ASSOCIATION OF ALLEGATION-SPECIFIC RISK FACTORS WITH MORTALITY FROM INJURIES AMONG CHILDREN MONITORED BY THE GEORGIA DIVISION OF FAMILY AND CHILDREN SERVICES, 1999 - 2000 公开

Zureick, Kinda (2015)

Permanent URL: https://etd.library.emory.edu/concern/etds/ks65hc64w?locale=zh
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Abstract

PURPOSE: In 2012, approximately 1,640 children died from abuse or neglect nationwide. Maltreatment of any type may occur as a single event or may become a chronic part of a child's life. It is important to identify the risk factors that place a child at higher risk of death after initial report to Child Protective Services so that a fatal event can be prevented. This study examines the association between allegation history and mortality from injuries among children.

METHODS: This project is a secondary analysis using data collected in a previously conducted case-control study of children served by the Georgia Division of Family and Children Services (DFCS). Cases were children who died and were living in a family with an open DFCS case record, while controls were children who did not die and were living in a family with an open case file. For the present analysis, we specifically examined the cases and controls under the age of five years. Children who died of medical causes were excluded, resulting in a total of 54 cases and 114 controls. Multivariate logistic regression models, examining the effect of the allegation-specific risk factors on death, were constructed.

RESULTS: The risk of death was 3.61 (95% CI: 0.83, 15.77) times higher among children with an allegation of physical abuse in the most recent report compared to those without an allegation of physical abuse in the most recent report, controlling for allegations of physical abuse in the first report, race, age category, and county type. The risk of death was 3.52 (95% CI: 0.75, 16.58) times higher for children with multiple allegations in total and with physical abuse at the most recent report, compared to those with other patterns, controlling for time since the most recent report, race, age category, and county type.

CONCLUSION: The findings from this study suggest that a recent history of physical abuse and time since the most recent report can be used to identify children who are at higher risk of death after initial report to a CPS agency. Future studies are needed to confirm the observed associations.

Table of Contents

Introduction ....................................................................................................................... 1
Methods .............................................................................................................................. 5
Results ................................................................................................................................ 8
Discussion......................................................................................................................... 13
References ........................................................................................................................ 16
Appendix .......................................................................................................................... 23

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