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

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TABLE B-7. (Continued)METROSTATUS = URBANCATEGORY OFESTIMATEDMALTREATMENT OR INCIDENCE STANDARDSEVERITY RATE ERRORALL MALTREATED 15.984 2.757ALL ABUSED 7.832 1.201PHYSICALLY ABUSED 4.678 0.71SEXUALLY ABUSED 1.447 0.24EMOTIONALLY ABUSED 2.537 0.576ALL NEGLECTED 9.156 1.831PHYSICALLY NEGLECTED 3.166 0.645EMOTIONALLY NEGLECTED 2.985 0.656EDUCATIONALLY NEGLECTED 3.872 1.01SEVERITY, FATAL 0.037 0.014SEVERITY, SERIOUS 6.441 1.204SEVERITY, MODERATE 8.599 1.573SEVERITY, INFERRED 0.907 0.162METROSTATUS = RURALCATEGORY OFESTIMATEDMALTREATMENT OR INCIDENCE STANDARDSEVERITY RATE ERRORALL MALTREATED 30.988 8.117ALL ABUSED 10.83 1.538PHYSICALLY ABUSED 5.769 0.89SEXUALLY ABUSED 2.828 0.384EMOTIONALLY ABUSED 3.391 0.803ALL NEGLECTED 21.949 7.627PHYSICALLY NEGLECTED 8.015 2.243EMOTIONALLY NEGLECTED 4.679 1.152EDUCATIONALLY NEGLECTED 12.107 6.048SEVERITY, FATAL 0.006 0.006SEVERITY, SERIOUS 11.488 2.458SEVERITY, MODERATE 18.178 5.753SEVERITY, INFERRED 1.315 0.309B-10
TABLE B-8.CHILDREN COUNTABLE UNDER THE HARM STANDARD--RECOGNIZED OVERALL, INVESTIGATED BY CPS, AND NOT INVESTIGATED BY CPS, BY RECOGNITION SOURCE; INCIDENCE RATES (Per 1,000 children) CLASS = ALL RECOGNIZEDESTIMATEDINCIDENCE STANDARDRECOGNITION SOURCE RATE ERRORPROBATION/COURTS 0.482 0.096POLICE/SHERIFF 2.067 0.202PUBLIC HEALTH 0.323 0.100INVESTIGATORY AGENCY SUBTOTAL: 2.871 0.257HOSPITALS 1.823 0.693SCHOOLS 8.811 1.368DAY CARE CENTERS 0.890 0.255MENTAL HEALTH 0.801 0.172SOCIAL SERVICES 0.244 0.039SHELTERS 0.174 0.037PUBLIC HOUSING 0.021 0.014OTHER SENTINEL AGENCY SUBTOTAL 12.763 1.651ALL SENTINEL SOURCES TOTAL 15.635 1.712DSS/WELFARE DEPT. 0.251 0.037OTHER PROFESSIONAL OR AGENCY 0.153 0.027ALL OTHER SOURCES 1.026 0.075OTHER (CPS ONLY) SUBTOTAL 1.430 0.089TOTAL, ALL SOURCES 17.065 1.732B-11
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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
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Thus, the incidence rate for childr
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Overall Harm Standard MaltreatmentS
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Table 4-8. Differences Related to C
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Endangerment Standard maltreatment,
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5.1 Differences in the Incidence of
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more than 2 times the rate for chil
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inferring that they were harmed. Th
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Specific Categories of Endangerment
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Endangered. The estimated incidence
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families. The incidence rate for ch
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Educational neglect. Children in fa
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The incidence rate of Endangerment
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Endangered. Children in families of
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Figure 5-1.Incidence of Harm Standa
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Figure 5-2.Incidence of Harm Standa
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higher, the rate for children whose
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maltreatment at a reliably higher r
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Figure 5-6.Percent Changes since NI
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5.3.2 Differences in the Incidence
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Specific Categories of Endangerment
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Figure 5-11.Incidence of Endangerme
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living with a single parent who had
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oth parents showed much smaller cha
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child’s primary caregiver, when t
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Table 5-6. Differences in Incidence
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in households with two children), a
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per 1,000). Also, the rate of moder
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two children, 1.7 times the rate fo
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Emotional abuse. The incidence of E
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Endangered. The estimated incidence
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Figure 5-23.Incidence of Harm Stand
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5.6.2 Differences in Endangerment S
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were 1.5 times more likely to be ph
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Moderate harm. Children residing in
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Second, because multiple persons so
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hierarchy comprises other adults kn
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Table 6-2 also reveals a marked dif
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with the fact that mothers tend to
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Table 6-4. Perpetrator's Sex by Sev
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perpetrator relationship, with the
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earlier (Chapter 4) and did not var
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perpetrator’s alcohol use was a f
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More of the moderately harmed child
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7. RECOGNIZING ABUSED AND NEGLECTED
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classification hierarchy. If more t
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neglected. That is, when school sen
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NIS-4 estimates and rates per 1,000
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largest contributor in this sector,
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schools and social services agencie
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maltreatment situations only to CPS
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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
Page 281 and 282: U.S. Census Bureau. (2004). Current
Page 283 and 284: Appendix A Design and Methods Summa
Page 285 and 286: weighted the records (so the sample
Page 287 and 288: design. The measure of size was the
Page 289 and 290: optimal sample sizes from law enfor
Page 291 and 292: CPS RECRUITMENT In order to develop
Page 293 and 294: SENTINEL AGENCY RECRUITMENT The sen
Page 295 and 296: Table A-2.NIS-4 Agency Participatio
Page 297 and 298: DATA COLLECTIONThe goals of the NIS
Page 299 and 300: Table A-5. Participating Sentinel A
Page 301 and 302: • The nature of harm (injuries to
Page 303 and 304: The evaluative coders recorded thes
Page 305 and 306: Table A-9. Agreement Rates for Over
Page 307 and 308: probability-based matching software
Page 309 and 310: WEIGHTING Sampling weights were dev
Page 311 and 312: eport the child to CPS, which in tu
Page 313 and 314: Table A-12. Topics Covered in the 4
Page 315 and 316: CPS SCREENING POLICIES STUDY (SPS)
Page 317 and 318: • 52 agencies provided their own
Page 319 and 320: SENTINEL DEFINITIONS SURVEY (SDS) T
Page 321 and 322: The first surveys were mailed in Ma
Page 323 and 324: TABLE B-1.CATEGORIES OF MALTREATMEN
Page 325 and 326: TABLE B-4.AGE BY CATEGORIES OF MALT
Page 327 and 328: TABLE B-4. (Continued)AGE CLASS = 1
Page 329 and 330: TABLE B-5. (Continued)RACE/ETHNICIT
Page 331: TABLE B-6. (Continued) NCHILDR = 4
Page 335 and 336: TABLE B-8. (Continued)CLASS = NOT I
Page 337 and 338: TABLE B-10.FAMILY STRUCTURE AND PAR
Page 339 and 340: TABLE B-10. (Continued)FAMILY STRUC
Page 341 and 342: TABLE B-11. (Continued)FAMILY STRUC
Page 343 and 344: TABLE B-13. (Continued)PARENTS' EMP
Page 345 and 346: Appendix C Endangerment Standard Es
Page 347 and 348: TABLE C-3.SEX BY CATEGORIES OF MALT
Page 349 and 350: TABLE C-4. (Continued)AGE CLASS = 6
Page 351 and 352: TABLE C-5.RACE/ETHNICITY BY CATEGOR
Page 353 and 354: TABLE C-6. (Continued)NCHILDR = 2 C
Page 355 and 356: TABLE C-7. (Continued)METROSTATUS =
Page 357 and 358: TABLE C-8. (Continued)CLASS = INVES
Page 359 and 360: TABLE C-9.PROPORTION OF ENDANGERMEN
Page 361 and 362: TABLE C-10. (Continued)FAMILY STRUC
Page 363 and 364: TABLE C-11.FAMILY STRUCTURE BY CATE
Page 365 and 366: TABLE C-12. (Continued)SOCIOECONOMI
Page 367 and 368: TABLE C-14.GRANDPARENTS AS CAREGIVE
Page 369 and 370: APPENDIX DWITHIN STUDY ANALYSES Thi
Page 371 and 372: Table D-3. T-statistics for age dif
Page 373 and 374: Table D-3. ContinuedAge 6-8 vs 9-11
Page 375 and 376: Table D-4. ContinuedAge 0-2 vs 12-1
Page 377 and 378: Table D-4 ContinuedAge 9-11 vs 12-1
Page 379 and 380: Table D-6. T-statistics for racial/
Page 381 and 382: 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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Fourth National Incidence Study of Child Abuse and Neglect (NISâ4)