在儿童虐待的识别和住院治疗的种族和民族差异
Fereshteh Salimi-Jazi1, Norah E Liang1, Zhuoyi Huang1
1Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, California.
JAMA network open
|December 18, 2024
概括
与其他种族群体相比,黑人儿童和青少年怀疑虐待儿童的比例更高. 需要进一步的研究来理解和减少这些差异的识别.
科学领域:
- 儿科创伤 儿童创伤
- 儿童虐待身份识别系统
- 健康差异 在健康上的差异
背景情况:
- 虐待儿童是儿童发病的一个重要原因,但准确的检测仍然是一个挑战.
- 在儿童创伤患者中怀疑虐待儿童 (SCA) 的种族和种族差异需要调查.
研究的目的:
- 描述在创伤后入院的儿科患者中怀疑虐待儿童 (SCA) 的种族和种族不成比例.
- 在儿科创伤病例中分析种族/种族和SCA之间的关联.
主要方法:
- 从2006年至2019年使用儿童住院患者数据库 (KID) 进行了回顾性多中心横截面研究.
- 对接受儿科创伤治疗的全国儿童 (<18岁) 样本进行分析,根据种族和种族对人口统计,受伤严重程度和住院特征进行比较.
- 使用ICD-9-CM和ICD-10-CM儿童虐待代码识别SCA病例.
主要成果:
- 在634,309名儿科创伤患者中,13,579人患有SCA. 与美国人口普查相比,黑人和西班牙裔患者在SCA亚组中占比过高.
- 在控制了社会经济因素后,黑人种族仍然是SCA的独立风险因素 (OR,1.10),而西班牙裔种族显示出保护性关联 (OR,0.71).
- 与伤害严重程度相似的白人患者相比,患有SCA的黑人患者经历了显著更长的停留时间.
结论:
- 与其他种族和族群相比,黑人儿童和青少年在遭受创伤后的儿童虐待嫌疑率更高.
- 在儿童虐待识别方面存在显著的种族和民族差异,黑人儿童受到的影响不成比例.
- 进一步的研究是至关重要的,以阐明这些差异的起源,并制定公平的儿童虐待识别策略.
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