Meharry Medical College, 1005 Dr DB Todd Jr Blvd, Nashville, TN 37208, United States of America.
Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States of America.
Child Abuse Negl. 2023 Oct;144:106354. doi: 10.1016/j.chiabu.2023.106354. Epub 2023 Jul 28.
There has been little research on child maltreatment-related fatalities among children with disabilities. Despite being a minority of children in the United States, children with disabilities experience higher rates of victimization.
To characterize fatalities due to child maltreatment among children with disabilities in the United States.
Data from the National Violent Death Reporting System from 2010 to 2019 were analyzed to describe child maltreatment-related deaths among children with disabilities aged birth to 17 years.
There were 106 fatalities meeting the study criteria. The average age of the victims was 5.9 years old and 74.6 % were male. The most frequent suspected perpetrators of maltreatment-related fatalities were biological mothers (35.2 %), and most perpetrators were White (55.7 %). Analyses showed a statistically significant relationship between fatalities caused by neglect and diagnoses of attention deficit hyperactivity disorder, autism spectrum disorder, cerebral palsy, and/or traumatic brain injury. Overall, physical abuse and/or neglect resulting in a fatality among children with disabilities were significantly correlated with the relationship of the perpetrator to the victim.
Children with disabilities who died as a result of abuse were more likely to have autism spectrum disorder, a developmental disability, or other physical impairment, with physical abuse being the most prevalent type of abuse that resulted in death. To decrease the likelihood of abuse of disabled children, healthcare practitioners and caseworkers should work together to create strategies to help caregivers cope with the financial, mental, and physical stress that comes with raising children with disabilities.
针对残疾儿童的虐待致死相关研究较少。尽管在美国残疾儿童属于少数群体，但他们遭受侵害的比例却更高。
描述美国残疾儿童因虐待致死的情况。
分析了 2010 年至 2019 年全国暴力死亡报告系统的数据，以描述残疾儿童（0-17 岁）因虐待致死的情况。
有 106 例符合研究标准的死亡案例。受害者的平均年龄为 5.9 岁，74.6%为男性。最常见的虐待致死嫌疑犯是亲生母亲（35.2%），大多数嫌疑犯是白人（55.7%）。分析表明，疏忽导致的死亡与注意力缺陷多动障碍、自闭症谱系障碍、脑瘫和/或脑损伤的诊断之间存在显著的统计学关系。总体而言，残疾儿童因身体虐待和/或疏忽而导致的死亡与施害者与受害者的关系有显著相关性。
因虐待而死亡的残疾儿童更有可能患有自闭症谱系障碍、发育障碍或其他身体残疾，身体虐待是导致死亡的最常见的虐待类型。为了降低残疾儿童受虐待的可能性，医疗保健从业者和个案工作者应共同制定策略，帮助照顾者应对抚养残疾儿童带来的经济、心理和身体压力。
