Young kids are far more likely to suffer abuse-related injuries when left in the care of a man, and those injuries are likely to be more severe, reveals a new study. The findings of the study are published in the The Journal of Pediatrics.
Over 1,700 children die from child abuse each year in the U.S., and far more sustain injuries that result in hospitalization. These deaths and severe injuries are preventable, but effective strategies require a deeper understanding of the caregivers causing the harm and the circumstances surrounding the child's injuries.
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‘Presence of male caregivers poses a higher risk of child abuse. Future prevention strategies should educate parents about leaving their young kids in the care of people who are unfamiliar even for a brief period, can be dangerous.’
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The odds of child physical abuse vs. accidental injury increased substantially when the caregiver at the time of injury was male, according to a new study published in The Journal of Pediatrics. When the male was the boyfriend of the mother or another caregiver, the odds of abuse were very high. Injuries were also much more severe when the child was with a male caregiver.
In contrast, abuse as the cause of injury was substantially less likely when a female caregiver was present, with the exception of a female babysitter. Caregiver arrangements that were different than usual also were associated with increased risk of abuse. These findings may help improve early recognition of abuse when a young child is injured and may also inform future abuse prevention strategies.
![Child Abuse - A Rising Concern]( "Child Abuse - A Rising Concern")
Incidences of child abuse have risen in the last decades. Sentinel injuries are seen in young infants who cannot crawl.
"Given that we found strong associations between certain caregiver features and the likelihood of abuse, it is vitally important for clinicians evaluating the child to ask about who was present at the time of injury," says study author Mary Clyde Pierce, MD, from Ann & Robert H. Lurie Children's Hospital of Chicago, who is the Principal Investigator on the Bruising Clinical Decision Rule study that supplied the data. Dr. Pierce is a Professor of Emergency Medicine at Northwestern University Feinberg School of Medicine.
"Through a better understanding of caregiver features, screening for child abuse can be refined, evidence-informed clinical decisions can be made, prevention efforts can be focused on populations at greatest risk, and policies can be tailored accordingly."
The study examined data on 1,615 children younger than four years of age who presented to a pediatric emergency department with an injury. Twenty-four percent of these children were determined to be physically abused. The majority of severe injuries were classified as abuse (77 percent), and nearly all cases of severe injury in which fathers and boyfriends were present involved abuse.
"Child abuse prevention efforts frequently target mothers, but our study confirms previous research that the presence of male caregivers poses a greater risk of abuse, so the focus must shift for prevention strategies to be successful," says Dr. Pierce.
"Future prevention strategies also should educate parents that leaving their young children in the care of people unfamiliar with the challenges of caregiving, even for brief periods of time, can be dangerous."
Source: Eurekalert
Child Abuse - A Rising Concern
Incidences of child abuse have risen in the last decades. Sentinel injuries are seen in young infants who cannot crawl.
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"Given that we found strong associations between certain caregiver features and the likelihood of abuse, it is vitally important for clinicians evaluating the child to ask about who was present at the time of injury," says study author Mary Clyde Pierce, MD, from Ann & Robert H. Lurie Children's Hospital of Chicago, who is the Principal Investigator on the Bruising Clinical Decision Rule study that supplied the data. Dr. Pierce is a Professor of Emergency Medicine at Northwestern University Feinberg School of Medicine.
"Through a better understanding of caregiver features, screening for child abuse can be refined, evidence-informed clinical decisions can be made, prevention efforts can be focused on populations at greatest risk, and policies can be tailored accordingly."
The study examined data on 1,615 children younger than four years of age who presented to a pediatric emergency department with an injury. Twenty-four percent of these children were determined to be physically abused. The majority of severe injuries were classified as abuse (77 percent), and nearly all cases of severe injury in which fathers and boyfriends were present involved abuse.
"Child abuse prevention efforts frequently target mothers, but our study confirms previous research that the presence of male caregivers poses a greater risk of abuse, so the focus must shift for prevention strategies to be successful," says Dr. Pierce.
"Future prevention strategies also should educate parents that leaving their young children in the care of people unfamiliar with the challenges of caregiving, even for brief periods of time, can be dangerous."
Source: Eurekalert
Strict Screening Needed To Pick More Cases of Child Abuse
Recent study drew attention towards the importance of sticking by the screening guidelines in detecting cases of child abuse.
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 Child Abuse – Conference Calls for Multi-Disciplinary Action and Protection for ChildrenProtecting children from abuse and empowering them to exercise their right to safeguard their integrity was the highlight of the National Conference on Child Abuse in India. | Advertisement
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