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 Vol. 8 No. 6, December 2002
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AAP Grand Rounds 8:64-65 (2002)
© 2002 American Academy of Pediatrics

CHILD ABUSE AND NEGLECT

Racial Differences in the Evaluation for Physical Abuse

Source: Lane WG, Rubin DM, Monteith R, et al. Racial differences in the evaluation of pediatric fractures for physical abuse. JAMA. 2002;288:1603–1609.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Are minority children more likely to be abused? The evidence is conflicting and some prior studies suggest that underreporting of whites and overreporting of minorities may occur.1–4 This retrospective review sought to determine whether there are racial differences in the evaluation and reporting of abuse in young children hospitalized for fractures at the Children’s Hospital of Philadelphia. After appropriate case exclusions (eg, records unavailable, race not reported, birth or vehicular trauma, etc.), records of 388 children younger than 3 years of age hospitalized between 1994–2000 for acute skull or long bone fractures were reviewed to determine the characteristics of those patients who had skeletal surveys or who were reported to Child Protective Services (CPS) for suspected child abuse.

The mean age of the total cohort was 13 . . . [Full Text of this Article]

Robert M. Reece, MD, FAAP
Child Protection Program, The Floating Hospital for Children at New England Medical Center, Boston, MA

 





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