Fourth National Incidence Study of Child Abuse and Neglect (NIS–4)

confirmed disability. The incidence rate was estimated at 6.2 per 1,000 children with nodisability compared to 4.3 per 1,000 children with a confirmed disability.Sexual abuse. Children with no disability had 1.7 times the risk of beingsexually abused than those with a disability (2.4 versus 1.4 children per 1,000).Categories of Endangerment Standard NeglectSignificant differences related to child’s disability status occurred in rates oftwo categories of the Endangerment Standard neglect, physical neglect and emotionalneglect.Physical neglect. An estimated 15.5 per 1,000 children with no disabilityexperienced Endangerment Standard physical neglect, whereas the rate was 9.6 per 1,000children with a confirmed disability. Children with no disability were more than 1.6times more likely to be physically neglected than children with a confirmed disability.Emotional neglect. Children with no disability were at significantly greaterrisk of Endangerment Standard emotional neglect; they were 1.7 times more likely to beemotionally neglected than children with a confirmed disability. An estimated 15.6 per1,000 children with no disability experienced emotional neglect compared to 9.1 per1,000 children with a confirmed disability.Severity of Outcomes from Endangerment Standard MaltreatmentSignificant differences related to the child’s disability status occurred in threelevels of outcomes from Endangerment Standard maltreatment: serious harm, moderateharm, and endangerment.Serious harm. In contrast to their lower risk of experiencing differentcategories of Endangerment Standard maltreatment, children with a confirmed disabilitywere at greater risk of suffering serious harm from Endangerment Standard maltreatmentthan children with no disability. An estimated 9.1 per 1,000 children with a confirmeddisability were seriously harmed compared to 6.0 per 1,000 children with no disability.4-34