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Item Consultations in Child Abuse Pediatrics(Sage, 2020-07) Hicks, Ralph A.; Laskey, Antoinette L.; Harris, Tara L.; Hibbard, Roberta A.; Pediatrics, School of MedicineThis study describes a hospital-based child abuse pediatrics consultation service. Medical records for all child abuse pediatrics consultations during 2006 to 2009 were reviewed. Descriptive statistics were used for data analysis. Of 2495 consultations, 13 were excluded due to insufficient information, 1682 were examinations for suspected sexual abuse, and 800 were examinations for nonsexual abuse concerns. Among the latter group of 800 patients, the most common reasons for consultation were fracture (33.5%), nonburn skin injury (16.8%), burn (15.4%), and intracranial injury (13.2%). Median patient age was 11 months (range = 3 days to 16 years). Case fatality rate was 3.9%. Final diagnosis was classified as definite/likely abuse in 40.0%, questionable/unknown in 24.5%, definite/likely accident in 23.6%, no injury in 4.6%, neglect in 4.0%, and a medical condition in 3.2%. Therefore, among consultations requested for suspected child maltreatment, a child abuse pediatrician concluded that abuse was definite or likely in less than half of patients.Item Interpersonal Victimization of Latino Youth: a Latent Class Analysis(Springer, 2021-01) Mariscal, E. Susana; Sabina, Chiara; Cuevas, Carlos A.; School of Social WorkThis study identifies latent classes of interpersonal victimization among Latino youth using a national sample and then compares these latent classes on demographic characteristics, mental health (depression, anxiety, and hostility), and delinquency. We used data from the Dating Violence Among Latino Adolescents (DAVILA) study that surveyed 1525 Latino teens and their caregivers across the USA, by phone, from September 2011 to February 2012. Participants completed modified versions of the Juvenile Victimization Questionnaire and the Conflict Tactics Scales 2- Short Form. Latent class analysis examined victimization types and relationship to perpetrators. We compared latent classes on demographics, mental health, and delinquency via multinomial logistic regression. A six-class solution was found. The six classes were Multiform Victimization by Multiple Perpetrators (n = 184, 12.1%), Psychological Dating Violence Victimization (n = 99, 6.5%), Psychological Victimization by Peers (n = 236, 15.5%), Physical Victimization by Peers (n = 127, 8.3%), Physical Violence Victimization by Juvenile Family Members (n = 93, 6.1%) and Uninvolved (n = 786; 51.5%). Classes differed on some demographic variables, hostility scores, and the rate of delinquency. Our findings provide further evidence regarding the heterogeneity of victimization experiences among Latino youth. LCA results also suggest that victimization occurs across a range of perpetrators, both inside and outside of the home. Hostility and delinquency were central to differentiating the classes, indicating their relevance among poly-victimized Latino youth. This analysis provides further understanding of the various ways Latino youth experience victimization and what factors may differentiate the various groupings of victimization profiles.Item Using administrative data to uncover how often and why supervisory neglect happens: Implications for child maltreatment prevention(Elsevier BV, 2021-12) Sokol, Rebeccah L.; Victor, Bryan G.; Mariscal, E. Susana; Ryan, Joseph P.; Perron, Brian E.; School of Social WorkBackground Despite supervisory neglect being the most prevalent and fatal neglect sub-type, the most common reasons why caregivers are substantiated for this type of maltreatment remains unknown. Objective Our study describes cases substantiated for supervisory neglect in a Midwestern state in an effort to inform prevention strategies against supervisory neglect. Participants and setting This study utilized state administrative data from substantiated child maltreatment investigations conducted between May 1st and October 31st, 2019 (N = 11,208). Methods We first identified the substantiated investigations where supervisory neglect was present and established investigation-level correlates for these cases. We then selected a random sample of investigations with a substantiated allegation of supervisory neglect (n = 150) for a qualitative review of written investigative narratives to uncover the contextual factors of supervisory neglect and identify which factors frequently co-occur. Results Supervisory neglect was the most common maltreatment type, present in 71% (n = 7945) of substantiated child welfare investigations. Our qualitative review of 150 randomly selected cases identified ten distinct, non-mutually exclusive contextual factors of supervisory neglect. Child exposure to domestic violence was the most prevalent contextual factor (45%), followed by caregiver's substance-related problems (42%). Childhood exposure to domestic violence and caregiver's substance-related problems was the most common co-occurrence of factors, present in 18% of cases. Conclusions Supervisory neglect accounts for the vast majority of child maltreatment incidents. To prevent the largest share of supervisory neglect cases, policy and programs are needed to address domestic violence and substance-related problems among caregivers.