ArticleHealth science reports2019
Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study.
Article in Health science reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis.Archives of disease in childhood · 2021Pooled it
- Supporting Breastmilk Feeding for Infants in Foster Care: A Scoping Review.Maternal & child nutrition · 2025Article
- Infant skull fractures align with the direction of bone mineralization.Biomechanics and modeling in mechanobiology · 2025Article
- Child Abuse, Misdiagnosed by an Expertise Center: Part I-Medico-Social Aspects.Children (Basel, Switzerland) · 2023Article
- Leveraging Administrative Data to Better Understand and Address Child Maltreatment: A Scoping Review of Data Linkage Studies.Child maltreatment · 2023Article
- Physical health of care-experienced young children in high-income countries: a scoping review protocol.BMJ open · 2022Article
- Transfer of knowledge to diagnose infant abuse and its incidence - a time-series analysis from Sweden.Implementation science : IS · 2022Article
- Parents' experiences of seeking health care and encountering allegations of shaken baby syndrome: A qualitative study.PloS one · 2020Article
- Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study.Health science reports · 2019Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsIdentification of child abuse involves a medical investigation and assessment of problems related to social environment and upbringing and might necessitate out-of-home care. The objective of this study was to analyse infants placed in out-of-home care in Sweden by incidence, medical diagnoses, and perinatal factors.
methodsThis was a population-based register study of infants born in Sweden 1997 to 2014. Data were retrieved from registers at the Swedish National Board of Health and Welfare and Statistics Sweden. Outcome measures were out-of-home care categories: (a) "Problems Related to Social Environment/Upbringing", (b) "Abuse diagnoses without SDH (subdural haemorrhage), RH (retinal haemorrhage), rib fracture, or long bone fracture", and (c) "SDH, RH, rib fracture, or long bone fracture." As a reference population, we randomly selected infants without medical diagnoses born the same year.
resultsOverall incidence of out-of-home care was 402 per 100 000. For subcategories (a), (b), and (c), the incidences were 14.8 (n = 273), 3.77 (n = 70), and 9.83 (n = 182) per 100 000, respectively. During the study period, the first remained unchanged; the latter two have been increasing. Compared with other reasons for out-of-home care, children in category (c), "SDH, RH, rib fracture, or long bone fracture", had increased odds of being boys (adjusted odds ratio [aOR] 1.60; 95% confidence interval [CI], 1.08-2.38) and decreased odds of having a mother being single (aOR 0.49; 95% CI, 0.32-0.75) and a smoker (aOR 0.60; 95% CI, 0.37-0.96). Compared with the reference population, children in this category were more often twin born (7.7% versus 2.8%), preterm (18.5% versus 5.5%), and small-for-gestational age (5.2% versus 2.1%).
conclusionSDH, RH, rib fracture, or long bone fracture constitute a minor part of medical diagnoses for infants entered in out-of-home care, but have been increasing, both in numbers and proportion. Overdiagnosis of abuse might be a possible reason but cannot be ascertained by this study design.
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