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Public Health Surveillance of Fatal Child Maltreatment: Analysis of 3 State Programs

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dc.contributor.author Schnitzer, P. G., Covington, T. M., Wirtz, S. J., Verhoek-Oftedahl, W., & Palusci, V. J.
dc.date.accessioned 2014-07-11T18:55:57Z
dc.date.available 2014-07-11T18:55:57Z
dc.date.issued 2008
dc.identifier.citation Schnitzer, P. G., Covington, T. M., Wirtz, S. J., Verhoek-Oftedahl, W., & Palusci, V. J. (2008). Public health surveillance of fatal child maltreatment: analysis of 3 state programs. American journal of public health, 98(2), 296. en_US
dc.identifier.uri http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2376893/pdf/0980296.pdf
dc.identifier.uri http://hdl.handle.net/11212/1563
dc.description.abstract Objectives: We sought to describe approaches to surveillance of fatal child maltreatment and to identify options for improving case ascertainment. Methods: Three states—California, Michigan, and Rhode Island—used multiple data sources for surveillance. Potential cases were identified, operational definitions were applied, and the number of maltreatment deaths was determined. Results: These programs identified 258 maltreatment deaths in California, 192 in Michigan, and 60 in Rhode Island. Corresponding maltreatment fatality rates ranged from 2.5 per 100000 population in Michigan to 8.8 in Rhode Island. Most deaths were identified by child death review teams in Rhode Island (98%), Uniform Crime Reports in California (56%), and child welfare agency data in Michigan (44%). Compared with the total number of cases identified, child welfare agency (the official source for maltreatment reports) and death certificate data underascertain child maltreatment deaths by 55% to 76% and 80% to 90%, respectively. In all 3 states, more than 90% of cases ascertained could be identified by combining 2 data sources. Conclusions: No single data source was adequate for thorough surveillance of fatal child maltreatment, but combining just 2 sources substantially increased case ascertainment. The child death review team process may be the most promising surveillance approach. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher American journal of public health en_US
dc.subject child fatality en_US
dc.subject child abuse en_US
dc.subject child mortality en_US
dc.subject under-reporting en_US
dc.subject research en_US
dc.title Public Health Surveillance of Fatal Child Maltreatment: Analysis of 3 State Programs en_US
dc.type Article en_US


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