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  3. The issue of whether parents whose children are obese should be charged with neglect has fueled debate and generated controversi

The issue of whether parents whose children are obese should be charged with neglect has fueled debate and generated controversi

admin2013-07-20  39
问题     The issue of whether parents whose children are obese should be charged with neglect has fueled debate and generated controversial court cases, but, according to an article published this week in British Medical Journal, so far there is little research analyzing negligence and obesity—and particularly whether obese children who are put into foster care better than they did with their parents—and a paucity (缺乏)of resources for health professionals attempting to determine what’s best for their young patients. Given the absence of in-depth analysis, the team of authors—including experts in child and adolescent health and psychiatry—suggest a way forward that attempts to distinguish when childhood obesity is a symptom of parental neglect or abuse.
    To begin with, the authors stress that obesity on its own should not necessarily ring child abuse alarms, nor should failure to help obese children shed excess weight. As the authors parse it, "a family with an obese child should not raise child protection concerns if obesity is the only cause for concern" but "clinicians should be mindful of the possible role of abuse or neglect in contributing to obesity." They point to research showing that children with strong family support can still struggle to lose weight, as well as mixed success of weight-loss programs run by professionals.
    Still, that’s not to say obesity isn’t often a symptom of problems at home. As the authors point out, there has been research suggesting a correlation between childhood abuse and obesity in adulthood, and a study of American school children found that, after controlling for socioeconomic status, those who were physically abused were more likely to be obese. Additionally, a growing body of research suggests that early decisions made by parents—even before conceiving as well as during pregnancy and infancy—can have a significant impact on their baby’s risk for obesity throughout childhood and later in life.
    So how can care providers determine when negligence or abuse is a cause of childhood obesity? The authors suggest that similar standards to other types of disease-related neglect be applied. That is, "parental failure to provide their children with adequate treatment for a chronic illness such as asthma (哮喘), diabetes, is a well accepted reason for a child protection registration for neglect" and as such, failure to adhere to obesity treatment—missing appointments, refusing to support children with treatment programs or actively undermining those programs—should convey neglect, especially among children who are at high risk for obesity-related conditions such as type 2 diabetes. Yet, the authors stress that having adequate evidence of this negligence is key. "Clear objective evidence of this behavior over a sustained period is required, and the treatment offered must have been adequate and evidence based. "
According to the authors, the main reason leading to children obesity is______.
选项 A、great difficulty in treating obesity-related diseases
B、high risk of obesity-related diseases faced by children
C、high expense in treating obesity-related diseases
D、parental failure to provide children with adequate obesity treatment
答案D
解析 推理判断题。定位句指出，父母没有及时对孩子的慢性疾病提供充分治疗是父母疏忽了对孩子的保护。由此可见，这些作者认为导致儿童肥胖的主要原因在于父母没有对孩子的肥胖症进行充分的治疗。由此确定D)为答案。
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