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COVID-19: Differences in sentinel injury and child abuse reporting during a pandemic

Supriya Sharma1, Daphne Wong2, John Schomberg2

  • 1Emergency Department, Harbor-UCLA, United States.

Child Abuse & Neglect
|March 12, 2021
PubMed

Insights

The COVID-19 pandemic saw an increase in child maltreatment, particularly emotional abuse and non-medical neglect, among pediatric emergency department patients. This highlights the need for greater vigilance in protecting at-risk children.

Area of Science:

  • Pediatric Emergency Medicine
  • Child Abuse and Neglect Research
  • Public Health during Pandemics

Background:

  • Widespread concern exists regarding increased child maltreatment during the COVID-19 pandemic.
  • Scientific literature documenting child maltreatment rates during the pandemic is limited.
  • This study addresses the scarcity of data on child maltreatment incidence during the COVID-19 era.

Purpose of the Study:

  • To investigate if child maltreatment incidence increased in pediatric emergency department patients during the COVID-19 pandemic.
  • To analyze shifts in the types of child maltreatment observed.
  • To identify specific forms of abuse and neglect that may have been exacerbated.

Main Methods:

  • Retrospective review of pediatric emergency department patients.
  • Inclusion criteria: child abuse report filing or sentinel injury diagnosis.
  • Data collected from March-July, 2017-2020, encompassing pre-pandemic and pandemic periods.

Main Results:

  • An increase in child maltreatment incidence was observed in May and June 2020.
  • Significant rise in emotional/psychological abuse (2.52% to 7.00%, p ≤ 0.0001).
  • Non-medical neglect proportion increased from 31.5% to 40.0% (p ≤ 0.0001).

Conclusions:

  • Specific types of child maltreatment, including emotional abuse and neglect, increased during the COVID-19 pandemic.
  • Findings underscore the critical need for heightened awareness and intervention for children vulnerable to abuse and neglect.
  • The study calls for increased attention to child welfare in public health crises.
Abstract

Keywords:
COVID-19Child maltreatmentNeglectPediatric emergency department

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