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  3. Child maltreatment is a global problem with serious lifelong consequences. There are no reliable global estimates for the preval

Child maltreatment is a global problem with serious lifelong consequences. There are no reliable global estimates for the preval

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问题    Child maltreatment is a global problem with serious lifelong consequences. There are no reliable global estimates for the prevalence of child maltreatment. Data for many countries, especially low and middle-income countries, are lacking.
   Child maltreatment is complex and difficult to study. Current estimates vary widely depending on the country and the method of research used. Nonetheless, international studies reveal that approximately 20% of women and 5% to 10% of men report being sexually abused as children, while 25% to 50% of all children report being physically abused. Additionally, many children are subject to emotional abuse (sometimes referred to as psychological abuse).
   Every year, there are about 31 , 000 homicide deaths in children under 15. This number underestimates the true extent of the problem, as a significant proportion of deaths due to child maltreatment are incorrectly attributed to falls, burns and drowning.
   Child maltreatment causes suffering to children and families and can have long-term consequences. Maltreatment causes stress that is associated with disruption in early brain development. Extreme stress can impair the development of the nervous and immune systems. Consequently, as adults, maltreated children are at increased risk for behavioural, physical and mental health problems. Via the behavioural and mental health consequences, maltreatment can contribute to heart disease, cancer, suicide and sexually transmitted infections.
   Beyond the health consequences of child maltreatment, there is an economic impact, including costs of hospitalization, mental health treatment, child welfare, and longer-term health costs.
   A number of risk factors for child maltreatment have been identified. These risk factors are not present in all social and cultural contexts, but provide an overview when we attempt to understand the causes of child maltreatment.
   It is important to emphasize that children are the victims and are never to blame for maltreatment. A number of characteristics of an individual child may increase the likelihood of being maltreated, such as being either under four years old or an adolescent, being unwanted, or failing to fulfill the expectations of parents and having special needs, crying persistently or having abnormal physical features.
How many aspects are included in the economic consequences due to child maltreatment?
选项 A、Costs of hospitalization and mental health treatment.
B、Child welfare and longer-term health costs.
C、Tuition fees.
D、Both A and B
答案D
解析 根据第五段“Beyond the health consequences of child maltreatment，there is an economic impact，including costs of hospitalization，mental health treatment，child welfare，and longer-term health costs．”可知，儿童虐待除了会造成健康问题，还会造成经济损失，包括住院费、心理健康治疗费、儿童福利和长期的健康费用。故选D。
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