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June 1988

New Child Abuse Spectrum in an Era of Increased Awareness

Author Affiliations

From the Departments of Pediatrics, Kino Community Hospital (Dr Marshall and Mss Puls and Davidson) and University of Arizona, College of Medicine (Dr Marshall), Tucson.

Am J Dis Child. 1988;142(6):664-667. doi:10.1001/archpedi.1988.02150060098041

• Three hundred eighty-two children were evaluated for abuse or neglect during a 30-month period in a pediatric clinic in a county hospital. Fifty-one percent presented for sexual abuse, 34% for physical abuse, and 15% for neglect. Thirteen children were hospitalized. Children examined for sexual abuse had a mean age of 5.8 years and a median age of 5 years; 71% had normal findings on examination, including 48% of those with a history of penetration. Fourteen children were brought for evaluation on the basis of caretakers' misinterpretation, overconcern, or malice. The current spectrum of patients seen for child abuse or neglect reflects increased public and professional awareness of the problem. Earlier recognition of abuse, especially greater readiness to consider sexual abuse, brings younger, less physically injured children to the clinic.

(AJDC 1988;142:664-667)

Kempe CH:  Sexual abuse, another hidden pediatric problem: The 1977 C. Anderson Aldrich Lecture . Pediatrics 1978;62:382.
Helfer RE:  The epidemiology of child abuse and neglect . Pediatr Ann 1984;13:745-751.
Greenberg NH:  The epidemiology of childhood sexual abuse . Pediatr Ann 1979;8:289-299.Article
Krugman RD:  Recognition of sexual abuse in children . Pediatr Rev 1986;8:25-30.Article
Jason J, Williams SL, Button A, et al:  Epidemiologic differences between sexual and physical child abuse . JAMA 1982;247:3344-3348.Article
Grant LJ:  Assessment of child sexual abuse: Eighteen months experience at the Child Protection Center . Am J Obstet Gynecol 1984;148:617-620.Article
Rimsza MR, Niggemann EH:  Medical evaluation of sexually abused children: A review of 311 cases . Pediatrics 1982;69:8-14.
DeJong AR, Emmett GA, Herrada AR:  Sexual abuse of children . AJDC 1982;136:129-134.
Tilelli JA, Turek D, Jaffe AC:  Sexual abuse of children . N Engl J Med 1980;302:319-323.Article
Hunter RS, Kilstrom N, Loda F:  Sexually abused children: Identifying masked presentations in a medical setting . Child Abuse Negl 1985;9:17-25.Article
White ST, Loda FA, Ingram DL, et al:  Sexually transmitted diseases in sexually abused children . Pediatrics 1983;76:16-21.
Cantwell HB:  Vaginal inspection as it relates to child sexual abuse in girls under 13 . Child Abuse Negl 1983;7:171-176.Article
White ST, Ingram DL, Lyna PR:  Vaginal introital diameter: A diagnostic aid to child sexual abuse. Program and abstracts of the 27th Annual Meeting of the Ambulatory Pediatric Association . Abstracted, AJDC 1987;141:369-370.
Spencer MJ, Dunklee P:  Sexual abuse of boys . Pediatrics 1986;78:133-138.
Emans SJ, Woods ER, Flagg NS, et al:  Genital findings in sexually abused, symptomatic, and asymptomatic girls . Pediatrics 1987;79:778-785.
Sarles RM:  Sexual abuse and rape . Pediatr Rev 1982;4:93-98.Article
Sgroi SM, Blick LC, Porter FS:  A conceptual framework for child sexual abuse , in Sgroi SM (ed): Handbook of Clinical Intervention in Child Sexual Abuse . Lexington, Mass, Lexington Books, 1982, pp 9-37.
Summit RC:  The child sexual abuse accommodation syndrome . Child Abuse Negl 1983;7: 177-193.Article
Balk SJ, Dreyfus NG, Harris P:  Examination of genitalia in children: The remaining taboo . Pediatrics 1982;70:751-753.
Ladson S, Johnson CF, Doty RE:  Do physicians recognize sexual abuse? AJDC 1987;141: 411-415.
Shaw A:  Are you sure it's child abuse? Contemp Pediatr , (January) 1986, pp 92-100.
Schmitt BD, Gray JD, Britton HL:  Car seat burns in infants: Avoiding confusion with inflicted burns . Pediatrics 1978;62:607-609.
Jones DPH, McGraw JM:  Reliable and fictitious accounts of sexual abuse to children . J Interpersonal Violence 1987;2:27-45.Article
Sgroi SM, Porter FS, Blick LC:  Validation of child sexual abuse , in Sgroi SM (ed): Handbook of Clinical Intervention in Child Sexual Abuse . Lexington, Mass, Lexington Books, 1982, pp 39-79.
Helfer RE, Kempe CH:  The child's need for early recognition, immediate care and protection , in Kempe CH, Heifer RE (ed): Helping the Battered Child and his Family . Philadelphia, JB Lippincott, 1972, pp 69-78.
Karniski W, VanBuren L, Cupoli JM:  A treatment program for failure to thrive: A cost/effectiveness analysis . Child Abuse Negl 1986; 10:471-478.Article