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Article: Management of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance study
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TitleManagement of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance study
 
AuthorsTsang, A
Kwan, E
Yu, CM
Tai, SM
Ip, P
Cheung, P
Ho, L
Tse, W
Ho, S
But, B
Lee, WH
Cherk, SWW
Leung, LCK
Ho, CS
Tse, PWT
Chan, JYC
Cheng, PS
Wong, HL
Yau, FT
Tong, CT
Lee, KP
Yam, KL
Lee, LP
Cheng, A
Huen, KF
Mak, WC
Chan, KC
Tsui, KW
Wong, TW
Lee, ACW1
Ou, Y
So, KT
 
KeywordsCase management
Child abuse
Hong Kong
Mongoloid race
 
Issue Date2003
 
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
CitationHong Kong Medical Journal, 2003, v. 9 n. 1, p. 6-9 [How to Cite?]
 
AbstractObjectives. To study suspected child abuse among children in hospital in terms of clinical characteristics and the outcome of multidisciplinary case conferences. Design. Prospective observational study. Setting. All public hospitals in Hong Kong with a paediatric department. Methods. Anonymous data were prospectively collected from July 1997 to June 1999 using a standard report form for each case of suspected child abuse. The characteristics of the incidents and factors influencing the conclusion at the multidisciplinary case conference were studied. Results. Data for 592 cases of suspected child abuse were evaluated. Two hundred and eighty-seven of the children were boys and 305 were girls. The mean age was 7.3 years (range, 0-16.7 years). Physical abuse, alone or in combination with other forms of maltreatment, accounted for 277 (86.6%) of the 320 substantiated cases. Either, or both, biological parents comprised 71.3% of the perpetrators. Seven (1.2%) children died. Of the 540 children about whom a multidisciplinary case conference was held, abuse was established for 281 (52.0%) children. Abuse was more likely to be established if the victim had been known to a childcare agency (odds ratio=2.2; 95% confidence interval, 1.4-3.5), the abuse was not sexual (odds ratio=2.7; 95% confidence interval, 1.4-5.0), or if the child was seen at a hospital that handled more than 100 cases of suspected abuse during the study period (odds ratio=3.6; 95% confidence interval, 2.4-5.4). Conclusion. Child abuse identified in the hospital setting is predominantly physical in nature and death is not uncommon. Appraisal of suspected child abuse by multidisciplinary case conference appears to be influenced by the region of Hong Kong in which the case was handled.
 
ISSN1024-2708
2012 SCImago Journal Rankings: 0.255
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorTsang, A
 
dc.contributor.authorKwan, E
 
dc.contributor.authorYu, CM
 
dc.contributor.authorTai, SM
 
dc.contributor.authorIp, P
 
dc.contributor.authorCheung, P
 
dc.contributor.authorHo, L
 
dc.contributor.authorTse, W
 
dc.contributor.authorHo, S
 
dc.contributor.authorBut, B
 
dc.contributor.authorLee, WH
 
dc.contributor.authorCherk, SWW
 
dc.contributor.authorLeung, LCK
 
dc.contributor.authorHo, CS
 
dc.contributor.authorTse, PWT
 
dc.contributor.authorChan, JYC
 
dc.contributor.authorCheng, PS
 
dc.contributor.authorWong, HL
 
dc.contributor.authorYau, FT
 
dc.contributor.authorTong, CT
 
dc.contributor.authorLee, KP
 
dc.contributor.authorYam, KL
 
dc.contributor.authorLee, LP
 
dc.contributor.authorCheng, A
 
dc.contributor.authorHuen, KF
 
dc.contributor.authorMak, WC
 
dc.contributor.authorChan, KC
 
dc.contributor.authorTsui, KW
 
dc.contributor.authorWong, TW
 
dc.contributor.authorLee, ACW
 
dc.contributor.authorOu, Y
 
dc.contributor.authorSo, KT
 
dc.date.accessioned2012-06-26T06:25:13Z
 
dc.date.available2012-06-26T06:25:13Z
 
dc.date.issued2003
 
dc.description.abstractObjectives. To study suspected child abuse among children in hospital in terms of clinical characteristics and the outcome of multidisciplinary case conferences. Design. Prospective observational study. Setting. All public hospitals in Hong Kong with a paediatric department. Methods. Anonymous data were prospectively collected from July 1997 to June 1999 using a standard report form for each case of suspected child abuse. The characteristics of the incidents and factors influencing the conclusion at the multidisciplinary case conference were studied. Results. Data for 592 cases of suspected child abuse were evaluated. Two hundred and eighty-seven of the children were boys and 305 were girls. The mean age was 7.3 years (range, 0-16.7 years). Physical abuse, alone or in combination with other forms of maltreatment, accounted for 277 (86.6%) of the 320 substantiated cases. Either, or both, biological parents comprised 71.3% of the perpetrators. Seven (1.2%) children died. Of the 540 children about whom a multidisciplinary case conference was held, abuse was established for 281 (52.0%) children. Abuse was more likely to be established if the victim had been known to a childcare agency (odds ratio=2.2; 95% confidence interval, 1.4-3.5), the abuse was not sexual (odds ratio=2.7; 95% confidence interval, 1.4-5.0), or if the child was seen at a hospital that handled more than 100 cases of suspected abuse during the study period (odds ratio=3.6; 95% confidence interval, 2.4-5.4). Conclusion. Child abuse identified in the hospital setting is predominantly physical in nature and death is not uncommon. Appraisal of suspected child abuse by multidisciplinary case conference appears to be influenced by the region of Hong Kong in which the case was handled.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationHong Kong Medical Journal, 2003, v. 9 n. 1, p. 6-9 [How to Cite?]
 
dc.identifier.epage9
 
dc.identifier.issn1024-2708
2012 SCImago Journal Rankings: 0.255
 
dc.identifier.issue1
 
dc.identifier.pmid12547949
 
dc.identifier.scopuseid_2-s2.0-12244256770
 
dc.identifier.spage6
 
dc.identifier.urihttp://hdl.handle.net/10722/151590
 
dc.identifier.volume9
 
dc.languageeng
 
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofHong Kong Medical Journal
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdolescent
 
dc.subject.meshChild
 
dc.subject.meshChild Abuse - Diagnosis
 
dc.subject.meshChild, Preschool
 
dc.subject.meshFemale
 
dc.subject.meshHong Kong
 
dc.subject.meshHumans
 
dc.subject.meshInfant
 
dc.subject.meshInterdisciplinary Communication
 
dc.subject.meshMale
 
dc.subject.meshPopulation Surveillance
 
dc.subject.meshProspective Studies
 
dc.subjectCase management
 
dc.subjectChild abuse
 
dc.subjectHong Kong
 
dc.subjectMongoloid race
 
dc.titleManagement of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance study
 
dc.typeArticle
 
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<contributor.author>Tai, SM</contributor.author>
<contributor.author>Ip, P</contributor.author>
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<contributor.author>Tse, W</contributor.author>
<contributor.author>Ho, S</contributor.author>
<contributor.author>But, B</contributor.author>
<contributor.author>Lee, WH</contributor.author>
<contributor.author>Cherk, SWW</contributor.author>
<contributor.author>Leung, LCK</contributor.author>
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<contributor.author>Yam, KL</contributor.author>
<contributor.author>Lee, LP</contributor.author>
<contributor.author>Cheng, A</contributor.author>
<contributor.author>Huen, KF</contributor.author>
<contributor.author>Mak, WC</contributor.author>
<contributor.author>Chan, KC</contributor.author>
<contributor.author>Tsui, KW</contributor.author>
<contributor.author>Wong, TW</contributor.author>
<contributor.author>Lee, ACW</contributor.author>
<contributor.author>Ou, Y</contributor.author>
<contributor.author>So, KT</contributor.author>
<date.accessioned>2012-06-26T06:25:13Z</date.accessioned>
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<date.issued>2003</date.issued>
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<description.abstract>Objectives. To study suspected child abuse among children in hospital in terms of clinical characteristics and the outcome of multidisciplinary case conferences. Design. Prospective observational study. Setting. All public hospitals in Hong Kong with a paediatric department. Methods. Anonymous data were prospectively collected from July 1997 to June 1999 using a standard report form for each case of suspected child abuse. The characteristics of the incidents and factors influencing the conclusion at the multidisciplinary case conference were studied. Results. Data for 592 cases of suspected child abuse were evaluated. Two hundred and eighty-seven of the children were boys and 305 were girls. The mean age was 7.3 years (range, 0-16.7 years). Physical abuse, alone or in combination with other forms of maltreatment, accounted for 277 (86.6%) of the 320 substantiated cases. Either, or both, biological parents comprised 71.3% of the perpetrators. Seven (1.2%) children died. Of the 540 children about whom a multidisciplinary case conference was held, abuse was established for 281 (52.0%) children. Abuse was more likely to be established if the victim had been known to a childcare agency (odds ratio=2.2; 95% confidence interval, 1.4-3.5), the abuse was not sexual (odds ratio=2.7; 95% confidence interval, 1.4-5.0), or if the child was seen at a hospital that handled more than 100 cases of suspected abuse during the study period (odds ratio=3.6; 95% confidence interval, 2.4-5.4). Conclusion. Child abuse identified in the hospital setting is predominantly physical in nature and death is not uncommon. Appraisal of suspected child abuse by multidisciplinary case conference appears to be influenced by the region of Hong Kong in which the case was handled.</description.abstract>
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Author Affiliations
  1. Tuen Mun Hospital