بررسی شیوع کودک‌آزاری در وابستگان به مواد افیونی مراجعه کننده به کلینیک ترک اعتیاد دانشگاه علوم پزشکی رفسنجان1383

Child Abuse Prevalence Among Addicts Referred to the Rafsanjan Addiction Withdrawal Center in 2005Received: 10/01/06 Sent for Revision: G. Kholasezadeh MD , H. Bakhshi MSc , M. Nazer MSc , A.R. Sayadi MSc , M. Pourgholami MD , A.H. Rabbani 20/05/06 Received Revised Manuscript: 15/01/07 Accepted: 12/03/07 Background and Objective: Child abuse and neglect of children referred to the physical, psychological, emotional or sexual abuse, these circumstances result in detrimental impacts on health, welfare and education of children. Based on these considerations, the present study was conducted to investigate the prevalence of child abuse among addicts referred to the Rafsanjan Addiction Withdrawal Center in 2005. Materials and Methods: In this cross sectional study, 648 addicts randomly selected. A questionnaire was completed for each particpant and the data were then analysed using X2 test. Results: The findings of this study showed that 81.9% of the participants were child abusers and 87.8% of them were 41-60 years old. The percentages of child abuse found in the participants with a history of parenteral drug-abuse, addiction in their families, divorce, physical harassment, and neglect during their childhood were 93.3%, 89%, 95%, 90.9% and 87.9% respectively. Slapping (17.86%) and deprivation of talking and attention (16.44%) were the most common type of physical child abuse and neglect. In 20.82% cases, the child abuse occurred at the withdrawal period of addiction. The most frequent feelings after child abuse for the child abusers were regret and sadness (36.87% and 35.25% respectively). conclusion: This study showed that there is a direct relationship between child abuse and addiction to opiates. Also there are other factors related to child abuse including level of education, economic situation, a history of addiction and divorce in the family of child abuse victims. Therefore, the necessity of an organized care system for children and addicted parents and regulating of suppportive rules are obvious and of superme value. Key words: Child Abuse, Addiction, Opiates, Self Introducer Clinic