Document Detail

Preventable injury deaths: a population-based proxy of child maltreatment risk in California.
MedLine Citation:
PMID:  22379216     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study used group variations in child injury fatality rates to assess racial bias in the population of children identified as victims of maltreatment.
METHODS: Injury fatality and maltreatment data from California were compiled for the years 1998-2007. Death and maltreatment risk ratios (RRs) and 95% confidence intervals (CIs) were computed by race and age. Rates of excess child injury mortality by race were derived from three different baseline rates of death. Substantiations per excess injury death were calculated.
RESULTS: compared with white children, black children faced a risk of substantiated maltreatment that was more than twice as great (black RR: 2.39, 95% CI 2.37, 2.42) and were fatally injured at nearly twice the rate (black RR: 1.89, 95% CI 1.68, 2.12). Per excess death, however, black children had rates of substantiated maltreatment allegations that were equivalent to or lower than the rates for white children.
CONCLUSIONS: These data support claims that, at least in California, black-white racial disparities observed in maltreatment rates reflect real group differences in risk. These data provide no evidence of systematic racial bias in the child protective services' substantiation process.
Emily Putnam-Hornstein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  127     ISSN:  1468-2877     ISO Abbreviation:  Public Health Rep     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-03-01     Completed Date:  2012-05-03     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-72     Citation Subset:  AIM; IM    
University of Southern California, School of Social Work, Los Angeles, CA 90089-0411, USA.
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MeSH Terms
African Continental Ancestry Group*
California / epidemiology
Child Abuse / ethnology*
Child Mortality / ethnology*
Child, Preschool
European Continental Ancestry Group*
Healthcare Disparities / ethnology
Risk Factors
Wounds and Injuries / mortality*,  prevention & control

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

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