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Child Abuse

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Reduce the rate of repeat substantiated maltreatment (abuse and neglect) of children.

Developmental Objective, baseline data to be collected and analyzed in 2001.

Objectives/Targets

Injury - Child Abuse


     Child abuse is increasing in North Carolina. From 1989 to 1998, the number of child abuse reports in North Carolina increased from 44,000 to 114,000. Of the 114,000 reports, almost 35,000 were substantiated. Eighty-five percent of the reports were for child neglect, nine percent for child abuse, and six percent for abuse and neglect. In 1996, 77 children died from causes such as fire, drowning, and gun shot wounds. In 1998, the Medical Examiner determined that 23 children in North Carolina died from child abuse. These deaths may have been preventable by age-appropriate care, supervision, and safety standards. In North Carolina, the definition of child abuse pertains only to the abusive actions of a biological parent, boyfriend/girlfriend, or caretaker. Children abused or neglected by others are not counted as abused/neglected; these children would be listed as assault victims.

     The costs of child abuse and neglect intervention and treatment are $10,000/year/child, plus court costs to investigate a case resulting in foster care. Child abuse often leads to juvenile delinquency and/or mental illness. It costs $50,000/year to detain a young person in a public training school facility and $80,000/year to maintain a seriously troubled child in a residential treatment center.

     Effects of child abuse and neglect last over a lifetime and are often passed on to the next generation. One-third of abused children grow up to continue the pattern of seriously inept, neglectful, or abusive parenting. A forty-year study of abused and neglected children found that half of these children had been convicted of serious crimes, were mentally ill, had substance abuse problems, or died at an early age. Child abuse increases an individual’s chances of delinquency and adult criminality (including violent crimes) by over 40 percent.

 
 

Disparities


    
Men who abuse their partners may also abuse their children. Abused women are more likely to abuse their children than non-abused women. Children living in homes where there are economic hardships, lack of employment, poverty, discrimination, and lack of education are at risk for abuse and/or neglect. Children who are disabled and developmentally challenged have a higher incidence of abuse and neglect. Studies suggest that younger children, girls, premature infants, and children with more irritable temperaments are more vulnerable to abuse and neglect. Also, children who are medically fragile are at risk. Child maltreatment is three times as likely in alcohol abusing families compared with non-alcohol abusing families. Children from families with annual incomes below $15,000, as compared to children from families with annual incomes above $30,000 per year, were over 22 times more likely to experience some form of maltreatment.
 
 

Determinants/Risks


    Children under age 12, especially younger children ages (0-6 years old), and premature infants; disabled and developmentally-challenged children; girls; children with more irritable temperaments; children who are medically fragile; children in the care of adults who abuse alcohol and drugs; children in low-income homes
 
 

NC Data


Injury - Child Abuse

 


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