The economic burden of child maltreatment in the United States and implications for prevention.

The economic burden of child maltreatment in the United States and implications for prevention.
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DOI:
10.1016/j.chiabu.2011.10.006
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发表时间:
2012-02
影响因子:
4.8
通讯作者:
Mercy JA
Mercy JA
中科院分区:
心理学2区
文献类型:
--
作者:
Fang X;Brown DS;Florence CS;Mercy JA

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采用基于事件的方法,对每名虐待儿童受害者的平均终生成本和2008年发生的所有新的虐待儿童案件的总终生成本提出新的估计。这项研究使用了最好的二手数据来估计每例的成本。对于每一费用类别,文件尽可能使用可归属费用。对于那些没有可归因成本数据的类别,成本估计为虐待儿童对特定结果的增量影响乘以与该结果相关的估计成本的乘积。2008年虐待儿童的终生总成本估计数是通过将每个受害者的终生成本估计数乘以2008年新的虐待儿童案件估计数得出的。非致命性虐待儿童的每名受害者的估计平均终身成本为210,012美元,包括儿童保健费用32,648美元;成人医疗费用10,530美元;生产力损失144,360美元;儿童福利费用7,728美元;刑事司法费用6,747美元;特殊教育费用7,999美元。每一个死亡的估计平均终身成本为1 272 900美元,包括医疗费用14 100美元和生产力损失1 258 800美元。2008年,美国因新的致命和非致命虐待儿童案件造成的终生经济负担总额约为1240亿美元。在敏感性分析中,总负担估计高达5 850亿美元。与其他健康问题相比,虐待儿童造成的负担是巨大的,这表明必须开展预防工作,解决虐待儿童现象高发的问题。
To present new estimates of the average lifetime costs per child maltreatment victim and aggregate lifetime costs for all new child maltreatment cases incurred in 2008 using an incidence-based approach. This study used the best available secondary data to develop cost per case estimates. For each cost category, the paper used attributable costs whenever possible. For those categories that attributable cost data were not available, costs were estimated as the product of incremental effect of child maltreatment on a specific outcome multiplied by the estimated cost associated with that outcome. The estimate of the aggregate lifetime cost of child maltreatment in 2008 was obtained by multiplying per-victim lifetime cost estimates by the estimated cases of new child maltreatment in 2008. The estimated average lifetime cost per victim of nonfatal child maltreatment is $210,012 in 2010 dollars, including $32,648 in childhood health care costs; $10,530 in adult medical costs; $144,360 in productivity losses; $7,728 in child welfare costs; $6,747 in criminal justice costs; and $7,999 in special education costs. The estimated average lifetime cost per death is $1,272,900, including $14,100 in medical costs and $1,258,800 in productivity losses. The total lifetime economic burden resulting from new cases of fatal and nonfatal child maltreatment in the United States in 2008 is approximately $124 billion. In sensitivity analysis, the total burden is estimated to be as large as $585 billion. Compared with other health problems, the burden of child maltreatment is substantial, indicating the importance of prevention efforts to address the high prevalence of child maltreatment.
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