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Journal Article

Citation

Jaudes PK, Mackey-Bilaver L. Child Abuse Negl. 2008; 32(7): 671-681.

Affiliation

University of Chicago, Illinois Department of Children and Family Services, La Rabida Children's Hospital, East 65th Street at Lake Michigan, Chicago, IL 60649, USA.

Copyright

(Copyright © 2008, Elsevier Publishing)

DOI

10.1016/j.chiabu.2007.08.007

PMID

18620753

Abstract

OBJECTIVE: To examine whether and to what extent specific chronic health conditions place young children at risk of maltreatment. METHODS: The study used a sample of Illinois children (born between January 1990 and March 1996) who were through age 3 continuously enrolled in Medicaid, a public health insurance program for low-income families. The study used "paid claims" data and ICD-9-CM health codes to identify children with one or more of three chronic conditions: chronic physical illness, developmental delay/mental retardation (dd/mr), and behavior/mental health conditions (b/mh). The analysis used Cox proportional hazard models to estimate the risk of substantiated child maltreatment that each of these health conditions confer on children under age 6. RESULTS: Among children under age 6, 24.1% had chronic physical health conditions, 6.1% had b/mh conditions, and 4.2% had dd/mr. Among the children, 11.7% were maltreated (abused or neglected). Children with b/mh conditions were 1.95 times more likely than children without such conditions to be victims of child abuse or neglect. Children with chronic physical health conditions were 1.1 time more likely to be maltreated (p

Language: en

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