Local Macroeconomic Trends and Hospital Admissions for Child Abuse, 2000–2009

Wood, Joanne N.; Medina, Sheyla P.; Feudtner, Chris; Luan, Xianqun; Localio, Russell; Fieldston, Evan S.; Rubin, David M.

doi:10.1542/peds.2011-3755

Cited by 109 publications

(85 citation statements)

References 32 publications

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“…This pattern, which is apparent in our raw data and the estimates from our survival analyses, supports findings from prior research linking macro-level foreclosure rates with child maltreatment prevalence. 36,37 An examination of the timing of these events, however, reveals that increased risk of CPS involvement is apparent as much as 12 months before a foreclosure filing, although households continue to be at heightened risk of CPS involvement through the 6 to 12 months after the filing.…”

Section: Discussionmentioning

confidence: 99%

“…They found positive associations of mortgage delinquency and foreclosure rates with both types of admissions. 36 Frioux et al estimated associations of county-level unemployment and mortgage foreclosure rates with child maltreatment investigations and substantiations. Their results indicate that both factors are positively associated with CPS investigations and substantiations.…”

Section: What This Study Addsmentioning

confidence: 99%

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Home Foreclosure and Child Protective Services Involvement

et al. 2015

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We estimated associations between experiencing a home foreclosure filing and experiencing a child protective services (CPS) investigation or substantiation. METHODS:We linked a large sample drawn from administrative data on foreclosure filings, CPS involvement, and participation in a host of other public programs for .60 000 Wisconsin households over a 4-year period from 2008 to 2011. Our empirical analyses used piecewise exponential survival models to estimate the risk of CPS involvement (investigation or substantiation) as a function of a home foreclosure filing and a set of individual and household characteristics. We fitted these models with and without the inclusion of propensity score weights. RESULTS:Households that experienced a foreclosure filing had a much higher probability of CPS involvement. This was true in the year before the filing as well as the year after the foreclosure filing. However, these associations were generally largest in the period before or shortly afterward.CONCLUSIONS: Experiencing a foreclosure filing is associated with increased CPS involvement. However, it is not clear that this association is driven by the foreclosure filing action itself. Rather, increased risk of CPS involvement is apparent during the process of moving toward the filing as well as the year or so after the filing, both of which are likely characterized by limited economic resources as well as by financial and other stress.

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Section: Discussionmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

Home Foreclosure and Child Protective Services Involvement

et al. 2015

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“…Other studies show that socioeconomic factors measured at a more aggregate ecological level are also associated with maltreatment. 16,29 To our knowledge, our study is the first to specifically examine income inequality as an important risk factor associated with child maltreatment.…”

Section: Figurementioning

confidence: 99%

“…[12][13][14][15] Recently, a retrospective study of children admitted to 38 hospitals between 2000 and 2009 showed that rates of admissions for physical abuse and high-risk traumatic brain injury were significantly related to increases in local mortgage foreclosure and delinquency rates in the associated metropolitan areas. 16 Although there is considerable evidence that income inequality has a negative impact on health and wellbeing for both adults and children, and that poverty is associated with rates of child maltreatment, no study has examined the association of income inequality with child maltreatment. The goal of this study was to examine this association using county-level data on income inequality and corresponding child maltreatment rates in the United States over a 5-year period.…”

mentioning

confidence: 99%

Income Inequality and Child Maltreatment in the United States

Eckenrode

Smith

McCarthy³

et al. 2014

Pediatrics

204

100

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WHAT'S KNOWN ON THIS SUBJECT: Income inequality is positively associated with several adverse child health and well-being outcomes. There is no existing research investigating the relationship between income inequality and child maltreatment rates. WHAT THIS STUDY ADDS:This study is the first to demonstrate that increases in income inequality are associated with increases in child maltreatment rates at the county level. abstract OBJECTIVE: To examine the relation between county-level income inequality and rates of child maltreatment. METHODS:Data on substantiated reports of child abuse and neglect from 2005 to 2009 were obtained from the National Child Abuse and Neglect Data System. County-level data on income inequality and children in poverty were obtained from the American Community Survey. Data for additional control variables were obtained from the American Community Survey and the Health Resources and Services Administration Area Resource File. The Gini coefficient was used as the measure of income inequality. Generalized additive models were estimated to explore linear and nonlinear relations among income inequality, poverty, and child maltreatment. In all models, state was included as a fixed effect to control for statelevel differences in victim rates.RESULTS: Considerable variation in income inequality and child maltreatment rates was found across the 3142 US counties. Income inequality, as well as child poverty rate, was positively and significantly correlated with child maltreatment rates at the county level. Controlling for child poverty, demographic and economic control variables, and state-level variation in maltreatment rates, there was a significant linear effect of inequality on child maltreatment rates (P , .0001). This effect was stronger for counties with moderate to high levels of child poverty. CONCLUSIONS:Higher income inequality across US counties was significantly associated with higher county-level rates of child maltreatment. The findings contribute to the growing literature linking greater income inequality to a range of poor health and well-being outcomes in infants and children. Pediatrics 2014;133:454-461

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“…most studies use longitudinal data techniques to examine the temporal relationship. For example, Wood et al (2012) show that hospital admissions for child abuse rise the year after an increase in mortgage stress. shows that higher unemployment rates (measured at a state level) are strongly linked to increased substance abuse among US youth, particularly for illicit drug use.…”

mentioning

confidence: 99%

Assessment of the Adequacy of Russia’s Information Resources to the Health Criteria of the Organization for Economic Cooperation and Development

Ivanova¹,

Syunyakova²,

Зайченко³

2018

Soc.Asp.Pop.Hlth

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All Health Working Papers are now available through the OECD's Internet Website at http://www.oecd.org/els/health-systems/health-working-papers.htm JT03361547Complete document available on OLIS in its original format This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.

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Local Macroeconomic Trends and Hospital Admissions for Child Abuse, 2000–2009

Abstract: Multicenter hospital data show an increase in pediatric admissions for physical abuse and high-risk TBI during a time of declining all-cause injury rate. Abuse and high-risk TBI admission rates increased in relationship to local mortgage delinquency and foreclosure trends.

Cited by 109 publications

References 32 publications

Home Foreclosure and Child Protective Services Involvement

Home Foreclosure and Child Protective Services Involvement

Income Inequality and Child Maltreatment in the United States

Assessment of the Adequacy of Russia’s Information Resources to the Health Criteria of the Organization for Economic Cooperation and Development

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