Health care utilization pattern prior to maltreatment among children under five years of age in Taiwan

Research output: Contribution to journalArticle

Abstract

Background: Several studies have hypothesized that the pattern of health care utilization among maltreated children differ from others without the experience. However, the conclusions have not been consistent. Objective: The study aims to examine whether the pattern of health care utilization among children 0–5 years old with maltreatment different from their counterparts without maltreatment in Taiwan. Subjects and Setting: All children born in 2007 in Taiwan. Method: This is a population-based and case-controlled study. Cases are children under five years of ago with maltreatment-related diagnosis in the claims data of the National Health Insurance in Taiwan during the 2007–2013 period. For each case, there were 10 birth date-matched controls. Exposure variables include the number of injury or non-injury-related outpatients, emergency department (ED) visits, and hospitalization. Multivariate models were employed, with adjustment for sex, urbanization level, and comorbidities of children. Results: Of children born in 2007, 382 had maltreatment-related diagnosis during the age of 0–5. The adjusted odds ratio (aOR) for having two or more ED visits with or without injury-related diagnosis is 3.52 (95% CI 1.75–7.07) and 2.0-0 (95% CI 1.47–2.72), respectively. Children with maltreatment also had significantly higher number of hospitalization without injury-related diagnosis and aOR for those having two more hospitalizations stands at 2.47 (95% CI 1.59–3.83). Conclusions: Children with maltreatment when 0–5 years old had higher number of ED visits with injury-related diagnosis, as well as hospitalization without injury-related diagnosis. Recognition of the health care utilization is conducive to early identification of children with risk for maltreatment.

Original languageEnglish
Article number104202
JournalChild Abuse and Neglect
Volume98
DOIs
Publication statusPublished - 2019 Dec 1

Fingerprint

Patient Acceptance of Health Care
Child Abuse
Taiwan
Hospitalization
Wounds and Injuries
Hospital Emergency Service
Odds Ratio
Urbanization
National Health Programs
Comorbidity
Outpatients
Parturition

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

@article{b9d6b33bd76844abbecc155e06029c65,
title = "Health care utilization pattern prior to maltreatment among children under five years of age in Taiwan",
abstract = "Background: Several studies have hypothesized that the pattern of health care utilization among maltreated children differ from others without the experience. However, the conclusions have not been consistent. Objective: The study aims to examine whether the pattern of health care utilization among children 0–5 years old with maltreatment different from their counterparts without maltreatment in Taiwan. Subjects and Setting: All children born in 2007 in Taiwan. Method: This is a population-based and case-controlled study. Cases are children under five years of ago with maltreatment-related diagnosis in the claims data of the National Health Insurance in Taiwan during the 2007–2013 period. For each case, there were 10 birth date-matched controls. Exposure variables include the number of injury or non-injury-related outpatients, emergency department (ED) visits, and hospitalization. Multivariate models were employed, with adjustment for sex, urbanization level, and comorbidities of children. Results: Of children born in 2007, 382 had maltreatment-related diagnosis during the age of 0–5. The adjusted odds ratio (aOR) for having two or more ED visits with or without injury-related diagnosis is 3.52 (95{\%} CI 1.75–7.07) and 2.0-0 (95{\%} CI 1.47–2.72), respectively. Children with maltreatment also had significantly higher number of hospitalization without injury-related diagnosis and aOR for those having two more hospitalizations stands at 2.47 (95{\%} CI 1.59–3.83). Conclusions: Children with maltreatment when 0–5 years old had higher number of ED visits with injury-related diagnosis, as well as hospitalization without injury-related diagnosis. Recognition of the health care utilization is conducive to early identification of children with risk for maltreatment.",
author = "Wang, {Liang Yi} and Wu, {Chih Ying} and Chang, {Yi Hsin} and Lu, {Tsung Hsueh}",
year = "2019",
month = "12",
day = "1",
doi = "10.1016/j.chiabu.2019.104202",
language = "English",
volume = "98",
journal = "Child Abuse and Neglect",
issn = "0145-2134",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Health care utilization pattern prior to maltreatment among children under five years of age in Taiwan

AU - Wang, Liang Yi

AU - Wu, Chih Ying

AU - Chang, Yi Hsin

AU - Lu, Tsung Hsueh

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Background: Several studies have hypothesized that the pattern of health care utilization among maltreated children differ from others without the experience. However, the conclusions have not been consistent. Objective: The study aims to examine whether the pattern of health care utilization among children 0–5 years old with maltreatment different from their counterparts without maltreatment in Taiwan. Subjects and Setting: All children born in 2007 in Taiwan. Method: This is a population-based and case-controlled study. Cases are children under five years of ago with maltreatment-related diagnosis in the claims data of the National Health Insurance in Taiwan during the 2007–2013 period. For each case, there were 10 birth date-matched controls. Exposure variables include the number of injury or non-injury-related outpatients, emergency department (ED) visits, and hospitalization. Multivariate models were employed, with adjustment for sex, urbanization level, and comorbidities of children. Results: Of children born in 2007, 382 had maltreatment-related diagnosis during the age of 0–5. The adjusted odds ratio (aOR) for having two or more ED visits with or without injury-related diagnosis is 3.52 (95% CI 1.75–7.07) and 2.0-0 (95% CI 1.47–2.72), respectively. Children with maltreatment also had significantly higher number of hospitalization without injury-related diagnosis and aOR for those having two more hospitalizations stands at 2.47 (95% CI 1.59–3.83). Conclusions: Children with maltreatment when 0–5 years old had higher number of ED visits with injury-related diagnosis, as well as hospitalization without injury-related diagnosis. Recognition of the health care utilization is conducive to early identification of children with risk for maltreatment.

AB - Background: Several studies have hypothesized that the pattern of health care utilization among maltreated children differ from others without the experience. However, the conclusions have not been consistent. Objective: The study aims to examine whether the pattern of health care utilization among children 0–5 years old with maltreatment different from their counterparts without maltreatment in Taiwan. Subjects and Setting: All children born in 2007 in Taiwan. Method: This is a population-based and case-controlled study. Cases are children under five years of ago with maltreatment-related diagnosis in the claims data of the National Health Insurance in Taiwan during the 2007–2013 period. For each case, there were 10 birth date-matched controls. Exposure variables include the number of injury or non-injury-related outpatients, emergency department (ED) visits, and hospitalization. Multivariate models were employed, with adjustment for sex, urbanization level, and comorbidities of children. Results: Of children born in 2007, 382 had maltreatment-related diagnosis during the age of 0–5. The adjusted odds ratio (aOR) for having two or more ED visits with or without injury-related diagnosis is 3.52 (95% CI 1.75–7.07) and 2.0-0 (95% CI 1.47–2.72), respectively. Children with maltreatment also had significantly higher number of hospitalization without injury-related diagnosis and aOR for those having two more hospitalizations stands at 2.47 (95% CI 1.59–3.83). Conclusions: Children with maltreatment when 0–5 years old had higher number of ED visits with injury-related diagnosis, as well as hospitalization without injury-related diagnosis. Recognition of the health care utilization is conducive to early identification of children with risk for maltreatment.

UR - http://www.scopus.com/inward/record.url?scp=85072937128&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072937128&partnerID=8YFLogxK

U2 - 10.1016/j.chiabu.2019.104202

DO - 10.1016/j.chiabu.2019.104202

M3 - Article

AN - SCOPUS:85072937128

VL - 98

JO - Child Abuse and Neglect

JF - Child Abuse and Neglect

SN - 0145-2134

M1 - 104202

ER -