期刊
CHILD ABUSE & NEGLECT
卷 130, 期 -, 页码 -出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.chiabu.2021.105443
关键词
COVID-19; Lockdown; Child abuse and neglect; Child advocacy center
This study aimed to describe the impact of the first COVID-19 lockdown in France on the activity of a Child Advocacy Center. The results showed a decrease in overall center activity during the lockdown, but an increase in severe abuse cases, highlighting the need for optimal screening, care, and support of child abuse victims even during a health crisis. More severe cases occurred in the 3 months following the lockdown compared to previous years, emphasizing the importance of continued vigilance and support for vulnerable children.
Objective: This study aimed to describe the impact of the first COVID-19 lockdown in France on the activity of a Child Advocacy Center. Methods: This cross-sectional, observational study included all children involved in the activity of the CAC during the first lockdown, from March 16 to May 10, 2020 and the next 3 months and the corresponding periods in 2018 and 2019. Cases were considered severe when a hospitalization, social alert and/or judicial report to the prosecutor was decided. Results: Data for 1583 children were analyzed. During the lockdown, the global center activity decreased with 26.4 consultations per 100.000 children in 2018, 46 in 2019 and 20.7 in 2020 (p < 0.001). Judicial activity decreased (forensic examinations and child forensic interview recordings), whereas assessment consultations increased. Cases were more severe during the lockdown than in 2019 and 2018 (12.3, 9.4 and 6.04/100.000 children, respectively, p < 0.0001). The global activity of the center increased in the 3 months after the lockdown as compared with during the lockdown (38.2/100.000 versus 20.7/100.000, respectively, p < 0.001) but did not differ from activity in 2018 and 2019. Severe cases were more frequent in the 3 months after the lockdown than the previous years (13.7/100.000 in 2020, 9.62 in 2019 and 8.17 in 2018, p = 0.0002). Conclusion: The CAC activity decreased during the lockdown in France but the increase in incidence of severe abuse cases during the lockdown and the next 3 months confirm the need for optimal screening, care and support of child abuse and neglect victims even in the context of health crisis.
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