Fourth National Incidence Study of Child Abuse and Neglect (NISâ4)

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in households with two children), a significant difference. In addition, the incidence ratefor “only” children (17.9 per 1,000 children) was 1.5 times the rate for children inhouseholds with two children, a statistically marginal difference.Neglect. The incidence of overall Harm Standard neglect is significantlyhigher among children living in households with four or more children compared to thosein households with two children. The rate was 13.8 per 1,000 children in the largerhouseholds, which is more than twice the rate of 6.4 per 1,000 children in two-childhouseholds.Physical abuse. The rate of physical abuse in the largest families (5.0 per1,000 children) is higher than the rate in two-child families (3.4 per 1,000 children), astatistically marginal difference.Physical neglect. Children in households with four or more childrensuffered physical neglect at a higher rate than those in households with three children (5.9versus 2.6 children per 1,000, respectively), a difference that is statistically marginal.Figure 5–17.Incidence of Harm Standard Maltreatment by Family Size.5–44
Severity of Outcomes from Harm Standard MaltreatmentThe incidence of children who suffered serious harm or moderate harm fromHarm Standard maltreatment differed depending on the number of children in theirhouseholds, as Figure 5–18 shows.Figure 5–18.Severity of Outcomes from Harm Standard Maltreatment by FamilySize.Serious harm. Children in the largest households (four or more children)had a greater risk of suffering serious harm as a result of their Harm Standardmaltreatment than children in households with just two children. An estimated 8.4 per1,000 children in the largest families were seriously harmed, which is nearly 1.8 times therate for children in families with two children, where an estimated 4.8 children per 1,000experienced serious harm from Harm Standard maltreatment. This difference isstatistically marginal.Moderate harm. An estimated 9.4 children per 1,000 “only” children hadmoderate injuries as a result of their Harm Standard maltreatment, which is 1.5 times therate of children who had moderate injuries among those with in two-child families (6.25–45
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Fourth National Incidence Studyof C
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Fourth National Incidence Studyof C
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TABLE OF CONTENTSChapterPageEXECUTI
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ChapterPage5.1.2 Differences in Mal
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LIST OF TABLESTablePage2-1 NIS-4 60
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LIST OF FIGURESFigurePage2-1 Levels
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Figure5-265-275-286-16-26-36-46-56-
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EXECUTIVE SUMMARYThis executive sum
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In the NIS classifications, maltrea
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3. The National Incidence of Child
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(36%, or 302,600 children) were emo
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maltreatment outcomes—rates of ch
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details that would exclude legitima
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Grandparents as caregivers. The NIS
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males more often were abusers (62%
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maltreated children to enter CPS in
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with Harm Standard maltreatment and
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differences in maltreatment rates r
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1. INTRODUCTIONThis report presents
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Incorporating the TAG input, DHHS d
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• The NIS-4 Data Collection Repor
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these with the percentages that rec
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Rationale. Although CPS investigate
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eveal the maltreatment to persons i
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Figure 2-3.Schematic Summary of the
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CPS recruitment. In order to undupl
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format: the Sentinel data form desc
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3. Purposive and Avoidable Acts/Omi
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each child substantiated by CPS or
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2.6 Weighting and Estimation 14The
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the population. The estimated total
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2.8 Supplementary StudiesThe NIS pr
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3. INCIDENCE OF CHILD ABUSE AND NEG
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3.1.1 Overall Incidence of Harm Sta
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3.1.2 Incidence of Harm Standard Ab
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children represent 58% of all child
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From inadequate supervision to the
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3.1.5 Severity of Outcomes from Har
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interpreted as less serious than mo
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considered to be endangered by thei
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totals represent national incidence
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Changes since 1986 in the incidence
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The NIS-3 found significant increas
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Moderate harm. Moderate harm due to
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4. DISTRIBUTION OF ABUSE AND NEGLEC
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Sexual Abuse. Girls experienced Har
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Table 4-2. Sex Differences in Incid
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4.2 Age Differences in the Incidenc
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Figure 4-4.Age Differences in Incid
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graph shows, the incidence rate for
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4.2.2 Age Differences in Endangerme
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Physical abuse. The incidence of En
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Figure 4-11.Age Differences in the
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Figure 4-12.Percent Changes since t
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Endangered. Chapter 3 reported that
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significantly higher than that for
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Changes since the NIS-3 in Rates of
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Overall Endangerment Standard Maltr
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Changes since the NIS-3 in Rates of
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4.4.1 Differences in Harm Standard
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Table 4-6. Differences Related to C
Page 125 and 126: Thus, the incidence rate for childr
Page 127 and 128: Overall Harm Standard MaltreatmentS
Page 129 and 130: Table 4-8. Differences Related to C
Page 131: Endangerment Standard maltreatment,
Page 134 and 135: 5.1 Differences in the Incidence of
Page 136 and 137: more than 2 times the rate for chil
Page 138 and 139: inferring that they were harmed. Th
Page 140 and 141: Specific Categories of Endangerment
Page 142 and 143: Endangered. The estimated incidence
Page 144 and 145: families. The incidence rate for ch
Page 146 and 147: Educational neglect. Children in fa
Page 148 and 149: The incidence rate of Endangerment
Page 150 and 151: Endangered. Children in families of
Page 152 and 153: Figure 5-1.Incidence of Harm Standa
Page 154 and 155: Figure 5-2.Incidence of Harm Standa
Page 156 and 157: higher, the rate for children whose
Page 158 and 159: maltreatment at a reliably higher r
Page 160 and 161: Figure 5-6.Percent Changes since NI
Page 162 and 163: 5.3.2 Differences in the Incidence
Page 164 and 165: Specific Categories of Endangerment
Page 166 and 167: Figure 5-11.Incidence of Endangerme
Page 168 and 169: living with a single parent who had
Page 170 and 171: oth parents showed much smaller cha
Page 172 and 173: child’s primary caregiver, when t
Page 174 and 175: Table 5-6. Differences in Incidence
Page 178 and 179: per 1,000). Also, the rate of moder
Page 180 and 181: two children, 1.7 times the rate fo
Page 182 and 183: Emotional abuse. The incidence of E
Page 184 and 185: Endangered. The estimated incidence
Page 186 and 187: Figure 5-23.Incidence of Harm Stand
Page 188 and 189: 5.6.2 Differences in Endangerment S
Page 190 and 191: were 1.5 times more likely to be ph
Page 192 and 193: Moderate harm. Children residing in
Page 194 and 195: Second, because multiple persons so
Page 196 and 197: hierarchy comprises other adults kn
Page 198 and 199: Table 6-2 also reveals a marked dif
Page 200 and 201: with the fact that mothers tend to
Page 202 and 203: Table 6-4. Perpetrator's Sex by Sev
Page 204 and 205: perpetrator relationship, with the
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Page 208 and 209: perpetrator’s alcohol use was a f
Page 210 and 211: More of the moderately harmed child
Page 213 and 214: 7. RECOGNIZING ABUSED AND NEGLECTED
Page 215 and 216: classification hierarchy. If more t
Page 217 and 218: neglected. That is, when school sen
Page 219 and 220: NIS-4 estimates and rates per 1,000
Page 221 and 222: largest contributor in this sector,
Page 223 and 224: schools and social services agencie
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that influence sentinels’ respons
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8.1 CPS Investigation of Abused and
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Figure 8-1.Changes in Rates of CPS
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Figure 8-2.CPS Investigation of Mal
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CPS investigated more than one-half
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Figure 8-6. CPS Investigation of Ch
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children recognized at shelters, al
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Figure 8-8.Changes in Rates of CPS
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Just as in the Harm Standard, the i
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Figure 8-11.Changes in Investigatio
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Figure 8-13.CPS Investigation of Ch
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maltreated children. With these chi
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during the extra month but were alr
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Figure 8-15.Uninvestigated Maltreat
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columns, providing the presumptive
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determining whether the child would
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Table 8-2 shows the actual and pres
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8.4 Relationship between CPS Invest
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investigation rates were lower for
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Prioritizing recommended responses
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maltreatment directly to CPS. Among
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columns, the educational neglect pe
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9. CONCLUSIONS AND IMPLICATIONSThe
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sliding scales for the poorer child
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REFERENCESAhlbom, A., & Norell, S.
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Youth and Families, Administration
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U.S. Census Bureau. (2004). Current
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Appendix A Design and Methods Summa
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weighted the records (so the sample
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design. The measure of size was the
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optimal sample sizes from law enfor
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CPS RECRUITMENT In order to develop
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SENTINEL AGENCY RECRUITMENT The sen
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Table A-2.NIS-4 Agency Participatio
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DATA COLLECTIONThe goals of the NIS
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Table A-5. Participating Sentinel A
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• The nature of harm (injuries to
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The evaluative coders recorded thes
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Table A-9. Agreement Rates for Over
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probability-based matching software
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WEIGHTING Sampling weights were dev
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eport the child to CPS, which in tu
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Table A-12. Topics Covered in the 4
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CPS SCREENING POLICIES STUDY (SPS)
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• 52 agencies provided their own
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SENTINEL DEFINITIONS SURVEY (SDS) T
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The first surveys were mailed in Ma
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TABLE B-1.CATEGORIES OF MALTREATMEN
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TABLE B-4.AGE BY CATEGORIES OF MALT
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TABLE B-4. (Continued)AGE CLASS = 1
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TABLE B-5. (Continued)RACE/ETHNICIT
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TABLE B-6. (Continued) NCHILDR = 4
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TABLE B-8.CHILDREN COUNTABLE UNDER
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TABLE B-8. (Continued)CLASS = NOT I
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TABLE B-10.FAMILY STRUCTURE AND PAR
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TABLE B-10. (Continued)FAMILY STRUC
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TABLE B-11. (Continued)FAMILY STRUC
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TABLE B-13. (Continued)PARENTS' EMP
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Appendix C Endangerment Standard Es
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TABLE C-3.SEX BY CATEGORIES OF MALT
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TABLE C-4. (Continued)AGE CLASS = 6
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TABLE C-5.RACE/ETHNICITY BY CATEGOR
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TABLE C-6. (Continued)NCHILDR = 2 C
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TABLE C-7. (Continued)METROSTATUS =
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TABLE C-8. (Continued)CLASS = INVES
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TABLE C-9.PROPORTION OF ENDANGERMEN
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TABLE C-10. (Continued)FAMILY STRUC
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TABLE C-11.FAMILY STRUCTURE BY CATE
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TABLE C-12. (Continued)SOCIOECONOMI
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TABLE C-14.GRANDPARENTS AS CAREGIVE
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APPENDIX DWITHIN STUDY ANALYSES Thi
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Table D-3. T-statistics for age dif
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Table D-3. ContinuedAge 6-8 vs 9-11
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Table D-4. ContinuedAge 0-2 vs 12-1
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Table D-4 ContinuedAge 9-11 vs 12-1
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Table D-6. T-statistics for racial/
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Table D-8. T-statistics for parent'
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Table D-11. T-statistics for family
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Table D-11. ContinuedUnmarried Pare
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Table D-12. ContinuedMarried Parent
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Table D-12. ContinuedSingle ParentW
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Table D-17. T-statistics for metros
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Table D-19. Chi-squared Results for
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APPENDIX E BETWEEN-STUDY ANALYSES T
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Table E-1a. T-statistics for compar
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Table E-3. Chi-squared tables for s
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Table E-3. (Continued)Emotional Neg
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Table E-4. (Continued)Sexual Abuse0
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Table E-4. (Continued)Severity, Mod
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Table E-5. (Continued)Physical Negl
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Table E-6. Chi-squared tables for p
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Table E-6. (Continued)Educational N
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Table E-7. Chi-squared tables for f
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Table E-7. (Continued)Emotional Neg
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Table E-8. (Continued)Sexual AbuseL
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Table E-8. (Continued)Severity, Mod
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Table E-9. (Continued)Emotional Abu
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Table E.9. (Continued)Severity, Inf
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Table E-10. (Continued)Emotional Ab
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Table E-10. (Continued)Severity, In
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Table E-17. T-statistics for Source
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