MONDAY, Sept. 19 (HealthDay News) -- The stress of unemployment,
foreclosures and putting food on the table may have helped drive a
spike up in shaken baby syndrome and other types of abusive head
trauma seen among infants and young children during the recent
A new study examined the rate of abusive head trauma seen among
kids under age 5 in various U.S. locales from 2004 to 2009.
Researchers found that the rate of such trauma rose from about 9
per 100,000 children to nearly 15 per 100,000 during that time
period -- coinciding with the onset of the recession and massive
"I wasn't surprised, but I am disturbed," said study lead author Dr. Rachel P. Berger, a pediatrician at the Children's Hospital of Pittsburgh. "This is the first really long recession in really long time, and the medical diagnoses of abusive head trauma have increased in it."
Calling the findings "highly concerning," the researchers noted
that abusive head trauma is the leading cause of death from child
abuse and among the most common causes of traumatic brain injury
The study, published in the October issue of
Pediatrics, can't definitely say that the increase is related to tough economic times, but unemployment was up in all of the regions included in the new study. Although child abuse occurs in all economic classes, previous research has also shown that poverty is linked to the risk of physical abuse.
Overall, there were 422 abusive head traumas in children under
age 5 in 74 counties during the five-year study period. Of these,
76 percent occurred in children younger than 1. They took place in
76 counties throughout Pennsylvania, Ohio and Seattle.
As to what could make a stressed-out caregiver snap, she said
that among infants, crying may be the trigger, but as children age,
it could be biting, toilet training or defiance issues.
This is not the first study to document a rise in abusive head
trauma during the recent recession. A team of researchers from
University Hospital's Rainbow Babies and Children's Hospital in
Cleveland also reported a doubling of such injuries during the
recent recession. Those findings were presented in April at the
American Association of Neurological Surgeons' meeting in
So, is there anything that can be done to reduce economic hard
times' impact on the health of children? Berger believes that
education and more support for struggling families may help put a
dent in the troubling statistics she's seen.
"Stress and poverty are risk factors for child abuse," agreed Dr. Peter Sherman, a pediatrician and director of the residency program in social pediatrics at Montefiore Medical Center in New York City. "If people are stressed out, it's not a big stretch that they are at high risk for being abusive."
Part of the onus to protect these children also falls on their
doctors. "It really suggests that as clinicians, we need to look at
stresses on parents," Sherman said. That includes looking at what
else is going on in their lives, such as maternal depression, risk
of homelessness and/or job loss. "We need to do better," he
There's more on preventing child abuse at the
U.S. Department of Health and Human Services.
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