Burden of child maltreatment in China: A systematic review

Xiangming Fang, Deborah Fry, Kai Ji, David Finkelhor, Jingqi Chen, Patricia Lannen, Michael Dunne

Research output: Contribution to journalArticlepeer-review


Objective To estimate the health and economic burdens of child
maltreatment in China.
Methods We did a systematic review for studies on child maltreatment in China using PubMed, Embase, PsycInfo, CINAHL-EBSCO, ERIC and the Chinese National Knowledge Infrastructure databases. We did meta-analyses of studies that met inclusion criteria to estimate the prevalence of child neglect and child physical, emotional and sexual abuse. We used data from the 2010 global burden of disease estimates to calculate disability-adjusted life-years (DALYs) lost as a result of child maltreatment.
Findings From 68 studies we estimated that 26.6% of children under 18 years of age have suffered physical abuse, 19.6% emotional abuse, 8.7% sexual abuse and 26.0% neglect. We estimate that emotional abuse in childhood accounts for 26.3% of the DALYs lost because of mental disorders and 18.0% of those lost because of self-harm. Physical abuse in childhood accounts for 12.2% of the DALYs lost because of depression, 17.0% anxiety, 20.7% problem drinking, 18.8% illicit drug use and 18.3% self-harm. The consequences of physical abuse of children costs China an estimated 0.84% of its gross domestic product – i.e. 50 billion United States dollars – in 2010. The corresponding losses attributable to emotional and sexual abuse in childhood were 0.47% and 0.39% of the gross domestic product, respectively.
Conclusion In China, child maltreatment is common and associated with large economic losses because many maltreated children suffer substantial psychological distress and might adopt behaviours that increase their risk of chronic disease.
Original languageEnglish
Article numberBLT.14.140970
Pages (from-to)176-185c
Number of pages13
JournalBulletin of the World Health Organization
Issue number3
Early online date20 Jan 2015
Publication statusPublished - Mar 2015


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