Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, USA.
Child Abuse Negl. 2023 Nov;145:106393. doi: 10.1016/j.chiabu.2023.106393. Epub 2023 Aug 12.
Child physical abuse (PA) is a significant societal concern with limited research into predictors of re-reports.
Our research explores correlations between sociodemographic variables and re-reported PA. Our aim was to characterize populations at higher risk and identify changes in presentation during the COVID-19 pandemic.
This retrospective descriptive study focused on 238 patients with re-reports of PA made by a pediatric hospital from January 2019 through April 2021.
We analyzed sociodemographic information and details of reports made to child protective services (CPS) obtained from the electronic health record.
Females were 2.5 years older than males (mean 11.0 and 8.5 years, respectively) (p < .001, 95%CI 1.21-3.76). Males were more likely to have observable injuries (OR 2.61, p < .001) and a CPS response (OR = 2.70, p = .003). Patients categorized as "Other" races were less likely to have observable injuries (OR = 0.32, p = .006). Presentation changed during the pandemic: a quadrupling of re-reports by behavioral health clinicians caused the percentage of reports made by them to increase significantly (OR = 3.46, p < .001) and the mean age increased by 2.0 years (8.2 years before, 10.2 years during) (p = .009, 95%CI 0.5-3.5), though females remained approximately 2.2 years older than males (p = .003, 95%CI 0.8-3.7).
Males experienced higher rates of re-reported PA and were younger at the time of re-report. Changes to presentation during the pandemic suggest an increase in PA among older children. Future research should further explore differences in sex/race, while current prevention efforts should focus on children receiving behavioral health care.
儿童身体虐待（PA）是一个严重的社会问题，关于再报告的预测因素的研究有限。
我们的研究探讨了社会人口统计学变量与再报告 PA 之间的相关性。我们的目的是描述风险较高的人群，并确定在 COVID-19 大流行期间表现的变化。
本回顾性描述性研究专注于 2019 年 1 月至 2021 年 4 月期间，一家儿童医院对 238 例 PA 再报告的患者。
我们分析了从电子健康记录中获得的社会人口统计学信息和向儿童保护服务（CPS）报告的详细信息。
女性比男性年长 2.5 岁（分别为 11.0 岁和 8.5 岁）（p<0.001，95%CI 1.21-3.76）。男性更有可能出现可见损伤（OR 2.61，p<0.001）和 CPS 反应（OR=2.70，p=0.003）。被归类为“其他”种族的患者不太可能出现可见损伤（OR=0.32，p=0.006）。在大流行期间表现发生了变化：行为健康临床医生的再报告数量增加了四倍，导致他们报告的比例显著增加（OR=3.46，p<0.001），平均年龄增加了 2.0 岁（之前为 8.2 岁，期间为 10.2 岁）（p=0.009，95%CI 0.5-3.5），尽管女性仍比男性年长约 2.2 岁（p=0.003，95%CI 0.8-3.7）。
男性经历了更高的再报告 PA 率，并且在再报告时年龄更小。大流行期间表现的变化表明，年龄较大的儿童的 PA 有所增加。未来的研究应进一步探讨性别/种族差异，而当前的预防工作应侧重于接受行为健康护理的儿童。
