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儿童虐待(child abuse,CA)作为一个社会问题,是公众健康领域令人困扰的一部分,覆盖了家庭、社会文化、教育甚至医疗卫生体系[1]。美国1岁以上儿童死亡的首要原因是外伤性损伤,而在所有形式的外伤性损伤中,儿童虐待是死亡和发病的重要组成部分[1]。近年来对儿童虐待的研究发现,儿童期受虐待的成人会对自己的子女实施虐待,表现为虐待的代际循环(transgenerational cycle of maltreatment,TCM)[2]。目前,国际上将儿童虐待分为4种类型,即躯体虐待(父母或监护人对儿童实施暴力)、心理虐待(攻击儿童的心理幸福)、性虐待(直接或间接地伤害儿童的性
As a social issue, child abuse (CA) is a disturbing part of public health that covers family, socio-cultural, educational and even health care systems [1]. The leading cause of death among children over the age of one in the United States is traumatic injury, which is an important component of death and morbidity in all forms of traumatic injury. [1] In recent years, research on child abuse has found that adults who are abused during their childhood abuse their children as a transgenerational cycle of maltreatment (TCM) [2]. At present, there are four types of child abuse internationally, namely physical abuse (violence against children by parents or guardians), psychological abuse (psychological well-being of attacking children), sexual abuse (harm to children directly or indirectly