Concerns about child maltreatment in hospitalized children.
Concerns about child maltreatment in hospitalized children.
复制标题
对住院儿童遭受虐待的担忧。
DOI：
10.1016/s0145-2134(96)00144-5
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发表时间：
1997
影响因子：
4.8
通讯作者：
Perrin,JM
中科院分区：
文献类型：
--
作者：
Thyen,U;Leventhal,JM;Yazdgerdi,SR;Perrin,JM
这项研究调查了临床医生对虐待和忽视的担忧以及向儿童保护服务机构 (CPS) 报告住院儿童的相关因素。数据来自 1988 年至 1990 年三个城市五个病症组 (n = 5,446) 儿科住院随机样本的横断面图表审查，包括临床医生对身体虐待或忽视的担忧以及向 CPS 报告、家庭收入、种族、家庭结构、儿童年龄和入院时疾病严重程度的证据。总样本中 2.5% 的儿童担心虐待，3.1% 的儿童担心忽视，2.9% 的儿童向 CPS 报告。在头部外伤的儿童中最常见的是对虐待的担忧（8.2%），在摄入有毒物质的儿童中最常见的是对忽视的担忧（12.3%）。孩子年龄小、低收入和单亲家庭与担忧和报告频率增加独立相关。低收入与临床医生对忽视的担忧显着相关，但与虐待或向 CPS 报告无关。在控制收入和家庭结构后，种族并不显着。头部外伤儿童的疾病严重程度与身体虐待的担忧相关（p = .02），脑膜炎儿童的疾病严重程度与忽视和报告频率相关（p < .01）。我们的结果证实了住院儿童中忽视、贫困和单亲家庭之间的关联。疾病严重程度的增加可能使临床医生有意识或无意识地认为护理被延误并且孩子被忽视。
This study examined factors associated with clinicians' concerns about abuse and neglect and reporting hospitalized children to Child Protective Services (CPS). Data came from a cross-sectional chart review from a random sample of pediatric hospitalizations 1988–1990 in three cities for five condition groups (n = 5,446), and included evidence of clinicians' concerns about physical abuse or neglect and reports to CPS, family income, ethnicity, family structure, child's age, and illness severity at admission. Concerns about abuse were noted in 2.5% of the total sample, concerns about neglect in 3.1%, and 2.9% of children were reported to CPS. Concerns about abuse were most frequent in children with head trauma (8.2%), and concerns about neglect in children with toxic ingestion (12.3%). Young age of child, low income, and single parent family were independently associated with increased frequencies of concerns and reports. Low income was significantly associated with clinicians' concerns about neglect, but not abuse or reports to CPS. Ethnicity was not significant after controlling for income and family structure. Severity of illness was associated with concerns about physical abuse (p = .02) among children with head trauma, and with concerns about neglect and frequency of reporting among children with meningitis (p < .01). Our results confirm the associations among neglect, poverty, and single-parent families among hospitalized children. Increasing severity of illness may make clinicians consciously or unconsciously consider that care has been delayed and the child neglected.