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The Economic Burden of Hospitalizations Associated with Child Abuse and Neglect

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  • Rovi, S.
  • Chen, P.-H.
  • Johnson, M.S.

Abstract

Objectives. This study assessed the economic burden of child abuse-related hospitalizations. Methods. We compared inpatient stays coded with a diagnosis of child abuse or neglect with stays of other hospitalized children using the 1999 National Inpatient Sample of the Healthcare Costs and Utilization Project. Results. Children whose hospital stays were coded with a diagnosis of abuse or neglect were significantly more likely to have died during hospitalization (4. 0% vs 0.5%), have longer stays (8.2 vs 4.0 days), twice the number of diagnoses (6.3 vs 2.8), and double the total charges ($19266 vs $9513) than were other hospitalized children. Furthermore, the primary payer was typically Medicaid (66.5% vs 37.0%). Conclusion. Earlier identification of children at risk for child abuse and neglect might reduce the individual, medical, and societal costs.

Suggested Citation

  • Rovi, S. & Chen, P.-H. & Johnson, M.S., 2004. "The Economic Burden of Hospitalizations Associated with Child Abuse and Neglect," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 586-590.
    • Handle: RePEc:aph:ajpbhl:2004:94:4:586-590_9
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    Cited by:

    1. Waters, Hugh Richard & Hyder, Adnan Ali & Rajkotia, Yogesh & Basu, Suprotik & Butchart, Alexander, 2005. "The costs of interpersonal violence--an international review," Health Policy, Elsevier, vol. 73(3), pages 303-315, September.
    2. Armeda Stevenson Wojciak & Brandon Butcher & Aislinn Conrad & Carol Coohey & Resmiye Oral & Corinne Peek-Asa, 2021. "Trends, Diagnoses, and Hospitalization Costs of Child Abuse and Neglect in the United States of America," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
    3. Ben-Arieh, Asher & McDonell, James, 2009. "Child safety measure as a proxy for child maltreatment: Preliminary evidence for the potential and validity of using ICD-9 coded hospital discharge data at the community level," Children and Youth Services Review, Elsevier, vol. 31(8), pages 873-878, August.
    4. Wong, William Chi Wai & Chen, Wei Qing & Goggins, William B. & Tang, Catherine S. & Leung, Phil W., 2009. "Individual, familial and community determinants of child physical abuse among high-school students in China," Social Science & Medicine, Elsevier, vol. 68(10), pages 1819-1825, May.

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