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Abstract
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Anecdotal reports have shown increased rates of domestic violence and child abuse as the result of the economic impact and stay‐at‐home orders in response to COVID‐19. For children and adolescents, school closures and the disrupted provision of child protection services have been associated with a higher risk of maltreatment with physical outcomes especially for those living in low‐income and crowded households.
In this retrospective population‐based study, we compared data on abuse of children and adolescents aged 0-17 years during the first half of 2019 and 2020 in Sergipe state, Northeast Brazil, which is recognised as the poorest region in the country. Information on child abuse was extracted from the official child maltreatment database of the Coordination of Statistics and Criminal Analysis of the Sergipe state. Our outcome of interest was non‐accidental physical injury inflicted on a child by his or her parents or other person legally responsible for the child's care. Data also included gender, age and race/ethnicity and all cases were de‐identified.
RESULTS were expressed in absolute and relative frequencies. Two‐proportion Z‐test was used to compare occurrences of child abuse between 2019 and 2020 according to children's characteristics. P values <0.05 were considered statistically significant.
Sergipe has an estimated population of 2 298 696 people, Human Development Index of 0.665 and a monthly household income per capita of less than one Brazilian minimum wage (approximately USD 190/month). On 14 March 2020, the first case of COVID‐19 in Sergipe state was identified and the first decree of the state government on the containment measures in response to the spread of COVID‐19 was enacted on 24 March 2020 and included closure of all schools and universities. Until 10 September 2020, SARS‐CoV‐2 has infected 74 121 patients and resulted in 1920 deaths.
From 1 January to 30 June 2020, 53 cases of child physical injury were notified, 15 (28.3%) in boys and 38 (71.7%) in girls. Most were aged 12-17 years (37 out of 53, 69.8%) and were either Blacks or Browns (mixed race) (39 out of 53, 73.6%). No differences were found in child abuse notifications according to gender, age and race/ethnicity between 2020 and 2019 (Table 1). However, compared to the first half of 2019, we found the reported rate of child physical injury decreased in 2020 by 24.3%. Decreasing rates were found in 4 (January, February, March and May) of the 6 months analysed...
Language: en |