Article |

Maltreatment of Children Born to Cocaine-Dependent Mothers

Diana R. Wasserman, MD; John M. Leventhal, MD
Am J Dis Child. 1993;147(12):1324-1328. doi:10.1001/archpedi.1993.02160360066021.
Text Size: A A A
Published online

• Objective.  —To investigate the relationship between maternal cocaine dependency and child maltreatment in a cohort of young children.

Design.  —Historical cohort study at an urban, tertiary care medical center.

Patients.  —47 infants, born between January and September 1989, whose mothers were regular users of cocaine during pregnancy, based on history and the results of newborns' urine toxicology screens. These cocaine-exposed infants were matched to a comparison group of 47 infants whose mothers did not use cocaine during pregnancy. Matching was on the basis of birth date, race, method of payment for the hospitalization, and marital status of the mother.

Main Outcome Measures.  —Occurrence of maltreatment (physical abuse, sexual abuse, or neglect), and placement either in foster care or with a substitute caretaker.

Results.  —By 24 months of life, maltreatment had occurred in 23% of the cocaine group vs 4% of the comparison group (risk ratio, 5.5; 95% confidence interval, 1.3 to 23.5). Physical abuse had occurred in 11% of the cocaine group vs 2% of the comparison group, while neglect had occurred in 11% vs 0% (P<.05). Changes in placement had occurred in 20% of the cocaine group vs 2% of the comparison group (risk ratio, 10.0; 95% confidence interval, 1.3 to 75.1). Of the 10 placements, only three were directly linked to an episode of maltreatment.

Conclusions.  —Children identified during the neonatal period as regularly "exposed" to cocaine in utero are at a substantially increased risk both of maltreatment and of changes in the primary caretaker during the first 24 months of life.(AJDC. 1993;147;1324-1328)


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.