| Failure to thrive and the risk of child abuse: a prospective population survey. | |
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MedLine Citation:
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PMID: 8536184 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To identify the relative importance of failure to thrive during infancy as a risk factor for later abuse or neglect. DESIGN: Whole population birth cohort (1 January to 31 December 1986) studied prospectively over a four year period. SETTING: An inner city health district in London, England. SUBJECTS: 2609 births, of whom 47 were identified as having non-organic failure to thrive by first birthday. MAIN OUTCOME MEASURES: Registration on Child Protection Register, or subject to investigation of suspected abuse or neglect without registration. RESULTS: 2.5% (64) of birth cohort had been placed on the Child Protection Register during the period 1986-1990, and a further 1.2% (32) had been a cause for concern. The relative risk attributable to non-organic failure to thrive was 4.3 (95% CI 1.65 to 11.94) and exceeded other measured risk factors, including birth weight < 2500 g, 1.96 (95% CI 1.01 to 3.82); gestation < 35 weeks, 3.26 (95% CI 1.32 to 3.75); ordinal position > or = 4, 1.53 (95% CI 0.72 to 3.23). A multiple logistic regression confirmed the independent contribution of non-organic failure to thrive to subsequent poor parenting warranting professional intervention. CONCLUSIONS: Early postnatal non-organic failure to thrive is a risk factor for later serious parenting deficiencies, but previous research has overstated its importance. Within the community studied the nature of subsequent risk was (non-nutritional) neglect, rather than non-accidental injury. More than eight out of 10 cases do not give further cause for concern. |
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Authors:
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D H Skuse; D Gill; S Reilly; D Wolke; M A Lynch |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of medical screening Volume: 2 ISSN: 0969-1413 ISO Abbreviation: J Med Screen Publication Date: 1995 |
Date Detail:
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Created Date: 1996-02-02 Completed Date: 1996-02-02 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 9433359 Medline TA: J Med Screen Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 145-9 Citation Subset: IM |
Affiliation:
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Behavioural Sciences Unit, Institute of Child Health, London, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Child Abuse / statistics & numerical data* Failure to Thrive / epidemiology* Female Humans Infant Infant, Newborn London / epidemiology Models, Statistical Parents Pregnancy Risk Factors Sex Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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