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

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

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

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Analyses <strong>of</strong> changes in this composite measure since the NIS–3 were notpossible because the NIS–3 did not obtain information about household poverty programparticipation <strong>and</strong> parental education.5.2.1 Differences in Harm St<strong>and</strong>ard Maltreatment Related toSocioeconomic Status (SES)As Table 5–3 reveals, household SES was significantly related to incidencerates in all categories <strong>of</strong> Harm St<strong>and</strong>ard maltreatment <strong>and</strong> levels <strong>of</strong> outcome severity.Overall Harm St<strong>and</strong>ard Maltreatment, <strong>Abuse</strong>, <strong>and</strong> <strong>Neglect</strong><strong>Child</strong>ren in families <strong>of</strong> low SES were at significantly greater risk <strong>of</strong> HarmSt<strong>and</strong>ard maltreatment overall. An estimated 22.5 children per 1,000 children in low-SES families experienced Harm St<strong>and</strong>ard maltreatment, which is more than 5 times therate <strong>of</strong> 4.4 per 1,000 children in families that were not <strong>of</strong> low SES.<strong>Child</strong>ren in families <strong>of</strong> low SES were also at significantly greater risk <strong>of</strong>Harm St<strong>and</strong>ard abuse. An estimated 7.7 children per 1,000 children in low-SES familiesexperienced Harm St<strong>and</strong>ard abuse compared to 2.5 per 1,000 children not in low-SES(Continued from previous page.)the cases that are missing information are predominantly in a specific subgroup, since that would causeNIS to systematically underestimate the incidence <strong>of</strong> maltreatment in that subgroup. To gauge therobustness <strong>of</strong> the findings on socioeconomic status, hypothetical analyses examined the worst-casescenario regarding the potential bias <strong>of</strong> the missing data, by allocating all the children still missing valueson this measure to the higher socioeconomic category (i.e., the subgroup with lower incidence rates acrossall maltreatment categories). Statistically significant differences remained for half <strong>of</strong> the maltreatmentcategories under both the Harm <strong>and</strong> Endangerment St<strong>and</strong>ards. Specifically, the hypothetical subgroupsstill differed, under both definitional st<strong>and</strong>ards, in the incidence <strong>of</strong> all maltreatment, emotional abuse, allneglect, physical neglect, emotional neglect, <strong>and</strong> serious harm. In addition, the hypothetical subgroupsdiffered significantly in their rates <strong>of</strong> experiencing moderate harm <strong>and</strong> endangerment from EndangermentSt<strong>and</strong>ard maltreatment.66 Calculations <strong>of</strong> incidence rates used the following population denominators, in thous<strong>and</strong>s: 19,750children in families <strong>of</strong> low socioeconomic status <strong>and</strong> 53,885 children not in families <strong>of</strong> lowsocioeconomic status (U.S. Census Bureau, 2008a, 2008b, 2008c).5–11

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