Etiology Of Child Maltreatment Research Articles

Universal Child Care as a Policy to Prevent Child Maltreatment.

Universal Child Care as a Policy to Prevent Child Maltreatment.

How does neighborhood affect child maltreatment among immigrant families?

Background: Child maltreatment in immigrant families is understudied, although research suggests that they are at higher risk of child abuse and neglect. While the limited studies on the etiology of child maltreatment among immigrant families have mainly focused on children and their caregivers, this study breaks new ground by examining the neighborhood as an environmental context for child maltreatment among immigrant families. Methods: Following social disorganization theory, this study explores the mechanisms by which neighborhood structural characteristics and social processes affect the maltreatment of children in immigrant families, using the Fragile Families and Child Wellbeing Study (N = 372). Results: Structural equation modeling revealed that negative neighborhood structural characteristics were positively associated with higher physical assault (β = 0.42, p < .001), higher psychological aggression (β = 0.29, p < .001), and higher neglect (β = 0.19, p < .001) among immigrant families. Conversely, positive neighborhood social processes were associated with lower physical assault (β = −0.37, p < .001) and lower psychological aggression (β = −0.31, p < .001) among immigrant families. In addition, neighborhood social processes mediated the relationship between neighborhood structural characteristics and child physical assault (β = −0.09, p < .001) among immigrant families. Conclusions: The findings of this study highlighted the positive role of neighborhood social processes in reducing child physical assault among immigrant families, even in neighborhoods with negative structural characteristics.

Broken bonds: A meta-analysis of emotion reactivity and regulation in emotionally maltreating parents.

Emotional maltreatment is the most pervasive but least studied form of abuse. In the present study, we examined the role of emotion reactivity and emotion regulation in emotional child maltreatment. We identified nine studies that compared levels of parental emotion reactivity and regulation in emotionally maltreating families with levels in non-maltreating families. Our meta-analytic findings revealed that, in comparison to non-maltreating parents, parents who are emotionally maltreating their children report higher levels of negative affect, depression, verbal aggression, and anger. We also found that in comparison to non-maltreating parents, emotionally maltreating parents report lower levels of emotional control, emotion regulation, and coping strategies. We outline the theoretical and practical implications of these results, and emphasize how research into the etiology of child maltreatment may provide the basis for more effective prevention, screening, and treatment practices designed to eradicate emotional maltreatment.

Poverty and Child Welfare, 101 Years Later

It has been 101 years since the first White House Conference on the Care of Dependent Children. Advocates were admonished to refrain from disrupting families simply because the families were poor. This basic instruction has proved difficult to implement. Public child welfare has become a system that primarily serves poor children and their families (Pelton, 1994). How well these families are served is open to debate. POVERTY AND CHILD WELFARE A review of families served by child welfare reveals that many of the families are poor. Most of the referrals to Child Protective Services allege neglect, which is strongly associated with poverty (Sedlak & Broadhurst, 1996; U.S. Department of Health and Human Services, 2008). The overrepresentation of African Americans in the child welfare system suggests that race may serve to exacerbate the role of socioeconomic status (Harris & Hackett, 2008). Poverty is a threat to the well-being of children (Maluccio, Pine, & Tracy, 2002). However, policies and services to ameliorate poverty are much harder to find. The disadvantages of poverty are cumulative. Poor families come to the attention of child welfare for poverty-related issues. Children can be hungry, be living in substandard housing or be homeless, be unsupervised while a parent works or is meeting other responsibilities, be truant from failing schools, lack medical care, or have a caretaker with untreated mental illness or substance abuse. Each of these issues can be a pathway to placement. Locating accessible and effective community services for these issues can be a daunting task for child welfare staff. Compounding the challenges are pressing workforce issues. High turnover rates among child welfare staff are costly for agencies struggling to recruit, train, and retain staff and are expensive for families as service plans are delayed, not evaluated, or not even implemented (Graef & Hill, 2000). Housing and residing in low-income neighborhoods are especially troubling areas for families involved in the child welfare system. Housing problems can result in both the disruption of families and the inability to restore children to their families (Pelton, 2008). A condition for reunification often involves requiring the parent to secure safe and stable housing. This can be a substantial barrier for poor parents. There is a clear association of housing problems with child welfare involvement (Courtney, McMurtry, & Zinn, 2004; Freisther, Merritt, & LaScalla, 2006). The link between neighborhood characteristics and reported child maltreatment rates suggests that economically distressed areas have higher maltreatment rates, although the mechanisms by which this happens remain to be explored (Coulton, Crampton, Irwin, Spilsbury, & Korbin, 2007). CHILD WELFARE SERVICES FOR POOR FAMILIES There is little disagreement about the association of poverty with child welfare involvement. Disagreements develop when casual relationships are advanced. For example, does living in poverty increase the risks of other adverse events such as stress, substance abuse, mental illness, and domestic violence? These factors are also associated with higher rates of child welfare involvement. Research continues to advance the understanding of the etiology of child maltreatment. However, child welfare agencies cannot wait for the definitive explication of the micro, macro, and mezzo complexities of maltreatment. Thus, service plans are often based on the best available data. When parents have substance abuse issues, the service plan is likely to require parenting classes and substance abuse treatment. If there is conflict in the family, then counseling is likely to be required. Poor parents may be ordered to get job training or to find a job. These typical service plans represent a step in an attempt to benefit the family. Unfortunately, they can ignore the pressing realities of poverty and inadequate services that are a part of the experience of families. …

The Future of Child Maltreatment Prevention

In the United States there are an estimated 900 000 children per year who are victims of child maltreatment.1 The majority of them are victims of neglect. Over the past 3 decades, there has been considerable attention to better defining our understanding of the etiology of child maltreatment. Initial work focused on sociological and psychodynamic models of child maltreatment. These models laid the ground work for the current ecological model of child maltreatment.2 The ecological model endorses a complex set of forces that create an environment which places the child at greater risk for becoming a victim of maltreatment. Although historically “bad” or “sick” people abused children, current models view children as embedded in layers and layers of varying positive and negative spheres of influences. These influences change throughout different periods in the life of a child. Each of these forces can be either stressors (risks) or supports (protectors) of the child. The limited understanding of the complexity … Address correspondence to Christopher Spencer Greeley, MD, University of Texas Health Sciences Center, Suite 1425, 6410 Fannin St, Houston, TX 77030. E-mail: christopher.s.greeley{at}uth.tmc.edu

Child maltreatment in the “Children of the Nineties:” deprivation, class, and social networks in a UK sample

Aim: To determine risk factors for child maltreatment within the socio-economic environment of a contemporary UK child population. Methods: The research is based on a large cohort study, the Avon Longitudinal Study of Parents and Children. Out of 14,256 children participating in the study, 115 have been identified as having been placed on local child protection registers prior to their 6th birthday. Data on the socio-economic environment of the families have been obtained from a series of questionnaires administered during pregnancy and the first 3 years of life. Risk factors have been analyzed using logistic regression analysis. Results: Four indicators of deprivation all showed significant relationships with registration. Adjusted odds ratios were 2.33 for paternal unemployment; 7.65 for council housing; 2.16 for overcrowding; and 2.33 for car ownership. There was a strong relationship between the number of indicators of deprivation and the risk of maltreatment. In a second model, maternal unemployment, high mobility (> 3 house moves in the previous 5 years) and a poor social network were also significant with odds ratios of 2.82, 2.81, and 3.09, respectively. Conclusions: This study confirms the importance of social factors in the etiology of child maltreatment. Social deprivation is an important determinant of child maltreatment, and encompasses a number of different aspects, including financial security, housing situation and material benefits; in addition, the job situation of the parents and the stability and richness of their social networks all have a significant impact on risk of maltreatment. Interventions at both an individual and a community level are important to support families and reduce the risk of maltreatment.

Malos tratos infantiles: representaciones sociales de la población general y de los profesionales del ámbito de la infancia en el caribe colombiano

Objective: The main objective was to know social representations about child maltreatment (severity, etiology, and intervention strategies) of the general population and the professionals working with children in the Caribbean area of Colombia. Method: Sample was composed for 402 participants. From this pool of participants, 111 of them were working in child protection, 95 worked with children but not in the child protection system and 196 pertained to the general population. All participants answered to a questionnaire composed by 86 items. The questionnaire was developed to assess (1) the perceived severity of different typologies of child abuse, (2) opinions about risk factors for child maltreatment and sexual abuse, and (3) opinions about the most adequate ways of intervention with perpetrator of child abuse. Results: Sexual abuse is considered as the most severe typology of child maltreatment and emotional abuse is considered as more severe than physical abuse. No differences between groups were found in perceived severity of typologies of child maltreatment. Differences in the social representation about the etiology of child maltreatment were found. Professionals working in the child protection system give more value to characteristics of parents and to the socio-economic and familiar environment in the etiology of child maltreatment than participants from the general population. Prevention and treatment programs for abusers were considered as the more relevant strategies against child maltreatment. Discussion: Findings of present study suggest that social representations about child maltreatment of general population and professionals from the Caribbean area of Colombia are similar than social representation observed in other regions and countries. It is important to take into account that child labor and child poverty were considered as non-severe typologies of child maltreatment. Moreover, findings suggest that people from general population in the Caribbean area of Colombia have a relevant knowledge about agencies working for child protection.

Neighborhood views on the definition and etiology of child maltreatment

Objective: The purpose of this study, as part of a larger study on neighborhoods and child maltreatment, was to determine how parents residing in neighborhoods with differing profiles of risk for child maltreatment reports defined child abuse and neglect and viewed its etiology. Method: Parents ( n = 400) were systematically selected from neighborhoods ( n = 20) with different profiles of risk for child maltreatment report rates. As part of a larger interview, parents were asked to generate lists of behaviors that they would define as child abuse and neglect and to rate 13 etiological factors on a 10 point scale as to their contribution to the occurrence of child maltreatment. Results: While there were differences in definitional emphases, with African-American parents including behaviors of neglect and European-American parents including behaviors of physical abuse, there was marked congruence on the catalogue of behaviors that parents would define as child abuse and neglect. Four factors were identified that explained almost two-thirds of the variance in parents’ etiological explanations: poverty and family disruption, substance abuse and stress; lack of moral and family values; and individual pathology. These factors were related to neighborhood conditions, individual perceptions of neighborhood and individual characteristics. Conclusions: Community-based programs aimed at preventing or ameliorating child maltreatment must have at their very core an understanding of how populations being served define child maltreatment and why they believe that it occurs.

The role of the environment in the etiology of child maltreatment

The role of the environment in the etiology of child maltreatment has long been debated. Child protection activities have typically focused on the character of alleged perpetrators to the virtual exclusion of the broad social context in which abuse and neglect occurs. Evidence of the stressful effects of environmental circumstance on adults in disadvantaged families is substantial. Overwhelming social forces that act on parents with few resources or skills with which to cope and adapt can produce violent tendencies that lead to the mistreatment of their children. There is established theory to guide the design and implementation of programs sensitive to the potentially strong environmental influence of the behavior of abusive and neglectful family members.

Risk of child abuse or neglect in a cohort of low-income children

The purposes of this research were to identify risk factors for reported child abuse or neglect and to examine the roles of stress and social support in the etiology of child maltreatment. Mothers of newborn infants with biomedical and sociodemographic risk factors were recruited from community and regional hospitals and local health departments in 42 counties of North and South Carolina selected for geographic distribution and for large numbers of such newborns. For every four such mothers, the next mother to deliver an otherwise normal newborn was sought. Mothers were interviewed shortly after giving birth, and state Central Registries of Child Abuse and Neglect were reviewed when each infant was 1 year of age. Eight hundred forty-two of 1,111 recruited mothers were successfully interviewed in their homes between March 1986 and June 1987. Seven hundred forty-nine North Carolina births who resided in the state more than 6 months were eligible for inclusion in the analysis. Logistic regression with backward elimination procedures was used in the analysis. Maternal education ( p < .01), number of other dependent children in the home ( p < .01), receipt of Medicaid ( p < .01), maternal depression ( p < .05), and whether the maternal subject lived with her own mother at age 14 years ( p < .05) were the best predictors of a maltreatment report. Further examination revealed an interaction effect between stressful life events, as measured by life event scores, and social well-being ( p < .01). For children born at risk for social and/or medical problems, extreme low income (participation in public income support programs), low maternal education, maternal depression, the presence of any other young children in the home, and a mother's separation at age 14 years from her own mother significantly predict child maltreatment reports in the first year of life. In addition, stressful life events, even if perceived positively, may increase or decrease the risk of maltreatment reports, depending upon the presence of social support.

Etiology of child maltreatment: a developmental-ecological analysis.

This article applies a developmental-ecological perspective to the question of the etiology of physical child abuse and neglect by organizing the paper around a variety of "contexts of maltreatment." The roles of parent and child characteristics and processes are considered ("developmental context"), including an examination of intergenerational transmission. The "immediate interactional context" of maltreatment, which focuses on the parenting and parent-child interactional processes associated with abuse and neglect, is analyzed. Finally, the "broader context" is discussed with 3 specific subsections dealing with the community, cultural, and evolutionary contexts of child maltreatment. Implications for intervention are considered and future research directions are outlined.

Etiology of child maltreatment: A developmental€cological analysis.

Etiology of child maltreatment: A developmental€cological analysis.

An Overview of Child Abuse and Neglect

This paper focuses on child abuse and neglect within the United States. An etiology of child maltreatment is presented. It is stressed that more research needs to be conducted on the problem of child maltreatment. The paper concludes by discussing areas that need to be explored with advanced research designs.

The determinants of parenting: a process model.

This essay is based on the assumption that a long-neglected topic of socialization, the determinants of individual differences in parental functioning, is illuminated by research on the etiology of child maltreatment. Three domains of determinants are identified (personal psychological resources of parents, characteristics of the child, and contextual sources of stress and support), and a process model of competent parental functioning is offered on the basis of the analysis. The model presumes that parental functioning is multiply determined, that sources of contextual stress and support can directly affect parenting or indirectly affect parenting by first influencing individual psychological well-being, that personality influences contextual support/stress, which feeds back to shape parenting, and that, in order of importance, the personal psychological resources of the parent are more effective in buffering the parent-child relation from stress than are contextual sources of support, which are themselves more effective than characteristics of the child.