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Racial, Ethnic, and Gender Disparities in Substantiated Child Maltreatment: A State-Level Analysis of U.S. Incidence
Rebecca L Fix1, Amanda Luken1, Reshmi Nair1
1Johns Hopkins University - Bloomberg School of Public Health.
Children and Youth Services Review
|June 2, 2025
Summary
Child maltreatment substantiation rates reveal racial and ethnic disparities. Black and multiracial children faced higher physical abuse substantiation, while neglect and sexual abuse cases showed varied, often lower, substantiation for Black and Latine children.
Area of Science:
- Epidemiology
- Child Welfare Studies
- Public Health
Background:
- Child maltreatment is a significant public health issue requiring detailed epidemiologic analysis.
- Existing data often lack nuanced breakdowns by race, ethnicity, and gender, obscuring specific disparities.
Purpose of the Study:
- To investigate state-level child maltreatment (physical abuse, sexual abuse, neglect) substantiation rates.
- To examine disparities in these rates across racial, ethnic, and gender groups compared to White or non-Latine children.
Main Methods:
- Analysis of 3,972,565 child maltreatment cases from the 2018 U.S. National Child Abuse and Neglect Data System.
- Calculation of disparity ratios and differential representation values by race, ethnicity, and gender.
- Comparison of substantiation rates between specific racial/ethnic groups and White or non-Latine children within the same gender category.
Main Results:
- Black and multiracial children had higher substantiated physical abuse rates than White children.
- Neglect substantiation rates were generally lower for Black girls and boys.
- Sexual abuse substantiation rates were lower for Black girls; Latine girls showed higher rates, while Latine boys showed lower rates for physical abuse.
Conclusions:
- Race, ethnicity, and gender are critical factors in child abuse and neglect case dispositions.
- Consistent state-level disparities in substantiation rates highlight the need for targeted policy interventions.
- Further research and successful strategies are needed to prevent disparities in child maltreatment case processing.
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