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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  57
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. "
What does the team of authors think of children obesity?
选项 A、Children obesity has direct relation with child abuse or neglect.
B、Children can hardly reduce their extra weight without parents’ help.
C、Clinicians should pay attention to the effect of neglect on children obesity.
D、Programs guided by professionals are certain to help children to lose weight.
答案C
解析 细节辨认题。第二段第二句后半部分提到，临床医生们应该注意留意虐待或疏忽在导致儿童肥胖过程中可能起到的作用。这是作者们的观点，由此确定C)为答案。
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