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Published on: January 29, 2018
Risk of death among children reported for nonfatal maltreatment
Melissa Jonson-Reid1, Toni Chance, Brett Drake
1Washington University, St Louis, MO, USA.
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.
Abstract:
This article presents analyses of longitudinal data to explore whether low-income children who survived a first incident of reported maltreatment were at higher risk of later childhood death compared to a matched comparison group of low-income children without reports of maltreatment (n = 7,433). Compared to the comparison group, children in the maltreatment group had about twice the risk of death before age 18 (0.51% vs. 0.27%). Among children with mal-treatment reports, median time from the first report to subsequent death was 9 months. The majority of deaths among children who were reported for maltreatment could be categorized as preventable (accidents or recurrent maltreatment) as compared to resulting from severe health conditions.
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