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Segregating Suspected Child Maltreatment from Non-Child Maltreatment Injuries: A Population-Based Case-Control Study in Taiwan

Author

Listed:
  • Yo-Ting Jin

    (Department of Nursing, Fu-Jen Catholic University, New Taipei City 242062, Taiwan
    School of Nursing, National Taipei University of Nursing & Health Sciences, Taipei 11219, Taiwan
    Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chin-Mi Chen

    (Department of Nursing, Fu-Jen Catholic University, New Taipei City 242062, Taiwan)

  • Yao-Ching Huang

    (Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan
    Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chi-Hsiang Chung

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan)

  • Chien-An Sun

    (Big Data Research Center, College of Medicine, Fu-Jen Catholic University, New Taipei City 242062, Taiwan
    Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City 242062, Taiwan)

  • Shi-Hao Huang

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

  • Wu-Chien Chien

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan
    Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Gwo-Jang Wu

    (Department of Nursing, Fu-Jen Catholic University, New Taipei City 242062, Taiwan
    Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    Obstetrics and Gynecology Department, Tri-Service General Hospital, Taipei 11490, Taiwan)

Abstract

Objective: To identify the differential patient characteristics, injury types, and treatment outcomes between hospitalized child abuse and non-child abuse injuries in Taiwan. Methods: Using the data from the National Health Insurance Research Database, we selected a total of 1525 patients under the age of 18 that were diagnosed with child abuse, as well as an additional 6100 patients as a comparison group. Chi-square test, Fisher exact test, and independent samples t -test were used to compare the differences between the abused children and the non-abuse-related injured children. The multivariate conditional logistic regression was performed to measure the risk factor of child maltreatment in injured children. Results: Intracranial injury was more frequent in the child abuse group than it was in the non-child abuse group (35.0% vs. 8.2%; p < 0.001). Children in the child abuse group tended to stay longer in the hospital and incur higher medical expenses (8.91 days vs. 4.41 days and USD 2564 vs. USD 880, respectively). In multivariate analysis, the Adjusted Odds Ratio (Adjusted OR) of abuse resulting in an injury for children in low-income families is 1.965 times higher than those in non-low-income families ( p < 0.001). Children living in high urbanization areas had a significantly higher probability of being abused than those living in low urbanization areas ( p < 0.001). Conclusion: Children under the age of 1 who were hospitalized with severe intracranial injuries are highly at risk for child maltreatment. Moreover, numerous high-risk environmental factors were observed in child abuse cases, including living in urban areas, families with low income, and seasonality, as child maltreatment cases occur more frequently in autumn.

Suggested Citation

  • Yo-Ting Jin & Chin-Mi Chen & Yao-Ching Huang & Chi-Hsiang Chung & Chien-An Sun & Shi-Hao Huang & Wu-Chien Chien & Gwo-Jang Wu, 2022. "Segregating Suspected Child Maltreatment from Non-Child Maltreatment Injuries: A Population-Based Case-Control Study in Taiwan," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4591-:d:791184
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    References listed on IDEAS

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    1. Berger, Lawrence M., 2004. "Income, family structure, and child maltreatment risk," Children and Youth Services Review, Elsevier, vol. 26(8), pages 725-748, August.
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