Risk factors and suspected child maltreatment.

详细信息   

• 作者：Pino ; Lilia Diaz.
• 学历：Doctor
• 年：2010
• 毕业院校：University of Miami
• Department：Nursing (Nursing).
• ISBN：9781124402970
• CBH：3434026
• Country：USA
• 语种：English
• FileSize：1522231
• Pages：126

文摘

Maltreatment affected an estimated 794,000 children in the 50 States,the District of Columbia,and Puerto Rico in 2007 United States Department of Health and Human Services [USDHHS],2009). The purpose of this study was to examine the risk factors of young maternal age,parents marital status,multiple birth,preterm birth,birth defects/disability,low economic status,and parental substance abuse related to suspected maltreatment of children 3 years of age or younger from the prospective of pediatric nurse practitioners PNPs). A cross-sectional survey design,using the Tailored Design Method,was used in this study. A convenience sample consisting of the National Association of Pediatric Nurse Practitioners NAPNAP) email registry was used for this study with a response rate of 11%. The respondents represented all regions of the United States. Seventy-nine percent of the PNPs n＝363) who completed the survey had suspected child abuse or neglect within the last year in a child three years of age or younger compared to 21% of PNPs n＝96) who did not suspect child maltreatment within the past year. The prevalence of suspected child maltreatment in the study population was 2.35%. According to the model examining child risk factors and abuse,the log of the odds of a child being abused was negatively related to preterm birth p＝.036) and birth defects/disability p＝.001). Multiple birth was positively related but not significant p＝.359). There were no statistically significant child risk factors found in the logistical regression for neglect preterm birth,p＝.180； multiple births,p＝.938； birth defects/disabilities,p＝.234). When examining the abuse and neglect groups together,the log of the odds of a child being abused and neglected was negatively related to birth defects/disabilities p＝.030). Preterm birth p＝.364) and multiple birth p＝.298) were positively related to the abuse and neglect group but were not significant. According to the model examining parental risk factors and abuse,the log of the odds of a child being abused due to a parent characteristic was negatively related to low economic status,with the proxy being WIC eligibility p＝.001) and a history of substance abuse p＝.031). The regression for abuse indicated a positive,yet insignificant,relationship with young maternal age p＝.129) and single marital status p＝.816). The logistic regression for neglect indicated a positive significant relationship with a substance abuse history p＝.012). The regression for neglect indicated positive but insignificant relationships for young maternal age p＝.693),marital status p＝.343),and WIC eligibility p＝.106). There were no statistically significant parental risk factors found in the logistical regression for abuse and neglect together young maternal age,p＝.263； marital status,p＝.523； WIC eligibility,p＝.131； substance abuse,p＝.985). Findings indicated that child maltreatment is suspected by PNPs in primary care settings,and that PNPs recognize signs and symptoms of abuse and neglect.