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Corporal punishment bans and adolescent suicide rates: An international ecological study
Child Abuse & Neglect ( IF 4.863 ) Pub Date : 2023-01-12 , DOI: 10.1016/j.chiabu.2023.106022
Laura Cramm 1 , Frank J Elgar 2 , William Pickett 3
Affiliation  

Background

Exposure to corporal punishment during childhood is associated with suicidal behaviors during adolescence. To date, the protective effects of national policies governing the use of corporal punishment have rarely been studied for adolescent suicide outcomes.

Objective

To investigate contemporaneous and lagged associations between national legislation banning corporal punishment and adolescent suicide rates.

Participants and setting

We used population-level administrative and mortality data from 97 countries spanning the years 1950 to 2017.

Methods

Negative binomial models were used to investigate the relationship between the existence of official corporal punishment bans in countries and national adolescent suicide mortality rates and the potential time lag between the enactment of such bans and reductions in adolescent suicide rates.

Results

National policies that permitted corporal punishment in all settings (homes, schools, daycares, and alternative care) were associated with a higher relative risk (RR) for suicide in females aged 15–19 (RR = 2.07, p = .03), as were policies allowing corporal punishment in schools specifically (RR = 2.01, p = .02). Partial bans of corporal punishment and bans of school corporal punishment showed lagged effects on suicide rates which peaked after 12 years for females aged 15–19 and after 13 years for males aged 15–19.

Conclusions

Study findings add to a body of evidence that suggests that official policies banning corporal punishment may promote adolescent health and well-being. The benefits of such policies in terms of reduced risk for adolescent suicide appear to peak approximately 12 to 13 years after enactment of the legislation.



中文翻译:

体罚禁令和青少年自杀率:一项国际生态研究

背景

童年时期遭受体罚与青春期的自杀行为有关。迄今为止,很少研究国家体罚政策对青少年自杀结果的保护作用。

客观的

调查禁止体罚的国家立法与青少年自杀率之间的同期和滞后关联。

参与者和设置

我们使用了 97 个国家从 1950 年到 2017 年的人口层面行政和死亡率数据。

方法

负二项式模型被用来调查各国是否存在官方体罚禁令与全国青少年自杀死亡率之间的关系,以及此类禁令的颁布与青少年自杀率下降之间的潜在时间差。

结果

允许在所有环境(家庭、学校、日托和替代照料)中进行体罚的国家政策与 15-19 岁女性自杀的较高相对风险 (RR) 有关 (RR = 2.07, p = .03)  因为是专门允许在学校进行体罚的政策 (RR = 2.01, p  = .02)。部分禁止体罚和禁止学校体罚对自杀率有滞后影响,15-19 岁女性的自杀率在 12 年后达到峰值,15-19 岁的男性在 13 年后达到峰值。

结论

研究结果进一步证明,禁止体罚的官方政策可能会促进青少年的健康和福祉。这些政策在降低青少年自杀风险方面的好处似乎在立法颁布后大约 12 至 13 年达到顶峰。

更新日期:2023-01-13
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