Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA; The Ohio State University College of Medicine, Department of Pediatrics, 370 W 9th Ave, Columbus, OH, 43210, USA.
The Ohio State University College of Medicine, Department of Pediatrics, 370 W 9th Ave, Columbus, OH, 43210, USA; The Center for Family Safety and Healing, Nationwide Children's Hospital, 655 E Livingston Ave, Columbus, OH, 43205, USA.
Child Abuse Negl. 2021 Jul;117:105032. doi: 10.1016/j.chiabu.2021.105032. Epub 2021 Mar 25.
Child maltreatment-related fatalities occur among children of all ages. However, few published studies have examined child abuse and neglect deaths among older children and adolescents.
To epidemiologically describe child maltreatment-related fatalities among children in the United States 5-17 years old.
Ten years of data from the United States National Violent Death Reporting System (2006-2015) were analyzed to examine child maltreatment deaths among children 5-17 years of age.
Child fatalities attributed to homicide or undetermined causes were reviewed by the study team to identify deaths related to child abuse and/or neglect, injury mechanisms, relationships between perpetrators and victims, victim and perpetrator characteristics, and circumstances surrounding the deaths.
The study team identified 285 abuse- and/or neglect-related fatalities during the study period. The mean age of the victims was 9.2 years and 54.4 % of victims were male. Suspected perpetrators were most frequently mothers (28.1 %) and fathers (26.3 %). The most common injury mechanism was firearms (20.7 %). A significantly greater percentage of deaths among children 11-17 years were attributable to firearms (31.6 %), compared to deaths among children 5-10 years. Among younger children 5-10 years, blunt force trauma was the most frequent injury mechanism (22.6 %).
Older children and adolescents are frequently excluded from child maltreatment research. Although child maltreatment deaths are less common among older children compared to younger children, these fatalities have unique characteristics that should be considered when developing prevention strategies.
儿童虐待相关的死亡发生在各个年龄段的儿童中。然而，很少有发表的研究调查过较大年龄儿童和青少年的虐待和忽视死亡。
从流行病学角度描述美国 5-17 岁儿童与虐待相关的死亡。
分析了美国国家暴力死亡报告系统（2006-2015 年）的十年数据，以研究 5-17 岁儿童的虐待死亡情况。
研究小组审查了归因于凶杀或原因不明的儿童死亡案例，以确定与虐待和/或忽视、伤害机制、施害者与受害者之间的关系、受害者和施害者的特征以及死亡周围情况相关的死亡。
研究小组在研究期间确定了 285 例与虐待和/或忽视相关的死亡。受害者的平均年龄为 9.2 岁，54.4%为男性。疑似施害者最常为母亲（28.1%）和父亲（26.3%）。最常见的伤害机制是枪支（20.7%）。11-17 岁儿童的死亡归因于枪支的比例明显高于 5-10 岁儿童（31.6%）。在较小的 5-10 岁儿童中，钝器伤是最常见的伤害机制（22.6%）。
较大年龄的儿童和青少年经常被排除在虐待儿童研究之外。虽然与年幼儿童相比，较大年龄儿童的虐待死亡较少见，但这些死亡具有独特的特征，在制定预防策略时应予以考虑。
