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

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Figure 4–1.Percent Changes since the NIS–3 in Rates of Harm StandardMaltreatment by Child’s Sex.Serious harm. A similar pattern is evident in the changes since the NIS–3 inthe incidence of serious harm from Harm Standard maltreatment. In the NIS–3, boyswere more likely than girls to suffer serious harm from Harm Standard maltreatment, butthe NIS–4 found no significant difference between boys’ and girls’ rates of experiencingserious harm under the Harm Standard. The incidence rates for both sexes declined, butboys’ rate declined more than that of girls; boys’ rate declined by 33%, whereas girls’rate declined by just 11%.4.1.2 Sex Differences in Endangerment Standard MaltreatmentThe sexes differ on the Endangerment Standard rates given in Table 4–2.Boys and girls incidence rates differ significantly in one maltreatment category, sexualabuse, and in one level of outcome severity, inferred harm. The difference is statisticallymarginal for overall abuse.4-4
Table 4–2. Sex Differences in Incidence Rates per 1,000 Children for EndangermentStandard Maltreatment in the NIS–4 (2005–2006)Endangerment StandardMaltreatment CategoryBoysGirlsSignificance ofDifferenceABUSE:All Abuse10.012.0mSexual Abuse1.03.8*SEVERITY OF HARM:Inferred2.53.4** The difference is significant at pp>.05).Abuse. Girls’ rate of Endangerment Standard abuse is 1.2 times that of boys.This difference is statistically marginal (p < .10).Sexual abuse. Again, girls’ greater risk of Endangerment Standard abuseessentially reflects their greater risk of sexual abuse, which is 3.8 times that of boys.Inferred Harm. Girls were significantly more likely to have inferred harmdue to Endangerment Standard maltreatment. As shown in Table 4–2, girls’ incidencerate for Endangerment Standard inferred injury is 1.4 times the boys’ rate. This pattern,which is also discussed in the Harm Standard finding in this category, is most likelyrelated to girls’ greater risk of sexual abuse. Sexual abuse and inferred injuries are linkedin that the definitions under both standards permit harm to be inferred when the evidencecited indicates that a serious form of sexual abuse occurred.Changes since the NIS–3 in the Distribution of Endangerment StandardMaltreatment Related to Child’s SexComparisons between the NIS–3 and NIS–4 revealed that changes in theincidence of one category of Endangerment Standard maltreatment and two levels ofoutcome severity were statistically related to child’s sex: emotional neglect, seriousharm, and inferred harm.4-5
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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
Page 43: these with the percentages that rec
Page 46 and 47: Rationale. Although CPS investigate
Page 48 and 49: eveal the maltreatment to persons i
Page 50 and 51: Figure 2-3.Schematic Summary of the
Page 52 and 53: CPS recruitment. In order to undupl
Page 54 and 55: format: the Sentinel data form desc
Page 56 and 57: 3. Purposive and Avoidable Acts/Omi
Page 58 and 59: each child substantiated by CPS or
Page 60 and 61: 2.6 Weighting and Estimation 14The
Page 62 and 63: the population. The estimated total
Page 64 and 65: 2.8 Supplementary StudiesThe NIS pr
Page 67 and 68: 3. INCIDENCE OF CHILD ABUSE AND NEG
Page 69 and 70: 3.1.1 Overall Incidence of Harm Sta
Page 71 and 72: 3.1.2 Incidence of Harm Standard Ab
Page 73 and 74: children represent 58% of all child
Page 75 and 76: From inadequate supervision to the
Page 77 and 78: 3.1.5 Severity of Outcomes from Har
Page 79 and 80: interpreted as less serious than mo
Page 81 and 82: considered to be endangered by thei
Page 83 and 84: totals represent national incidence
Page 85 and 86: Changes since 1986 in the incidence
Page 87 and 88: The NIS-3 found significant increas
Page 89 and 90: Moderate harm. Moderate harm due to
Page 91 and 92: 4. DISTRIBUTION OF ABUSE AND NEGLEC
Page 93: Sexual Abuse. Girls experienced Har
Page 97 and 98: 4.2 Age Differences in the Incidenc
Page 99 and 100: Figure 4-4.Age Differences in Incid
Page 101 and 102: graph shows, the incidence rate for
Page 103 and 104: 4.2.2 Age Differences in Endangerme
Page 105 and 106: Physical abuse. The incidence of En
Page 107 and 108: Figure 4-11.Age Differences in the
Page 109 and 110: Figure 4-12.Percent Changes since t
Page 111 and 112: Endangered. Chapter 3 reported that
Page 113 and 114: significantly higher than that for
Page 115 and 116: Changes since the NIS-3 in Rates of
Page 117 and 118: Overall Endangerment Standard Maltr
Page 119 and 120: Changes since the NIS-3 in Rates of
Page 121 and 122: 4.4.1 Differences in Harm Standard
Page 123 and 124: 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
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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
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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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Fourth National Incidence Study of Child Abuse and Neglect (NISâ4)