@article{ref1,
title="Injuries associated with subsequent child maltreatment diagnosis: by age, race, gender, and Medicaid status",
journal="Child maltreatment",
year="2021",
author="Negriff, Sonya and DiGangi, Mercie J. and Sharp, Adam L. and Wu, Jun",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1077-5595",
doi="10.1177/10775595211031385",
url="http://dx.doi.org/10.1177/10775595211031385"
}