Hospitalization for physical child abuse : associated medical factors and medical history since birth

Loiseau, Mélanie; Cottenet, Jonathan; François-Purssell, Irène; Bechraoui-Quantin, Sonia; Jud, Andreas; Gilard-Pioc, Séverine; Quantin, Catherine

doi:10.1016/j.chiabu.2023.106482

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-30082

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Hospitalization for physical child abuse : associated medical factors and medical history since birth
Authors:	Loiseau, Mélanie Cottenet, Jonathan François-Purssell, Irène Bechraoui-Quantin, Sonia Jud, Andreas Gilard-Pioc, Séverine Quantin, Catherine
et. al:	No
DOI:	10.1016/j.chiabu.2023.106482 10.21256/zhaw-30082
Published in:	Child Abuse & Neglect
Volume(Issue):	146
Issue:	106482
Issue Date:	Dec-2023
Publisher / Ed. Institution:	Elsevier
ISSN:	0145-2134 1873-7757
Language:	English
Subjects:	Infant physical abuse; Medical factor; Prematurity and family-precariousness; Infant, newborn; Infant; Child; Humans; Male; Hospitalization; Infant, premature; Hospital; Physical abuse; Child abuse
Subject (DDC):	362.7: Youth services
Abstract:	Background: Physical abuse often begins at a very young age and sometimes results in serious or fatal injuries. It is crucial to diagnose physical abuse as early as possible to protect this vulnerable population. Objective: To study the factors associated with the first hospitalization for physical abuse from birth to the infant's first birthday in France. Participants and setting: We included all singleton children born in a hospital setting in France between 2009 and 2013, who were identified from the French national information system database (SNDS). Methods: To study factors associated with the first hospitalization for physical abuse during the first year after birth, we used the Fine and Gray regression model. Factors included in the multivariate model were the infant's sex, prematurity, neonatal conditions, the number of hospitalizations (at least two), medical consultations and complementary universal health insurance (proxy for family precariousness and socio-economic vulnerability). Results: Over the 2009–2013 period, among 3,432,921 newborn singletons, 903 (0.026 %) were hospitalized for physical abuse in the year following birth. Among the factors associated with physical abuse, such as prematurity (aHR = 2.2[1.8–2.7]), male sex (aHR = 1.3[1.2–1.5]), or having had at least two hospitalizations (aHR = 1.7[1.4–2.1]), we found that complementary universal health insurance coverage was the factor most associated (aHR = 4.1[3.5–4.7]) with being hospitalized for physical abuse. Conclusion: These findings could help introduce preventative measures for infant protection in certain groups, such as parents of infants born prematurely, especially if they are in a precarious situation. This study also suggests that particular attention should be paid to infants who have been hospitalized at least two times in the first year of life, whatever the reason.
URI:	https://digitalcollection.zhaw.ch/handle/11475/30082
Fulltext version:	Published version
License (according to publishing contract):	CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement:	Social Work
Organisational Unit:	Institute of Childhood, Youth and Family (IKJF)
Appears in collections:	Publikationen Soziale Arbeit

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Loiseau, M., Cottenet, J., François-Purssell, I., Bechraoui-Quantin, S., Jud, A., Gilard-Pioc, S., & Quantin, C. (2023). Hospitalization for physical child abuse : associated medical factors and medical history since birth. Child Abuse & Neglect, 146(106482). https://doi.org/10.1016/j.chiabu.2023.106482

Loiseau, M. et al. (2023) ‘Hospitalization for physical child abuse : associated medical factors and medical history since birth’, Child Abuse & Neglect, 146(106482). Available at: https://doi.org/10.1016/j.chiabu.2023.106482.

M. Loiseau et al., “Hospitalization for physical child abuse : associated medical factors and medical history since birth,” Child Abuse & Neglect, vol. 146, no. 106482, Dec. 2023, doi: 10.1016/j.chiabu.2023.106482.

LOISEAU, Mélanie, Jonathan COTTENET, Irène FRANÇOIS-PURSSELL, Sonia BECHRAOUI-QUANTIN, Andreas JUD, Séverine GILARD-PIOC und Catherine QUANTIN, 2023. Hospitalization for physical child abuse : associated medical factors and medical history since birth. Child Abuse & Neglect. Dezember 2023. Bd. 146, Nr. 106482. DOI 10.1016/j.chiabu.2023.106482

Loiseau, Mélanie, Jonathan Cottenet, Irène François-Purssell, Sonia Bechraoui-Quantin, Andreas Jud, Séverine Gilard-Pioc, and Catherine Quantin. 2023. “Hospitalization for Physical Child Abuse : Associated Medical Factors and Medical History since Birth.” Child Abuse & Neglect 146 (106482). https://doi.org/10.1016/j.chiabu.2023.106482.

Loiseau, Mélanie, et al. “Hospitalization for Physical Child Abuse : Associated Medical Factors and Medical History since Birth.” Child Abuse & Neglect, vol. 146, no. 106482, Dec. 2023, https://doi.org/10.1016/j.chiabu.2023.106482.