A person's socioeconomic status has more influence than race on whether a child's injury was accidental or caused by abuse, reveals study.
When presented with scenarios that could possibly but not obviously indicate child abuse, 2,109 physicians from across the United States who participated in the study were most likely to suspect maltreatment rather than accident for white children from families with low socioeconomic status than for black children with low socioeconomic status or for either black or white children of high socioeconomic status. These findings contradict previous studies that linked differentiated diagnosis to race, reporting increased likelihood to consider abuse in black patients.
The new study appears online in advance of publication in the Journal of Pediatrics.
Even among pediatricians with expertise in child abuse evaluations, broad variability exists in determination of abuse.
"Interactions with patients are driven by past experiences and stereotypes. Neither are necessarily negative," Dr. Laskey said. "Past experiences provide valuable information. A stereotype is a rule of thumb, such as 'police are authority figures and should be obeyed' or 'a hooded figure who walks toward you in the dark should be considered a potential threat,' that helps us categorize complicated environments. It is important to understand what stereotypes socioeconomic status, as we found in this study influence physician decision-making."
Her next study investigates the multiple factors that drive physician decision-making in child neglect situations as the health care team determines whether an incident was a tragic accident or was avoidable.