Child abuse and neglect as a public health problem

1977 ◽  
Vol 1 (1) ◽  
pp. 199-201 ◽  
Author(s):  
P. Owe Petersson
2021 ◽  
Author(s):  
Massimo Pettoello-Mantovani ◽  
Nigri Paola ◽  
Corsello Giovanni ◽  
Nigri Luigi ◽  
Bali Donjeta ◽  
...  

Abstract Background: Child abuse and neglect, or maltreatment, is a serious public health problem, which may cause long-term effects on children’s health and wellbeing and expose them to further adulthood vulnerabilities. Studies on child maltreatment performed in Europe are scarce, and the number of participants enrolled relatively small. The aim of this multi-national European pilot study, was to evaluate the level of understanding and perception of the concepts of child abuse and neglect by European paediatricians working in different medical settings, and the attitude toward these forms of maltreatment in their practice.Methods: The study was performed by a cross-sectional, descriptive, online survey, made available online to European paediatricians members of 50 national paediatric, who belonged to four different medical settings: hospital, family care, university centres and private practice. The questionnaire, designed as a multiple choice questions survey, with a single answer option consisted of 22 questions/statements. Frequency analyses were applied. Most of the data were described using univariate analysis and Chi-squared tests were used to compare the respondents and answers and a significance level of p ≤ 0.05 applied.Results: Findings show that European paediatricians consider the training on child maltreatment currently provided by medical school curricula and paediatric residency courses to be largely insufficient and continuing education courses were considered of great importance to cover educational gaps. Physical violence was recognized by paediatricians mostly during occasional visits with a significant correlation between detecting abuse during an occasional visit and being a primary care paediatrician. Results also showed a reluctance by paediatricians to report cases of maltreatment to the competent judicial authorities.Conclusions: Data of this study may provide useful contribution to the current limited knowledge about the familiarity of European paediatricians with child maltreatment and their skills to recognize, manage and contrast abusive childhood experiences in their practice. Finally, they could provide local legislators and health authorities with information useful to further improve public health approaches and rules able to effectively address shared risk and protective factors, which could prevent child abuse and neglect from ever occurring.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Paola Nigri ◽  
Giovanni Corsello ◽  
Luigi Nigri ◽  
Donjeta Bali ◽  
Giorgina Kuli-Lito ◽  
...  

Abstract Background Child abuse and neglect, or maltreatment, is a serious public health problem, which may cause long-term effects on children’s health and wellbeing and expose them to further adulthood vulnerabilities. Studies on child maltreatment performed in Europe are scarce, and the number of participants enrolled relatively small. The aim of this multi-national European pilot study, was to evaluate the level of understanding and perception of the concepts of child abuse and neglect by European paediatricians working in different medical settings, and the attitude toward these forms of maltreatment in their practice. Methods The study was performed by a cross-sectional, descriptive, online survey, made available online to European paediatricians members of 50 national paediatric, who belonged to four different medical settings: hospital, family care, university centres and private practice. The questionnaire, designed as a multiple choice questions survey, with a single answer option consisted of 22 questions/statements. Frequency analyses were applied. Most of the data were described using univariate analysis and Chi-squared tests were used to compare the respondents and answers and a significance level of p ≤ 0.05 applied. Results Findings show that European paediatricians consider the training on child maltreatment currently provided by medical school curricula and paediatric residency courses to be largely insufficient and continuing education courses were considered of great importance to cover educational gaps. Physical violence was recognized by paediatricians mostly during occasional visits with a significant correlation between detecting abuse during an occasional visit and being a primary care paediatrician. Results also showed a reluctance by paediatricians to report cases of maltreatment to the competent judicial authorities. Conclusions Data of this study may provide useful contribution to the current limited knowledge about the familiarity of European paediatricians with child maltreatment and their skills to recognize, manage and contrast abusive childhood experiences in their practice. Finally, they could provide local legislators and health authorities with information useful to further improve public health approaches and rules able to effectively address shared risk and protective factors, which could prevent child abuse and neglect from ever occurring.


2020 ◽  
Vol 7 (4) ◽  
pp. 286-293
Author(s):  
Gunasekaran Sowndarya ◽  
◽  
Shanthala Mallikarjun Bhuthanahosur ◽  
Babu George ◽  
Vijayan Vidhya ◽  
...  

Background Child Abuse & Neglect is a worldwide social and public health problem, which has a multitude of short- and long-term effects on children. Objective Pediatric dentists are often the ones who, after a pediatrician, come to identify a child abuse victim, so this article addresses the importance of the pediatric dentist in identifying the oral health issues that can be associated with child abuse victims. Data sources Web of Science, PubMed, Google Scholar were databases researched for peer review articles in indexed journals. Method Literature search was conducted and articles were selected according to the data provided regarding child abuse and neglect and the relevant data were summarized. Result Some medical providers may receive less education pertaining to oral health and dental injury that are related to abuse or neglect as readily as they detect those involving other areas of the body. Conclusion Pediatric dentists are encouraged to collaborate with pediatricians to increase the prevention and detection of child abuse and neglect in children.


Social Work ◽  
2019 ◽  
Author(s):  
Becci Akin ◽  
Michelle Johnson-Motoyama ◽  
Nancy Jo Kepple ◽  
Shelby Clark

According to the World Health Organization, one in four adults report a history of physical maltreatment, and an estimated 41,000 children under the age of 15 die due to homicide death. Although the majority of children who are maltreated will not continue this pattern as parents of their own children, the need to prevent child maltreatment is significant. Child abuse and neglect are public health problems that can lead to morbidity and mortality in childhood and increased risk for health concerns into adulthood such as alcoholism, smoking, and drug abuse; depression and suicide; high-risk sexual behaviors; sexually transmitted diseases; and certain chronic diseases. As a single country example of the costly public health problem, the total lifetime economic burden resulting from new cases of fatal and nonfatal child maltreatment in the United States has been estimated to be above $120 billion. In an attempt to understand why and how some individuals who are abused and neglected continue this cycle, the intergenerational transmission of child maltreatment has long been a topic of great interest. Understanding the pathways to child abuse and neglect is necessary for disrupting the intergenerational cycles of maltreatment. Given that childhood exposure to maltreatment has long-term consequences and significant costs to society, knowledge of these pathways is critical for developing strategies for early identification, engagement of children and parents, prevention, and intervention. This article provides an overview of select resources for developing a foundational understanding of intergenerational transmission of child maltreatment. First, published literature on Theoretical Reviews and Conceptual Frameworks are provided. Selected articles present varying views on key theories and concepts that guide current understandings of the intergenerational transmission of child maltreatment. Following the theory overview is a section of selected Reviews of Empirical Studies, including literature reviews guided by well-defined methodological criteria, systematic reviews, and meta-analyses. Next is a section that provides Methodological Examples, including subsections of selected Cross-Sectional Studies on varying topics and populations related to the generational continuity of maltreatment, Longitudinal Studies on Adult Subsequent Maltreatment of Children, Longitudinal Studies on Adult Subsequent Parenting Characteristics and Practices, and Qualitative Studies. Then, a section on special interests is presented (i.e., Population, Problem-Specific, or Other Special Interest Studies), comprising the topics of Biological and Neurological Factors, Intimate Partner Violence, Adolescent Mothers, and International Studies. Finally, the last four sections include select resource lists for Journals, Textbooks, Organizations, and Websites that may be helpful for identifying additional articles and other resources on the intergenerational transmission of child maltreatment.


1997 ◽  
Vol 25 (2-3) ◽  
pp. 202-209 ◽  
Author(s):  
Lainie Friedman Ross ◽  
Timothy J. Aspinwall

In February 1997, the Committee on Bioethics of the American Academy of Pediatrics (AAP) updated its position on religious exemptions to medical care. In its earlier statement, the committee noted that forty-four states have religious exemptions to the child abuse and neglect statutes, and they argued for the repeal of these exemptions. The committee did not indude in its statement a position on religious exemptions to childhood immunization requirements that exist in forty-eight states, although this issue was discussed in committee meetings. In its revised statement, the committee concluded that “The AAP does not support the stringent application of medical neglect laws when children do not receive recommended immunizations.” In this paper, we consider whether failure to immunize one's child is a form of medical neglect and, if so, whether states should repeal their religious exemptions to the immunization statutes. We argue that failure to vaccinate a child properly is medical neglect.


2014 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Roshan Bista ◽  
Prativa Pandey

Colorful skin spots on a pediatric patient can easily be mistaken as signs of child abuse.  Professionals should therefore gain knowledge about Mongolian spots; also known as Mongolian blue spots. These are flat, congenital and benign birthmarks, commonly located in sacro-coccygeal or lumbar area of an infant. Child abuse is a major public health problem across the world. The most common manifestations of physical child abuse are cutaneous, and their recognition and differential diagnosis are of great importance. Mongolian spots may appear as signs of child abuse; however, Mongolian spots are harmless.


2020 ◽  
Vol 76 (11) ◽  
pp. 2792-2793
Author(s):  
Chikako Honda ◽  
Kyoko Yoshioka‐Maeda ◽  
Riho Iwasaki‐Motegi

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