In preparation for a survey using two international child abuse screening tools (ICAST‐P for parents and ICAST‐R for young people), a qualitative study explored the use of discipline and the understanding of child abuse, including sexual abuse, in Palestinian West Bank society, and investigated the appropriateness, in relation to clarity, acceptability and relevance, of the instruments. Qualitative research teams conducted 30 in‐depth interviews with mothers (10), young men (10) and young women (10). Our findings indicate that in a society where sexual abuse is not openly discussed and follow‐up services may be inadequate or inaccessible, inclusion of sexual abuse questions in a survey may be inappropriate and even harmful. However, by asking respondents about sexual abuse questions, rather than asking specifically about an individual's experiences, this study initiated discussion, which acknowledged the occurrence of sexual abuse of both boys and girls in the West Bank population. The findings warrant serious attention by educational, psychological, social and legal services in Palestine. Additionally, the findings caution against administering internationally designed survey instruments in low‐ and middle‐income countries (LMIC) before the potential implications related to cultural, social and political contexts have been carefully examined.

中文翻译：

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西岸虐待儿童：定性研究的教训

在准备使用两种国际儿童虐待筛查工具（父母使用ICAST-P，年轻人使用ICAST-R）进行调查时，定性研究探索了巴勒斯坦西岸对纪律的使用和对包括性虐待在内的儿童虐待的理解社会，并调查了这些工具在清晰度，可接受性和相关性方面的适当性。定性研究小组对母亲（10名），年轻男子（10名）和年轻妇女（10名）进行了30次深入访谈。我们的发现表明，在一个未公开讨论性虐待且后续服务可能不足或无法获得的社会中，将性虐待问题纳入调查中可能是不适当的，甚至是有害的。但是，通过询问受访者有关性虐待的问题，而不是专门询问某个人的 根据经验，该研究引发了讨论，该讨论承认西岸人口中发生了对男孩和女孩的性虐待。这些发现值得巴勒斯坦的教育，心理，社会和法律服务部门给予高度重视。此外，在仔细研究了与文化，社会和政治环境有关的潜在影响之前，研究结果警告不要在中低收入国家（LMIC）中使用国际设计的调查工具。