Citation

Negriff S, DiGangi MJ, Sharp AL, Wu J. Child Maltreat. 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, American Professional Society on the Abuse of Children, Publisher SAGE Publishing)

DOI

10.1177/10775595211031385

PMID

unavailable

Abstract

This study examined injuries that may precede a child maltreatment (CM) diagnosis, by age, race/ethnicity, gender, and Medicaid status using a retrospective case-control design among child members of a large integrated healthcare system (N = 9152 participants, n = 4576 case). Injury categories based on diagnosis codes from medical visits were bruising, fractures, lacerations, head injury, burns, falls, and unspecified injury.

RESULTS showed that all injury categories were significant predictors of a subsequent CM diagnosis, but only for children < 3 years old. Specifically, fracture and head injury were the highest risk for a subsequent CM diagnosis. All injury types were significant predictors of maltreatment diagnosis for Hispanic children < 3 years, which was not the case for the other race/ethnicities. Overall, these findings suggest that all types of injury within these specific categories should have a more thorough assessment for possible abuse for children under 3 years. This work can inform the development of clinical decision support tools to aid healthcare providers in detecting abusive injuries.

Language: en

Keywords

injury prevention; prevention; childhood maltreatment; abusive head trauma