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American Academy of Pediatrics
Article

Maltreatment of Children Under Age 2 With Specific Birth Defects: A Population-Based Study

Bethanie S. Van Horne, Karen B. Moffitt, Mark A. Canfield, Amy P. Case, Christopher S. Greeley, Robert Morgan and Laura E. Mitchell
Pediatrics December 2015, 136 (6) e1504-e1512; DOI: https://doi.org/10.1542/peds.2015-1274
Bethanie S. Van Horne
aUniversity of Texas Health Science Center at Houston Medical School, Houston, Texas;
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Karen B. Moffitt
bBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services; and
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Mark A. Canfield
bBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services; and
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Amy P. Case
bBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services; and
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Christopher S. Greeley
aUniversity of Texas Health Science Center at Houston Medical School, Houston, Texas;
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Robert Morgan
cUniversity of Texas Health Science Center at Houston School of Public Health, Houston, Texas
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Laura E. Mitchell
cUniversity of Texas Health Science Center at Houston School of Public Health, Houston, Texas
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Abstract

BACKGROUND AND OBJECTIVES: Children with disabilities are at an increased risk for maltreatment. However, the risk of maltreatment is unknown for children with specific types of birth defects. This study was conducted to determine whether the risk and predictors of maltreatment differ between children with and without 3 birth defects: Down syndrome, cleft lip with/without cleft palate, and spina bifida.

METHODS: This population-based study of substantiated childhood maltreatment was conducted in Texas from 2002 to 2011. Linked data were used to describe the risk and types of maltreatment that occurred before age 2 years in children with and without specific birth defects. Poisson regression was used to identify predictors of maltreatment and assess differences in those predictors between children with and without these specific birth defects.

RESULTS: The risk of maltreatment (any type) in children with cleft lip with/without cleft palate and spina bifida was increased by 40% and 58%, respectively, compared with children with no birth defects. The risk of any maltreatment was similar between children with Down syndrome and unaffected children. Across birth defect groups, the risk of medical neglect was 3 to 6 times higher than in the unaffected group. Child-, family-, and neighborhood-level factors predicted maltreatment in children with and without birth defects.

CONCLUSIONS: The overall risk of substantiated maltreatment was significantly higher for some but not all birth defect groups. The factors associated with increased risk were similar across groups. Enhancement of existing maltreatment prevention and early intervention programs may be effective mechanisms to provide at-risk families additional support.

  • Accepted September 15, 2015.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 136, Issue 6
1 Dec 2015
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Maltreatment of Children Under Age 2 With Specific Birth Defects: A Population-Based Study
Bethanie S. Van Horne, Karen B. Moffitt, Mark A. Canfield, Amy P. Case, Christopher S. Greeley, Robert Morgan, Laura E. Mitchell
Pediatrics Dec 2015, 136 (6) e1504-e1512; DOI: 10.1542/peds.2015-1274

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Maltreatment of Children Under Age 2 With Specific Birth Defects: A Population-Based Study
Bethanie S. Van Horne, Karen B. Moffitt, Mark A. Canfield, Amy P. Case, Christopher S. Greeley, Robert Morgan, Laura E. Mitchell
Pediatrics Dec 2015, 136 (6) e1504-e1512; DOI: 10.1542/peds.2015-1274
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