Racial differences in the evaluation of pediatric fractures for physical abuse
Racial differences in the evaluation of pediatric fractures for physical abuse
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DOI：
10.1001/jama.288.13.1603
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发表时间：
2002-10-02
影响因子：
120.7
通讯作者：
Christian, CW
中科院分区：
文献类型：
--
作者：
Lane, WG;Rubin, DM;Christian, CW
Context Child maltreatment is a significant problem within US society, and minority children have higher rates of substantiated maltreatment than do white children. However, it is unclear whether minority children are abused more frequently than whites or whether their cases are more likely to be reported.Objectives To determine whether there are racial differences in the evaluation and Child Protective Services (CPS) reporting of young children hospitalized for fractures.Design, Setting, and Patients Retrospective chart review conducted at an urban US academic children's hospital among 388 children younger than 3 years hospitalized for treatment of an acute primary skull or long-bone fracture between 1994 and 2000, Children with perpetrator-admitted child abuse, metabolic bone disease, birth trauma, or injury caused by vehicular crash were excluded.Main Outcome Measures Ordering of skeletal surveys and filing reports of suspected abuse.Results Reports of suspected abuse were filed for 22.5% of white and 52.9% of minority children (P
