아동학대 사망사례의 현황과 예측요인 = Current State and Predictors of Child Abuse Fatalities

국문 초록 (Abstract)

아동학대는 전반적인 아동발달에 부정적인 영향을 미치며, 최악의 경우 아동은 사망에 이르게 된다. 아동학대로 인한 사망을 예방하기 위해서는 아동학대 사망사례의 실태와 관련요인을 정확하게 파악할 필요가 있다. 본 연구에서는 아동학대 사망사례가 과소보고 되었을 것으로 추정되기는 하나, 아동학대 사망사례에 대해 가장 많은 정보를 담고 있는 아동보호전문기관에 신고된 아동학대 사망사례를 이용하여 학대로 인한 사망사례의 현황과 예측요인을 살펴보고자 하였다. 2002년부터 2011년까지 아동보호전문기관에 신고된 아동학대 사망사례는 총 74건이었다. 로지스틱 회귀분석결과, 아동이 사망하지 않은 고위험 만성 비(非)사망 사례에 비해, 아동이 1세미만인경우, 신체학대가 발생한 경우 아동학대로 인해 사망할 가능성이 높은 것으로 나타났다. 본 연구에서는 이러한 연구결과를 근거로 하여 아동학대로 인한 사망을 예방하기 위한 실천적 개입방법 및 정책적 제언을 논의하였다.

다국어 초록 (Multilingual Abstract)

Child abuse can lead to a wide range of adverse consequences for children and finally result in child abuse fatalities. In order to prevent child abuse fatalities, there is a need to examine the prevalence and causes of death resulting from child abuse. The purpose of this study is to describe the current state of child abuse fatalities and to determine their predictors. For the purpose of this research, we used cases of child abuse resulting in death reported by the National Child Protection Agency(NCPA). Although child abuse fatalities were undercounted by the NCPA, it is considered to contain adequate information regarding child abuse fatalities. According to the report from the NCPA, from 2002 to 2011, 74 children died from abuse. The logistic regression results confirmed that children who were less than 1-year-old and suffered from physical abuse had higher possibilities of dying from abuse. Based on the results, recommendation for child welfare policy and practice are discussed.

참고문헌 (Reference)

1 "학대로 숨진 8살 소녀…‘아빠의 동거녀’ 추악한 진실"

2 "입양아 2개월 방치 숨져 ‘비정한 부모’… 군경 수사 중"

3 김지혜, "아동학대 사망사건에 대한 신문기사 분석" 한국사회복지학회 65 (65): 131-154, 2013

4 정익중, "아동학대 사망관련 지원서비스체계화방안 연구" 이화여자대학교연구처/산학협력단⋅보건복지부 2012

5 "만3세 이전 영유아 학대 ‘사각지대’ 숨진 22개월 영아도 폭행사실 몰라"

6 ECM(Every Child Matters Education Fund), "We can do better: Child abuse and neglect deaths in America"

7 Pritchard, C., "Violent deaths of children in England and Wales compared to the major developed countries 1974-2002: Possible evidence for improving child protection?" 17 : 297-312, 2008

8 Lucas, D. R., "Victim, perpetrator, family, and incident characteristics of infant and child homicide in the United States Air Force" 26 (26): 167-186, 2002

9 Crume, T. L., "Underascertainment of child maltreatment fatalities by death certificates, 1990–1998" 110 (110): e18-e18, 1998

10 Herman-Giddens, M. E., "Underascertainment of child abuse mortality in the United States" 282 (282): 463-467, 1999

11 Jenny, C., "The relation between child death and child maltreatment" 91 (91): 265-269, 2006

12 Cavanagh, K., "The murder of children by fathers in the context of child abuse" 31 (31): 731-746, 2007

13 Rangel, E. L., "Socioeconomic disparities in infant mortality after nonaccidental trauma: A multicenter study" 69 (69): 20-25, 2010

14 Christoffel, K. K., "Should child abuse and neglect be considered when a child dies unexpectedly?" 139 (139): 876-880, 1985

15 Donnelly, H., "Sentenced homicides in New South Wales 1990-1993, 1995" Judicial Commission of New South Wales 1995

16 Schnitzer, P. G., "Public health surveillance of fatal child maltreatment : Analysis of 3state programs" 98 (98): 296-303, 2008

17 Yampolskaya, S., "Profiles of child maltreatment perpetrators and risk for fatal assault : A latent class analysis" 24 (24): 337-348, 2009

18 Graham, J. C., "Predicting child fatalities among less-severe CPS investigations" 32 : 274-280, 2010

19 Herman-Giddens, M. E., "Newborns killed or left to die by a parent : A population-based study" 289 : 1425-1429, 2003

20 Haapasalo, J., "Mothers who killed or attempted to kill their child:Life circumstances, childhood abuse, and types of killing" 14 (14): 219-239, 1999

21 Levine, M., "Maltreatment-related fatalities : Issues of policy and prevention" 16 : 449-471, 1994

22 Somander, L K. H., "Intra and extra familial child homicide in Sweden 1971–1980" 15 (15): 45-55, 1991

23 Korbin, J. E., "Incarcerated mothers’ perceptions and interpretations of their fatally maltreated children" 11 (11): 397-407, 1987

24 Stiffman, M. N., "Household composition and risk of fatal child maltreatment" 109 (109): 615-621, 2002

25 Schnitzer, P. G., "Household composition and fatal unintentional injuries related to child maltreatment" 40 (40): 91-97, 2008

26 Sidebotham, P., "Fatal child maltreatment in England, 2005-2009" 35 (35): 299-306, 2011

27 Damashek, A., "Fatal child maltreatment : characteristics of deaths from physical abuse versus neglect" 37 : 735-744, 2013

28 Douglas, E. M., "Fatal and non-fatal child maltreatment in the US: An analysis of child, caregiver, and service utilization with the National Child Abuse and Neglect Data Set" 38 (38): 42-51, 2014

29 Chance, T., "Ecological correlates of child maltreatment:Similarities and differences between child fatality and nonfatality" 19 (19): 139-161, 2002

30 Nordlund J, "Do characteristics of parental child homicide in Sweden fit evolutionary predictions?" 113 (113): 1029-1037, 2007

31 Government Accountability Office, "Child maltreatment: Strengthening national data on child fatalities could aid in prevention. U.S. Government Accountability Office"

32 Klevens, J., "Child maltreatment fatalities in children under 5:Findings from the National Violence Death Reporting System" 34 (34): 262-266, 2010

33 Palusci, V. J., "Child maltreatment deaths in the U. S. National child death review case reporting system. "Child Abuse & Neglect Child Abuse and Neglect Data Set" 38 (38): 42-51, 2014

34 US DHSS(U.S. Department of Health and Human Services), "Child maltreatment 2011" US Government Printing Office 2012

35 Child Welfare Information Gateway, "Child maltreatment 2010: Summary of key finding" U.S. Department of Health and Human Services, Children’s Bureau 2012

36 Schnitzer, P. G., "Child deaths resulting from inflicted injuries:Household risk factors and perpetrator characteristics" 116 (116): e687-e693, 2005

37 Strang, H., "Australian violence: Contemporary perspectives Ⅱ" Australian Institute of Criminology 71-86, 1995

38 Schloesser, P., "Active surveillance of child abuse fatalities" 16 (16): 3-10, 1992

39 보건복지부⋅중앙아동보호전문기관, "2012 전국아동학대현황보고서"