Document Type : Systematic review

Authors

1 1) Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. 2) Department of Operating Room and Anesthesiology, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran.

2 Ph.D. student of reproductive health, Students Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:Child abuse is a global problem that is deeply rooted in the cultural, social, and economic performance of society. It is a behavior that occurs in various forms of physical, mental, emotional, or sexual, which can cause harm to the health, welfare, and education of the child. The present study was conducted to estimate the prevalence of child abuse and its related factors in Iran.
Methods:In the present systematic review study, to find articles related to the prevalence of child abuse in Iran, valid databases such as Scopus, PubMed, Cochrane, SID, Magiran, IranDoc, and Google Scholar was were searched using the keywords of “child abuse”, “physical abuse” “emotional abuse”,” neglect”, “prevalence” and “Iran”.
Results: In this study, 22 articles were analyzed. Based on this review about 4.5%-58.2% of children reported physical abuse, 7.3%-91.6% emotional abuse, and 5.5%-85.3% neglect. Factors associated with child abuse were hyperactivity anxiety and mental status disorder. All studies showed a significant relationship of abuses with education, occupation, addiction, and divorce of parents. Moreover, depression and anxiety of parents and poor parental relationships were related to abuse of children.
Conclusion: Child abuse has many negative effects on childish and adolescent health. It seems that child abuse in Iran is in critical condition; therefore, policymakers must take action to solve this problem and prevent it by designing special programs and effective policies in Iran.

Keywords

  1. Young JC, Widom CS. Long-term effects of child abuse and neglect on emotion processing in adulthood. Child Abuse Negl. 2014;38:1369-1381.
  2. Walsh K, Latzman NE, Latzman RD. Pathway from child sexual and physical abuse to risky sex among emerging adults: the role of trauma-related intrusions and alcohol problems. J Adolesc Health. 2014;54:442-448.
  3. Tanaka M, Afifi TO, Wathen CN, et al. Evaluation of sex differences in health-related quality of life outcomes associated with child abuse: Epidemiol Psychiatr Sci. 2015;24:353-363.
  4. Habetha S, Bleich S, Weidenhammer J, et al. A prevalence-based approach to societal costs occurring in consequence of child abuse and neglect. Child Adolesc Psychiatry Ment Health. 2012;6:35.
  5. Crawford M. Physical abuse: pitfalls and challenges. Paediatrics and Child Health. 2010; 20: 566-570.
  6. Slep AM, Heyman RE, Snarr JD, et al. Child emotional aggression and abuse: definitions and prevalence. Child Abuse Negl. 2011;35:783-796.
  7. Committee on Child A, Neglect. Protecting children from sexual abuse by health care providers. Pediatrics. 2011;128:407-426.
  8. Barth J, Bermetz L, Heim E, et al. The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis. Int J Public Health. 2013;58:469-483.
  9. Ben-Natan M, Sharon I, Barbashov P, et al. Risk factors for child abuse: quantitative correlational design. J Pediatr Nurs. 2014;29:220-227.
  10. Tursz A. [Risk factors of child abuse and neglect in childhood]. Rev Prat 2011; 61: 658-660.
  11. Lee SJ, Guterman NB, Lee Y. Risk factors for paternal physical child abuse. Child Abuse Negl. 2008;32:846-858.
  12. Morton CM, Simmel C, Peterson NA. Neighborhood alcohol outlet density and rates of child abuse and neglect: moderating effects of access to substance abuse services. Child Abuse Negl. 2014;38:952-961.
  13. Eslami-Shahrbabaki A, Eslami-Shahrbabaki M, Kalantari M. Association between Parental Addiction and Types of Child Abuse in High-School Students of Kerman, Iran. Addict Health 2013; 5: 108-114.
  14. Bartlett JD, Raskin M, Kotake C, et al. An ecological analysis of infant neglect by adolescent mothers. Child Abuse Negl 2014; 38: 723-734.
  15. Bartlett JD, Easterbrooks MA. Links between physical abuse in childhood and child neglect among adolescent mothers. Children and youth services review 2012; 34: 2164-2169.
  16. Barnow S, Lucht M, Freyberger HJ. Influence of punishment, emotional rejection, child abuse, and broken home on aggression in adolescence: an examination of aggressive adolescents in Germany. Psychopathology 2001; 34: 167-173.
  17. Ozbaran B, Erermis S, Bukusoglu N, et al. Social and emotional outcomes of child sexual abuse: a clinical sample in Turkey. J Interpers Violence 2009; 24: 1478-1493.
  18. American Academy of P, Stirling J, Jr., Committee on Child A, Neglect, Section on A, Foster C, et al. Understanding the behavioral and emotional consequences of child abuse. Pediatrics 2008; 122: 667-673.
  19. Carr A, Duff H, Craddock F. A systematic review of the outcome of child abuse in long-term care. Trauma, Violence, & Abuse. 2020; 21:660-677.
  20. Mohammadkhani P, Mohammadi MR, Rezaee E, et al. [Trauma symptoms in abused children (persian)]. Journal of Rehabilitation. 2003; 4: 20-28.
  21. Euser S, Alink LR, Pannebakker F, et al. The prevalence of child maltreatment in the Netherlands across a 5-year period. Child Abuse Negl 2013; 37: 841-851.
  22. da Silva Franzin LC, Olandovski M, Vettorazzi ML, et al. Child and adolescent abuse and neglect in the city of Curitiba, Brazil. Child Abuse Negl 2014.
  23. Al Eissa M, Almuneef M. Child abuse and neglect in Saudi Arabia: journey of recognition to implementation of national prevention strategies. Child Abuse Negl 2010; 34: 28-33.
  24. Eslami-Shahrbabaki A, Eslami-Shahrbabaki M, Kalantari M. Association between Parental Addiction and Types of Child Abuse in High-School Students of Kerman, Iran. Addict Health 2013; 5: 108-114.
  25. Vizeh O, Moradi S, Fadaee Z, et al. [A Comparative Study of The Prevalence of Child Abuse In Highschools Based on Gender, Education and History of Divorce in The Family (persian)]. Journal of Family Research 2008; 4: 145-165.
  26. Torkashvand F, Jafary F, Rezaeian M, et al. [A Survey on Child Abuse and Some Demographic Factors Affecting Students of the Third Grade of Guidance School in Zanjan in 2011(Persian)]. JRUMS. 2013; 12: 447-460.
  27. Mathews B, Pacella R, Dunne MP, et al. Improving measurement of child abuse and neglect: A systematic review and analysis of national prevalence studies. PloS one. 2020; 15:e0227884.
  28. Zahrabi Moghadam J, etal. Frequency of child abuse and some related factors in 2-5 years children attending health centers of Ahvaz and Haftge. Jentashapirhournal of health research.2011,3;237-245.
  29. Derakhshanpour F, Hajebi A, Ahmadabadi Z, et al. Frequency of Child Abuse and Related Risk Factors in Clients Referred to Urban Healthcare Centers in Bandar-Abbas. I IJPCP 2014, 20: 201-213.
  30. Sabagh F, Choobdar N, Abrishami M. The prevalence of some cases of child abuse in children aged 1-18 years in Khorasan. The secret of well-being.2004, 30;7-11.
  31. Rahimi movaghar A, Babaei N, Rostami mohammad reza. Prevalence of child abuse in two districts of Tehran. Journal of Social Welfare Research.1996, 2; 141-161.
  32. Miri S, Ameri G F, Alizadeh SM, et al . Prevalence of child abuse in high school students of Bam city (Kerman/Iran). JKMU.2006, 12; 43-50.
  33. Khooshabi K, Habibi Asgarabadi M, Farzadfard Z, et al. [Investigating Prevalence of Child Abuse among Guidance School Students, Tehran, 1385-1386 (persian)]. Social Welfare Quarterly 2008; 7: 115-134 .
  34. Mahram M, Hosseinkhani Z, Nedjat S, et al. Epidemiologic evaluation of child abuse and neglect in school-aged children of qazvin province, iran. Iran J Pediatr. 2013; 23: 159–164.
  35. Malekshahi F, Farhadi A. Prevalence of child abuse in Khoram Abad secondary school students. yafte 2014, 15: 31-39.
  36. Mikaeili N, Zamanloo K. [A study of the prevalence of child abuse and its prediction from parents’ depression and anxiety, attachment styles and mental health of their adolescent boys (persian)]. Journal of Psychology of Exceptional Individuals 2012; 2:145-66.
  37. Namdari P. [Prevalence of Child Abuse in Khorramabad Secondary Schools (persian)].Virol J. 2019;16:79.
  38. Nastizaei N. Comparison of Child Abuse in High School Students of Zahedan. Iran J Psychiatry Behav Sci. 2015; 9:e2256.
  39. Sayyari A A, Bagheri-Yazdi S A, Jalili B, Khoushabi K, et al . Physical Child-Abuse in Tehran, Iran. Examination of physical exertion of children in patients referred to the emergency medical emergency clinic in Tehran. Archives of Rehabilitation. 2001; 2:7-13.
  40. Zargar F, Nesht doost HT. Investigation of demographic and Familial Factors Affecting the Incidence of Child Abuse in Isfahan. Journal of Family Research. 2006.2; 165-176.
  41. Pietrantonio AM, Wright E, Gibson KN, et al. Mandatory reporting of child abuse and neglect: crafting a positive process for health professionals and caregivers. Child Abuse Negl. 2013;37:102-109.
  42. Pirdehghan A, Vakili M, Rajabzadeh Y, et al. Child abuse and mental disorders in Iranian adolescents. Iran J Pediatr. 2016;26:e3839.
  43. Esmaeil Douki Z, Esmaeili MR, Vaezzadeh N, et al. Maternal child abuse and its association with maternal anxiety in the socio-cultural context of Iran. Oman Med J. 2013;28:404-409.
  44. Ghasemi SR, Setare Forozan A, Rajabi Gilan N, et al. The study of child maltreatment in family and its impact on behavioral problems in high school students in Kermanshah. J J Mazandaran Univ Med Sci 2014; 24: 60-71.
  45. Fakhari A, Tabatabavakili M, Javid YS, et al. Family violence influences mental health of school girls in Iran: Results of a preliminary study. Asian J Psychiatr. 2012;5:24-27.
  46. Stephenson R, Sheikhattari P, Assasi N, et al. Child maltreatment among school children in the Kurdistan Province, Child Abuse Negl. 2006;30:231-245.
  47. M. Association between parental addiction and types of child abuse in high-school students of Kerman, Iran. Addiction & health. 2013; 5(3-4):108.
  48. Farnia V, Tatari F, Moradinazar M, Salemi S, Juibari TA, Alikhani M, Abdoli N, Golshani S. Investigating the prevalence of child abuse in the families with addicted parents in Iran: With emphasis on family risk factors. Clinical epidemiology and global health. 2020; 8(4):1098-103.