Abstract：
OBJECTIVE: Child neglect is a public health concern with negative consequences that impact children, families, and society. While neglect is involved with many pediatric hospitalizations, few studies explore characteristics associated with neglect types, social needs, and post-discharge care.
METHODS: Data on neglect type, sociodemographics, social needs, inpatient consultations, and post-discharge care were collected from the electronic medical record for children aged 0-5 years who were hospitalized with concern for neglect during 2016-2020. Frequencies and percentages were calculated to determine sample characteristics. The Chi-square Test for Independence was used to evaluate associations between neglect type and other variables.
RESULTS: The most common neglect types were inadequate nutrition (40%), inability to provide basic care (37%), intrauterine substance exposure (25%), combined types (23%), and inadequate medical care (10%). Common characteristics among neglect types included age less than 1 year, male sex, Hispanic ethnicity, public insurance, past involvement with Child Protective Services, and inpatient consultation services (social work, physical therapy, and occupational therapy), and post-discharge recommendations (primary care, physical therapy, and regional center). Neglect type groups varied by child medical history, social needs, and discharge recommendations. Statistically significant associations supported differences per neglect type.
CONCLUSIONS: Our findings highlight five specific types of neglect seen in an impoverished and ethnically diverse geographic region. Post-discharge care needs should focus on removing social barriers and optimizing resources, in particular mental health, to mitigate the risk of continued neglect. Future studies should focus on prevention strategies, tailored interventions, and improved resource allocations per neglect type and discharge location.
METHODS: Data on neglect type, sociodemographics, social needs, inpatient consultations, and post-discharge care were collected from the electronic medical record for children aged 0-5 years who were hospitalized with concern for neglect during 2016-2020. Frequencies and percentages were calculated to determine sample characteristics. The Chi-square Test for Independence was used to evaluate associations between neglect type and other variables.
RESULTS: The most common neglect types were inadequate nutrition (40%), inability to provide basic care (37%), intrauterine substance exposure (25%), combined types (23%), and inadequate medical care (10%). Common characteristics among neglect types included age less than 1 year, male sex, Hispanic ethnicity, public insurance, past involvement with Child Protective Services, and inpatient consultation services (social work, physical therapy, and occupational therapy), and post-discharge recommendations (primary care, physical therapy, and regional center). Neglect type groups varied by child medical history, social needs, and discharge recommendations. Statistically significant associations supported differences per neglect type.
CONCLUSIONS: Our findings highlight five specific types of neglect seen in an impoverished and ethnically diverse geographic region. Post-discharge care needs should focus on removing social barriers and optimizing resources, in particular mental health, to mitigate the risk of continued neglect. Future studies should focus on prevention strategies, tailored interventions, and improved resource allocations per neglect type and discharge location.
摘要：
目标：儿童忽视是一个公共健康问题，会对儿童产生负面影响，家庭,和社会。虽然忽视与许多儿科住院有关，很少有研究探索与忽视类型相关的特征，社会需要,出院后护理。
方法：忽略类型的数据，社会人口统计学，社会需要,住院咨询,我们从电子病历中收集了2016-2020年期间因忽视而住院的0-5岁儿童的出院后护理.计算频率和百分比以确定样品特征。独立性的卡方检验用于评估忽略类型与其他变量之间的关联。
结果：最常见的忽视类型是营养不足（40％），无法提供基本护理(37%)，宫内物质暴露（25%），组合类型(23%)，医疗服务不足（10%）。忽视类型的共同特征包括年龄小于1岁，男性,西班牙裔种族，公共保险,过去参与儿童保护服务，和住院咨询服务(社会工作，物理治疗,和职业治疗)，和出院后建议(初级保健，物理治疗,和区域中心)。被忽视类型组因儿童病史而异，社会需要,和出院建议。统计上显着的关联支持每种忽视类型的差异。
结论：我们的研究结果强调了在贫困和种族多样化的地理区域中所见的五种特定类型的忽视。出院后护理需求应注重消除社会障碍,优化资源,特别是心理健康，减轻持续忽视的风险。未来的研究应该集中在预防策略上，量身定制的干预措施，并根据忽视类型和出院地点改善资源分配。
方法：忽略类型的数据，社会人口统计学，社会需要,住院咨询,我们从电子病历中收集了2016-2020年期间因忽视而住院的0-5岁儿童的出院后护理.计算频率和百分比以确定样品特征。独立性的卡方检验用于评估忽略类型与其他变量之间的关联。
结果：最常见的忽视类型是营养不足（40％），无法提供基本护理(37%)，宫内物质暴露（25%），组合类型(23%)，医疗服务不足（10%）。忽视类型的共同特征包括年龄小于1岁，男性,西班牙裔种族，公共保险,过去参与儿童保护服务，和住院咨询服务(社会工作，物理治疗,和职业治疗)，和出院后建议(初级保健，物理治疗,和区域中心)。被忽视类型组因儿童病史而异，社会需要,和出院建议。统计上显着的关联支持每种忽视类型的差异。
结论：我们的研究结果强调了在贫困和种族多样化的地理区域中所见的五种特定类型的忽视。出院后护理需求应注重消除社会障碍,优化资源,特别是心理健康，减轻持续忽视的风险。未来的研究应该集中在预防策略上，量身定制的干预措施，并根据忽视类型和出院地点改善资源分配。
