TY - JOUR
T1 - Child maltreatment and pediatric health outcomes
T2 - a longitudinal study of low-income children.
AU - Lanier, Paul
AU - Jonson-Reid, Melissa
AU - Stahlschmidt, Mary Jo
AU - Drake, Brett
AU - Constantino, John
PY - 2010/6
Y1 - 2010/6
N2 - OBJECTIVE: To examine if maltreatment predicted increased risk of hospital-based treatment prior to age 18 years for asthma, cardio-respiratory, and non-sexually transmitted infectious disease in a sample of low-income children. METHODS: This study used administrative data from multiple systems to follow children for 12-18 years (N = 6,282). Cox regression was used to explore the risk of first hospital treatment by disease category. Negative binomial regression was used to explore the relationship between recurrent maltreatment and total hospital care episodes. RESULTS: Controlling for individual, family, and community factors, children with maltreatment reports had a 74-100% higher risk of hospital treatment. Recurrent reports predicted a higher count of hospital care episodes. CONCLUSIONS: The negative health impact of maltreatment prior to adulthood supports the need for early prevention and intervention to prevent initial and recurrent child abuse and improve capacity to meet healthcare needs of maltreated children.
AB - OBJECTIVE: To examine if maltreatment predicted increased risk of hospital-based treatment prior to age 18 years for asthma, cardio-respiratory, and non-sexually transmitted infectious disease in a sample of low-income children. METHODS: This study used administrative data from multiple systems to follow children for 12-18 years (N = 6,282). Cox regression was used to explore the risk of first hospital treatment by disease category. Negative binomial regression was used to explore the relationship between recurrent maltreatment and total hospital care episodes. RESULTS: Controlling for individual, family, and community factors, children with maltreatment reports had a 74-100% higher risk of hospital treatment. Recurrent reports predicted a higher count of hospital care episodes. CONCLUSIONS: The negative health impact of maltreatment prior to adulthood supports the need for early prevention and intervention to prevent initial and recurrent child abuse and improve capacity to meet healthcare needs of maltreated children.
UR - http://www.scopus.com/inward/record.url?scp=77952966821&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsp086
DO - 10.1093/jpepsy/jsp086
M3 - Article
C2 - 19797405
AN - SCOPUS:77952966821
SN - 0146-8693
VL - 35
SP - 511
EP - 522
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 5
ER -