Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence
Intimate partner violence (IPV) affects 1 in 4 American women, and physical child abuse is reported to occur in 10–67 % of homes with IPV. Routine evaluation of physical abuse in IPV-exposed children is neither widespread nor informed by clinical guidelines. Thus, the true frequency of detectable in...
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| Veröffentlicht in: | Child abuse & neglect 2023-10, Vol.144, p.106385-106385, Article 106385 |
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| creator | Tiyyagura, Gunjan Leventhal, John M. Crawley, Destanee Asnes, Andrea G. |
| description | Intimate partner violence (IPV) affects 1 in 4 American women, and physical child abuse is reported to occur in 10–67 % of homes with IPV. Routine evaluation of physical abuse in IPV-exposed children is neither widespread nor informed by clinical guidelines. Thus, the true frequency of detectable injuries in IPV-exposed children remains unknown. The purpose of this study was to examine the frequency of injuries in children |
| doi_str_mv | 10.1016/j.chiabu.2023.106385 |
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In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019–June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (“non-acute” evaluation) or 2) a child presented immediately after an IPV incident (“acute” evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7–9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an “acute” evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.</description><identifier>ISSN: 0145-2134</identifier><identifier>ISSN: 1873-7757</identifier><identifier>EISSN: 1873-7757</identifier><identifier>DOI: 10.1016/j.chiabu.2023.106385</identifier><identifier>PMID: 37541095</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Child Abuse ; Child physical abuse ; Child, Preschool ; Community advisory board ; Female ; Fractures, Bone ; Humans ; Infant ; Intimate Partner Violence ; Multicenter Studies as Topic ; Observational Studies as Topic ; Physical Abuse ; Voluntary Programs</subject><ispartof>Child abuse & neglect, 2023-10, Vol.144, p.106385-106385, Article 106385</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c343t-87dad490a7f73afda4aabe720aa323dc04e258a57a18b6ebe199490bcaaa5eb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.chiabu.2023.106385$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37541095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tiyyagura, Gunjan</creatorcontrib><creatorcontrib>Leventhal, John M.</creatorcontrib><creatorcontrib>Crawley, Destanee</creatorcontrib><creatorcontrib>Asnes, Andrea G.</creatorcontrib><title>Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence</title><title>Child abuse & neglect</title><addtitle>Child Abuse Negl</addtitle><description>Intimate partner violence (IPV) affects 1 in 4 American women, and physical child abuse is reported to occur in 10–67 % of homes with IPV. Routine evaluation of physical abuse in IPV-exposed children is neither widespread nor informed by clinical guidelines. Thus, the true frequency of detectable injuries in IPV-exposed children remains unknown. The purpose of this study was to examine the frequency of injuries in children <3-years-old reported for IPV to a regional child protective services (CPS) office.
In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019–June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (“non-acute” evaluation) or 2) a child presented immediately after an IPV incident (“acute” evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7–9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an “acute” evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.</description><subject>Child Abuse</subject><subject>Child physical abuse</subject><subject>Child, Preschool</subject><subject>Community advisory board</subject><subject>Female</subject><subject>Fractures, Bone</subject><subject>Humans</subject><subject>Infant</subject><subject>Intimate Partner Violence</subject><subject>Multicenter Studies as Topic</subject><subject>Observational Studies as Topic</subject><subject>Physical Abuse</subject><subject>Voluntary Programs</subject><issn>0145-2134</issn><issn>1873-7757</issn><issn>1873-7757</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcuO0zAUtRCIKYU_QMhLNil-xskGhEYMII3EBtbWjXPTcUnjYjvR9O9xlWEEG7ywLfu8dA8hrznbccbrd4edu_PQzTvBhCxPtWz0E7LhjZGVMdo8JRvGla4El-qKvEjpwMrSRj8nV9JoxVmrN-TnTcRfM07uTMNA_XSYo8dULhToEsZ5yhDP9BTDPsKR4gLjDNlPe3oOc9lLhLGPOFG8P4WEPc2hcLM_QkZ6gpgnjHTxYSwO-JI8G2BM-Orh3JIfN5--X3-pbr99_nr98bZyUslcNaaHXrUMzGAkDD0ogA6NYABSyN4xhUI3oA3wpquxQ962Bd45ANDYtXJLPqy6p7k7Yu9wyhFGe4olVjzbAN7--zP5O7sPi-VMi1bUdVF4-6AQQ5lOyvbok8NxhAnDnKxoVN0KrUreLVEr1MWQUsTh0YczeynKHuxalL0UZdeiCu3N3xkfSX-aKYD3KwDLpBaP0SbnL1PsfUSXbR_8_x1-A_L0qqM</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Tiyyagura, Gunjan</creator><creator>Leventhal, John M.</creator><creator>Crawley, Destanee</creator><creator>Asnes, Andrea G.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231001</creationdate><title>Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence</title><author>Tiyyagura, Gunjan ; Leventhal, John M. ; Crawley, Destanee ; Asnes, Andrea G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-87dad490a7f73afda4aabe720aa323dc04e258a57a18b6ebe199490bcaaa5eb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child Abuse</topic><topic>Child physical abuse</topic><topic>Child, Preschool</topic><topic>Community advisory board</topic><topic>Female</topic><topic>Fractures, Bone</topic><topic>Humans</topic><topic>Infant</topic><topic>Intimate Partner Violence</topic><topic>Multicenter Studies as Topic</topic><topic>Observational Studies as Topic</topic><topic>Physical Abuse</topic><topic>Voluntary Programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tiyyagura, Gunjan</creatorcontrib><creatorcontrib>Leventhal, John M.</creatorcontrib><creatorcontrib>Crawley, Destanee</creatorcontrib><creatorcontrib>Asnes, Andrea G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Child abuse & neglect</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tiyyagura, Gunjan</au><au>Leventhal, John M.</au><au>Crawley, Destanee</au><au>Asnes, Andrea G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence</atitle><jtitle>Child abuse & neglect</jtitle><addtitle>Child Abuse Negl</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>144</volume><spage>106385</spage><epage>106385</epage><pages>106385-106385</pages><artnum>106385</artnum><issn>0145-2134</issn><issn>1873-7757</issn><eissn>1873-7757</eissn><abstract>Intimate partner violence (IPV) affects 1 in 4 American women, and physical child abuse is reported to occur in 10–67 % of homes with IPV. Routine evaluation of physical abuse in IPV-exposed children is neither widespread nor informed by clinical guidelines. Thus, the true frequency of detectable injuries in IPV-exposed children remains unknown. The purpose of this study was to examine the frequency of injuries in children <3-years-old reported for IPV to a regional child protective services (CPS) office.
In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019–June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (“non-acute” evaluation) or 2) a child presented immediately after an IPV incident (“acute” evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7–9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an “acute” evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>37541095</pmid><doi>10.1016/j.chiabu.2023.106385</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Child Abuse Child physical abuse Child, Preschool Community advisory board Female Fractures, Bone Humans Infant Intimate Partner Violence Multicenter Studies as Topic Observational Studies as Topic Physical Abuse Voluntary Programs |
| title | Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence |
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