在评估为身体虐待的儿科骨折的种族差异
Wendy G Lane1, David M Rubin, Ragin Monteith
1Division of General Pediatrics, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, USA. wlane@epi.umaryland.edu
JAMA
|September 28, 2002
概括
患有骨折的少数民族儿童更有可能被评估,并因涉嫌虐待儿童而报告,即使伤害是意外的. 这表明儿童虐待,特别是幼儿的儿科骨折的评估和报告存在种族差异.
科学领域:
- 儿科健康 儿科健康
- 虐待和忽视儿童的行为
- 健康差异 在健康上的差异
背景情况:
- 虐待儿童不成比例地影响到美国的少数民族儿童.
- 现有的数据表明,少数民族儿童的虐待率更高.
- 这些差异的原因,包括报告偏见,需要进一步调查.
研究的目的:
- 调查儿童保护服务 (CPS) 对儿科骨折的评估和报告中的种族差异.
- 确定因骨折住院的少数民族儿童的评估和报告是否与白人儿童不同.
- 在儿童骨折虐待报告系统中识别潜在的种族偏见.
主要方法:
- 对388名因骨折住院的3岁以下儿童进行了回顾性图表审查.
- 排除已确认滥用,代谢性骨病,出生创伤或车辆伤害的病例.
- 对骨调查订单和疑似滥用报告的分析.
主要成果:
- 少数民族儿童的虐待性骨折发生率较高 (27.6%对12.5%).
- 少数民族的小孩更有可能接受骨调查并向CPS报告,即使在控制受伤概率之后.
- 不同的评估和报告在意外受伤的幼儿中最为明显.
结论:
- 对于怀疑虐待儿童的儿科骨折的评估和报告存在种族差异.
- 少数民族儿童,特别是意外受伤的幼儿,更有可能被报告给CPS.
- 这些发现凸显了在儿童骨折的虐待儿童调查中解决潜在的种族偏见的必要性.
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