Risk of death among children reported for nonfatal maltreatment

Melissa Jonson-Reid1, Toni Chance, Brett Drake

  • 1Washington University, St Louis, MO, USA.

Child Maltreatment
|January 16, 2007
PubMed

Insights

Children with reported maltreatment face double the risk of death before age 18. Most deaths were preventable, often due to accidents or further maltreatment, highlighting critical intervention needs.

Area of Science:

  • Childhood mortality research
  • Pediatric public health
  • Social epidemiology

Background:

  • Child maltreatment is a significant public health issue.
  • Understanding long-term risks for child survivors is crucial.
  • Low-income populations often face disproportionate risks.

Purpose of the Study:

  • To investigate the risk of childhood death in low-income children following a first reported maltreatment incident.
  • To compare mortality rates between maltreated children and a matched non-maltreated group.
  • To identify causes and timing of death among maltreated children.

Main Methods:

  • Longitudinal data analysis of 7,433 low-income children.
  • Matched comparison group design.
  • Survival analysis and cause-of-death categorization.

Main Results:

  • Children with reported maltreatment had approximately double the risk of death before age 18 (0.51% vs. 0.27%).
  • Median time from first maltreatment report to death was 9 months.
  • Preventable causes, including accidents and recurrent maltreatment, accounted for the majority of deaths.

Conclusions:

  • Childhood maltreatment significantly increases mortality risk.
  • Early intervention and prevention strategies are critical.
  • Deaths are often preventable, underscoring the need for robust child protective services.

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