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Nonaccidental trauma and failure to thrive.

E Goldson, R V Cadol, M J Fitch

    American Journal of Diseases of Children (1960)
    |May 11, 1976
    PubMed
    Summary

    This study on child abuse and failure to thrive in Denver found that young children, particularly white boys under three, were most affected. Risk factors included low birth weight and parental history of family disruption.

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    Area of Science:

    • Pediatrics
    • Child Health
    • Public Health

    Background:

    • Child abuse and failure to thrive are significant public health concerns.
    • Understanding demographic and risk factors is crucial for prevention and intervention.

    Purpose of the Study:

    • To analyze the characteristics of children diagnosed with nonaccidental trauma or failure to thrive.
    • To identify demographic, clinical, and familial risk factors associated with these conditions.

    Main Methods:

    • Retrospective chart review of 140 children discharged from Denver General Hospital (DGH).
    • Analysis of diagnoses, demographics, birth weights, parental background, and injury types.

    Main Results:

    • Nonaccidental trauma and failure to thrive affected boys and girls equally, primarily children under three.
    • White children were disproportionately represented. Low birth weight (<2,500 gm) was common.
    • Young parents from disrupted families showed higher involvement in child abuse. Bruising was the most frequent injury, especially in boys under three. Fractures occurred equally in both sexes.
    • A seasonal variation in abuse incidence was observed.

    Conclusions:

    • Child abuse and failure to thrive represent a complex issue with identifiable risk factors.
    • Targeted interventions for at-risk populations, including young parents and low birth weight infants, are warranted.
    • Further research into seasonal patterns may inform public health strategies.

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