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2017 ; 12
(9
): e0184541
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gab.com Text
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Physical, psychological, sexual, and systemic abuse of children with disabilities
in East Africa: Mapping the evidence
#MMPMID28892508
Winters N
; Langer L
; Geniets A
PLoS One
2017[]; 12
(9
): e0184541
PMID28892508
show ga
Children with disabilities (CWDs) are at a higher risk of being maltreated than
are typical children. The evidence base on the abuse of children with
disabilities living in low- and middle-income countries is extremely limited but
the problem is particularly acute in East Africa. We don't know the types of
evidence that exist on this topic. This problem is compounded by the fact that
key indicators of disability, such as reliable prevalence rates, are not
available currently. This paper addresses this serious problem by mapping the
existing evidence-base to document the coverage, patterns, and gaps in existing
research on the abuse of children with disabilities in East Africa. An evidence
map, following systematic review guidelines, was conducted and included a
systematic search, transparent and structured data extraction, and critical
appraisal. Health and social science databases (Medline, EMBASE, PsychInfo,
Taylor&Francis, Web of Science, and SAGE) were systematically searched for
relevant studies. A substantive grey literature search was also conducted. All
empirical research on the abuse of CWDs in East Africa was eligible for
inclusion: Data on abuse was systematically extracted and the research evidence,
following critical appraisal, mapped according to the type of abuse and
disability condition, highlighting gaps and patterns in the evidence-base. 6005
studies were identified and screened, of which 177 received a full-text
assessment. Of these, 41 studies matched the inclusion criteria. By mapping the
available data and reports and systematically assessing their trustworthiness and
relevance, we highlight significant gaps in the available evidence base. Clear
patterns emerge that show a major data gap and lack of research on sexual abuse
of children with disabilities and an identifiable lack of methodological quality
in many relevant studies. These make the development of a concerted and targeted
research effort to tackle the abuse of children with disabilities in East Africa
extremely difficult. This needs to be addressed urgently if the abuse of children
with disabilities is to be prioritised by the global health community.
|*Child Abuse/statistics & numerical data
[MESH]
|*Children with Disabilities/statistics & numerical data
[MESH]
|*Physical Abuse/statistics & numerical data
[MESH]
|Africa, Eastern/epidemiology
[MESH]
|Child
[MESH]
|Child Abuse, Sexual/statistics & numerical data
[MESH]