Health

One in three children with disabilities globally have experienced violence in their lifetimes

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Children and adolescents (0-18 years) with disabilities are more likely to experience physical, sexual, and psychological abuse, and more neglect and self-esteem than those without disabilities, despite ongoing public awareness’ and policies in recent years, based on a review and meta-analysis involving more than 16 million young people from 25 countries conducted between 1990 and 2020, published in Lancet Child & Adolescent Health newspaper.

Adolescents with mental illness and cognitive impairment or learning disabilities (e.g., attention deficit hyperactivity disorder and Autism) are more likely to experience anxiety, and in general, children with disabilities are more than twice as likely to experience anxiety if compared with those with no disabilities, one can do so. they have a significant and lasting impact on their health and well-being.

The authors note that while the study provides a comprehensive picture of the violence faced by children with disabilities around the world, there is a lack of data from low-income and high-risk families. middle-income countries (LMICs), especially in Southeast and Central Asia and Eastern Europe.

However, the authors say the findings highlight the urgent need for collaborative efforts with governments, health and social care providers, and researchers to raise awareness of all forms of child abuse. disabilities and strengthen prevention efforts.

“Our findings reflect the unacceptable and alarming trend of abuse of children with disabilities that cannot be ignored,” said Professor Jane Barlow from the University of Oxford, UK who led the study. “All children have the right to be protected from violence that results in social, health and economic consequences, including high school dropouts, higher employment rates, and an increased risk of mental illness and disease. serious investments in services and support that address the factors that put children with disabilities at risk of violence and abuse, including caregiver stress, must be urgently addressed. isolation from the public and poverty ”.

An estimated 291 million young people suffer from epilepsy, mental retardation, visual impairment, or hearing loss — representing almost 11% of the world’s children and adolescents. Many also have other physical and mental disabilities. The vast majority of children with disabilities — over 94% — live in LMICs where high risk is associated. Discrimination, discrimination, lack of access to information about disability, and inadequate social support for caregivers contribute to the highest levels of violence faced by children with disabilities. This can exacerbate poverty and social isolation. Special challenges faced by children with disabilities, such as inability to speak or defend themselves, can make them more violent.

A 2012 a regular reviewhit a The Lancetit is estimated that more than a quarter of children with disabilities in developing countries experience violence, and the likelihood of experiencing violence is three times higher than that of their non-disabled counterparts.

This new research includes more readings from a wider area, more types of violence (e.g., bullying by peers and violence by partners), and more disabilities (physical disabilityDisability, misunderstanding or learning disabilities, mental disabilities and chronic illnesses), and the use of new methods to provide statistics on the prevalence of child abuse around the world, until September 2020. New statistics show that one-third of children with disabilities survive violence and are twice as likely as non-disabled children.

The researchers made a rigorous and meta-analysis of any survey measuring child abuse published in 18 English-language databases and three Chinese databases between 1990 to 2020. 98 data were analyzed on children over 16.8 million (ages 0) -18 years), including 75 studies from developing countries and 23 studies from seven low- and middle-income countries.

Data analysis from 92 studies looking at the population showed that the prevalence of anxiety varied by disability and was higher among children with mental illness (34%) and cognitive or learning disabilities (33%) than and children with disabilities (27%), disability or mobility (26%), and chronic diseases (21%).

The most commonly reported types of violence were mental and physical, with nearly one in three children and adolescents with disabilities. Statistics show that one in five children with disabilities is experiencing neglect and one in ten is experiencing sexual abuse.

The study also drew attention to the prevalence of age-related abuse, with an estimated 40% of children with disabilities experiencing abuse at the hands of their peers. Abuse in person (physical, verbal, or relational activities, such as hitting and kicking; abuse and intimidation; or socializing) is more common (37%) than cyberbullying (23%).

Generally, children with disabilities live in them low income countries experience higher levels of violence than those in low-income countries — perhaps as a result of limited access to prevention and support services, lower legal protections, and attitudes and practices that undermine disability and lead to increased resilience social for violence. .

“Abuse of children with disabilities can be prevented. These children must be given a better chance of living now,” said lead author Dr. Zuyi Fang from Beijing Cultural University in China. “The UN’s Sustainable Development Goals (MDGs) aim to end all forms of child abuse by 2030. Achieving this will require political leaders, activists, and researchers to work together to implement what we already know is working to prevent violence as much as it will be used by parents. ” while developing and evaluating improved community, school-based, and online services that lead to specific types of violence. “

She added, “It is clear that low-income and middle-income countries, in particular, are facing increasing challenges, posed by complex social and economic drivers, and must establish a legal framework to prevent violence, including Strengthen health and social systems.To address the complex needs of children with disabilities and their families, more robust research is needed in less economically disadvantaged communities and more research on violence from partners and government officials. “

The authors agree to some limitations with the study. Firstly, despite the increase in the number of readings compared to the 2012 review, only 23 readings from the seven LMICs — which could limit the decision-making process. They also suggest that different contexts, road features, types of disabilities, and children’s characteristics (e.g., gender and age) may influence estimates. In addition, different meanings and measurements of anxiety and disability make it difficult to compare studies, while less than 40% of studies are manipulated for complex purposes or using representative samples , it is difficult to ascertain whether major levels of violence were due to illness or disease. other reasons. Finally, because the study is based on the reports of children- and caregivers, and given the nature of violence and lack of empathy and limited understanding, the reality of the prevalence of violence may be even greater.

Writing in a related commentary, Dr Tania King from the University of Melbourne in Australia (who is not in the study) noted that there may be an increase in the number of child abuse cases since COVID-19. epidemic, he added, “Article 19 of the UN Convention on the Rights of the Child, adopted by many countries around the world, provides for the protection of children from violence. While the number of children with disabilities is increasing. against increasing worldwide., We must put in place measures and measures to protect them from violence. Improved services and support for children with disabilities will reduce many of the risks that lead to an increase in the incidence of violence. The importance of working is many: they are economic, just as the damage caused by violence is expensive, they are a social necessity — society has a lot to gain by improving the integration of the disabled. it is unacceptable for the present society to tolerate such a value the fat is in the fire between children with disabilities. ”


Children with disabilities in West Africa have been experiencing violence since the day they were born


Learn more:
Zuyi Fang et al, Global Statistics on Abuse of Children with Disabilities: A review of reviews and reviews, Lancet Child & Adolescent Health (2022). DOI: 10.1016 / S2352-4642 (22) 00033-5

hintOne in three children with disabilities worldwide experiences violence in their lifetime (2022, March 18) and is recovering on March 18, 2022 from https://medicalxpress.com/news/2022-03-children-disabilities- globally-experienced-violence.html

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