Pediatric emergency department visits due to child abuse and neglect following COVID-19 public health emergency declaration in the Southeastern United States
| Autor: | Angela Boy, Stephen Messner, Shannon Self-Brown, Lindsey Rose Bullinger |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Child abuse
Adult medicine.medical_specialty child abuse media_common.quotation_subject Pediatrics RJ1-570 Neglect symbols.namesake Pandemic medicine Humans Poisson regression Child Pandemics Child neglect media_common Retrospective Studies business.industry SARS-CoV-2 Medical record Public health Research COVID-19 Retrospective cohort study child neglect pediatric emergency department Southeastern United States United States Family medicine Pediatrics Perinatology and Child Health symbols Public Health business Emergency Service Hospital |
| Zdroj: | BMC Pediatrics BMC Pediatrics, Vol 21, Iss 1, Pp 1-9 (2021) |
| ISSN: | 1471-2431 |
| Popis: | BackgroundThe ongoing worldwide COVID-19 pandemic has heightened several risk factors for child abuse and neglect (CAN). We study whether COVID-19 and the public health response to it affected CAN-related pediatric emergency department (ED) visits in the southeastern United States (US).MethodsWe performed a retrospective chart review on medical records of ED visits from a level I pediatric hospital system serving one of the largest metropolitan areas in the southeastern US from January through June 2018–2020. We used multivariate Poisson regression and linear regression to compare professionally identified CAN-related ED visits before and after a COVID-19 public health emergency declaration in 2020, relative to trends over the same period in 2018 and 2019.ResultsAlthough the number of both overall pediatric ED visits and CAN-related ED visits declined, the number of CAN-related ED visits due to neglect from inadequate adult supervision increased by 62 % (p p p ConclusionsPhysicians should be aware that patients who present with injuries during a pandemic may be victims of neglect due to changes in social structures in their households. In particular, maltreatment presenting to the ED shifted toward treating injuries and abuse resulting from inadequate supervision. Policymakers should consider the impacts of stay-at-home orders on child well-being when determining appropriate public health responses in the midst of a pandemic.Trial RegistrationNot applicable. |
| Databáze: | OpenAIRE |
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