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Risk factors associated with maltreatment syndrome in Mexican children seen at the Emergency Department

Mireya Robledo Aceves1,2, Nancy J Jaime Maldonado1, Efrén Martínez Romero3

  • 1Pediatric Emergency Department. Guadalajara Dr. Juan I. Menchaca, Guadalajara, Mexico.

Archivos Argentinos De Pediatria
|January 28, 2020
PubMed

Insights

Child maltreatment is a significant issue, with teenage mothers, low education, low income, drug use, and disabilities increasing risk. Young children under 2 years old are also more vulnerable to abuse.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Sciences

Background:

  • Child maltreatment is a prevalent cause of hospitalization in developing nations.
  • Abused children often face social adaptation challenges.
  • Understanding risk factors is crucial for prevention and intervention.

Purpose of the Study:

  • To identify and analyze risk factors associated with child maltreatment syndrome.
  • To investigate predictors of maltreatment in children presenting to the Emergency Department.

Main Methods:

  • A case-control study was conducted between January 2015 and December 2016.
  • 148 children with maltreatment were compared to 148 controls (1:1 ratio).
  • Statistical significance was determined using a p-value < 0.05.

Main Results:

  • Fetal abuse and neglect were the most common forms of maltreatment.
  • Key risk factors included teenage motherhood (aOR: 3.19), low education (aOR: 4.70), low income (aOR: 2.02), illegal drug use (aOR: 15.32), child disability (aOR: 8.58), and age < 2 years (aOR: 2.08).
  • Relatives or acquaintances were the most frequent perpetrators.

Conclusions:

  • Teenage mothers, particularly those with low socioeconomic status, face higher risks of child abuse.
  • The risk of maltreatment is significantly amplified when a child with a disability is born to a teenage mother.
Abstract

Keywords:
child maltreatmentchildrenriskfactors

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