{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:45:11Z","timestamp":1770353111665,"version":"3.49.0"},"reference-count":27,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>To determine if children identified by a predictive risk model as at \u201chigh risk\u201d of maltreatment are also at elevated risk of injury and mortality in early childhood.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>We built a model that predicted a child\u2019s risk of a substantiated finding of maltreatment by child protective services for children born in New Zealand in 2010. We assigned risk scores to the 2011 birth cohort, and flagged children as \u201cvery high risk\u201d if they were in the top 10% of the score distribution for maltreatment. We also set a less conservative threshold for defining \u201chigh risk\u201d and examined children in the top 20%. We then compared the incidence of injury and mortality rates between very high-risk and high-risk children and the remainder of the birth cohort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Children flagged at both 10% and 20% risk thresholds had much higher postneonatal mortality rates than other children (4.8 times and 4.2 times greater, respectively), as well as a greater relative risk of hospitalization (2 times higher and 1.8 times higher, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Models that predict risk of maltreatment as defined by child protective services substantiation also identify children who are at heightened risk of injury and mortality outcomes. If deployed at birth, these models could help medical providers identify children in families who would benefit from more intensive supports.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2017-2882","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T08:30:12Z","timestamp":1517214612000},"source":"Crossref","is-referenced-by-count":36,"title":["Injury and Mortality Among Children Identified as at High Risk of Maltreatment"],"prefix":"10.1542","volume":"141","author":[{"given":"Rhema","family":"Vaithianathan","sequence":"first","affiliation":[{"name":"Centre for Social Data Analytics, Auckland University of Technology, Auckland, New Zealand;"},{"name":"School of Economics, Singapore Management University, Singapore, Singapore;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9n\u00e9dicte","family":"Rouland","sequence":"additional","affiliation":[{"name":"Centre for Social Data Analytics, Auckland University of Technology, Auckland, New Zealand;"},{"name":"TrygFonden\u2019s Centre for Child Research, Aarhus University, Aarhus, Denmark;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Putnam-Hornstein","sequence":"additional","affiliation":[{"name":"Children\u2019s Data Network, Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California; and"},{"name":"California Child Welfare Indicators Project, School of Social Welfare, University of California, Berkeley, Berkeley, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2018,2,1]]},"reference":[{"issue":"2","key":"2021121014411938000_B1","doi-asserted-by":"crossref","first-page":"274","DOI":"10.2105\/AJPH.2016.303545","article-title":"Lifetime prevalence of investigating child maltreatment among US children.","volume":"107","author":"Kim","year":"2017","journal-title":"Am J Public Health"},{"issue":"8","key":"2021121014411938000_B2","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1001\/jamapediatrics.2014.410","article-title":"The prevalence of confirmed maltreatment among US children, 2004 to 2011.","volume":"168","author":"Wildeman","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"4","key":"2021121014411938000_B3","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. 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