Leventhal J M, Berg A, Egerter S A
Pediatrics. 1987 Apr;79(4):515-9.
A case-control study was conducted to determine whether infants with intrauterine growth retardation are at an increased risk of child abuse. Case children were those who had been born at Yale-New Haven Hospital and were reported to the hospital's child abuse committee because they had been physically abused. For each case, one control child was chosen from the hospital's log of births and matched to the case child by age, gender, race of the mother, method of payment for the hospitalization, and the provider of the child's health care at the time of birth. Infants were defined as having intrauterine growth retardation if they had either a ponderal index or a birth weight that was less than the tenth percentile for gestational age using the Kansas City or Denver growth standards. We identified 117 case-control pairs that met those criteria. The matched odds ratios for each of the four definitions of intrauterine growth retardation were less than one, indicating that infants with intrauterine growth retardation are at a decreased risk of abuse. The matched odds ratio for a low ponderal index according to the Kansas City standard was 0.4 (95% confidence interval 0.19, 0.83). This result was not affected by such possible confounding factors as the mother's age. We conclude that infants with intrauterine growth retardation are not at an increased risk and may be at a decreased risk of physical abuse.
开展了一项病例对照研究，以确定宫内生长迟缓的婴儿遭受虐待的风险是否增加。病例组儿童是那些在耶鲁 - 纽黑文医院出生且因遭受身体虐待而被上报至医院虐待儿童委员会的儿童。对于每个病例，从医院的出生记录中选取一名对照儿童，并按照年龄、性别、母亲种族、住院费用支付方式以及出生时儿童的医疗保健提供者与病例儿童进行匹配。如果婴儿的体重指数或出生体重低于使用堪萨斯城或丹佛生长标准计算得出的相应孕周的第十百分位数，则被定义为患有宫内生长迟缓。我们确定了117对符合这些标准的病例对照。宫内生长迟缓的四种定义中，每一种的匹配比值比均小于1，这表明宫内生长迟缓的婴儿遭受虐待的风险降低。根据堪萨斯城标准，低体重指数的匹配比值比为0.4（95%置信区间0.19，0.83）。这一结果不受母亲年龄等可能的混杂因素影响。我们得出结论，宫内生长迟缓的婴儿遭受身体虐待的风险并未增加，甚至可能降低。
