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Article: Management of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance study

TitleManagement of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance study
Authors
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
Citation
Hong 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.
Persistent Identifierhttp://hdl.handle.net/10722/151590
ISSN
2023 Impact Factor: 3.1
2023 SCImago Journal Rankings: 0.261
References

 

DC FieldValueLanguage
dc.contributor.authorTsang, Aen_HK
dc.contributor.authorKwan, Een_HK
dc.contributor.authorYu, CMen_HK
dc.contributor.authorTai, SMen_HK
dc.contributor.authorIp, Pen_HK
dc.contributor.authorCheung, Pen_HK
dc.contributor.authorHo, Len_HK
dc.contributor.authorTse, Wen_HK
dc.contributor.authorHo, Sen_HK
dc.contributor.authorBut, Ben_HK
dc.contributor.authorLee, WHen_HK
dc.contributor.authorCherk, SWWen_HK
dc.contributor.authorLeung, LCKen_HK
dc.contributor.authorHo, CSen_HK
dc.contributor.authorTse, PWTen_HK
dc.contributor.authorChan, JYCen_HK
dc.contributor.authorCheng, PSen_HK
dc.contributor.authorWong, HLen_HK
dc.contributor.authorYau, FTen_HK
dc.contributor.authorTong, CTen_HK
dc.contributor.authorLee, KPen_HK
dc.contributor.authorYam, KLen_HK
dc.contributor.authorLee, LPen_HK
dc.contributor.authorCheng, Aen_HK
dc.contributor.authorHuen, KFen_HK
dc.contributor.authorMak, WCen_HK
dc.contributor.authorChan, KCen_HK
dc.contributor.authorTsui, KWen_HK
dc.contributor.authorWong, TWen_HK
dc.contributor.authorLee, ACWen_HK
dc.contributor.authorOu, Yen_HK
dc.contributor.authorSo, KTen_HK
dc.date.accessioned2012-06-26T06:25:13Z-
dc.date.available2012-06-26T06:25:13Z-
dc.date.issued2003en_HK
dc.identifier.citationHong Kong Medical Journal, 2003, v. 9 n. 1, p. 6-9en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151590-
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.en_HK
dc.languageengen_US
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.subjectCase managementen_HK
dc.subjectChild abuseen_HK
dc.subjectHong Kongen_HK
dc.subjectMongoloid raceen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshChilden_US
dc.subject.meshChild Abuse - Diagnosisen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshInterdisciplinary Communicationen_US
dc.subject.meshMaleen_US
dc.subject.meshPopulation Surveillanceen_US
dc.subject.meshProspective Studiesen_US
dc.titleManagement of child abuse in Hong Kong: Results of a territory-wide interhospital prospective surveillance studyen_HK
dc.typeArticleen_HK
dc.identifier.emailIp, P:patricip@hku.hken_HK
dc.identifier.emailHo, L:lmho@hkucc.hku.hken_HK
dc.identifier.authorityIp, P=rp01337en_HK
dc.identifier.authorityHo, L=rp00360en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid12547949-
dc.identifier.scopuseid_2-s2.0-12244256770en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-12244256770&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.issue1en_HK
dc.identifier.spage6en_HK
dc.identifier.epage9en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridTsang, A=36949359300en_HK
dc.identifier.scopusauthoridKwan, E=7006484387en_HK
dc.identifier.scopusauthoridYu, CM=15758569300en_HK
dc.identifier.scopusauthoridTai, SM=36827483600en_HK
dc.identifier.scopusauthoridIp, P=7003622681en_HK
dc.identifier.scopusauthoridCheung, P=8417546800en_HK
dc.identifier.scopusauthoridHo, L=7402955625en_HK
dc.identifier.scopusauthoridTse, W=7006289004en_HK
dc.identifier.scopusauthoridHo, S=8224398100en_HK
dc.identifier.scopusauthoridBut, B=16945870900en_HK
dc.identifier.scopusauthoridLee, WH=37092940200en_HK
dc.identifier.scopusauthoridCherk, SWW=15072516700en_HK
dc.identifier.scopusauthoridLeung, LCK=7202048126en_HK
dc.identifier.scopusauthoridHo, CS=7404653591en_HK
dc.identifier.scopusauthoridTse, PWT=55106802800en_HK
dc.identifier.scopusauthoridChan, JYC=36825592600en_HK
dc.identifier.scopusauthoridCheng, PS=35763554200en_HK
dc.identifier.scopusauthoridWong, HL=36920237500en_HK
dc.identifier.scopusauthoridYau, FT=36890158700en_HK
dc.identifier.scopusauthoridTong, CT=35760718800en_HK
dc.identifier.scopusauthoridLee, KP=8066682300en_HK
dc.identifier.scopusauthoridYam, KL=16641498800en_HK
dc.identifier.scopusauthoridLee, LP=15757694900en_HK
dc.identifier.scopusauthoridCheng, A=55245049300en_HK
dc.identifier.scopusauthoridHuen, KF=6602267035en_HK
dc.identifier.scopusauthoridMak, WC=22948344000en_HK
dc.identifier.scopusauthoridChan, KC=22633516900en_HK
dc.identifier.scopusauthoridTsui, KW=14020969600en_HK
dc.identifier.scopusauthoridWong, TW=23570135100en_HK
dc.identifier.scopusauthoridLee, ACW=7405631431en_HK
dc.identifier.scopusauthoridOu, Y=7102690372en_HK
dc.identifier.scopusauthoridSo, KT=7102648548en_HK
dc.identifier.issnl1024-2708-

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