Child maltreatment in Taiwan for 2004–2013: A shift in age group and forms of maltreatment |
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| Institution: | 1. Department of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan;2. Department of Child and Adolescent Psychiatry, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan;3. Department of Family Studies and Child Development, Shih Chien University, Taipei, Taiwan;4. Department of Medical Research, Keelung Hospital, Ministry of Health and Welfare, Keelung City, Taiwan;1. Department of Pharmacology, Institute of Medical Sciences, Shanghai Jiao Tong University School of Medicine, 280 South Chongqing Road, Shanghai 200025, China;2. Department of Pharmacology, University of Minnesota, 6-120 Jackson Hall, 321 Church St. S. E., Minneapolis, MN 55455, USA;1. Institute of Environmental Health, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei 100, Taiwan, ROC;2. School of Engineering and Applied Sciences, Harvard University, 29 Oxford Street, Cambridge, MA 02138, USA;3. Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute and Department of Biostatistics, Harvard T.H. Chan School of Public Health, 44 Binney Street, Dana-Farber Cancer Institute CLSB 11015, Boston, MA 02115, USA;4. Department of Environmental Health, Harvard T.H. Chan School of Public Health, 401 Park Drive, Landmark Center West, Room 410, Boston, MA 02215, USA;1. Department of Nursing, College of Medicine, National Cheng Kung University and Hospital, No. 1, University Road, Tainan City 701, Taiwan;2. Department of Social Work, University of North Dakota, 225 Centennial Drive, Stop 7135, Grand Forks, ND, 58202, USA;3. Department and Graduate Institute of Forensic Medicine, National Taiwan University, No.1, Jen Ai Rd., Section 1, Taipei 100, Taiwan;4. Department of Psychology, Bournemouth University, Fern Barrow, BH12 5BB, UK;5. Department of Social Work, National Taipei University, 151, University Rd., San Shia District, New Taipei City 23741, Taiwan;6. Department of Social Work, National Taiwan University, 1, Roosevelt, Rd. Sec. 4, Taipei 106, Taiwan;1. Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;2. Institute of Statistical Science, Academia Sinica, Taipei, Taiwan;3. Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan;4. Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;5. Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;1. School of Geographic and Environmental Sciences, Tianjin Normal University, Tianjin, 300387, China;2. State Key Laboratory of Severe Weather & Key Laboratory for Atmospheric Chemistry of China Meteorology Administration, Chinese Academy of Meteorological Sciences, Beijing, 100081, China;3. School of Life Sciences, Tsinghua University, Beijing, 100084, China;1. Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan;2. Department of Radiation Oncology, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan;3. School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan;4. Master Program in Applied Molecular Epidemiology, College of Public Health, Taipei Medical University, Taipei, Taiwan |
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| Abstract: | Cases of child maltreatment are being increasingly reported in Taiwan. However, the trend or changes of child maltreatment in Taiwan are fragmentary and lack empirical evidence. This study analyzed the epidemiological characteristics of substantiated child maltreatment cases from the previous decade, using mortality as an indicator to investigate the care of children who experienced substantiated maltreatment in the past to determine any new developments. Data for analysis and estimates were retrieved from the Department of Statistics in the Ministry of the Interior from 2004 to 2013. Trend analyses were conducted using the Joinpoint Regression Program. The child maltreatment rate in Taiwan was found to have nearly tripled from 2004 to 2013. A greater increase in the maltreatment of girls than boys and the maltreatment of aboriginal children than non-aboriginal children was noted from 2004 to 2013. When stratified by age group, the increase in maltreatment was most pronounced in children aged 12–17 years, and girls aged 12–17 years experienced the greatest increase in maltreatment. In terms of the proportional changes of different maltreatment forms among substantiated child maltreatment cases, child neglect was decreasing. The increase in sexual abuse was higher than for any other form of maltreatment and surpassed neglect by the end of 2013. Furthermore, the mortality rate of children with substantiated maltreatment record is increasing in Taiwan, whereas the mortality rate among children without any substantiated maltreatment record is decreasing. The results of this study highlight the need for policy reform in Taiwan regarding child maltreatment. |
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| Keywords: | Child maltreatment Abuse type Trend analysis Mortality |
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