Community Poverty and Child Abuse Fatalities in the United States

Farrell, Caitlin A.; Fleegler, Eric W.; Monuteaux, Michael C.; Wilson, Celeste R.; Christian, Cindy W.; Lee, Lois K.

doi:10.1542/peds.2016-1616

Cited by 76 publications

(61 citation statements)

References 36 publications

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“…Contextual dynamics also shape relationships among interpersonal, biological, and psychological factors. For example, although most studies of the physical and psychological health of youth in a North American context suggest that youth who experience homelessness and multiple housing transitions have worse outcomes than children not living in poverty (e.g., Bassuk & Rosenberg, 1990;Medlow, Klineberg, & Steinbeck, 2014…”

Section: Contextual Dynamicsmentioning

confidence: 99%

Rethinking the biopsychosocial model of health: Understanding health as a dynamic system

Lehman

David

Gruber

2017

Social & Personality Psych

235

181

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The biopsychosocial model has dominated research and theory in health psychology. This article expands the biopsychosocial model by applying systems theories proposed by developmental scholars, including Bronfenbrenner's ecological models and Sameroff's transactional model, as well as contemporary philosophical work on dynamic systems. The proposed dynamic biopsychosocial model construes human health as a product of the reciprocal influences of biological, psychological, interpersonal, and macrosystem contextual dynamics that unfold over personal and historical time. The importance, or centrality, of these influences varies within a person over time. The model is explicated using two hypothetical case studies derived from existing interdisciplinary health research. Implications for health, theory, research, and policy are discussed. | RETHINKING THE BIOPSYCHOSOCIAL MODEL OF HEALTH: UNDERSTANDING HEALTH AS A DYNAMIC SYSTEMDynamic interpersonal, biological, and psychological systems interact with contextual factors to shape health over the life span. This manuscript integrates theoretical perspectives that promote health understanding and considers the implications of these perspectives for research and policy related to health psychology. We first outline the dynamic biopsychosocial model of health, highlighting its conceptual roots and then present two hypothetical research-based examples that clarify the model's utility for understanding health.The model shown in Figure 1 and discussed below is an expanded version of the biopsychosocial model. The model integrates existing conceptualizations of the biopsychosocial model (Engel, 1980) with other systems models, especially those proposed by Urie Bronfenbrenner, Arnold Sameroff, and Evan Thompson. The major goals of this paper are to (a) explain the interactive elements of the dynamic biopsychosocial model and (b) use Bronfenbrenner's work to elaborate interpersonal dynamics in social environments and introduce centrality as a factor that modulates influences on health. | COMPONENTS OF A DYNAMIC BIOPSYCHOSOCIAL MODEL OF HEALTHThis model conceptualizes biological, psychological, interpersonal, and contextual effects on health as dynamics. Each dynamic captures a set of interactive forces or systems that affect health. The term dynamics is used to emphasize that

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Section: Contextual Dynamicsmentioning

confidence: 99%

Rethinking the biopsychosocial model of health: Understanding health as a dynamic system

Lehman

David

Gruber

2017

Social & Personality Psych

235

181

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“…The influence of poverty, unemployment, and financial depression on the occurrence of child maltreatment has been discussed in western countries. [8–11] However, little is known about the impact of socioeconomic changes on child maltreatment rate in other parts of the world, such as in Taiwan. Utilization of medical services has rarely been discussed in the literature.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for child maltreatment by the utilization of medical service and socioeconomic environment in Taiwan

et al. 2018

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Child maltreatment is complicated by cultural, welfare, and socioeconomic factors. However, the relationship between child maltreatment and socioeconomic factors has not been completely understood. We investigated risk factors for child abuse and neglect in Taiwan.The data in our study was obtained from Taiwan National Statistics at county level from 2004 to 2015. We included 4 areas (eastern, western, southern, northern) involving 20 cities and counties. The trends of child maltreatment rate based on different years and different areas were surveyed. In addition, panel data analysis was used to analyze the links between child maltreatment rate and socioeconomic factors.An increasing trend of child maltreatment rate in Taiwan was observed. During the past decade, child maltreatment rate increased from 14.5 in 2004 to 23.4 cases per 10000 children in 2014. The peak, which was 43 cases per 10000 children, occurred in 2012. Significant geographical differences were observed, and the highest child maltreatment rate was seen in eastern Taiwan. Panel data analysis revealed a lag effect of the unemployment rate on child maltreatment rate at the county level: the child maltreatment rate increased by 7 percent, while the prior unemployment rate increased by one percent. In addition, the medical personnel density was related to the child maltreatment rate within the county.Previous unemployment rate had a lag impact on child maltreatment occurrence. Unemployment rate has not only a direct impact on the economy but also sequential effects on child maltreatment.

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“…In this issue of Pediatrics, Farrell et al 1 describe research linking poverty with child maltreatment fatalities. The American Academy of Pediatrics has addressed the overall issue of the effects of poverty in a recent policy statement.…”

mentioning

confidence: 99%

“…Unless the United States begins to emphasize the prevention of new poverty, and finds ways to create resiliency among both parents and children, our current situation will not change. Although we may find ways to significantly reduce poverty, the article by Farrell et al 1 is an important reminder of the significant consequences thrust upon an overrepresented portion of our children.…”

mentioning

confidence: 99%

No Surprise: The Rate of Fatal Child Abuse and Neglect Fatalities Is Related to Poverty

Block

2017

Pediatrics

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Community Poverty and Child Abuse Fatalities in the United States

Cited by 76 publications

References 36 publications

Rethinking the biopsychosocial model of health: Understanding health as a dynamic system

Rethinking the biopsychosocial model of health: Understanding health as a dynamic system

Risk factors for child maltreatment by the utilization of medical service and socioeconomic environment in Taiwan

No Surprise: The Rate of Fatal Child Abuse and Neglect Fatalities Is Related to Poverty

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