Child Abuse & Neglect最新文献

{"title":"Young mothers with experience of out-of-home care and intergenerational risk of child removal","authors":"Chloe Bryant ,&nbsp;Donna Bayliss ,&nbsp;Melissa O'Donnell ,&nbsp;Renée Usher ,&nbsp;Miriam Maclean","doi":"10.1016/j.chiabu.2025.107599","DOIUrl":"10.1016/j.chiabu.2025.107599","url":null,"abstract":"<div><h3>Background</h3><div>Research indicates that there is a higher prevalence of births in young females who have experience of out-of-home care (OOHC), with the outcomes of their children unknown.</div></div><div><h3>Objective</h3><div>The current study aims to examine the prevalence of births and risk of child removal in young females with experience of OOHC.</div></div><div><h3>Participants and setting</h3><div>Western Australian (WA) population-level data of 201,974 females was utilised in this study.</div></div><div><h3>Methods</h3><div>This is a retrospective, population-based study which uses de-identified, linked administrative records from the WA state government agencies. Data were examined using descriptive statistics, chi-squared tests, and logistic regression modelling.</div></div><div><h3>Results</h3><div>The prevalence of births was significantly higher for those with OOHC experience (18.2 %) than in the general population (4.2 %) although similar for those with child protection contact who did not enter OOHC (19.4 %). The proportion of child removal was higher for children of those with OOHC experience (21.1 %) than for children of those with child protection contact only (5.8 %). The odds of removal were 2.5 times greater for children born to those with OOHC compared to children born to those with child protection contact only [OR:2.54 (95%CI: 1.98–3.24)].</div></div><div><h3>Conclusions</h3><div>These results indicate young females with any level of child protection involvement have a higher prevalence of births than the general population without child protection contact and mothers with OOHC experience had an increased risk of child removal, highlighting the need for tailored support for this group of young parents and their children.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107599"},"PeriodicalIF":3.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hematologic versus non-accidental trauma etiologies for bruising identified using an emergency department bruising pathway","authors":"Zoe Derauf ,&nbsp;Emily R. Georges ,&nbsp;Kristin N. Maher ,&nbsp;Erin M. Sullivan ,&nbsp;Kenneth W. Feldman","doi":"10.1016/j.chiabu.2025.107596","DOIUrl":"10.1016/j.chiabu.2025.107596","url":null,"abstract":"<div><h3>Background</h3><div>Bruising is a common presentation of child abuse, and a frequent finding in hematologic disorders.</div></div><div><h3>Objectives</h3><div>This study's aims were to describe: (1) how often high-risk bruising, identified with an established emergency department (ED) pathway, is related to a new hematologic disorder diagnosis and/or child abuse and (2) characteristics of patients, presentation, or bruising patterns associated with these diagnoses.</div></div><div><h3>Participants and setting</h3><div>Patients under 48-months-old presenting to Seattle Children's ED between October 2020 and June 2023 with high-risk bruising for abuse.</div></div><div><h3>Methods</h3><div>Charts of children flagged for high-risk bruising were reviewed, and data was extracted related to patient history and evaluation for bleeding disorders and abuse.</div></div><div><h3>Results</h3><div>161 children with high-risk bruising were identified. Twenty-four had abnormal hematologic lab results, with 71 % (17/24) obtaining indicated follow-up care. Eight had a hematologic disorder, which included immune thrombocytopenic purpura (3), von Willebrand disease (4), and aspirin-induced platelet dysfunction (1). Half (81/161) of the children were diagnosed with abuse. Leg bruises were more common among patients with hematologic disorders (5/8, 62.5 %) compared to those with abuse only (22/79, 27.8 %, <em>p</em> = 0.043). Four of 8 (50 %) patients with a hematologic disorder and 61 of 63 (96.9 %) abused children with bruise location data had bruising in a TEN (torso, ears, neck) location.</div></div><div><h3>Conclusions</h3><div>This study highlights the need for a multidisciplinary approach to evaluation of children with high-risk bruising and the overlap in characteristics between children where there is concern for abuse and those with a hematologic disorder.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107596"},"PeriodicalIF":3.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-suicidal self-harm among adolescents with substantiated childhood maltreatment: Findings from the Norwegian Triple-S Study","authors":"Børge Sivertsen ,&nbsp;Rory C. O'Connor ,&nbsp;Daryl B. O'Connor ,&nbsp;Kaia Kjørstad ,&nbsp;Anders Dovran ,&nbsp;Gertrud Sofie Hafstad ,&nbsp;Mari Hysing","doi":"10.1016/j.chiabu.2025.107598","DOIUrl":"10.1016/j.chiabu.2025.107598","url":null,"abstract":"<div><h3>Background</h3><div>Childhood maltreatment (CM) is a well-established risk factor for psychological distress and self-harm in adolescence. However, few studies have examined how specific types of maltreatment, multivictimization, and familial factors jointly contribute to non-suicidal self-harm (NSSH).</div></div><div><h3>Aims</h3><div>To investigate the prevalence and correlates of NSSH among Norwegian adolescents with substantiated experiences of CM, including associations with specific subtypes, multivictimization, ethnicity, and family history of self-harm.</div></div><div><h3>Method</h3><div>We analysed self-reported data from 308 adolescents (aged 12–18 years; 81.2 % girls) with substantiated maltreatment experiences who attended a national residential facility for children and young people with experience of abuse and violence between 2016 and 2024. Self-harm behaviours were assessed using validated items adapted from the CASE study. Associations were examined using Poisson regression, adjusting for age and sex.</div></div><div><h3>Results</h3><div>Overall, 52.8 % reported a history of self-harm, with 35.8 % reporting ≥10 episodes. Girls were more likely to report NSSH than boys (59.3 % vs. 25.0 %), although boys reported an earlier age of onset. One in six participants reported familial self-harm or suicide attempts. Self-harm prevalence increased with the number of maltreatment types experienced, from 42.4 % (one type) to 61.0 % (four or more types). All CM types were associated with high rates of NSSH. Ethnic Norwegian adolescents had higher self-harm prevalence than their immigrant-background peers.</div></div><div><h3>Conclusions</h3><div>NSSH is alarmingly common among adolescents exposed to CM, particularly among girls and those who have experienced multivictimization. These findings highlight the need for early, developmentally appropriate, and family-inclusive intervention strategies.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107598"},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unraveling gender and racial/ethnic differences in the life course pathways from adverse childhood experiences to economic disadvantage in adulthood","authors":"Hayun Jang ,&nbsp;Kyungeun Song ,&nbsp;Jinho Kim","doi":"10.1016/j.chiabu.2025.107595","DOIUrl":"10.1016/j.chiabu.2025.107595","url":null,"abstract":"<div><h3>Background</h3><div>While the detrimental effects of adverse childhood experiences (ACEs) on health, social, and behavioral outcomes are well established, less is known about their long-term association with economic well-being.</div></div><div><h3>Objective</h3><div>This study examined the longitudinal relationship between ACEs and economic disadvantage in adulthood, exploring heterogeneity by gender and race/ethnicity, identifying distinct associations by ACE type, and investigating underlying mechanisms.</div></div><div><h3>Participants and setting</h3><div>Data were drawn from Waves I, III, and IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health), including 12,546 participants.</div></div><div><h3>Methods</h3><div>School fixed effects models were used to account for unobserved contextual confounding. Analyses were stratified by gender and race/ethnicity, and interaction models tested statistical heterogeneity. Sobel mediation tests assessed the indirect roles of educational attainment, physical health, substance use, psychological health, and criminal justice involvement.</div></div><div><h3>Results</h3><div>Greater ACE exposure was associated with higher levels of economic disadvantage in adulthood. Among ACE types, sexual abuse, parental incarceration, and community violence showed the strongest associations. Gender differences were statistically significant, with stronger associations observed for females than males, while no significant differences were found across racial and ethnic groups. Mediation analyses indicated that psychological distress was the most prominent pathway for females, whereas criminal justice involvement was more salient for males.</div></div><div><h3>Conclusion</h3><div>These findings underscore the lasting economic consequences of early adversity and point to gender-specific pathways linking ACEs to adult outcomes. Interventions should prioritize early identification and trauma-informed support systems in both school and community settings to reduce the long-term burden of ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107595"},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Just tick the box and move on”: Australian Christian religious leaders reflect on safeguarding practices in their settings","authors":"Gabrielle R. Hunt ,&nbsp;Daryl J. Higgins ,&nbsp;Megan L. Willis","doi":"10.1016/j.chiabu.2025.107591","DOIUrl":"10.1016/j.chiabu.2025.107591","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment remains a global problem with ongoing efforts needed to safeguard children and young people. The Australian Royal Commission into Institutional Responses to Child Sexual Abuse prompted large scale reforms for organisations, however, there is limited research available on the quality and consistency of these safeguards in religious organisations.</div></div><div><h3>Objective</h3><div>This study aimed to explore Australian religious leaders perspectives on the current strengths and limitations of safeguarding practices in their settings.</div></div><div><h3>Participants and setting</h3><div>Twenty Christian religious leaders in Australia were interviewed online and asked about their role, current strengths in policies and practices, challenges and areas for improvement, and future directions.</div></div><div><h3>Method</h3><div>Participants attended a 60-minute semi-structured interview where data was analysed using reflexive thematic analysis. Member checking and double coding were conducted.</div></div><div><h3>Results</h3><div>While leadership commitment and improvements to safeguarding policy and practice were evident, significant ongoing challenges were identified. Cultural resistance (often rooted in theological beliefs) and a perception of safeguarding as unnecessary external regulation impede meaningful change. Gendered power dynamics, a reliance on compliance focused approaches, and resource constraints also limit progress.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the importance of prioritising contextual prevention strategies that leverage community-centred strengths to create safer environments and consider risks between peers and for vulnerable adults. Positioning safeguarding as core to mission, collaboration between religious organisations, and prioritising the voices of children and victim-survivors are key opportunities to strengthen safeguarding initiatives. These findings contribute to a growing body of research on safeguarding in religious organisations, providing practical insights and implications.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107591"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classes of childhood violence victimization and associations with adulthood victimization and mental health in sexual minority young adults","authors":"Yinuo Xu ,&nbsp;Yutong Gao ,&nbsp;William J. Hall ,&nbsp;McRae Scott ,&nbsp;Magdelene Ramon ,&nbsp;Adam Englert ,&nbsp;Dorothy L. Espelage","doi":"10.1016/j.chiabu.2025.107597","DOIUrl":"10.1016/j.chiabu.2025.107597","url":null,"abstract":"<div><h3>Background</h3><div>Sexual minority (SM) individuals have alarmingly high rates of victimization during childhood and adolescence, potentially leading to adverse outcomes. Despite this, research on diverse patterns of childhood victimization among SM individuals and their long-term impacts is limited.</div></div><div><h3>Objective</h3><div>This study uses latent class analysis (LCA) to explore the heterogeneity of childhood victimization among SM individuals and investigate how these patterns relate to mental health and victimization in adulthood.</div></div><div><h3>Participants and setting</h3><div>The sample included 564 sexual minority young adults (<em>M</em>_age = 22.15, <em>SD</em> = 2.39) from a national probability online survey in the United States.</div></div><div><h3>Methods</h3><div>We conducted LCA on eight items to assess various types of childhood violence exposure. Kruskal-Wallis tests and Chi-square tests were used to explore differences in adult victimization and mental health outcomes across class membership.</div></div><div><h3>Results</h3><div>The LCA revealed a three-class model: high family violence exposure (Class 1, 27.3 %), high sexual and family violence exposure (Class 2, 21.1 %), and low violence exposure (Class 3, 51.6 %). Individuals in Classes 1 and 2 exhibited significantly higher levels of psychological distress, suicidal behaviors, and adulthood victimization compared to those in Class 3.</div></div><div><h3>Conclusions</h3><div>Our findings shed light on the complex patterns of childhood victimization among SM individuals. The results underscore the need for targeted support and intervention services to address childhood victimization as a risk factor for adulthood mental health and victimization exposure within SM populations.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107597"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life impact following childhood Image-Based Sexual Abuse victimization among a sample of young adults","authors":"Deirdre Colburn ,&nbsp;Kimberly J. Mitchell ,&nbsp;Ateret Gewirtz-Meydan ,&nbsp;David Finkelhor ,&nbsp;Heather A. Turner ,&nbsp;Jennifer E. O'Brien","doi":"10.1016/j.chiabu.2025.107584","DOIUrl":"10.1016/j.chiabu.2025.107584","url":null,"abstract":"<div><h3>Purpose</h3><div>Image-Based Sexual Abuse (IBSA) is a pervasive issue affecting children and adolescents, with significant emotional and psychological consequences. This study examines how incident-level factors—including the victim's age, gender and sexual minority identity, type of IBSA, and duration of the IBSA—affect the perceived severity of psychological impact in young adulthood.</div></div><div><h3>Methods</h3><div>Data included 6204 participants aged 18–28; of them, 2833 reported experiencing IBSA, contributing a total of 4205 unique incidents, as some participants described multiple episodes. Participants completed an online survey designed to oversample sexual and gender minority (SGM) individuals. Incident characteristics, such asrelationship with ther person responsible, type of IBSA, duration, and explicitness of material, were analyzed alongside demographic variables to assess their relationship with lasting psychological effect. Logistic regression models with robust standard errors accounted for incidents clustered within individuals.</div></div><div><h3>Results</h3><div>The analysis of 4205 IBSA incidents revealed that in 29 % of incidents, victims reported significant or devastating life impact in adulthood. Factors associated with greater odds of lasting impact included younger age at first IBSA, longer incident duration, and incidents involving the non-consensual taking or sharing of images. SGM individuals showed nuanced patterns of impact, with certaindynamics of the person responsible (e.g., adult dating partners) disproportionately affecting SGM youth.</div></div><div><h3>Discussion</h3><div>Findings highlight the complex interplay between incident characteristics and victim demographics in shaping the psychological outcomes of IBSA in young adulthood. Results underscore the need for tailored prevention and intervention strategies addressing both the immediate and long-term effects of IBSA, particularly for vulnerable populations such as SGM youth. Future research should explore additional factors unique to these groups to inform effective policy and support systems.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107584"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144597283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I had neither a mother nor a father”: Child care and neglect for Brazilian families","authors":"Fabiano Henrique Oliveira Sabino ,&nbsp;Ana Paula de Miranda Araújo Soares ,&nbsp;Ingrid Pacheco ,&nbsp;Caroline Izabela Silva ,&nbsp;Ailton de Souza Aragão ,&nbsp;Monika Wernet ,&nbsp;Maria Cândida de Carvalho Furtado ,&nbsp;Diene Monique Carlos","doi":"10.1016/j.chiabu.2025.107589","DOIUrl":"10.1016/j.chiabu.2025.107589","url":null,"abstract":"<div><h3>Background</h3><div>Child neglect is a violation of rights, but it is often disregarded because it does not present physical and precise signs, especially in countries in the Global South.</div></div><div><h3>Aim</h3><div>To explore the meanings attributed to child care and neglect from the perspective of families under the supervision of a Guardianship Council.</div></div><div><h3>Participants and setting</h3><div>This study was conducted with 20 perpetrators of child neglect, referenced by the Guardianship Council from the state of São Paulo, Brazil.</div></div><div><h3>Methods</h3><div>This is a qualitative study anchored in the Complex Paradigm Framework, and conducted through semi-structured interviews and field diaries between January and March 2021. Data analysis was performed through reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Two themes were listed, entitled “Care and Neglect” and “Historicity and Neglect”. The first demonstrated that there are elements which comprehend neglect in a simplifying and normative logic, pointing to women as the culprit of violent practices. Child neglect is considered a process, needing to be seen in a multidimensional aspect. The second revealed the historical and learned nature of not caring, denoting an absence of public policies to protect the perpetrators of neglect during their childhood and adolescence. Elements were noted which demonstrate a search for overcoming the path experienced, still without interprofessional and intersectoral support.</div></div><div><h3>Conclusion</h3><div>The multidimensionality of child neglect requires effective actions from the protection network. The importance of seeking to make public policies and interprofessional actions effective in the context of confronting, mapping and preventing violence in intrafamily relationships is reiterated, especially by Primary Healthcare teams.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107589"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting, psychological insecurity, and mental health: Understanding the effects of adverse childhood experiences in adolescents","authors":"Kedibone J. Ramadie","doi":"10.1016/j.chiabu.2025.107593","DOIUrl":"10.1016/j.chiabu.2025.107593","url":null,"abstract":"<div><h3>Background</h3><div>Adolescence is a critical developmental period during which individuals undergo significant cognitive, social, and emotional changes. Although extensive research shows that parenting styles can either promote or hinder adolescent mental health, relatively few studies have examined how adverse childhood experiences (ACEs) and psychological insecurity jointly mediate these effects in non-Western contexts.</div></div><div><h3>Objective</h3><div>This study aimed to investigate how authoritative, authoritarian, and permissive parenting styles influence adolescent psychological well-being (PWB), with a specific focus on the mediating roles of ACEs and psychological insecurity among South African high school students.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was administered to 767 learners (M_age = 15.83, SD = 1.85) from Grade 8 to Grade 12. Participants completed validated measures of parenting styles (Parental Authority Questionnaire), adverse childhood experiences (Child Abuse and Trauma Scale), psychological insecurity (Psychological Insecurity Scale), and psychological well-being (Flourishing Scale). PLS-SEM structural model assessed direct and indirect effects.</div></div><div><h3>Results</h3><div>Authoritative parenting was positively and directly associated with higher PWB. In contrast, authoritarian and permissive parenting were linked to increased exposure to ACEs and heightened psychological insecurity, each of which contributed to lower PWB. Indirect effects indicated that ACEs and psychological insecurity partially mediated these relationships, underscoring the cumulative impact of early adversity and emotional vulnerability on adolescent mental health.</div></div><div><h3>Conclusions</h3><div>Findings highlight the importance of promoting authoritative parenting practices to foster resilience and mitigate the negative effects of ACEs and psychological insecurity. Culturally adapted, trauma-informed interventions and school-based mental health programs may be crucial for improving adolescent psychological well-being in resource-limited settings.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107593"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144597224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalization for child physical abuse before hospitalization for osteogenesis imperfecta or severe hemophilia: A nationwide cohort study in France","authors":"Flora Blangis ,&nbsp;Yannick Girardeau ,&nbsp;Marguerite Hamon-Pourquery de Boisserin ,&nbsp;Valérie Cormier-Daire ,&nbsp;Annie Harroche ,&nbsp;Geneviève Baujat ,&nbsp;Slimane Allali ,&nbsp;Emmanuel Lecoeur ,&nbsp;Nicolas Garcelon ,&nbsp;Elise Launay ,&nbsp;Anne-Sophie Jannot ,&nbsp;Martin Chalumeau","doi":"10.1016/j.chiabu.2025.107581","DOIUrl":"10.1016/j.chiabu.2025.107581","url":null,"abstract":"<div><h3>Background</h3><div>Timely and accurate diagnosis of early child physical abuse (CPA) is crucial to avoid recurrence and protect victims. Ruling out differential diagnoses is also important to avoid misdiagnosis of CPA. We evaluated the risk of hospitalization for early CPA before hospitalization for its 2 main differential diagnoses: osteogenesis imperfecta (OI) and severe hemophilia (SH).</div></div><div><h3>Methods</h3><div>This population-based cohort study used the national administrative database covering all hospitals in France. We followed infants born from 2010 to 2019 until age 2. We identified infants with a first discharge code for early CPA, OI, and SH and calculated crude absolute and relative risks.</div></div><div><h3>Results</h3><div>Among the 6,315,216 infants included, 2088 (33/100,000 infants per year) were hospitalized for early CPA, 160 (3/100,000) for OI, and 402 (6/100,000) for SH before age 2. Among infants hospitalized for early CPA, 2085 (99.86 %) had no further hospitalization for OI or SH, 3 (0.14 %) were further hospitalized for OI with a 9-month median interval between hospitalizations, and 0 were further hospitalized for SH. The absolute risk of hospitalization for early CPA before hospitalization for OI was 1.9 % (3/160, 95 % confidence interval [CI] 0.39–5.38), and the relative risk as compared with infants without hospitalization for OI was 56.8 (95 % CI 18.5–174.3).</div></div><div><h3>Conclusions</h3><div>The very low to null absolute risks of hospitalization for early CPA before OI or SH probably reflect excellent current clinical practices in ruling out differential diagnoses. A better implementation of existing guidelines could further shorten the time to diagnosis of OI before age 2.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"167 ","pages":"Article 107581"},"PeriodicalIF":3.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}