Health care costs of child abuse, abuse/neglect in newborns
- Abuse, neglect seen in 30,000 newborns By Mike Stobbe, AP Medical Writer
4/3/08 Atlanta - About 1 in 50 U.S. infants are victims of nonfatal child abuse
or neglect in a year, according to the first national study of the problem
in that age group. The study focused on children younger than 1 year, and found
nearly a third were one week old or younger when the abuse or neglect
occurred. "It is a particularly vulnerable group," said study co-author Rebecca
Leeb, of the Centers for Disease Control and Prevention. "We were struck by the
fact there was a clustering of maltreatment with the very, very early age
group." The researchers counted more than 91,000 infant victims of abuse and
neglect in the period Oct. 1, 2005 to Sept. 30, 2006. The information came from
a national data base of cases verified by protective services agencies in 45
states, the District of Columbia and Puerto Rico....About 68 percent of those
cases were attributed to neglect....The results mirror what a study in
Canada found, Leeb said. The CDC collaborated on the study with the federal
Administration for Children and Families.
Health Care Utilization and Costs Associated with Childhood Abuse - Amy E.
Bonomi, Melissa L. Anderson, Frederick P. Rivara, Elizabeth A. Cannon, Paul A.
Fishman, David Carrell, Robert J. Reid and Robert S. Thompson - Journal of
General Internal Medicine - 10.1007/s11606-008-0516-1 Abstract - Background -
Physical and sexual childhood abuse is associated with poor health across the
lifespan. However, the association between these types of abuse and actual
health care use and costs over the long run has not been
documented....Participants - Three thousand three hundred thirty-three women (mean age, 47 years)
randomly selected from the membership files of a large integrated health
care delivery system. Measurements - Automated annual health care utilization
and costs were assembled over an average of 7.4 years for women with physical
only, sexual only, or both physical and sexual childhood abuse (as reported
in a telephone survey), and for women without these abuse histories (reference
group). Results - Significantly higher annual health care use and costs
were observed for women with a child abuse history compared to women without
comparable abuse histories. The most pronounced use and costs were observed for
women with a history of both physical and sexual child abuse....Total
adjusted annual health care costs were 36% higher for women with both abuse types,
22% higher for women with physical abuse only, and 16% higher for women with
sexual abuse only. Conclusions Child abuse is associated with long-term
elevated health care use and costs, particularly for women who suffer both
physical and sexual abuse.
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