University Hospital Reports Findings in Managed Care (Hospitalization for physical child abuse: Associated medical factors and medical history since birth): Managed Care

2023 OCT 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Managed Care is the subject of a report. According to news originating from Dijon, France, by NewsRx correspondents, research stated, “Physical abuse often begins at a very young age and sometimes results in serious or fatal injuries. It is crucial to diagnose physical abuse as early as possible to protect this vulnerable population.”

Our news journalists obtained a quote from the research from University Hospital, “To study the factors associated with the first hospitalization for physical abuse from birth to the infant’s first birthday in France. We included all singleton children born in a hospital setting in France between 2009 and 2013, who were identified from the French national information system database (SNDS). To study factors associated with the first hospitalization for physical abuse during the first year after birth, we used the Fine and Gray regression model. Factors included in the multivariate model were the infant’s sex, prematurity, neonatal conditions, the number of hospitalizations (at least two), medical consultations and complementary universal health insurance (proxy for family precariousness and socio-economic vulnerability). Over the 2009-2013 period, among 3,432,921 newborn singletons, 903 (0.026 %) were hospitalized for physical abuse in the year following birth. Among the factors associated with physical abuse, such as prematurity (aHR = 2.2[1.8-2.7]), male sex (aHR = 1.3[1.2-1.5]), or having had at least two hospitalizations (aHR = 1.7[1.4-2.1]), we found that complementary universal health insurance coverage was the factor most associated (aHR = 4.1[3.5-4.7]) with being hospitalized for physical abuse. These findings could help introduce preventative measures for infant protection in certain groups, such as parents of infants born prematurely, especially if they are in a precarious situation.”

According to the news editors, the research concluded: “This study also suggests that particular attention should be paid to infants who have been hospitalized at least two times in the first year of life, whatever the reason.”

This research has been peer-reviewed.

For more information on this research see: Hospitalization for physical child abuse: Associated medical factors and medical history since birth. Child Abuse & Neglect, 2023;146:106482. Child Abuse & Neglect can be contacted at: Pergamon-elsevier Science Ltd, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, England. (Elsevier - www.elsevier.com; Child Abuse & Neglect - http://www.journals.elsevier.com/child-abuse-and-neglect/)

The news correspondents report that additional information may be obtained from Jonathan Cottenet, Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France. Additional authors for this research include Melanie Loiseau, Irene Francois-Purssell, Sonia Bechraoui-Quantin, Andreas Jud, Severine Gilard-Pioc and Catherine Quantin.

The publisher’s contact information for the journal Child Abuse & Neglect is: Pergamon-elsevier Science Ltd, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, England.

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