@article{oai:niigata-u.repo.nii.ac.jp:00015350, author = {佐藤, 昌子 and 田中, 篤}, issue = {7}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Jul}, note = {We conducted a survey on child abuse in Niigata Prefecture. Data on child abuse cases were collected from hospitals and clinics in Niigata Prefecture. The present survey identified 38 cases of child abuse between January 1994 and December 1998. These cases consisted of physical abuse (55.3%), neglect (42.1%), psychological abuse (26.3%), sexual abuse (2.6%), Munchhausen syndrome by proxy (2.6%), and others (2.6%). The age of the children at diagnosis ranged from one month to sixteen years. Twelve cases (30.8%) were infants under the age of twelve months. Five children were killed by abuse, all of whom were under the age of eighteen months. Causes of the death were dehydration, intracranial bleeding, and drowning, but unknown in two cases. Fifty percent of whole cases were abused by their real mothers and 7.9% were by their real fathers. Causative backgrounds of the children were mental retardation (23.9%), low birth-weight infants (18.4%), physical disabilities (18.4%), chronic diseases (13.2%) and others. Major factors of family circumstances associated with child abuse were financial problems, discord between the parents and isolation from relatives, neighbors or friends. Twenty-five cases were referred after their diagnosis to other facilities such as child guidance clinics, social workers, public health centers, and other local facilities, meanwhile residual 13 cases were not referred to any facilities at all. These findings suggested that establishment of networks among the professionals of the support agencies would be important to successfully intervene in cases of child abuse.}, pages = {270--276}, title = {新潟県内の医療機関における小児虐待の実態調査}, volume = {114}, year = {2000} }