The economic burden of child maltreatment in the United States and implications for prevention

Child Abuse and Neglect

Volumn 36, Issue 2, 2012, Pages 156-165

  Fang, Xiangming ^a   Brown, Derek S ^b   Florence, Curtis S ^a   Mercy, James A ^a  

^a NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL   (United States)

^b RTI INTERNATIONAL   (United States)

Author keywords

Child maltreatment; Economic burden; Lifelong consequences

Indexed keywords

ARTICLE; CHILD ABUSE; CHILD HEALTH CARE; CHILD WELFARE; CRIMINAL JUSTICE; ECONOMIC ASPECT; GROSS NATIONAL PRODUCT; HEALTH CARE COST; HUMAN; INCIDENCE; PREVALENCE; PRODUCTIVITY; SENSITIVITY ANALYSIS; SPECIAL EDUCATION; UNITED STATES; VICTIM;

ADOLESCENT; ADULT; CHILD; CHILD ABUSE; CHILD, PRESCHOOL; COSTS AND COST ANALYSIS; FEMALE; HEALTH CARE COSTS; HUMANS; INFANT; MALE; MIDDLE AGED; UNITED STATES; YOUNG ADULT;

EID: 84863409504     PISSN: 01452134     EISSN: 18737757     Source Type: Journal    
DOI: 10.1016/j.chiabu.2011.10.006     Document Type: Article

References (55)

1. Barnett A., Birnbaum H., Cremieux P.Y., Fendrick A.M., Slavin M. The costs of cancer to a major employer in the United States: A case-control analysis. American Journal of Managed Care 2000, 6(11):1243-1251.
2. Birnbaum H., Leong S., Kabra A. Lifetime medical costs for women: Cardiovascular disease, diabetes, and stress urinary incontinence. Womens Health Issues 2003, 13(6):204-213.
3. Bohn D.K., Holz K.A. Sequelae of abuse: Health effects of childhood sexual abuse, domestic battering, and rape. Journal of Nurse-Midwifery 1996, 41:442-456.
4. Bonomi A.E., Anderson M.L., Rivara F.P., Cannon E.A., Fishman P.A., Carrell D., Reid R.J., Thompson R.S. Health care utilization and costs associated with childhood abuse. Journal of General Internal Medicine 2008, 23(3):294-299.
5. Brown D.S., Fang X., Florence C.S. Medical costs attributable to child maltreatment: A systematic review of short- and long-term effects. American Journal of Preventive Medicine 2011, 41(6):627-635.
6. Browne A., Finkelhor D. Impact of child sexual abuse: A review of the research. Psychological Bulletin 1986, 99(1):66-77.
7. Cohen J.A., Mannarino A.P., Murray L.K. Trauma-focused CBT for youth who experience ongoing traumas. Child Abuse & Neglect 2011, 35(8):637-646.
8. Conrad C. Measuring costs of child abuse and neglect: A mathematic model of specific cost estimations. Journal of Health and Human Services Administration 2006, 29(1):103-123.
9. Corso P.S., Edwards V.J., Fang X., Mercy J.A. Health-related quality of life among adults who experienced maltreatment during childhood. American Journal of Public Health 2008, 98(6):1094-1100.
10. Corso P.S., Fertig A.R. The economic impact of child maltreatment in the United States: Are the estimates credible?. Child Abuse & Neglect 2010, 34(5):296-304.
11. Corso P.S., Mercy J.A., Simon T.R., Finkelstein E.A., Miller T.R. Medical costs and productivity losses due to interpersonal and self-directed violence in the United States. American Journal of Preventive Medicine 2007, 32(6):474-482.
12. Currie J., Widom C.S. Long-term consequences of child abuse and neglect on adult economic well-being. Child Maltreatment 2010, 15(2):111-120.
13. Daro D. Confronting child abuse: Research for effective program design 1988, Macmillan, Inc, New York, NY.
14. DeVooght K., Allen T., Geen R. Federal, state, and local spending to address child abuse and neglect in SFY 2006. Casey Family Programs 2008, Available at, . Accessed January 26, 2011. http://www.child%20trends.org/Files//Child_Trends-2009_02_17_FR_CWFinancePaper.pdf.
15. Dominguez T.E., Chalom R., Costarino A.T. The severity and cost of child abuse in the pediatric intensive care unit. Journal of Intensive Care Medicine 2001, 16:35-41.
16. Drake B. Unraveling unsubstantiated. Child Maltreatment 1996, 1(3):261-271.
17. Fallon B., Trocmé N., MacLaurin B., Sinha V., Black T. Untangling risk of maltreatment from events of maltreatment: An analysis of the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008). International Journal of Mental Health and Addiction 2011, 9(5):460-479.
18. Fang X., Corso P.S. Child maltreatment, youth violence, and intimate partner violence developmental relationships. American Journal of Preventive Medicine 2007, 33(4):281-290.
19. Felitti V.J., Anda R.F., Nordenberg D., Williamson D.F., Spitz A.M., Edwards V., Koss M.P., Marks J.S. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine 1998, 14(4):245-258.
20. Finkelhor D., Turner H., Ormrod R., Hamby S.L. Violence, abuse, and crime exposure in a national sample of children and youth. Pediatrics 2009, 124(5):1411-1423.
21. Florence, C. S., Brown, D. S., Fang, X., & Thompson, H. F. (2012). The health care costs associated with child maltreatment: Implications for Medicaid. Manuscript submitted for publication.
22. Fromm, S. (2001). Total estimated cost of child abuse and neglect in the United States: Statistical evidence. Chicago, IL: Prevent Child Abuse America. Available at . Accessed January 26, 2011. http://www.familyimpactseminars.org/s_nmfis02c02.pdf.
23. Cost-effectiveness in health and medicine 1996, Oxford University Press, New York, NY. M.R. Gold, J.E. Siegel, L.B. Russell, M.C. Weinstein (Eds.).
24. Grosse S.D. Appendix I. Productivity loss tables. Prevention effectiveness: A guide to decision analysis and economic evaluation 2003, 245-257. Oxford University, New York, NY. 2nd ed. A.C. Haddix, S.M. Teutsch, P.S. Corso (Eds.).
25. Prevention effectiveness: A guide to decision analysis and economic evaluation 2003, Oxford University, New York, NY. 2nd ed. A.C. Haddix, S.M. Teutsch, P.S. Corso (Eds.).
26. Haugaard J.J., Emery R.E. Methodological issues in child sexual abuse research. Child Abuse & Neglect 1989, 13(1):89-100.
27. Holmes W.C., Sammel M.D. Brief communication: Physical abuse of boys and possible associations with poor adult outcomes. Annals of Internal Medicine 2005, 143(8):581-586.
28. Hulme P.A. Symptomatology and health care utilization of women primary care patients who experienced childhood sexual abuse. Child Abuse & Neglect 2000, 24(11):1471-1484.
29. Hussey J.M., Chang J.J., Kotch J.B. Child maltreatment in the United States: Prevalence, risk factors, and adolescent health consequences. Pediatrics 2006, 118(3):933-942.
30. Hussey J.M., Marshall J.M., English D.J., Knight E.D., Lau A.S., Dubowitz H., Kotch J.B. Defining maltreatment according to substantiation: Distinction without a difference?. Child Abuse & Neglect 2005, 29(5):479-492.
31. Jonson-Reid M., Drake B., Kim J., Porterfield S., Han L. A prospective analysis of the relationship between reported child maltreatment and special education eligibility among poor children. Child Maltreatment 2004, 9(4):382-394.
32. Kohl P.L., Jonson-Reid M., Drake B. Time to leave substantiation behind: Findings from a national probability study. Child Maltreatment 2009, 14(1):17-26.
33. Leeb, R. T., Paulozzi, L., Melanson, C., Simon, T., & Arias I. (2007). Child Maltreatment Surveillance: Uniform Definitions for Public Health and Recommended Data Elements, Version 1.0. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Available at: Accessed January 26, 2011. http://www.cdc.gov/ViolencePrevention/pub/CMP-Surveillance.html.
34. Leiter J., Myers K.A., Zingraff M.T. Substantiated and unsubstantiated cases of child maltreatment: Do their consequences differ?. Social Work Research 1994, 18(2):67-82.
35. Macmillan H.L., Wathen C.N., Barlow J., Fergusson D.M., Leventhal J.M., Taussig H.N. Interventions to prevent child maltreatment and associated impairment. Lancet 2009, 373(9659):250-266.
36. Manly J.T., Cicchetti D., Barnett D. The impact of subtype, frequency, chronicity, and severity of child maltreatment on social competence and behavior problems. Development and Psychopathology 1994, 6(1):121-143.
37. Miller T.R., Cohen M.A., Wiersema B. Victims costs and consequences: A new look 1996, National Institute of Justice, US Department of Justice, Washington, DC, Available at, . Accessed July 16, 2011. http://www.ncjrs.gov/pdffiles/victcost.pdf.
38. Valuing health for regulatory cost-effectiveness analysis 2006, The National Academies Press, Washington, DC. W. Miller, L. Robinson, R. Lawrence (Eds.).
39. Moeller T.P., Bachmann G.A., Moeller J.R. The combined effects of physical, sexual, and emotional abuse during childhood: Long-term health consequences for women. Child Abuse & Neglect 1993, 17(5):623-640.
40. Prinz R.J., Sanders M.R., Shapiro C.J., Whitaker D.J., Lutzker J.R. Population-based prevention of child maltreatment: the US Triple p system population trial. Prevention Science 2009, 10(1):1-12.
41. Putnam-Hornstein E. Report of maltreatment as a risk factor for injury death: A prospective birth cohort study. Child Maltreatment 2011, 16(3):163-174.
42. Repetti R.L., Taylor S.E., Seeman T.E. Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin 2002, 128(2):330-366.
43. Reynolds A.J., Temple J.A., Robertson D.L., Mann E.A. Age 21 cost-benefit analysis of the Title I Chicago Child-Parent Centers. Educational Evaluation and Policy Analysis 2002, 24(4):267-303.
44. Roberts R., O'Connor T., Dunn J., Golding J. The effects of child sexual abuse in later family life; mental health, parenting and adjustment of offspring. Child Abuse & Neglect 2004, 28(5):525-545.
45. Romans S.E., Martin J.L., Anderson J.C., O'Shea M.L., Mullen P.E. Factors that mediate between child sexual abuse and adult psychological outcome. Psychological Medicine 1995, 25(1):127-142.
46. Sedlak A.J., Mettenburg J., Basena M., Petta I., McPherson K., Greene A., Li S. Fourth National Incidence Study of Child Abuse and Neglect (NIS-4): Report to Congress, Executive Summary 2010, Department of Health and Human Services, Administration for Children and Families, Washington, DC: US.
47. Swahn M.H., Whitaker D.J., Pippen C.B., Leeb R.T., Teplin L.A., Abram K.M., McClelland G.M. Concordance between self-reported maltreatment and court records of abuse or neglect among high-risk youths. American Journal of Public Health 2006, 96(10):1849-1853.
48. Taylor T.N., Davis P.H., Torner J.C., Holmes J., Meyer J.W., Jacobson M.F. Lifetime cost of stroke in the United States. Stroke 1996, 27(9):149-166.
49. Toth S.L., Manly J.T. Bridging research and practice: Challenges and successes in implementing evidence-based preventive intervention strategies for child maltreatment. Child Abuse & Neglect 2011, 35(8):633-636.
50. US Department of Health and Human Services (USDHHS), Administration on Children, Youth and Families. (2010). Child Maltreatment 2008. Available at: Accessed January 26, 2011. http://www.acf.hhs.gov/.
51. Waldfogel J. The future of child protection: How to break the cycle of abuse and neglect 1998, Harvard University Press, Cambridge, MA.
52. Walker E.A., Unutzer J., Rutter C., Gelfand A., Saunders K., VonKorff M., Koss M.P., Katon W. Costs of health care use by women HMO members with a history of childhood abuse and neglect. Archives of General Psychiatry 1999, 56(7):609-613.
53. Wang C.-T., Holton J. Total estimated cost of child abuse and neglect in the United States 2007, Prevent Child Abuse America, Chicago, IL.
54. Widom, C. S., & Maxfield, M. G. (2001). An update on the 'cycle of violence' research in brief. Washington, D.C.: National Institute of Justice, NCJ 184894. Available at: Accessed January 26, 2011. http://www.ncjrs.gov/pdffiles1/nij/184894.pdf.
55. Zhuo, X., Zhang, P., & Hoerger, T. (2010). Lifetime cost of type 2 diabetes in the US-An incidence-based estimate. Abstract Number: 434-PP at The America Diabetes Association, 70th Scientific Session, Orlando, FL, June 25-29, 2010.