Rise in Child Abuse Tied to Housing Crisis

July 19, 2012

By Amy Norton

NEW YORK (Reuters Health) Jul 17 - U.S. hospital admissions for child abuse have risen in the past decade, and the increase might be related to the housing crisis of the late-2000s, a new study suggests.

Researchers found that between 2000 and 2009, admissions for physical abuse at U.S. pediatric hospitals hit a peak in 2008 -- right about the time housing foreclosures were taking off in many parts of the country.

And in general, as a local area's rate of delinquent mortgages and housing foreclosures rose, so did its rate of child abuse admissions.

Lead researcher Dr. Joanne N. Wood of Children's Hospital of Philadelphia said it's possible that housing foreclosures signal the "serious end result" of families' economic hard times -- when, for example, they've been out of work for a long time, and their savings and "safety net" benefits have run out.

And that could put more kids at risk.

What's more, Dr. Wood said, the study conflicts with some past studies indicating that child abuse is declining in the U.S.

"This suggests that maybe the problem is not getting better," Dr. Wood said.

The findings, reported July 16 in the journal Pediatrics, are based on a database that tracks discharges from pediatric hospitals in major metropolitan areas.

Between 2000 and 2009, there were just over 11,800 admissions for physical abuse in children younger than six at 38 hospitals. That accounted for 0.28% of the nearly 4.2 million admissions overall.

Over the years, that rate fluctuated, peaking at 0.3% in 2008.

The researchers also looked at each metropolitan area's unemployment rates and housing woes. They found that for each percentage increase in an area's foreclosure rate, admissions for physical abuse rose 6.5% the following year. There was a similar pattern when Dr. Wood's team looked at 90-day mortgage delinquency rates.

In contrast, there was no link between unemployment and child abuse admissions.

The reason for that discrepancy isn't clear. But Dr. Wood speculated that unemployment is a less-extreme marker of a family's economic problems than mortgage delinquencies and foreclosures are.

The results do paint a different picture than some past research that has suggested child abuse is declining in the U.S., Dr. Wood and her colleagues say.

But the reason may be the data source, Dr. Wood said. Those past studies have looked at reports to child protective services, which cover varying degrees of abuse -- not just the most severe forms.

There is "reasonable evidence" that other forms of child maltreatment are declining, said Dr. Kristine A. Campbell, a pediatrician at the University of Utah in Salt Lake City who has studied the issue.

"But there are still huge problems in terms of kids who are being severely abused," said Dr. Campbell, who was not involved in the new study.

Like Dr. Wood, she said it's impossible to tell from this study whether housing foreclosures led to some severe abuse cases. "We don't know that economic stress causes child abuse," Dr. Campbell said.

There could be complex reasons for the relationship, according to Dr. Campbell. It's possible, for example, that when a family loses their home, they may end up living with someone else who is not used to having children around, and that's when the abuse occurs.

Still, Dr. Campbell said, "this study adds to a large body of evidence that economic downturns are bad for families and bad for children."

SOURCE: http://bit.ly/O7ITon

Pediatrics, 2012.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.