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Longitudinal Association of County-Level Economic Indicators and Child Maltreatment Incidents

Maternal and Child Health Journal volume 18, pages 2202–2208 (2014)Cite this article

Abstract

To evaluate the association between economic indicators (unemployment and mortgage foreclosure rates) and volume of investigated and substantiated cases of child maltreatment at the county level from 1990 to 2010 in the Commonwealth of Pennsylvania. County-level investigated reports of child maltreatment and proportion of investigated cases substantiated by child protective services in the Commonwealth of Pennsylvania were compared with county-level unemployment rates from 1990 to 2010, and with county-level mortgage foreclosure rates from 2000 to 2010. We employed fixed-effects Poisson regression modeling to estimate the association between volume of investigated and substantiated cases of maltreatment, and current and prior levels of local economic indicators adjusting for temporal trend. Across Pennsylvania, annual rate of investigated maltreatment reports decreased through the 1990s and rose in the early 2000s before reaching a peak of 9.21 investigated reports per 1,000 children in 2008, during the recent economic recessionary period. The proportion of investigated cases substantiated, however, decreased statewide from 33 % in 1991 to 15 % in 2010. Within counties, current unemployment rate, and current and prior-year foreclosure rates were positively associated with volume of both investigated and substantiated child maltreatment incidents (p < 0.05). Despite recent increases in investigations, the proportion of investigated cases substantiated decreased by more than half from 1990 to 2010 in Pennsylvania. This trend suggests significant changes in substantiation standards and practices during the period of study. Economic indicators demonstrated strong association with investigated and substantiated maltreatment, underscoring the urgent need for directing important prophylactic efforts and resources to communities experiencing economic hardship.

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Fig. 1
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Abbreviations

AHT:

Abusive head trauma

CPS:

Child protective services

NCANDS:

National Child Abuse and Neglect Data System

References

  1. US Business Cycle Expansions and Contractions (2013). National Bureau of Economic Research. http://www.nber.org/cycles.html#announcements.

  2. Garr, E. (2011). The landscape of recession: Unemployment and safety net services across Urban and Surburban America. The Brookings Institution. http://www.brookings.edu/~/media/research/files/papers/2011/3/31%20recession%20garr/0331_recession_garr.pdf.

  3. Bocian, D., Li, W., & Reid, C. (2011). Lost Ground, 2011: Disparities in mortgage lending and foreclosures. Center for Responsible Lending. http://www.responsiblelending.org/mortgage-lending/research-analysis/Lost-Ground-2011.pdf.

  4. Berger, L. M. (2004). Income, family structure, and child maltreatment risk. Children and Youth Services Review, 26(8), 725–748.

    Article  Google Scholar 

  5. Cancian, M., Slack, K.S., & Yang, M.Y. (2010). The effect of family income on risk of child maltreatment. Institute for Research on Poverty. http://www.irp.wisc.edu/publications/dps/pdfs/dp138510.pdf.

  6. Mersky, J. P., Berger, L. M., Reynolds, A. J., & Gromoske, A. N. (2009). Risk factors for child and adolescent maltreatment: a longitudinal investigation of a cohort of inner-city youth. Child Maltreatment, 14(1), 73–88.

    Article  PubMed  Google Scholar 

  7. Sedlak, A.J., & Broadhurst, D.D. (1996). Third national incidence study of child abuse and neglect (NIS-3). National Center on Child Abuse and Neglect. https://www.childwelfare.gov/pubs/statsinfo/nis3.cfm.

  8. Sedlak, A.J., Mettenburg, J., Basena, M., Petta, I., McPherson, K., Greene, A., & Li, S. (2010). Fourth national incidence study of child abuse and neglect (NIS-4): Report to congress. National Center on Child Abuse and Neglect. http://www.acf.hhs.gov/sites/default/files/opre/nis4_report_congress_full_pdf_jan2010.pdf.

  9. Gelles, R. J. (1992). Poverty and violence toward children. American Behavioral Scientist, 35(3), 258.

    Article  Google Scholar 

  10. Zuravin, S. J. (1986). Residential density and urban child maltreatment: An aggregate analysis. Journal of Family Violence, 1(4), 307–322.

    Article  Google Scholar 

  11. Young, G., & Gately, T. (1988). Neighborhood impoverishment and child maltreatment: An analysis from the ecological perspective. Journal of Family Issues, 9(2), 240–254.

    Article  Google Scholar 

  12. Deccio, G., Horner, W. C., & Wilson, D. (1994). High-risk neighborhoods and high-risk families: Replication research related to the human ecology of child maltreatment. Journal of Social Service Research, 18(3–4), 123–137.

    Article  Google Scholar 

  13. Coulton, C. J., Korbin, J. E., Su, M., & Chow, J. (1995). Community level factors and child maltreatment rates. Child Development, 66(5), 1262–1276.

    Article  PubMed  CAS  Google Scholar 

  14. Drake, B., & Pandey, S. (1996). Understanding the relationship between neighborhood poverty and specific types of child maltreatment. Child Abuse and Neglect, 20(11), 1003–1018.

    Article  PubMed  CAS  Google Scholar 

  15. Gillham, B., Tanner, G., Cheyne, B., Freeman, I., Rooney, M., & Lambie, A. (1998). Unemployment rates, single parent density, and indices of child poverty: Their relationship to different categories of child abuse and neglect. Child Abuse and Neglect, 22(2), 79–90.

    Article  PubMed  CAS  Google Scholar 

  16. Coulton, C. J., Korbin, J. E., & Su, M. (1999). Neighborhoods and child maltreatment: A multi-level study. Child Abuse and Neglect, 23(11), 1019–1040.

    Article  PubMed  CAS  Google Scholar 

  17. Freisthler, B., Bruce, E., & Needell, B. (2007). Understanding the geospatial relationship of neighborhood characteristics and rates of maltreatment for black, Hispanic, and white children. Social Work, 52(1), 7–16.

    Article  PubMed  Google Scholar 

  18. Finkelhor, D., Turner, H., Ormrod, R., & Hamby, S. L. (2010). Trends in childhood violence and abuse exposure: Evidence from 2 national surveys. Archives of Pediatrics and Adolescent Medicine, 164(3), 238–242.

    Article  PubMed  Google Scholar 

  19. Finkelhor, D., Jones, L., & Shattuck, A. (2010). Updated trends in child maltreatment. Crimes Against Children Research Center, 2011.

  20. Wood, J. N., Medina, S. P., Feudtner, C., Luan, X., Localio, R., Fieldston, E. S., et al. (2012). Local macroeconomic trends and hospital admissions for child abuse, 2000–2009. Pediatrics, 130(2), e358–e364.

    Article  PubMed  Google Scholar 

  21. Berger, R. P., Fromkin, J. B., Stutz, H., Makoroff, K., Scribano, P. V., Feldman, K., et al. (2011). Abusive head trauma during a time of increased unemployment: A multicenter analysis. Pediatrics, 128(4), 637–643.

    Article  PubMed  Google Scholar 

  22. Millett, L., Lanier, P., & Drake, B. (2011). Are economic trends associated with child maltreatment? Preliminary results from the recent recession using state level data. Children and Youth Services Review, 33(7), 1280–1287.

    Article  Google Scholar 

  23. Krugman, R. D., Lenherr, M., Betz, L., & Fryer, G. E. (1986). The relationship between unemployment and physical abuse of children. Child Abuse and Neglect, 10(3), 415–418.

    Article  PubMed  CAS  Google Scholar 

  24. Steinberg, L. D., Catalano, R., & Dooley, D. (1981). Economic antecedents of child abuse and neglect. Child Development, 52(3), 975–985.

    Article  PubMed  CAS  Google Scholar 

  25. Pare, J. (1992). Unemployment and child abuse in a rural community: A diverse relationship. In 8th National symposium on child victimization. Washington, DC.

  26. Huang, M. I., O’Riordan, M. A., Fitzenrider, E., McDavid, L., Cohen, A. R., & Robinson, S. (2011). Increased incidence of nonaccidental head trauma in infants associated with the economic recession. Journal of Neurosurgery Pediatrics, 8(2), 171–176.

    Article  PubMed  Google Scholar 

  27. Local area unemployment statistics database (2010). U.S. Bureau of Labor Statistics. http://www.bls.gov/lau/#data.

  28. Kan, J. (2008). Sources of foreclosure data. Mortgage Bankers Association. http://www.mortgagebankers.org/files/Research/July2008SourcesofForeclosureData.pdf.

  29. Slack, K. S., Holl, J. L., McDaniel, M., Yoo, J., & Bolger, K. (2004). Understanding the risks of child neglect: an exploration of poverty and parenting characteristics. Child Maltreatment, 9(4), 395–408.

    Article  PubMed  Google Scholar 

  30. Freisthler, B. (2004). A spatial analysis of social disorganization, alcohol access, and rates of child maltreatment in neighborhoods. Children and Youth Services Review, 26(9), 803–819.

    Article  Google Scholar 

  31. Krishnan, V., & Morrison, K. B. (1995). An ecological model of child maltreatment in a Canadian province. Child Abuse and Neglect, 19(1), 101–113.

    Article  PubMed  CAS  Google Scholar 

  32. Leventhal, J. M., Larson, I. A., Abdoo, D., Singaracharlu, S., Takizawa, C., Miller, C., et al. (2007). Are abusive fractures in young children becoming less common? Changes over 24 years. Child Abuse and Neglect, 31(3), 311–322.

    Article  PubMed  Google Scholar 

  33. Almeida, J., Cohen, A. P., Subramanian, S. V., & Molnar, B. E. (2008). Are increased worker caseloads in state child protective service agencies a potential explanation for the decline in child sexual abuse? A multilevel analysis. Child Abuse and Neglect, 32(3), 367–375.

    Article  PubMed  Google Scholar 

  34. Fallon, B., Trocmé, N., Fluke, J., MacLaurin, B., Tonmyr, L., & Yuan, Y. Y. (2010). Methodological challenges in measuring child maltreatment. Child Abuse and Neglect, 34(1), 70–79.

    Article  PubMed  Google Scholar 

  35. Gunn, V. L., Hickson, G. B., & Cooper, W. O. (2005). Factors affecting pediatricians’ reporting of suspected child maltreatment. Ambulatory Pediatrics, 5(2), 96–101.

    Article  PubMed  Google Scholar 

  36. Flaherty, E. G., Sege, R. D., Griffith, J., Price, L. L., Wasserman, R., Slora, E., et al. (2008). From suspicion of physical child abuse to reporting: Primary care clinician decision-making. Pediatrics, 122(3), 611–619.

    Article  PubMed  Google Scholar 

  37. Stephens-Davidowitz, S. (2013). Unreported victims of an economic downturn., in Essays Using Google Data. Harvard University, p. 64–95. http://dash.harvard.edu/bitstream/handle/1/10984881/StephensDavidowitz_gsas.harvard_0084L_11016.pdf?sequence=1.

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Acknowledgement

Dr. Joanne Wood’s institution has received payment for expert witness court testimony that Dr. Wood has provided in cases of suspected child abuse when subpoenaed to testify. Dr. Wood has received salary funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (Grant: 1K23HD071967-01).

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Authors and Affiliations

  1. Tripler Army Medical Center, Honolulu, HI, USA

    Sarah Frioux

  2. PolicyLab, Division of General Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, PA, 19104, USA

    Joanne N. Wood, Oludolapo Fakeye, Xianqun Luan, Russell Localio & David M. Rubin

  3. Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    Joanne N. Wood & David M. Rubin

  4. Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    Russell Localio

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  1. Sarah Frioux
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  2. Joanne N. Wood
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Correspondence to Joanne N. Wood.

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Frioux, S., Wood, J.N., Fakeye, O. et al. Longitudinal Association of County-Level Economic Indicators and Child Maltreatment Incidents. Matern Child Health J 18, 2202–2208 (2014). https://doi.org/10.1007/s10995-014-1469-0

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