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Reporting and identifying child physical abuse: How well are we doing?
Grace W K Ho1, Amie Bettencourt2, Deborah A Gross3
1The Hong Kong Polytechnic University School of Nursing, Hong Kong, Hong Kong.
Research in Nursing & Health
|September 13, 2017
Summary
Most child physical abuse (CPA) reports are made by mandated reporters, but substantiation rates vary by reporter and child age. Further research is needed to improve CPA identification and reporting accuracy.
Area of Science:
- Child Welfare Research
- Public Health Policy
- Forensic Psychology
Background:
- Child protection system entry in the U.S. relies on child maltreatment reports.
- Previous studies suggest report source and child age influence outcomes, but national data is lacking.
Purpose of the Study:
- To analyze the sources of child physical abuse (CPA) reports nationally.
- To determine if report source and child age affect the likelihood of CPA substantiation.
Main Methods:
- Secondary data analysis of a U.S. national sample (204,414 children) from the National Child Abuse and Neglect Data System (2013).
- Multilevel logistic regressions were used to examine report source and child age as predictors of substantiation.
Main Results:
- Less than 15% of CPA reports resulted in confirmed abuse.
- Professionally mandated reporters made most CPA reports and had higher substantiation rates than nonprofessionals.
- Substantiation likelihood decreased with increasing child age for professional reports.
Conclusions:
- Report source and child age are significant factors in CPA substantiation.
- Even high-accuracy professional groups have limited substantiation rates.
- Enhanced training for improved CPA reporting and identification is warranted.
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