Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)

Introduction: Child abuse is a social problem with far-reaching consequences. Serious underreporting of cases occurs, and no studies could be found which investigates the South African context of the problem. In this study we aimed to determine the profile of victims of fatal child abuse in the Sout...

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Main Authors: Geon Kotze, Ingeborg Jäger, Lucille van Schalkwyk, Gina J Joubert
Format: Article
Language:English
Published: AOSIS 2007-10-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/741
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author Geon Kotze
Ingeborg Jäger
Lucille van Schalkwyk
Gina J Joubert
author_facet Geon Kotze
Ingeborg Jäger
Lucille van Schalkwyk
Gina J Joubert
author_sort Geon Kotze
collection DOAJ
description Introduction: Child abuse is a social problem with far-reaching consequences. Serious underreporting of cases occurs, and no studies could be found which investigates the South African context of the problem. In this study we aimed to determine the profile of victims of fatal child abuse in the Southern Free State. Methods: All child deaths of children 10 years and younger in the period 1 January 1995 to 31 December 2003 were identified in the register of deaths at the SA Police Mortuary, Bloemfontein. The reports of these deaths were evaluated to identify possible cases of fatal child abuse. Irrelevant reports were eliminated until a group of possible cases of fatal child abuse were identified. In cases where there was uncertainty about the cause of death, a registrar in Forensic Medicine was consulted. In some cases she advised that a history be obtained from police reports. Cases which could not be confirmed in this way were included in a so-called grey area. Nineteen cases were identified, and a further 4 placed in the grey area. Results: Of the 19 cases, the majority were female (14). The median age of cases was 2 years. Cases showed an even distribution regarding race. No patterns regarding annual or monthly distribution were found. Most victims, 73.7% (14 of 19 cases), were of normal weight and no victims suffered from malnutrition. Head injuries were the most common cause of death (63.2%) followed by multiple injuries (21.2%). Conclusion: If doctors are aware of the signs of child abuse cases can be identified early. In this way a significant decrease in mortality and morbidity can occur.
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spelling doaj-art-6725affbd6224e76a61711ea6117bc132025-08-20T03:47:11ZengAOSISSouth African Family Practice2078-61902078-62042007-10-0149910.1080/20786204.2007.10873631804Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)Geon Kotze0Ingeborg Jäger1Lucille van Schalkwyk2Gina J Joubert3University of the Free StateUniversity of the Free StateUniversity of the Free StateUniversity of the Free StateIntroduction: Child abuse is a social problem with far-reaching consequences. Serious underreporting of cases occurs, and no studies could be found which investigates the South African context of the problem. In this study we aimed to determine the profile of victims of fatal child abuse in the Southern Free State. Methods: All child deaths of children 10 years and younger in the period 1 January 1995 to 31 December 2003 were identified in the register of deaths at the SA Police Mortuary, Bloemfontein. The reports of these deaths were evaluated to identify possible cases of fatal child abuse. Irrelevant reports were eliminated until a group of possible cases of fatal child abuse were identified. In cases where there was uncertainty about the cause of death, a registrar in Forensic Medicine was consulted. In some cases she advised that a history be obtained from police reports. Cases which could not be confirmed in this way were included in a so-called grey area. Nineteen cases were identified, and a further 4 placed in the grey area. Results: Of the 19 cases, the majority were female (14). The median age of cases was 2 years. Cases showed an even distribution regarding race. No patterns regarding annual or monthly distribution were found. Most victims, 73.7% (14 of 19 cases), were of normal weight and no victims suffered from malnutrition. Head injuries were the most common cause of death (63.2%) followed by multiple injuries (21.2%). Conclusion: If doctors are aware of the signs of child abuse cases can be identified early. In this way a significant decrease in mortality and morbidity can occur.https://safpj.co.za/index.php/safpj/article/view/741child abusemortality
spellingShingle Geon Kotze
Ingeborg Jäger
Lucille van Schalkwyk
Gina J Joubert
Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
South African Family Practice
child abuse
mortality
title Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
title_full Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
title_fullStr Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
title_full_unstemmed Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
title_short Noodlottige kindermishandeling: 'n literatuuroorsig en die profiel in die Suid-Vrystaat (1995–2003)
title_sort noodlottige kindermishandeling n literatuuroorsig en die profiel in die suid vrystaat 1995 2003
topic child abuse
mortality
url https://safpj.co.za/index.php/safpj/article/view/741
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AT ingeborgjager noodlottigekindermishandelingnliteratuuroorsigendieprofielindiesuidvrystaat19952003
AT lucillevanschalkwyk noodlottigekindermishandelingnliteratuuroorsigendieprofielindiesuidvrystaat19952003
AT ginajjoubert noodlottigekindermishandelingnliteratuuroorsigendieprofielindiesuidvrystaat19952003