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Child maltreatment : variation in trends and policies in six developed countries
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Gilbert, Ruth, Fluke, John, O'Donnell, Melissa, Gonzalez-Izquierdo, Arturo, Brownell, Marni, Gulliver, Pauline, Janson, Staffan and Sidebotham, Peter (2012) Child maltreatment : variation in trends and policies in six developed countries. Lancet, Vol.379 (No.9817). pp. 758-772. doi:10.1016/S0140-6736(11)61087-8 ISSN 0140-6736.
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Official URL: http://dx.doi.org/10.1016/S0140-6736(11)61087-8
Abstract
We explored trends in six developed countries in three types of indicators of child maltreatment for children younger than 11 years, since the inception of modern child protection systems in the 1970s. Despite several policy initiatives for child protection, we recorded no consistent evidence for a decrease in all types of indicators of child maltreatment. We noted falling rates of violent death in a few age and country groups, but these decreases coincided with reductions in admissions to hospital for maltreatment-related injury only in Sweden and Manitoba (Canada). One or more child protection agency indicators increased in five of six countries, particularly in infants, possibly as a result of early intervention policies. Comparisons of mean rates between countries showed five-fold to ten-fold differences in rates of agency indicators, but less than two-fold variation in violent deaths or maltreatment-related injury, apart from high rates of violent child death in the USA. These analyses draw attention to the need for robust research to establish whether the high and rising rates of agency contacts and out-of-home care in some settings are effectively reducing child maltreatment.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Lancet | ||||
Publisher: | The Lancet Publishing Group | ||||
ISSN: | 0140-6736 | ||||
Official Date: | February 2012 | ||||
Dates: |
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Volume: | Vol.379 | ||||
Number: | No.9817 | ||||
Page Range: | pp. 758-772 | ||||
DOI: | 10.1016/S0140-6736(11)61087-8 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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