TY  - JOUR
PY  - 2019//
TI  - Cumulative prevalence of onset and recurrence of child maltreatment reports
JO  - Journal of the American Academy of Child and Adolescent Psychiatry
A1  - Kim, Hyunil
A1  - Drake, Brett
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: We estimated cumulative probabilities of onset and recurrences of child maltreatment reports from birth to age 11. Estimates were provided overall and within subcategories of race/ethnicity, gender, and subtype. <br><br>METHOD: We developed synthetic life tables from national Child Protective Services records (2003-2016) and Census data. Although 28 states and DC were used for estimates due to data quality, sensitivity analyses suggest that our estimates may be very similar to national estimates, with very minor underestimation. <br><br>RESULTS: The probability of having at least "X-number" of maltreatment reports by age 12 was 32.41% for one, 13.71% for two, 7.57% for three, 4.50% for four, 2.80% for five, and 1.79% for six. Children with more prior reports were more likely to have future reports. The risk increased from 42.31% when having one prior report to 64.01% when having five prior reports. Asian/Pacific Islanders showed exceptionally lower onset and recurring rates than others. Non-Whites (Blacks, Native American, and Hispanics) had higher onset rates than Whites. Once initially reported, however, Whites had generally slightly higher rates of recurrence than non-Whites. Neglect was the most frequent subtype in both onset and recurring reports. No practical difference existed in overall onset and recurring rates by gender. <br><br>CONCLUSION: Many US children experience reported maltreatment, and many experience repeated or chronic maltreatment. The increased risk of recurring with more prior reports suggests preventive efforts for serially reported children. The large racial disparity at the onset stage disappears at the recurring stages, suggesting interventions prior to the onset.<br><br>Copyright © 2019. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0890-8567
UR  - http://dx.doi.org/10.1016/j.jaac.2019.02.015
ID  - ref1
ER  -