Abstract
Background
Child maltreatment is an important societal and public health problem. However, there are limited data on the epidemiology of maltreatment related hospitalizations.
Objective
The objective of this study was to describe maltreatment related hospitalizations among children ages 17 and younger in New York State (NYS).
Methods
Using 2011–2013 statewide planning and research cooperative system (SPARCS) inpatient hospital discharge data, maltreatment related hospitalizations among children ages 17 years and younger were identified using international classification of diseases, ninth revision, clinical modification codes for diagnoses and external cause of injury. Distributions of demographic and inpatient care characteristics were compared between hospitalizations for maltreatment and those for other causes, and between different types of maltreatment, using chi-square tests (for categorical variables) and t-tests (for continuous variables).
Results
During 2011–2013, a total of 853 maltreatment related hospitalizations among 836 children ages 17 years and younger were documented in NYS SPARCS. Infants (children < 1) had the highest rates of hospitalization. Overall, physical abuse was the most prevalent maltreatment type reported.
Conclusions
This is the first study in NYS to describe the epidemiology of child maltreatment hospitalizations; it establishes a statewide baseline for this public health and societal issue.
Similar content being viewed by others
References
Bureau of Health Informatics, Office of Quality and Patient Safety, NYS Department of Health, SPARCS Operations Guide. 2016, New York State Department of Health
Davies, F. C., Coats, T. J., Fisher, R., Lawrence, T., & Lecky, F. E. (2015). A profile of suspected child abuse as a subgroup of major trauma patients. Emergency Medicine Journal, 32(12), 921–925.
Dube, S. R., Felitti, V. J., Dong, M., Giles, W. H., & Anda, R. F. (2003). The impact of adverse childhood experiences on health problems: Evidence from four birth cohorts dating back to 1900. Preventive Medicine, 37(3), 268–277.
Farst, K., et al. (2013). Trends in hospitalization rates and severity of injuries from abuse in young children, 1997–2009. Pediatrics, 131(6), e1796–e1802.
Felitti, V. J., & Anda, R. F. (2010). The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders, and sexual behavior: implications for healthcare. The impact of early life trauma on health and disease: The hidden epidemic (pp. 77–87). Cambridge University Press.
Felitti, V. J., Anda, R. F., Nordenberg, D., Willamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., Marks, J. S., The Adverse Childhood Experiences (ACE) Study. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine, 14(4), 245–258.
Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2013). Violence, crime, and abuse exposure in a national sample of children and youth: An update. JAMA Pediatrics, 167(7), 614–621.
Ford, D. C., Merrick, M. T., Parks, S. E., Brejding, M. J., Gilbert, L. K., Edwards, V. J., Dhingra, S. S., Barile, J. P., & Thompson, W. E. (2014). Examination of the factorial structure of adverse childhood experiences and recommendations for three subscale scores. Psychology of Violence, 4(4), 432–444.
Forjuoh, S. N. (2000). Child maltreatment related injuries: Incidence, hospital charges, and correlates of hospitalization. Child Abuse & Neglect, 24(8), 1019–1025.
Friedman, L. S., Sheppard, S., & Friedman, D. (2012). A retrospective cohort study of suspected child maltreatment cases resulting in hospitalization. Injury, 43(11), 1881–1887.
Gessner, B. D., Moore, M., Hamilton, B., & Muth, P. T. (2004). The incidence of infant physical abuse in Alaska. Child Abuse & Neglect, 28(1), 9–23.
Gilbert, R., Wisdom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81.
Giovanelli, A., Reynolds, A., Mondi, C. F., & Ou, S. (2016). adverse childhood experiences and adult well-being in a low-income, urban cohort. Pediatrics. https://doi.org/10.1542/peds.2015-4016
Hussey, J. M., Chang, J. J., & Kotch, J. B. (2006). Child maltreatment in the United States: Prevalence, risk factors, and adolescent health consequences. Pediatrics, 118(3), 933–942.
Klassen, S. A., Chirico, D., O’Leary, D. D., Cairney, J., & Wade, T. J. (2016). Linking systemic arterial stiffness among adolescents to adverse childhood experiences. Child Abuse Neglect, 56, 1–10.
Leventhal, J. M., & Gaither, J. R. (2012). Incidence of serious injuries due to physical abuse in the United States: 1997 to 2009. Pediatrics, 130(5), e847–e852.
Leventhal, J. M., Martin, K. D., & Gaither, J. R. (2012). Using US data to estimate the incidence of serious physical abuse in children. Pediatrics, 129(3), 458–464.
New York Social Services Law, Section 412; Family Court Act, Section 1012.
Nurius, P. S., Green, S., Logan-Greene, P., & Borja, S. (2015). Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis. Child Abuse and Neglect, 45, 143–153.
Putnam-Hornstein, E., Webster, D., Needell, B., & Magruder, J. (2011). A public health approach to child maltreatment surveillance: Evidence from a data linkage project in the United States. Child Abuse Review, 20(4), 256–273.
Russo, C. A., Hambrick, M. M., & Owens, P. L. (2008). Hospital stays related to child maltreatment, 2005. HCUP statistical brief #49. Agency for Healthcare Research and Quality.
Schnitzer, P. G., Slusher, P. L., Kruse, R. L., & Tarleton, M. M. (2011). Identification of ICD codes suggestive of child maltreatment. Child Abuse & Neglect, 35(1), 3–17.
Schnitzer, P. G., Slusher, P., & Van Tuinen, M. (2004). Child maltreatment in Missouri: Combining data for public health surveillance. American Journal of Preventive Medicine, 27(5), 379–384.
U.S. Department of Health and Human Services. (2017). Administration on children, youth and families, children’s bureau, child maltreatment 2015
US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Bridged-Race Population Estimates, United States. 2011–2013.
Vital Statistics of New York State. (2011). Available from https://www.health.ny.gov/statistics/vital_statistics/2011/table01.htm. Accessed 1 Mar 2019.
Vital Statistics of New York State. (2012). Available from https://www.health.ny.gov/statistics/vital_statistics/2012/table01.htm. Accessed 1 Mar 2019.
Vital Statistics of New York State. (2013). Available from https://www.health.ny.gov/statistics/vital_statistics/2013/table01.htm. Accessed 1 Mar 2019.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Rights and permissions
About this article
Cite this article
Ghazaryan, L., Xiong, K., Kroelinger, C. et al. Maltreatment Related Hospitalizations Among Children Ages 17 Years and Younger: New York State, 2011–2013. Matern Child Health J 26, 493–499 (2022). https://doi.org/10.1007/s10995-021-03358-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-021-03358-2