Evidence map›Paper›PMID 35939889›Full record

ArticleChild abuse & neglect2022

The impact of stay-at-home orders on the rate of emergency department child maltreatment diagnoses.

Sonya Negriff, Brian Z Huang, Adam L Sharp, Mercie DiGangi

Abstract read
In one paragraph

Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sonya NegriffKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, CA, United States of America; Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, United States of America. Electronic address: Sonya.x.negriff@kp.org.
Brian Z HuangKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, CA, United States of America.
Adam L SharpKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, CA, United States of America; Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, United States of America.
Mercie DiGangiKaiser Permanente Southern California, Department of Pediatrics, Bellflower, CA, United States of America; Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, United States of America.

Funding

Multidisciplinary Training in Ethnic Diversity and Cancer DisparitiesT32CA229110 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI HAIMAN, CHRISTOPHER ALAN, LE MARCHAND, LOIC · 2019 to 2023
$2.1M
NCI NIH HHS T32 CA229110
6 · The paper itself

Abstract

backgroundThere is limited data regarding the rates and severity of child maltreatment in medical settings during the COVID-19 pandemic, and the reports are somewhat contradictory.

objectiveTo examine the rates of emergency department (ED) child maltreatment (CM) diagnosis before and after the California statewide stay-at-home order, as well as potential disparities by age, gender, race/ethnicity, and Medicaid status.

methodsA retrospective pre-post interrupted time series was conducted using data from the electronic health records of children (<18 years) with at least one emergency department visit between January 1, 2019 and September 30, 2021. Enactment of the stay-at-home order in California, March 2020 was used to determine a change in trend of rates of diagnosis of CM in the ED.

resultsOverall the study included 407,228 pediatric ED visits. There was a significant change in the percentage of CM visits immediately after the stay-at-home order, followed by small month to month decreases returning to near pre-stay-at-home order levels. This significant increase was driven by higher risk for children <4 years old. The increased rate of CM in the first month after the stay-at-home order was also elevated for female, Black, and Hispanic children.

conclusionsOur results indicated the rates of CM diagnoses in the ED doubled after the March 2020 stay-at-home order in California. Additionally, our findings suggest that some children may be at higher risk than others, which supports the importance of social safety nets for children in times of national emergency.

Indexed as

Child AbuseCOVID-19QuarantineChildChild, PreschoolEmergency Service, HospitalFemaleHumansPandemicsRetrospective StudiesUnited StatesEmergency departmentMaltreatmentStay-at-home-order

Identifiers

PMID35939889
PMCPMC9355635

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.