. A thematic analysis was conducted on the interview transcripts.

Findings

Short- and long-term impacts were reported. Impacts on mental health included fear, worry, and anxiety; trauma; feelings of sadness and abandonment; negative self-image and anger. Impacts on behaviors were sleep problems; social isolation and difficulties; fleeing from home; self-harm; and aggression and violence. Injuries and other physical impacts were mentioned, such as pain, fatigue, and weight problems. Financial and social impacts, impacts on school, and damage to relationships, especially with the victimized parent, were also reported. Interactions between impacts and cascading effects were often noted.

Conclusions

Impacts occur at different levels of the social ecology and stem not only from the experience of acute IPV events, but more broadly from the daily experience of IPV, where coercive control and other victimizations are often the norm. Recommendations for practice are provided.

生活在亲密伴侣暴力环境中会使儿童面临短期和长期负面后果的风险。关于这一主题的研究主要是定量的，往往集中在心理和行为结果上。目的本定性研究更广泛地从他们自己的角度考察对儿童健康和福祉的影响。在2022年，我们采访了20名青少年和年轻人，他们在未成年时经历过父母IPV，他们的父母在2011年至2018年期间参加了IPV的瑞士临床法医咨询。方法采用半结构化的个人访谈法，涵盖了调查对象自出生以来的主要生活领域。对访谈笔录进行专题分析。研究结果报告了短期和长期影响。对心理健康的影响包括恐惧、担心和焦虑；创伤;悲伤和被遗弃的感觉；消极的自我形象和愤怒。对行为的影响是睡眠问题；社会孤立和困难；逃离家园的；自残;还有侵略和暴力。受伤和其他身体影响也被提及，比如疼痛、疲劳和体重问题。还报告了经济和社会影响、对学校的影响以及对关系的损害，特别是与受害家长的关系。经常注意到撞击和级联效应之间的相互作用。结论影响发生在社会生态的不同层面，不仅源于急性IPV事件的经历，而且更广泛地源于IPV的日常经历，其中强制控制和其他受害往往是常态。为实践提供了建议。

{"title":"The impact of intimate partner violence on children from their point of view: A swiss study","authors":"Anne Cattagni , Imane Semlali , Nicky Stanley , Nathalie Romain-Glassey","doi":"10.1016/j.chipro.2025.100206","DOIUrl":"10.1016/j.chipro.2025.100206","url":null,"abstract":"<div><h3>Background</h3><div>Living with intimate partner violence (IPV) puts children at risk of negative short- and long-term outcomes. Studies on this topic are mainly quantitative and often focused on psychological and behavioral outcomes.</div></div><div><h3>Objective</h3><div>This qualitative study examines, more broadly and from their own perspective, impacts on the health and well-being of children.</div></div><div><h3>Participants and setting</h3><div>In 2022, we interviewed 20 adolescents and young adults who had experienced parental IPV when they were minors and whose parent attended a Swiss clinical forensic consultation for IPV between 2011 and 2018.</div></div><div><h3>Methods</h3><div>Semi-structured individual interviews were carried out, covering the main areas of the participants’ life since birth. A thematic analysis was conducted on the interview transcripts.</div></div><div><h3>Findings</h3><div>Short- and long-term impacts were reported. Impacts on mental health included fear, worry, and anxiety; trauma; feelings of sadness and abandonment; negative self-image and anger. Impacts on behaviors were sleep problems; social isolation and difficulties; fleeing from home; self-harm; and aggression and violence. Injuries and other physical impacts were mentioned, such as pain, fatigue, and weight problems. Financial and social impacts, impacts on school, and damage to relationships, especially with the victimized parent, were also reported. Interactions between impacts and cascading effects were often noted.</div></div><div><h3>Conclusions</h3><div>Impacts occur at different levels of the social ecology and stem not only from the experience of acute IPV events, but more broadly from the daily experience of IPV, where coercive control and other victimizations are often the norm. Recommendations for practice are provided.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the cycle of violence: Own childhood experiences of violence and attitudes towards violence relate to female caregivers’ violent discipline 探索暴力循环：自己的童年暴力经历和对暴力的态度与女性照顾者的暴力纪律有关

Child Protection and Practice

Pub Date : 2025-07-10 DOI: 10.1016/j.chipro.2025.100209

Faustine Bwire Masath , Tobias Hecker

Background

Violence against children, including violent discipline, is widespread globally, particularly in low- and middle-income countries like Tanzania. However, evidence supporting the cycle of violence hypothesis in nations with a high prevalence of violent discipline is still scarce, especially concerning female caregivers.

Objective

This study examined the association of female caregivers’ experiences of violent discipline in their childhood, as well as their approval of violent discipline, with their use of violent discipline against their children. Participants and setting: A total of 851 female caregivers (Mean (M) _Age = 40.00 years, Standard Deviation (SD) _Age = 11.392, Range: 17–91 years) of children (M_Age = 12.58 years, SD_Age = 1.43, Range: 8–18 years) participated in a cluster-randomised controlled trial aimed at preventing violent discipline by teachers in 12 schools across six regions of Tanzania.

Methods

Binary logistic regression analyses were used to examine the association of female caregivers with and without experience of violent discipline in their childhood and those approving and not approving violent discipline with their use of physical and emotional violent discipline against their children.

Results

More than 90 % of female caregivers reported having experienced violent discipline during their childhood. Also, about 95 % of female caregivers reported favourable attitudes towards violent discipline, 72.2 % had used one or more forms of physical violent discipline, and 84.8 % had used one or more forms of emotional violent discipline against their children in the past month. Female caregivers with a childhood experience of violent discipline and those with favourable attitudes towards violent discipline were significantly more likely to use both physical and emotional violent discipline (p < .05) against their child(ren).

Conclusion

The findings highlight the need for designing and implementing effective interventions that challenge societal norms and practices endorsing violent discipline while promoting the education of female caregivers. This approach could decrease instances of violent discipline within families and help break the cycle of violence.

针对儿童的暴力行为，包括暴力惩戒，在全球普遍存在，特别是在坦桑尼亚等低收入和中等收入国家。然而，在暴力惩戒盛行的国家，支持暴力循环假说的证据仍然很少，尤其是在女性照顾者方面。目的本研究探讨了女性照顾者在童年时期遭受暴力管教的经历，以及她们对暴力管教的认同，与她们对子女使用暴力管教的关系。参与者和环境：共有851名女性照顾者(平均（M)年龄= 40.00岁，标准差（SD）年龄= 11.392岁，范围：17-91岁）的儿童（年龄= 12.58岁，年龄= 1.43岁，范围：8-18岁）参加了一项旨在预防坦桑尼亚6个地区12所学校教师暴力纪律的聚类随机对照试验。方法采用二元logistic回归分析，分析童年有和没有暴力惩戒经历的女性照料者、赞成和不赞成暴力惩戒的女性照料者对子女使用身体和情感暴力惩戒的相关性。结果90%以上的女性看护人报告在童年时期经历过暴力管教。此外，约95%的女性看护人报告对暴力管教持赞成态度，72.2%的人在过去一个月里对孩子使用过一种或多种形式的身体暴力管教，84.8%的人对孩子使用过一种或多种形式的情感暴力管教。童年经历过暴力管教的女性看护者和对暴力管教持积极态度的女性看护者更有可能使用身体和情感上的暴力管教(p <；(5)反对他们的孩子。结论研究结果强调，需要设计和实施有效的干预措施，挑战支持暴力管教的社会规范和做法，同时促进对女性照顾者的教育。这种方法可以减少家庭内部的暴力惩戒，并有助于打破暴力循环。

{"title":"Exploring the cycle of violence: Own childhood experiences of violence and attitudes towards violence relate to female caregivers’ violent discipline","authors":"Faustine Bwire Masath , Tobias Hecker","doi":"10.1016/j.chipro.2025.100209","DOIUrl":"10.1016/j.chipro.2025.100209","url":null,"abstract":"<div><h3>Background</h3><div>Violence against children, including violent discipline, is widespread globally, particularly in low- and middle-income countries like Tanzania. However, evidence supporting the cycle of violence hypothesis in nations with a high prevalence of violent discipline is still scarce, especially concerning female caregivers.</div></div><div><h3>Objective</h3><div>This study examined the association of female caregivers’ experiences of violent discipline in their childhood, as well as their approval of violent discipline, with their use of violent discipline against their children. <strong>Participants and setting</strong>: A total of 851 female caregivers (<em>Mean (M)</em> <sub>Age</sub> = 40.00 years, <em>Standard Deviation (SD)</em> <sub>Age</sub> = 11.392, Range: 17–91 years) of children (<em>M</em><sub>Age</sub> = 12.58 years, <em>SD</em><sub>Age</sub> = 1.43, Range: 8–18 years) participated in a cluster-randomised controlled trial aimed at preventing violent discipline by teachers in 12 schools across six regions of Tanzania.</div></div><div><h3>Methods</h3><div>Binary logistic regression analyses were used to examine the association of female caregivers with and without experience of violent discipline in their childhood and those approving and not approving violent discipline with their use of physical and emotional violent discipline against their children.</div></div><div><h3>Results</h3><div>More than 90 % of female caregivers reported having experienced violent discipline during their childhood. Also, about 95 % of female caregivers reported favourable attitudes towards violent discipline, 72.2 % had used one or more forms of physical violent discipline, and 84.8 % had used one or more forms of emotional violent discipline against their children in the past month. Female caregivers with a childhood experience of violent discipline and those with favourable attitudes towards violent discipline were significantly more likely to use both physical and emotional violent discipline (<em>p</em> < .05) against their child(ren).</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for designing and implementing effective interventions that challenge societal norms and practices endorsing violent discipline while promoting the education of female caregivers. This approach could decrease instances of violent discipline within families and help break the cycle of violence.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding medical neglect: Perspectives of Palestinian youth from East Jerusalem 理解医疗忽视：来自东耶路撒冷的巴勒斯坦青年的观点

Child Protection and Practice

Pub Date : 2025-07-09 DOI: 10.1016/j.chipro.2025.100208

Mayada Karjawally , Asher Ben-Arieh , Christine Wekerle

Background

Child medical neglect is defined as the failure to provide timely healthcare to the child, placing them at risk of harm. Despite Israel's universal health coverage, East Jerusalem (EJ) Palestinian youth and their families face unique socioeconomic realities and inequitable healthcare access that are shaped by the broader socio-political climate and policies that further challenge healthcare provision. Engaging EJ youth in research, as potentially vulnerable to medical neglect and as experts in their lives, fills a current gap in understanding their specific experiences and healthcare needs.

Objective

This qualitative inquiry explored EJ Palestinian youths' perceptions of medical neglect via review and discussion of medical neglect case vignettes.

Participants and setting

Arab-speaking Palestinian youth aged 12 to 14 were recruited from two EJ schools to participate in data collection activities. Data collection was facilitated by the research team in a confidential space within local EJ school libraries.

Methods

We addressed our qualitative research aims via semi-structured focus groups, one each for boys and girls who participated in the study. Both parental consent and youth assent were obtained before youth participation. Open-ended questions for each focus group featured questions about healthcare and medical neglect, youth reflections on three medical neglect vignettes, and healthcare advocacy questions. Discussions were transcribed, translated into English, and subjected to inductive thematic analysis.

Results

A total of 14 youth participated in the study's focus groups, one each for boys and girls (57 %). The youth demonstrated an awareness of their lived environments, socio-political contexts, cultural influences, and rights-based expectations regarding caregiving. The five main themes included perceived severity and chronicity of medical neglect, emotional impact, systemic factors, shared responsibility, and valuing the child's perspective.

Conclusion

EJ youth understand the complex challenges and competing needs within their community. Findings point to the potential role of youth engagement in research related to healthcare systems, particularly in violence-risk living environments. This study encourages further research to amplify youth voices within complex sociopolitical contexts.

儿童医疗疏忽被定义为未能及时向儿童提供医疗保健，使他们面临伤害的风险。尽管以色列实现了全民健康覆盖，但东耶路撒冷的巴勒斯坦青年及其家庭面临着独特的社会经济现实和不公平的医疗保健机会，这是由更广泛的社会政治气候和政策造成的，这些气候和政策进一步挑战了医疗保健的提供。让EJ青年参与研究，因为他们可能容易受到医疗忽视，并作为他们生活中的专家，填补了目前在了解他们的具体经历和医疗保健需求方面的空白。目的：通过对医疗忽视案例的回顾和讨论，探讨巴勒斯坦青年对医疗忽视的看法。从两所EJ学校招募了12至14岁的参与者和说阿拉伯语的巴勒斯坦青年参加数据收集活动。研究小组在当地EJ学校图书馆的一个保密空间内方便了数据收集。方法我们通过半结构化的焦点小组来实现我们的定性研究目标，参与研究的男孩和女孩各一个。在青少年参与前，必须取得家长同意及青少年同意。每个焦点小组的开放式问题都有关于医疗保健和医疗忽视的问题，青少年对三个医疗忽视小插曲的反思，以及医疗保健宣传问题。讨论被记录下来，翻译成英语，并进行归纳性的主题分析。结果共有14名青少年参加了该研究的焦点小组，男孩和女孩各一个（57%）。青年表现出对他们的生活环境、社会政治背景、文化影响和基于权利的照顾期望的意识。五个主要主题包括感知的严重程度和慢性医疗忽视，情感影响，系统因素，共同责任和重视儿童的观点。结论ej青年了解社区内复杂的挑战和相互竞争的需求。研究结果指出，青年参与与卫生保健系统有关的研究，特别是在有暴力风险的生活环境中，可能发挥的作用。这项研究鼓励进一步的研究，以扩大青年的声音在复杂的社会政治背景。

{"title":"Understanding medical neglect: Perspectives of Palestinian youth from East Jerusalem","authors":"Mayada Karjawally , Asher Ben-Arieh , Christine Wekerle","doi":"10.1016/j.chipro.2025.100208","DOIUrl":"10.1016/j.chipro.2025.100208","url":null,"abstract":"<div><h3>Background</h3><div>Child medical neglect is defined as the failure to provide timely healthcare to the child, placing them at risk of harm. Despite Israel's universal health coverage, East Jerusalem (EJ) Palestinian youth and their families face unique socioeconomic realities and inequitable healthcare access that are shaped by the broader socio-political climate and policies that further challenge healthcare provision. Engaging EJ youth in research, as potentially vulnerable to medical neglect and as experts in their lives, fills a current gap in understanding their specific experiences and healthcare needs.</div></div><div><h3>Objective</h3><div>This qualitative inquiry explored EJ Palestinian youths' perceptions of medical neglect via review and discussion of medical neglect case vignettes.</div></div><div><h3>Participants and setting</h3><div>Arab-speaking Palestinian youth aged 12 to 14 were recruited from two EJ schools to participate in data collection activities. Data collection was facilitated by the research team in a confidential space within local EJ school libraries.</div></div><div><h3>Methods</h3><div>We addressed our qualitative research aims via semi-structured focus groups, one each for boys and girls who participated in the study. Both parental consent and youth assent were obtained before youth participation. Open-ended questions for each focus group featured questions about healthcare and medical neglect, youth reflections on three medical neglect vignettes, and healthcare advocacy questions. Discussions were transcribed, translated into English, and subjected to inductive thematic analysis.</div></div><div><h3>Results</h3><div>A total of 14 youth participated in the study's focus groups, one each for boys and girls (57 %). The youth demonstrated an awareness of their lived environments, socio-political contexts, cultural influences, and rights-based expectations regarding caregiving. The five main themes included perceived severity and chronicity of medical neglect, emotional impact, systemic factors, shared responsibility, and valuing the child's perspective.</div></div><div><h3>Conclusion</h3><div>EJ youth understand the complex challenges and competing needs within their community. Findings point to the potential role of youth engagement in research related to healthcare systems, particularly in violence-risk living environments. This study encourages further research to amplify youth voices within complex sociopolitical contexts.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ideological indoctrination of children during Crises: Non-Religious extremism in authoritarian regimes 危机时期儿童的意识形态灌输：专制政权中的非宗教极端主义

Child Protection and Practice

Pub Date : 2025-07-02 DOI: 10.1016/j.chipro.2025.100205

Dr Karima Almazroui

This article investigates the secular ideological indoctrination of children under authoritarian regimes during political and humanitarian crises, focusing on the Khmer Rouge in Cambodia, North Korea, and Maoist China. While much attention has been given to religious radicalization, this study highlights how non-religious regimes exploit education and child socialization to consolidate power. Using a comparative, interdisciplinary framework grounded in critical theory, developmental psychology, and human rights law, it explores how states manipulate curricula, emotional bonds, and youth institutions to reengineer identity, suppress dissent, and instill loyalty.

Crises enable regimes to occupy moral and epistemic space left by collapsing institutions, reframing education as a tool of ideological purification. The study introduces the concept of affective captivity to capture the emotional restructuring of children's moral frameworks and links these practices to violations of the UN Convention on the Rights of the Child. It reframes indoctrination as a form of epistemic and structural violence with enduring psychological and civic consequences.

By naming secular indoctrination as a form of non-religious extremism, the article contributes to authoritarian studies, child rights, and comparative education. It calls for enhanced legal recognition, critical curriculum safeguards, and post-crisis strategies to protect children's autonomy and psychosocial development.

虽然人们对宗教激进化给予了很多关注，但这项研究强调了非宗教政权如何利用教育和儿童社会化来巩固权力。运用以批判理论、发展心理学和人权法为基础的比较、跨学科框架，它探讨了国家如何操纵课程、情感纽带和青年机构来重新设计身份、压制异议和灌输忠诚。危机使政权能够占据制度崩溃留下的道德和认知空间，将教育重新塑造为意识形态净化的工具。该研究引入了情感囚禁的概念，以捕捉儿童道德框架的情感重构，并将这些做法与违反《联合国儿童权利公约》联系起来。它将灌输重新定义为一种具有持久心理和公民后果的认知和结构性暴力形式。通过将世俗的灌输称为非宗教极端主义的一种形式，这篇文章有助于威权主义研究、儿童权利和比较教育。它呼吁加强法律承认、关键课程保障和危机后战略，以保护儿童的自主权和心理社会发展。

{"title":"Ideological indoctrination of children during Crises: Non-Religious extremism in authoritarian regimes","authors":"Dr Karima Almazroui","doi":"10.1016/j.chipro.2025.100205","DOIUrl":"10.1016/j.chipro.2025.100205","url":null,"abstract":"<div><div>This article investigates the secular ideological indoctrination of children under authoritarian regimes during political and humanitarian crises, focusing on the Khmer Rouge in Cambodia, North Korea, and Maoist China. While much attention has been given to religious radicalization, this study highlights how non-religious regimes exploit education and child socialization to consolidate power. Using a comparative, interdisciplinary framework grounded in critical theory, developmental psychology, and human rights law, it explores how states manipulate curricula, emotional bonds, and youth institutions to reengineer identity, suppress dissent, and instill loyalty.</div><div>Crises enable regimes to occupy moral and epistemic space left by collapsing institutions, reframing education as a tool of ideological purification. The study introduces the concept of <em>affective captivity</em> to capture the emotional restructuring of children's moral frameworks and links these practices to violations of the UN Convention on the Rights of the Child. It reframes indoctrination as a form of epistemic and structural violence with enduring psychological and civic consequences.</div><div>By naming secular indoctrination as a form of non-religious extremism, the article contributes to authoritarian studies, child rights, and comparative education. It calls for enhanced legal recognition, critical curriculum safeguards, and post-crisis strategies to protect children's autonomy and psychosocial development.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100205"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0