Navigation Links
Hospitals in recession-hit areas see uptick in serious cases of child physical abuse
Date:7/16/2012

In the largest study to examine the impact of the recession on child abuse, researchers at The Children's Hospital of Philadelphia's (CHOP) PolicyLab detected a significant increase in children admitted to the nation's largest children's hospitals due to serious physical abuse over the last decade. The study, published today in the journal Pediatrics, found a strong relationship between the rate of child physical abuse and local mortgage foreclosures, which have been a hallmark of the recent recession. The CHOP findings, based on data from 38 children's hospitals, contradict national child welfare data, which show a decline in child physical abuse over the same period.

"We were concerned that health care providers and child welfare workers anecdotally reported seeing more severe child physical abuse cases, yet national child protective services data indicated a downward trend," said lead author Joanne Wood, MD, MSHP, an attending physician at CHOP and researcher at PolicyLab. "It's well known that economic stress has been linked to an increase in child physical abuse, so we wanted to get to the bottom of the contrasting reports by formally studying hospital data on a larger scale."

According to the study, overall physical abuse increased by 0.79 percent, and traumatic brain injury increased by 3 percent per year between 2000 and 2009, while overall injury rates fell by 0.8 percent per year over the same time period. The researchers found that each 1 percent increase in 90-day mortgage delinquencies over a one-year period was associated with a 3 percent increase in hospital admissions due to child physical abuse and a 5 percent increase in admissions due to traumatic brain injury suspected to be child abuse.

Dr. Wood says the study highlights opportunities for child welfare agencies and hospitals to collaborate and share data for a more complete picture of child physical abuse rates in communities across the country, in order to develop targeted prevention and intervention.

"Two major themes emerge from this study," said Dr. Wood. "First, we see a clear opportunity to use hospital data along with child welfare data to ensure a more complete picture of child abuse rates both locally and nationally. Second, the study identifies another economic hardship mortgage foreclosures that is associated with severe physical abuse. As the foreclosure crisis is projected to continue in the near future, these results highlight the need to better understand the stress that housing insecurity places on families and communities so that we can better support them during difficult times."

PolicyLab's health services researchers, who contributed to the study, note that the public agencies working with vulnerable children and families are better equipped to assist them when the risk factors linked with increased child physical abuse rates are understood. "For example, early prevention efforts could start with a pediatrician or housing counselor providing resources and social services referrals for families," explained Dr. Wood, who is also the research director of Safe Place: Center for Child Protection and Health at CHOP.

According to statistics from the U.S. Department of Health and Human Services, child physical abuse has lasting societal as well as individual consequences, which result in an increased reliance on public assistance and social services from Medicaid and foster care, to more indirect costs associated with higher rates of criminal activity, mental illness, substance abuse, and domestic violence.

"A study like this cannot tell us what stressors may be impacting an individual family, but can illustrate the toll that the recent recession may be having on families in general, in this country," said David Rubin, MD, MSCE, senior author of the study as well as Director of PolicyLab and an attending pediatrician at CHOP. "It is a reminder to me that when I see families in my practice who have lost their insurance or who have changed homes, to probe a little further about the challenges they are facing. As communities, we all need to reach out a little more to identify which families may be in crisis and help guide them to appropriate resources for support."


'/>"/>

Contact: Dana Mortensen
mortensen@email.chop.edu
267-426-6092
Children's Hospital of Philadelphia
Source:Eurekalert

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
3. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
4. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
5. Urban Hospitals May Act as Breeding Ground for MRSA
6. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
7. Under pressure from Medicare, hospitals hold more seniors for observation
8. Ethics should drive health policy reform, especially with physician-owned specialty hospitals
9. Hospitals communication during residency matching may put stress on OB-GYN doctors-in-training
10. Becker's Hospital Review Shares 50 Top Grossing Hospitals in the Country
11. Lighthouse Worldwide Solutions Now Monitors Air Quality in Hospitals and Operating Rooms
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/28/2016)... ... 28, 2016 , ... "Color Grading media can be time consuming but with ... media," said Christina Austin - CEO of Pixel Film Studios. , With the ... stylish color grades to their footage. A LUT is a Lookup Table that contains ...
(Date:5/28/2016)... , ... May 28, 2016 , ... In a part of the city where’s it’s ... new farm-to-table Kelowna restaurants is hoping to attract diners with a taste for ... Suites officially opened the doors to Cornerstone Grill, an urban casual restaurant focusing on ...
(Date:5/27/2016)... (PRWEB) , ... May 27, 2016 , ... Two director-level ... as YWCA Tribute to Women and Industry (TWIN) 2016 honorees. The award recognizes ... workplace. For this year, Geri Boone, Director of the MLTSS (Managed Long-Term Services and ...
(Date:5/27/2016)... ... May 27, 2016 , ... With over 60 percent of acute ... for a sustainable product to aid in the rehabilitation process has steadily increased. Ekso ... of individuals with hemiplegia due to stroke. , Ekso Bionics has now received clearance ...
(Date:5/27/2016)... ... May 27, 2016 , ... In response ... many who are unaware of the plight of aphasia. In collaboration with the ... “Stroke Awareness” campaign. , The link between stroke and aphasia is relatively unknown, ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... Texas , May 25, 2016 ... the issuance to it by the US Patent ... The company,s technology includes proprietary processes for electronic ... for health and wellness programs, HIPAA compliance and ... "Our technology ...
(Date:5/25/2016)... 25, 2016 ReportsnReports.com adds ... report that provides an overview on therapeutic pipeline ... various stages, therapeutics assessment by drug target, mechanism ... molecule type, along with latest updates, and featured ... players involved in the therapeutic development for Chronic ...
(Date:5/24/2016)... LONDON , May 24, 2016 ... erfüllt beide primären Endpunkte ... und Überlegenheit in ‚ausgezeichneter plus guter ... aufsteigenden Colons    ,      (Logo: ... B.V. gab heute neue positive Daten von der ...
Breaking Medicine Technology: