Abstract：
BACKGROUND:Abusive head trauma (AHT) is a severe form of child abuse causing devastating outcomes for children and families, but its economic costs in Canada has yet to be determined. The Period of PURPLE crying program (PURPLE) is an AHT prevention program implemented in British Columbia for which success in reducing AHT events was recently reported. OBJECTIVE:This study estimated the lifetime costs to society of incidental AHT events and compared the benefits and associated costs of AHT before and after the implementation of the PURPLE program. PARTICIPANTS AND SETTING:Children aged 0-24 months old with a definite diagnosis of AHT between 2002 and 2014 in British Columbia were included in this study. METHODS:An incidence-based cost-of-illness analysis, using the human capital approach was used to quantify the lifetime costs of AHT events according to their severity (least severe, severe and fatal). A cost-effectiveness analysis of the PURPLE program was conducted from both a societal and a health services' perspectives using decision tree models. RESULTS:There were sixty-four AHT events between 2002-2014, resulting in a total cost of $354,359,080 to society. The costs associated with fatal, severe and least severe AHT averaged $7,147,548, $6,057,761 and $1,675,099, respectively. The investment of $5 per newborn through the PURPLE program resulted in a $273.52 and $14.49 per child cost avoidance by society and by the healthcare system. CONCLUSIONS:This study provides evidence to policymakers and health practitioners that investing upstream in well-developed AHT prevention programs, such as PURPLE, not only promote child safety and health, but also translates into avoided costs to society.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Beaulieu E,Rajabali F,Zheng A,Pike Idoi
10.1016/j.chiabu.2019.104133subject
Has Abstractpub_date
2019-11-01 00:00:00pages
104133eissn
0145-2134issn
1873-7757pii
S0145-2134(19)30310-2journal_volume
97pub_type
杂志文章abstract：:This paper reports the results of residential treatment plus short-term follow-up of 31 deprived infants. Also discussed are the effects of abuse and socioeconomic status (SES) on the outcome measures. Two matched comparison groups were utilized: infants with similar problems, not admitted to the Center; and infants w...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(86)90010-4
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVE:To better understand how neighborhood and individual factors are related to child maltreatment. METHOD:Using an ecological framework, a multi-level model (Hierarchical Linear Modeling) was used to analyze neighborhood structural conditions and individual risk factors for child abuse and neglect. Parents (n =...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(99)00076-9
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:This study examined the prevalence and psychological sequelae of childhood sexual and physical abuse in adults from the general population. METHOD:A national sampling service generated a geographically stratified, random sample of 1,442 subjects from the United States. Subjects were mailed a questionnaire th...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2003.09.008
更新日期：2003-10-01 00:00:00
abstract：:Thirty-seven adult dissociative disorder patients who reported ritual abuse in childhood by satanic cults are described. Patients came from a variety of separate clinical settings and geographical locations and reported a number of similar abuses. The most frequently reported types of ritual abuse are outlined, and a ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(91)90063-j
更新日期：1991-01-01 00:00:00
abstract：:A retrospective survey of undergraduate students was used to examine the long-term psychological impact of witnessing interparental physical aggression during childhood. Two hundred and three of 1,452 young adults surveyed (14%) reported witnessing as children at least one incident of physical aggression between their...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00009-4
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVE:The goal was to develop a retrospective inventory of parental threatening behavior to facilitate a better understanding of such behavior's role in the etiology of psychological distress. METHOD:Inventory items were developed based on theory and 135 students' responses to a question eliciting examples of thre...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00317-9
更新日期：2002-02-01 00:00:00
abstract：BACKGROUND:Prior studies have suggested maltreatment is a strong predictor of later weight outcomes, such that maltreatment experiences in childhood increase the likelihood of being overweight or obese in adulthood. Estimates of this relationship may be biased due to: 1) inadequate selection of covariates; 2) improper ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104070
更新日期：2019-10-01 00:00:00
abstract：:This study ascertained the efficacy of hospitalization of children with nonorganic failure to thrive (NOFTT). A meta-analysis was performed on previously published research findings which met certain criteria for inclusion in the analysis. Two categories of outcome measures, physical growth pattern and psychosocial de...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90050-6
更新日期：1988-01-01 00:00:00
abstract：:Ground rules directions are given to children in forensic interviews to explain what is expected of them, and to reduce their tendency to acquiesce to erroneous or incomprehensible questions. Ground rules may also be necessary when children provide testimony in court. Drawing on research conducted for the Australian R...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.08.005
更新日期：2017-12-01 00:00:00
abstract：:The aim of the current study was to assess the validity of the sex-plus versus sex-only categorization method for distinguishing between different types of adolescent sex offenders (ASOs; Butler & Seto, 2002). It is hypothesized that this categorization method has utility when attempting to distinguish between general...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.03.003
更新日期：2014-07-01 00:00:00
abstract：:This study examined the effects of social workers' attributions of responsibility on their strategies in cases of father-daughter sexual abuse. Social workers read three vignettes illustrating such abuse. Following each vignette, they rated the degree of responsibility they attributed to the father, mother, and daught...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90035-x
更新日期：1988-01-01 00:00:00
abstract：:Drawing distinctions on the basis of at least some case characteristics in making reporting decisions makes considerable sense. Using data from a national survey of mandated reporters that included vignettes in which case and personal characteristics were systematically varied, this paper examines the impact of select...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(92)90008-f
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To examine abuse specific variables among homeless and runaway adolescents and to look at perpetrators of childhood abuse. METHOD:A total of 372 homeless and runaway adolescents were interviewed using a systematic sampling strategy in metropolitan Seattle. Young people were interviewed on the streets and in ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(02)00413-1
更新日期：2002-12-01 00:00:00
abstract：:This paper describes child protection teams in rural Newfoundland and Labrador, Canada. The teams have developed an innovative model that encourages a community-based response to child abuse. Child protection teams usually follow the case consultation model, which is a group of professionals dealing with specific case...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(95)00142-5
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVE:Cultural and familial ties are crucial for the overall well-being of children. Extant research and permanency planning practices support the reunification of children with their families when possible. In 1978, the Indian Child Welfare Act (ICWA) was enacted to promote cultural and familial preservation for I...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.06.012
更新日期：2004-12-01 00:00:00
abstract：:Adolescent psychiatric inpatients suffer high rates of childhood sexual abuse, trauma-related distress, and suicidality. This study evaluated the hypothesis that three domains of resiliency (i.e., Sense of Mastery, Sense of Relatedness, and Emotional Reactivity) would mediate the effect of trauma-related distress upon...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.01.012
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:Active involvement by parents may contribute substantially to the success of school-based programs to prevent child sexual abuse (CSA). In China, little is known about parental understanding of CSA. This study investigated Chinese parents' knowledge, attitudes, and communication practices with their children ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.12.013
更新日期：2007-07-01 00:00:00
abstract：:Victimization of Mexican youth (aged 12-17) has received little attention compared to that of adults. Using the 2014 Social Survey on Social Cohesion for the Prevention of Violence and Delinquency, we examine prevalence and types of victimization; describe the characteristics of incidents in terms of relationship with...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.02.013
更新日期：2017-05-01 00:00:00
abstract：:The rate at which children are maltreated is one of the most sensitive measures of demographic, social, and economic conditions. Although the consequences of maltreatment and the effectiveness of treatment programs in reducing the incidence have been extensively studied, little attention has been given to identifying ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00101-y
更新日期：1995-01-01 00:00:00
abstract：:This study examined change trajectories of aggressive behaviors among children in long-term residential care in Israel and identified various child-, family-, and placement-related predictors of the change trajectories. Records of 799 children (average age at the beginning of the four years=10.4, 33.1% female) in thei...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.01.020
更新日期：2017-03-01 00:00:00
abstract：:This study is a qualitative analysis of the attributions of sisters (abused and nonabused sister dyads, n = 10 and abused sister dyads, n = 10) who grew up in an incestuous family. While the sibling subsystem is reported to be the most important and enduring relational environment in the life of the family, little is ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(96)00132-9
更新日期：1997-01-01 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
abstract：:This article uses a comprehensive database about children in adversity collected over the 16-year period from 1990 to 2005 in the state of Western Australia. The focus of this interrogation is the effect of major changes in responses to information about children brought to the attention of the Western Australian stat...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.06.004
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Most children exposed to father-perpetrated domestic violence (DV) continue to have contact or live with fathers, yet there is little research on the impact of fathering in the context of domestic violence. OBJECTIVE:This paper aimed to identify pathways from children's exposure to father-perpetrated DV to ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104866
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:To monitor stability of care, the proportion of children in England who have experienced three or more placements in the preceding 12-month period is published in government statistics. However, these annual snapshots cannot capture the complexity and heterogeneity of children's longitudinal care histories. ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104689
更新日期：2020-11-01 00:00:00
abstract：:This study aimed to examine the pathways from child sexual abuse to sexual assault victimization and perpetration in adolescence and early adulthood, considering risky sexual behavior and lowered sexual self-esteem as mediator variables. In a two-wave longitudinal study with 2251 college students in Germany, male and ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.10.004
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Sexual violence research in Africa is overwhelmingly focused on victims with little attention given to perpetrators. In the case of juveniles who perpetrate sexual violence the evidence is mainly from studies in Western industrialized societies. The consequence is that interventions for juveniles who commit ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104570
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:This study examines the incidence and other epidemiological and medico-legal characteristics of child homicide in the territory of Belgrade, Republic of Serbia. METHODS:We performed a retrospective analysis of all autopsies carried out at the Institute of Forensic Medicine in Belgrade during a 15 year period...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2010.06.003
更新日期：2010-12-01 00:00:00
abstract：:It has been suggested that being physically abused leads to someone becoming a perpetrator of abuse which could be associated to parents' gender, timing of the physical abuse and specific socio-demographic variables. This study aims to investigate the role the parents' gender, timing of childhood abuse and socio-demog...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.09.010
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVES:This study aimed to explore the prevalence rate and profiles of abusers and victims of child sexual abuse in a Chinese society. METHOD:A convenience sample of 2,147 Hong Kong Chinese college students completed questionnaires which included items on definitions of child sexual abuse, recall of sexual abuse e...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00306-4
更新日期：2002-01-01 00:00:00
