Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA, USA.
Inj Prev. 2011 Feb;17 Suppl 1:i14-8. doi: 10.1136/ip.2010.026336.
This report examines unintentional injury deaths among children with and without a history of child maltreatment.
Data are from reviews of 1192 unintentional injury deaths occurring among children in Texas during 2005-2007. The study examined differences in child demographic characteristics, injury mechanism, and supervisor status at time of death between children with and without maltreatment history by using descriptive statistics and χ² tests. Separate analyses compared characteristics of asphyxia, drowning, and poisoning deaths.
In 10% of the unintentional injury deaths that were reviewed, the child had a history of maltreatment. The prevalence of a history of maltreatment was highest among black decedents and lowest among white decedents. Prevalence of a history of maltreatment was highest among infant decedents and lowest among youth decedents, ages 10-14 years. Among deaths where there was no maltreatment history, 54% were due to motor vehicle related incidents, whereas 51% of deaths among children with maltreatment history were caused by drowning, asphyxia, and poisoning. Supervisors of child decedents with a history of maltreatment were significantly more likely to have been alcohol impaired (6.9% vs 1.6%; p<0.0005), or asleep (12.1% vs 6.6%; p=0.03) at the time of death. Differences between child decedents with and without maltreatment history were observed in infant sleep surface in suffocation deaths, location and barrier type in drowning deaths, and substance type in poisoning deaths.
These data show that the mechanisms and circumstances surrounding unintentional injury deaths among children with a history of maltreatment differ from those without a history of maltreatment. This underscores the need for appropriate interventions to prevent unintentional and intentional injuries in families with a history of maltreatment.
本报告研究了有和没有儿童虐待史的儿童的非故意伤害死亡情况。
数据来自对 2005-2007 年德克萨斯州 1192 例非故意伤害死亡儿童的回顾。研究使用描述性统计和 χ²检验，考察了有和没有虐待史的儿童在死亡时的人口统计学特征、伤害机制和监护人状况方面的差异。分别分析了窒息、溺水和中毒死亡的特征。
在所审查的非故意伤害死亡案例中，有 10%的儿童有虐待史。有虐待史的儿童中，黑种人死亡比例最高，白人死亡比例最低。有虐待史的儿童中，婴儿死亡比例最高，10-14 岁青少年死亡比例最低。在没有虐待史的死亡案例中，54%是由机动车相关事件导致的，而有虐待史的儿童死亡中，51%是由溺水、窒息和中毒引起的。有虐待史的儿童的监护人在死亡时更有可能处于酒精中毒状态（6.9%对 1.6%；p<0.0005）或入睡状态（12.1%对 6.6%；p=0.03）。有和没有虐待史的儿童死亡案例之间在婴儿窒息死亡的睡眠表面、溺水死亡的位置和障碍类型以及中毒死亡的物质类型方面存在差异。
这些数据表明，有虐待史的儿童的非故意伤害死亡的机制和情况与没有虐待史的儿童不同。这强调了需要采取适当的干预措施，以预防有虐待史的家庭中发生非故意和故意伤害。
