Document Detail

Predicting maltreatment of children of teenage mothers.
MedLine Citation:
PMID:  7704176     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the degree to which knowing certain characteristics about young high-risk families can help distinguish those families most likely to maltreat their children from those families at lower risk of maltreating their children. DESIGN: Observational cohort from which the following predictor variables were gathered when infants were 2 months old: maternal age, depressive symptoms, childrearing attitudes, social support, and living situation (with or apart from related adults). Families were followed up for 24 months to identify the occurrence of maltreatment. SETTING: An urban, socioeconomically disadvantaged cohort of teenage mothers and their infants attending a hospital-based special primary care clinic for teen mothers and their infants. PARTICIPANTS: All full-term infants and mothers enrolled into the clinic in 1990 participated in the study. This included 47 mother-infant pairs enrolled when infants were 2 months of age. Forty-five of these pairs were available for follow-up when infants were 24 months of age. MAIN OUTCOME MEASURES: Maltreatment defined as any incident that prompted investigation by the state child protective agency and was found to be a substantiated case of maltreatment by that agency. RESULTS: Maltreatment occurred in 15 of 45 families before the child's second birthday. Discriminate function analysis produced a model that correctly classified 13 of 15 maltreating mothers and misclassified one of 30 non-maltreating mothers. Stepwise analysis revealed that living situation was by far the strongest predictive variable (R2 = 7). CONCLUSION: Maltreatment was a predictable outcome within this extremely high-risk cohort. Living apart from related adults was the strongest risk factor associated with maltreatment. This easily obtainable piece of information may be an important risk marker for practitioners, social service personnel, and others working with this very-high-risk population. It may allow early supportive interventions that might prevent maltreatment.
P Flanagan; C G Coll; L Andreozzi; S Riggs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  149     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-05-11     Completed Date:  1995-05-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  451-5     Citation Subset:  AIM; IM    
Department of Pediatrics, Women and Infants' Hospital, Providence, USA.
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MeSH Terms
Child Abuse / statistics & numerical data*
Discriminant Analysis
Follow-Up Studies
Predictive Value of Tests
Pregnancy in Adolescence* / psychology
Risk Factors
Sensitivity and Specificity
Socioeconomic Factors
Urban Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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