The impact of stay-at-home orders on the rate of emergency department child maltreatment diagnoses.
The impact of stay-at-home orders on the rate of emergency department child maltreatment diagnoses.
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DOI：
10.1016/j.chiabu.2022.105821
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发表时间：
2022-10
影响因子：
4.8
通讯作者：
DiGangi, Mercie
中科院分区：
文献类型：
--
作者：
Negriff, Sonya;Huang, Brian Z.;Sharp, Adam L.;DiGangi, Mercie
关于2019冠状病毒病大流行期间医疗机构虐待儿童的比率和严重程度的数据有限，报告有些矛盾。检查急诊科（ED）儿童虐待（CM）诊断率之前和之后加州全州留守令，以及年龄，性别，种族/民族和医疗补助状况的潜在差异。使用2019年1月1日至2021年9月30日期间至少有一次急诊就诊的儿童（<18岁）电子健康记录的数据，进行了回顾性的前后中断时间序列研究。2020年3月加利福尼亚州颁布的“居家令”用于确定急诊科CM诊断率趋势的变化。总体而言，该研究包括407,228例儿科急诊科就诊。住院后立即就诊的CM比例发生了显著变化，随后逐月小幅下降，恢复到接近住院前的水平。这一显著增长是由于4岁以下儿童的风险较高。女性、黑人和西班牙裔儿童在“居家令”实施后的第一个月，CM的增加率也有所上升。我们的研究结果表明，在加州2020年3月的居家命令之后，急诊科的CM诊断率翻了一番。此外，我们的研究结果表明，一些儿童可能比其他儿童面临更高的风险，这支持了在国家紧急情况下社会安全网对儿童的重要性。
There is limited data regarding the rates and severity of child maltreatment in medical settings during the COVID-19 pandemic, and the reports are somewhat contradictory. To examine the rates of emergency department (ED) child maltreatment (CM) diagnosis before and after the California statewide stay-at-home order, as well as potential disparities by age, gender, race/ethnicity, and Medicaid status. A retrospective pre-post interrupted time series was conducted using data from the electronic health records of children (<18 years) with at least one emergency department visit between January 1, 2019 and September 30, 2021. Enactment of the stay-at-home order in California, March 2020 was used to determine a change in trend of rates of diagnosis of CM in the ED. Overall the study included 407,228 pediatric ED visits. There was a significant change in the percentage of CM visits immediately after the stay-at-home order, followed by small month to month decreases returning to near pre-stay-at-home order levels. This significant increase was driven by higher risk for children <4 years old. The increased rate of CM in the first month after the stay-at-home order was also elevated for female, Black, and Hispanic children. Our results indicated the rates of CM diagnoses in the ED doubled after the March 2020 stay-at-home order in California. Additionally, our findings suggest that some children may be at higher risk than others, which supports the importance of social safety nets for children in times of national emergency.
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影响因子：
9.8
作者：
Baron, E. Jason;Goldstein, Ezra G.;Wallace, Cullen T.
通讯作者：
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影响因子：
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作者：
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DOI：
10.3390/ijerph18115734
发表时间：
2021-05-27
影响因子：
--
作者：
Brown CL;Montez K;Amati JB;Simeonsson K;Townsend JD;Orr CJ;Palakshappa D
通讯作者：
Palakshappa D
影响因子：
7.7
作者：
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通讯作者：
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