Segregating Suspected Child Maltreatment from Non-Child Maltreatment Injuries
A Population-Based Case-Control Study in Taiwan
Bibliographic Data
| ID | 15470537 |
|---|---|
| Authors | Yo-Ting Jin (Fu Jen Catholic University), Chin‐Mi Chen (0000-0001-5419-7820, Fu Jen Catholic University), Yao-Ching Huang (0000-0001-6360-3958, National Taipei University of Technology), Chi‐Hsiang Chung (0000-0002-4576-9900, Tri-Service General Hospital), Chien‐An Sun (0000-0001-9041-0537, Fu Jen Catholic University), Shi-Hao Huang (0000-0002-9304-3418, Tri-Service General Hospital), Wu‐Chien Chien (0000-0002-3286-0780, Tri-Service General Hospital, corresponding author), Gwo‐Jang Wu (0000-0001-5360-8018, Fu Jen Catholic University, corresponding author), Gwo-Jang Wu (Fu Jen Catholic University) |
| Year | 2022 |
| Volume | 19 |
| Issue | 8 |
| Pages | 4591-4591 |
| Publication date | 2022-04-11 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19084591 |
| PMID | 35457455 |
| OpenAlex | W4223435710 |
| Language | EN |
| References cited | 24 |
Objective: To identify the differential patient characteristics, injury types, and treatment outcomes between hospitalized child abuse and non-child abuse injuries in Taiwan. Methods: Using the data from the National Health Insurance Research Database, we selected a total of 1525 patients under the age of 18 that were diagnosed with child abuse, as well as an additional 6100 patients as a comparison group. Chi-square test, Fisher exact test, and independent samples t-test were used to compare the differences between the abused children and the non-abuse-related injured children. The multivariate conditional logistic regression was performed to measure the risk factor of child maltreatment in injured children. Results: Intracranial injury was more frequent in the child abuse group than it was in the non-child abuse group (35.0% vs. 8.2%; p < 0.001). Children in the child abuse group tended to stay longer in the hospital and incur higher medical expenses (8.91 days vs. 4.41 days and USD 2564 vs. USD 880, respectively). In multivariate analysis, the Adjusted Odds Ratio (Adjusted OR) of abuse resulting in an injury for children in low-income families is 1.965 times higher than those in non-low-income families (p < 0.001). Children living in high urbanization areas had a significantly higher probability of being abused than those living in low urbanization areas (p < 0.001). Conclusion: Children under the age of 1 who were hospitalized with severe intracranial injuries are highly at risk for child maltreatment. Moreover, numerous high-risk environmental factors were observed in child abuse cases, including living in urban areas, families with low income, and seasonality, as child maltreatment cases occur more frequently in autumn
Child abuse · Environmental health · Injury prevention · Logistic regression · Multivariate analysis · Occupational safety and health · Odds ratio · Physical abuse · Poison control · Population · Psychiatry · Child Abuse and Related Trauma · Child Abuse and Trauma · Demography · Homicide, Infanticide, and Child Abuse · Medicine · Internal Medicine · Pediatrics
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A new method of classifying prognostic comorbidity in longitudinal studies
A nationwide, population-based, long-term follow-up study of repeated self-harm in Taiwan
Income, family structure, and child maltreatment risk
| Citation velocity | historical |
|---|---|
| Highly cited | No |