아동학대 유형별 재발생 특성과 관련요인에 대한 생존분석 = Life Table Method and Multi-variate Survival Analysis of Child Maltreatment Recurrence by Abuse Type

다국어 초록 (Multilingual Abstract)

The primary objectives of this study were to estimate rates of child maltreatment recurrence by abuse type; to examine the extent recurring as the same type or different type of abuse; to construct Life Table and to graph patterns over time for each type of recurrence; and to identify risk factors of each type of recurrence. To accomplish research objectives, this study analyzed a sample of 58,121 families who were followed up to have experienced each type of recurrence during the 5.4 year study period. Abuse type was divided into five categories; neglect, physical abuse, sexual abuse, other abuse, and multiple/mixed type in the recurrence context. This study employed Life Table method and multi-variate survivanl analyses. Study results show that neglect is the most frequently repeatable and recurrent abuse type, whereas sexual abuse was the least. Abuse type at initial report, child and family factors, and child protective system factors significantly differentiated the risk of each type of recurrence. Study results may help to develop successful interventions restraining chronic child maltreatment recurrence.

국문 초록 (Abstract)

방임의 경우 재발생률이 가장 높고 대부분 동일한 유형으로 재발생하며 또한 다른 학대유형도 상당한 비율이 방임으로 재발생하는 결과를 보여주고 있다. 실제로 방임과 같은 학대유형은 학대행위자의 태도나 학대상황인 가정환경이 단기간에 쉽게 바뀌지 않는 경향이 있어 재발생률이 높은 것으로 선행연구에서도 일관성 있게 밝혀지고 있다(Fluke, Yuan, & Edwards, 1999; Lipien & Forthofer, 2004; Smith & Testa, 2002).<표 2> 학대유형별 초기사례와 재발사례 교차분석 (단위：%, 가족수)

참고문헌 (Reference)

1 "아동학대와 방임의 사회구조적 요인：빈곤과의 상관관계를 중심으로" 9 (9): 347-374, 2005

2 "아동학대 재신고 사례유형화와 관련요인 비교분석" 10 (10): 651-678, 2006

3 "아동학대 유형별 학대관련 요인에 관한 연구." 5 : 31-52, 2002

4 "아동학대 유형별 위험요인에 관한 연구" 23 : 77-108, 2005

5 "아동학대 신고의무자들의 아동학대에 대한 인식과 신고행동에 영향을 주는 요인에 대한 연구" 33 : 209-230, 2003

6 "아동 및 가해자의 특성에 따른 아동학대의 심각성 예측요인에 관한 연구" 13 : 123-154, 2002

7 "Understanding the relationship between neighborhood poverty and specific types of child maltreatment" 20 (20): 1003-1018, 1996

8 Smith B. D., "The risk of subsequent maltreatment allegations in families with substance-exposed infants" 26 : 97-114, 2002

9 Terling T, "The efficacy of family reunification practices：reentry rates and correlates of reentry for abused and neglected children reunited with their families" 23 (23): 1359-1370, 1999

10 "The effect of services on the recurrence of child maltreatment" 26 : 187-205, 2002

11 Sullivan P., "The association between child maltreatment and disabilities in a hospital-based epidemiological study" 10 : 1257-1273, 2000

12 Marshall D. B., "Survival analysis of risk factors for recidivism in child abuse and neglect" 4 (4): 287-296, 1999

13 "Survival Analysis Using the SAS System" Cary, NC：SAS Institute Inc 1995

14 "Substantiation and Recidivism" 8 (8): 248-260, 2003

15 "Risk assessment in child welfare：The art and science" 23 : 811-830, 2001

16 "Recurrent maltreatment during childhood：a survey of referrals to police child protection units in England" 4 (4): 275-286, 1999

17 "Recurrence of maltreatment：an appli- cation of the national child abuse and neglect data system(NCANDS)" 23 (23): 633-650, 1999

18 "Recidivism of child molesters：A study of victim relationship with the perpetrator" 24 (24): 1485-1494, 2000

19 "Recidivism in child protective services" 19 (19): 139-161, 1997

20 "Predictors of maltreatment recurrence at two milestones in the life of a case" 23 (23): 49-78, 2001

21 Way I., "Matreatment perpetrators：a 54-month analysis of recidivism" 25 : 1093-1108, 2001

22 "Key decisions in child protective services：report investigation and court referral" 21 (21): 643-656, 1999

23 "Intimate Violence in Families(3rd Ed)" Thousand Oaks, CA：SAGE Publications, Inc. 1997

24 "Family preservation and family support programs：child maltreatment outcomes across client risk levels and program types" 25 : 1269-1289, 2001

25 "Epidemiology of child maltreatment recurrences" 73 : 218-239, 1999

26 Zuravin S., "Disposition of child physical abuse reports：review of the literature and test of a predictive model" 17 (17): 547-566, 1995

27 "Cross-type recidivism among child maltreatment victims and perpetrators" 27 : 899-917, 2003

28 Wolock I., "Child abuse and neglect referral patterns：a longitudinal study" 23 (23): 21-47, 2001

29 National Center on Child Abuse and Neglect, "Child Maltreatment 2004" 2005

30 "Associations between reporter type and assessment outcomes in child protective referrals" 17 (17): 503-522, 1995

31 "An event history analysis of recurrence child maltreatment reports in Florida" 28 : 947-966, 2004

32 Sidebotham P, "An ecological approach to child abuse：a creative use of scientific models in research and practice" 10 : 97-112, 2001

33 "Abuse type and substantiation status varying by recurrence" 29 (29): 836-869, 2007

34 "2006년 전국아동학대현황보고서" 중앙아동보호전문기관 2007

35 Murphy, ". What happens after the care and protection petition ：reabuse in a court sample. Child Abuse & Neglect" 485-493, 1992

36 ". Predicting the recurrence of child abuse. Social Work Research and Abstracts" 21-26, 1984

37 Orme, ". Predicting severity of child abuse injury with ordinal probit regression. Social Work Research" 131-138, 1994

38 ". From Child Abuse to Permanency Planning. New York：Aldine de Gruyter" Inc. 1994

39 ". Etiology of child maltreatment：a developmental-ecological analysis. Psychological Bulletin" 413-434, 1993

40 ". A survival analysis of the revictimization of children：The case of Colorado. Child Abuse & Neglect" 1063-1071, 1994