title: Child maltreatment in Taiwan for 2004-2013: A shift in age group and forms of maltreatment.
abstract: Cases of child maltreatment are being increasingly reported in Taiwan. However, the trend or changes of child maltreatment in Taiwan are fragmentary and lack empirical evidence. This study analyzed the epidemiological characteristics of substantiated child maltreatment cases from the previous decade, using mortality as an indicator to investigate the care of children who experienced substantiated maltreatment in the past to determine any new developments. Data for analysis and estimates were retrieved from the Department of Statistics in the Ministry of the Interior from 2004 to 2013. Trend analyses were conducted using the Joinpoint Regression Program. The child maltreatment rate in Taiwan was found to have nearly tripled from 2004 to 2013. A greater increase in the maltreatment of girls than boys and the maltreatment of aboriginal children than non-aboriginal children was noted from 2004 to 2013. When stratified by age group, the increase in maltreatment was most pronounced in children aged 12-17 years, and girls aged 12-17 years experienced the greatest increase in maltreatment. In terms of the proportional changes of different maltreatment forms among substantiated child maltreatment cases, child neglect was decreasing. The increase in sexual abuse was higher than for any other form of maltreatment and surpassed neglect by the end of 2013. Furthermore, the mortality rate of children with substantiated maltreatment record is increasing in Taiwan, whereas the mortality rate among children without any substantiated maltreatment record is decreasing. The results of this study highlight the need for policy reform in Taiwan regarding child maltreatment.
authors.affiliation: Department of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan; Department of Child and Adolescent Psychiatry, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan; Department of Family Studies and Child Development, Shih Chien University, Taipei, Taiwan.
authors.forename: Chih-Tsai
authors.initials: CT
authors.lastname: Chen
authors.affiliation: Department of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan; Department of Medical Research, Keelung Hospital, Ministry of Health and Welfare, Keelung City, Taiwan.
authors.forename: Nan-Ping
authors.initials: NP
authors.lastname: Yang
authors.affiliation: Department of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Pesus
authors.initials: P
authors.lastname: Chou
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data / Q000639:trends*; D002650:Child Abuse, Sexual / Q000706:statistics & numerical data / Q000639:trends; D005260:Female; D006801:Humans; D008297:Male; D009026:Mortality; D017678:Sex Distribution; D013624:Taiwan / Q000453:epidemiology
keywords: Abuse type; Child maltreatment; Mortality; Trend analysis