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Pediatric Hospital Admissions with Concern for Neglect: Correlations Between Neglect Types and Other Clinical and
Kristi K Westphaln1,2, Nancy A Pike3,4,5, Vincent R Li6
1University of California Los Angeles, School of Nursing, 700 Tiverton Ave, Factor Building Room 3-246, Los Angeles, CA, 90095, USA. kwestphaln@sonnet.ucla.edu.
Maternal and Child Health Journal
|June 21, 2024
Summary
Child neglect, a public health issue, presents in various forms like inadequate nutrition and basic care. Addressing social barriers and mental health post-discharge is crucial for preventing recurrent neglect in young children.
Area of Science:
- Pediatrics
- Public Health
- Child Welfare
Background:
- Child neglect poses significant public health challenges with long-term consequences.
- Pediatric hospitalizations frequently involve child neglect, yet specific characteristics and care needs remain understudied.
Purpose of the Study:
- To characterize types of child neglect among hospitalized children aged 0-5 years.
- To identify sociodemographic factors, social needs, and post-discharge care associated with different neglect types.
Main Methods:
- Retrospective electronic medical record review for children hospitalized with neglect concern (2016-2020).
- Analysis included neglect type, sociodemographics, social needs, consultations, and discharge plans.
- Chi-square test evaluated associations between neglect type and other variables.
Main Results:
- Inadequate nutrition (40%) and inability to provide basic care (37%) were most common neglect types.
- Younger age, male sex, Hispanic ethnicity, public insurance, and prior Child Protective Services involvement were common characteristics.
- Significant associations were found between neglect type and child medical history, social needs, and discharge recommendations.
Conclusions:
- Five distinct neglect types were identified in an impoverished, diverse region.
- Post-discharge care should address social barriers and optimize resources, especially mental health services.
- Future research should prioritize prevention, tailored interventions, and resource allocation based on neglect type and location.
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