Publication: Identifying children at high risk for recurrence child abuse
Issued Date
2021-01-01
Resource Type
ISSN
23094990
10225536
10225536
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2-s2.0-85101856119
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Orthopaedic Surgery. Vol.29, No.1 (2021)
Suggested Citation
Jidapa Wongcharoenwatana, Jariya Tarugsa, Kamolporn Kaewpornsawan, Perajit Eamsobhana, Chatupon Chotigavanichaya, Thanase Ariyawatkul Identifying children at high risk for recurrence child abuse. Journal of Orthopaedic Surgery. Vol.29, No.1 (2021). doi:10.1177/2309499021996411 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78811
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Title
Identifying children at high risk for recurrence child abuse
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Abstract
Purpose: To evaluate the characteristics of abused children, families and abusive event and to identify risk factors associated with recurrence of child abuse. Methods: Retrospective data from 133 children aged between 2 months to 15 years old who were diagnosed as abuse between year 2002 and 2017. Thirteen items related to characteristics of the child, families, abusive event were selected. These factors were analyzed by multivariate logistic regression model for association with repeated child abuse. Results: Total of 133 subjects with average age of 5.25 ± 4.65 years old. There were 54 cases (40.60%) reported of repeated abuse. Majority of repeated abuse type in this study was physical abuse (73.68%). Most perpetrators were child’s own parents (45.10%). Factors associated with increased risk of repeated abuse were child age 1–5 years old (AOR = 4.95/95%CI = 1.06–23.05), 6–10 years old (AOR = 6.80/95%CI = 1.22–37.91) and perpetrator was child’s own parent (AOR = 21.34/95%CI = 3.51–129.72). Three cases of mortality were found with single-visit children and one case in recurrence. Most of death cases were children less than 1-year-old with average age of 7 months. Causes of death were subdural hematoma with skull and ribs fracture. Conclusions: Identifying risk factors for repeated child abuse help in recognizing child at risk to provide prompt intervention. This study found two factors associated with higher risk of abuse recurrence: child age 1–10 years old and abusive parents. Children who presented with these risk factors should be recognized and intensively monitored.