Association between emergency department utilization and the risk of child maltreatment in young children

被引：11
作者：
Kuang X. [1 ]
Aratani Y. [2 ]
Li G. [1 ,3 ]
机构：
[1] Center for Injury Epidemiology and Prevention, Department of Epidemiology, Columbia University Mailman School of Public Health, 722 W 168th St, New York, 10032, NY
[2] Department of Health Policy and Management, Columbia University Mailman School of Public Health, 722 W 168th St, New York, 10032, NY
[3] Department of Anesthesiology, Columbia University College of Physicians and Surgeons, 622 W 168th St, New York, 10032, NY
来源：
Injury Epidemiology | / 5卷 / 1期
关键词：
Child abuse; Child maltreatment; Child welfare; Electronic health records; Emergency medical services; Injury;
D O I：
10.1186/s40621-018-0176-5
中图分类号：
学科分类号：
摘要：
Background: This study aims to assess the association between emergency department (ED) utilization and the risk of child maltreatment. Methods: Using ED discharge data from the California’s Office of Statewide Health Planning (OSHPD) and Development for 2008–2013, we performed a nested case-control study to examine the relationship between the frequency of ED visits and child maltreatment diagnosis under 4 years of age among children born in California between 2008 and 2009 who visited the ED. Results: The study sample consisted of 3772 children diagnosed with child maltreatment (cases) and 7544 children selected by incidence density sampling (controls). After adjustment for demographic characteristics, the estimated odds ratios of child maltreatment were 1.72 (95% CI:1.55–1.90) for those with two to three ED visits and 3.03 (95% CI: 2.69–3.41) for those with four or more ED visits, compared to children with one visit. Race/ethnicity, insurance status, and location of residence were also significantly associated with the risk of child maltreatment. Conclusions: Young children with higher frequency of ED visits are at significantly increased risk of being victims of child maltreatment. ED utilization patterns and other established risk markers may assist healthcare professionals in identifying and treating victims of child maltreatment. © 2018, The Author(s).
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  • [1] Allareddy V., Asad R., Lee M.K., Nalliah R.P., Rampa S., Speicher D.G., Allareddy V., Hospital based emergency department visits attributed to child physical abuse in United States: predictors of in-hospital mortality, PLoS One, 9, 2, (2014)
  • [2] Ards S., Chung C., Myers S.L., The effects of sample selection bias on racial differences in child abuse reporting, Child Abuse Negl, 22, 2, pp. 103-115, (1998)
  • [3] Brown J., Cohen P., Johnson J.G., Salzinger S., A longitudinal analysis of risk factors for child maltreatment: findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect, Child Abuse Negl, 22, 11, pp. 1065-1078, (1998)
  • [4] Rural Health Report 2012, (2012)
  • [5] Adverse childhood experiences reported by adults --- five states, 2009, MMWR Morb Mortal Wkly Rep, 59, 49, pp. 1609-1613, (2010)
  • [6] Racial Disproportionality and Disparity in Child Welfare, (2016)
  • [7] Desai R.J., Glynn R.J., Wang S., Gagne J.J., Performance of disease risk score matching in nested case-control studies: a simulation study, Am J Epidemiol, 183, 10, pp. 949-957, (2016)
  • [8] Di Martino M., Kirchmayer U., Agabiti N., Bauleo L., Fusco D., Perucci C.A., Davoli M., The impact of time-window bias on the assessment of the long-term effect of medication adherence: the case of secondary prevention after myocardial infarction, BMJ Open, 5, 6, (2015)
  • [9] Drake B., Jolley J.M., Lanier P., Fluke J., Barth R.P., Jonson-Reid M., Racial bias in child protection? A comparison of competing explanations using national data, Pediatrics, 127, 3, pp. 471-478, (2011)
  • [10] Drake B., Lee S.M., Jonson-Reid M., Race and child maltreatment reporting: are blacks overrepresented?, Child Youth Serv Rev, 31, 3, pp. 309-316, (2009)
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