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Master Thesis

Facteurs de risque de maltraitance infantile intrafamiliale dans l’agglomération grenobloise en 2017 : étude épidémiologique rétrospective dans la population d’enfants ayant bénéficié d’une évaluation médico-sociale suite à une information préoccupante

Abstract : Introduction: Intra-familial child abuse affects 10% of children in developed countries and has an impact on overall health. Risk factors have been identified in a literature review by Dr Rebeyrotte in 2016. This work aimed to determine the frequency of risk factors and whether or not one or more of them was linked to a proven risk of danger in the population of children who were flagged as being potentially ‘at-risk’ in 2017 in the Grenoble Metropolitan Area. Method: This was a descriptive retrospective multi-centric epidemiological study. Data was gathered from January to April 2019 in 6 of the 11 local community services. The data collected from the medico-social evaluations were; risk factors, the type of abuse suspected, and the action taken by the departmental services on the case that was red-flagged. The difference in the frequency of occurrence of these factors was analysed, depending on whether the evaluation’s conclusion was one of a risk of danger, or an absence thereof. Results: Behavioural and learning difficulties (OR=4,31 ; IC95=2,04-9,66 ; p<0,001), psychopathological difficulties in parents (OR=3,94 ; IC95=1,58-11,04 ; p=0,005), separation or divorce (OR=2,33 ; IC95=1,07-5,22 ; p=0,035) as well as a history of violence amongst siblings (OR=4,81 ; IC95=1,31-23,43 ; p= 0,028) were all significantly associated with a risk of danger to a child. Discussion: Awareness and early tracking of these factors could allow for better primary prevention of abuse of minors. Development of a screening tool to help General Practitioners therefore appears necessary.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02377182
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Submitted on : Tuesday, November 26, 2019 - 12:23:06 PM
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Florine Grob, Joséphine Hirschler Bertrand. Facteurs de risque de maltraitance infantile intrafamiliale dans l’agglomération grenobloise en 2017 : étude épidémiologique rétrospective dans la population d’enfants ayant bénéficié d’une évaluation médico-sociale suite à une information préoccupante. Médecine humaine et pathologie. 2019. ⟨dumas-02377182⟩

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