Abstract：
BACKGROUND:In 2002, Georgia had the United States' eighth highest number of persons living with AIDS. Human immunodeficiency virus (HIV) transmission as a result of sexual abuse is uncommon but definitely occurs. In certain circumstances of sexual abuse, antiretroviral post-exposure prophylaxis (ARV-PEP) has been suggested as a means to decrease the risk of HIV infection. Our objective was to assess the utilization of ARV-PEP in patients being evaluated for sexual abuse at a pediatric emergency department in a city with high HIV prevalence. METHODS:A retrospective survey of the characteristics of sexual abuse victims was conducted using information abstracted from sexual abuse report forms of minors examined in 2002 at an inner-city Atlanta children's hospital. RESULTS:Of 227 victims, aged 9 months to 18 years, most were Black, inner-city residents; 190 (84%) patients were female. Only 87 of 227 (38.3%) were seen within 72 h of the abuse, the time frame for offering ARV-PEP. Twenty-three of the 87 had anogenital trauma or bleeding. Five (5.7%), were provided ARV-PEP, whereas 60 (69%) received antibiotic prophylaxis for non-HIV diseases. Those assaulted by strangers were greater than 10 times more likely to be provided ARV-PEP than others (p=.02). Assailants of the 82 victims who did not receive ARV-PEP included 22 strangers and 60 "acquaintances" of unknown serostatus. CONCLUSIONS:For a high HIV prevalence area, the proportion of sexual abuse victims prescribed ARV-PEP was small in relation to those at risk of HIV sexual exposure. Clinicians should be provided guidance on interpretation of community HIV and sexual abuse victim data to assess the appropriateness of ARV-PEP.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Fajman N,Wright Rdoi
10.1016/j.chiabu.2006.02.013subject
Has Abstractpub_date
2006-08-01 00:00:00pages
919-27issue
8eissn
0145-2134issn
1873-7757pii
S0145-2134(06)00196-7journal_volume
30pub_type
杂志文章abstract：:The study examined the progress through the child protective system of a sample of 206 severely abused and/or neglected children brought before the Boston Juvenile Court (BJC) on Care and Protection (C & P) petitions. Overall, children were in the system an average of 5 years from the filing of the first official repo...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(92)90063-w
更新日期：1992-07-01 00:00:00
abstract：OBJECTIVES:To strengthen the evidence-base for policy and practice for support of children outside of family care requires effective, efficient and sustainable mechanisms for monitoring and evaluation. Toward that end, two core questions guided a systematic review of evidence: What strategies are appropriate for monito...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2012.09.006
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Disparities in decision-making are a recognized concern within child protection systems and imply that marginalized groups are being treated unequally compared to majoritized groups. Previous studies reported that both ethnicity and the gender of the parent that maltreated the child seem associated with an i...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104479
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the success of specialized community-based treatment for reducing adolescent sexual reoffending and explore the predictive utility of variables assessed regarding sexual and nonsexual recidivism. METHOD:Recidivism data (criminal charges) were collected for 58 offenders participating in at least 1...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00147-2
更新日期：2000-07-01 00:00:00
abstract：BACKGROUND:According to Finkelhor (1984), difficulties child sexual abusers have in establishing adaptive adult relationships are a consequence of attachment problems with parents. Research shows that insecure attachment is associated with both the experience of child sexual abuse (CSA) as a victim and perpetration of ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104864
更新日期：2020-12-22 00:00:00
abstract：:This research tested the influence of two common sources of information on boys' perceptions of their risk for sexual abuse. In this sample exposure to prevention education programs was associated with a lower perceived likelihood of being sexually abused, and discussion of child sexual abuse with parents was associat...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)90082-5
更新日期：1994-07-01 00:00:00
abstract：:This study quantifies racial/ethnic differences in Medicaid expenditures on psychotropic drugs among a national sample of children with suspected maltreatment. We linked 4,445 child participants in the National Survey of Child and Adolescent Well-Being (NSCAW) - consisting of children investigated for suspected abuse ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.02.013
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:This article examines safe haven laws, which allow parents to legally abandon their infants. The main objective is to determine whether safe haven laws fit the criteria of crime control theater, a term used to describe public policies that produce the appearance, but not the effect, of crime control, and as ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2009.11.006
更新日期：2010-07-01 00:00:00
abstract：BACKGROUND:Adversity may negatively impact young children's sleep but receiving home visitation services could buffer children from this potential consequence of adversity. OBJECTIVE:This study examined whether young children's adverse experiences increased their risk for sleep problems and if Promoting First Relation...
journal_title：Child abuse & neglect
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.chiabu.2018.12.016
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:Child Protective Services (CPS) systems have not historically conducted system effectiveness research. More information is needed about the long-term outcomes of children and families served by the systems. OBJECTIVE:To investigate how workers within CPS systems in Colorado and the Netherlands measure and p...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2018.12.014
更新日期：2019-03-01 00:00:00
abstract：:Previous research has revealed a large prevalence of trauma experienced by children, creating high risk for the development of psychopathology. Research investigating the negative impacts of child maltreatment and other traumas has typically examined these experiences individually, controlling for co-occurring traumas...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.04.005
更新日期：2018-06-01 00:00:00
abstract：:The goal of this study was to examine the influence of animal-assisted psychotherapy (AAP) on the psychosocial adaptation of a group of adolescents in residential care who had suffered traumatic childhood experiences and who presented with mental health problems. This study recruited 63 youths (mean age=15.27, SD=1.63...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.09.004
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVE:To evaluate and compare the psychometric qualities of three retrospective, multi-item measures of childhood sexual abuse (CSA): the CSA Frequency Scale, CSA Count Index, and CSA Multiple Characteristics Index. METHODS:Two samples of women 20-50 years old who experienced CSA were recruited from a family pract...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.03.016
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:A mother's ability to attune with her child is crucial in structuring one's attachment style and personality. Both dimensions shape mother-child interactions, and they are therefore likely to impact on the risk of filicide. Numerous risk factors for filicide have been identified, but personality and attachme...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2020.104532
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Parenting a child with a disability has been shown to take a toll on physical health in mid to late life. However, the additional impact of a history of childhood maltreatment has not been explored. OBJECTIVE:This study examined the moderating effect of exposure to childhood maltreatment on the longitudinal...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104505
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:The number of youth in residential care programs who have been abused is high. The relationship between childhood abuse victimization and adult intimate partner violence (IPV) is well documented. This study compared the rates of IPV 16 years after individuals had participated in a long-term residential care p...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.09.003
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVE:This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. METHODS:This analysis is part of a quasi-experimental study, the ...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2007.04.006
更新日期：2007-10-01 00:00:00
abstract：:To increase their knowledge of the medical evaluation and reporting of child sexual abuse, medical students, pediatric resident physicians, fellows and attendings participated in an interdisciplinary team-based training program consisting of didactic lectures, case discussions, videotapes and direct participation in p...
journal_title：Child abuse & neglect
pub_type： 临床试验,杂志文章
doi：10.1016/0145-2134(95)00065-g
更新日期：1995-09-01 00:00:00
abstract：:Studies in other countries, including countries with mandated reporting by professionals and a long history of recognition of the problem, have found child abuse to be seriously under reported. This population-based pilot study was conducted to determine the magnitude of adolescents' exposure to CAN at home, and to id...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.08.016
更新日期：2015-04-01 00:00:00
abstract：:Teachers are potentially helpful resource persons for large numbers of sexually abused children who may have difficulty disclosing abuse, particularly to family members. In the present study, the effectiveness of a 6-hour teacher training workshop on child sexual abuse prevention was evaluated. Responses of 26 female ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90072-5
更新日期：1988-01-01 00:00:00
abstract：BACKGROUND:The intergenerational transmission of ineffective parenting practices and the cycle of crime are well documented. Despite this, insufficient research has examined parenting support services for parents who are involved in the Criminal Justice System (CJS), particularly community corrections. Research suggest...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104226
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:This study presents evaluative data on the Childhood Experiences of Violence Questionnaire (CEVQ), a brief, self-report measure of youth victimization. METHODS:Literature reviews, expert consultations and qualitative interviews informed the development of the CEVQ. Test-retest reliability of the preliminary ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.05.003
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:There is little known about how two sources of child maltreatment reports correspond, specifically for emotional, physical, sexual abuse and emotional or physical neglect. OBJECTIVE:To compare agency and self-reports of child maltreatment and determine whether they are predicted by similar early life course...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104744
更新日期：2020-11-01 00:00:00
abstract：:Different studies have related sexual and physical abuse during childhood and adolescence to the development of substance abuse disorders. Nevertheless, we are not aware of the role that other more common maltreatment types, such as neglect, will play among the most risky pattern of consumption: the polydrug use. A cl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.07.014
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:Managing a crying infant is a challenge universally faced by new parents. This study examined whether parental interpretations, feelings, and behaviors following exposure to a 2-minute videotaped segment of a crying infant varied as a function of child physical abuse (CPA) risk and exposure to cues of hostili...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.11.002
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVE:Young children's descriptions of maltreatment are often sparse thus creating the need for techniques that elicit lengthier accounts. One technique that can be used by interviewers in an attempt to increase children's reports is "paraphrasing," or repeating information children have disclosed. Although we curr...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2010.01.008
更新日期：2010-08-01 00:00:00
abstract：:This study examines how changes in the social and economic structure of neighborhoods relate to changes in child maltreatment report rates over an extended period. The panel study design allows us to partition the changes in child maltreatment report rates into a portion associated with how the levels of socio-economi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.07.025
更新日期：2018-10-01 00:00:00
abstract：:Data is presented identifying factors associated with the impact of sexual abuse on children. A group of 369 sexually abused children and a comparison group of 318 children recruited from the community were compared on a parent-completed behavior rating scale. Data describing the abused children were also available fr...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(87)90059-7
更新日期：1987-01-01 00:00:00
abstract：:Every day, in the United States, children are removed from their homes and placed into state supervised out-of-home care because of concerns around their safety. These children enter care as a result of child abuse, child neglect, abandonment or some other reasons. Lost in most discussions of out-of-home care is the r...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.01.002
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:The KiD 0-3 national main study is a cross-sectional study on adversity in early childhood and parental access to support services, conducted as part of a long-term policy program for early intervention services in Germany. OBJECTIVE:To identify risk factors for child abuse, neglect and exposure to intimate...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104487
更新日期：2020-08-01 00:00:00
