Table 5.
Multivariable Logistic Regression Models to Predict ED Visits Suggestive of Maltreatment, by Type and Overall, Children ≤3 years Old, NEDS 2006–2011.
Physicala | Sexuala | Neglecta | Poly-victimizationa | Any maltreatmentb | ||||||
---|---|---|---|---|---|---|---|---|---|---|
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(8.5% of total) | (9.4% of total) | (81.3% of total) | (0.8% of total) | (1.2% of total) | ||||||
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MPPc | AMEd | MPP | AME | MPP | AME | MPP | AME | MPP | AME | |
Age | ||||||||||
0 (reference) | 16.47 | — | 7.53 | — | 73.21 | — | 0.41 | — | 0.69 | — |
1 | 5.67 | 0.34** | 4.91 | 0.65** | 88.66 | 1.21** | 0.82 | 2.00** | 1.36 | 1.97** |
2 | 6.23 | 0.38** | 8.78 | 1.17** | 83.78 | 1.14** | 0.98 | 2.39** | 1.77 | 2.57** |
3 | 6.37 | 0.39** | 18.57 | 2.47** | 73.25 | 1.00 | 1.07 | 2.61** | 1.41 | 2.04** |
Gender | ||||||||||
Female (reference) | 8.43 | — | 12.70 | — | 77.87 | — | 0.73 | — | 1.33 | — |
Male | 8.62 | 1.02 | 6.24 | 0.49** | 84.32 | 1.08** | 0.76 | 1.04 | 1.19 | 0.89** |
Primary payer | ||||||||||
Private (reference) | 9.54 | — | 6.42 | — | 83.30 | — | 0.64 | — | 1.29 | — |
Medicaid | 8.02 | 0.84** | 10.28 | 1.60** | 81.02 | 0.97** | 0.80 | 1.25** | 1.21 | 0.94** |
Uninsured | 7.17 | 0.75** | 12.77 | 1.99** | 78.69 | 0.94** | 0.74 | 1.16 | 1.40 | 1.09** |
Other | 9.11 | 0.95 | 15.17 | 2.36** | 74.07 | 0.89** | 0.96 | 1.50** | 1.35 | 1.05 |
Household income | ||||||||||
Low (reference) | 8.05 | — | 10.36 | — | 80.79 | — | 0.86 | — | 1.22 | — |
Medium | 8.62 | 1.07* | 9.30 | 0.90** | 81.37 | 1.01 | 0.71 | 0.83* | 1.28 | 1.05** |
High | 9.21 | 1.14* | 7.46 | 0.72** | 82.22 | 1.02 | 0.64 | 0.74** | 1.25 | 1.02 |
Urbanization | ||||||||||
Metropolitan (reference) | 8.62 | — | 9.64 | — | 80.98 | — | 0.75 | — | 1.22 | — |
Rural | 8.12 | 0.94 | 8.64 | 0.90* | 82.57 | 1.02** | 0.75 | 1.00 | 1.38 | 1.13** |
Injury severity | ||||||||||
No injury information (reference) | 1.12 | — | 9.88 | — | 88.26 | — | 0.05 | — | 1.01 | — |
Minor injury | 16.41 | 14.65** | 8.58 | 0.87** | 72.69 | 0.82** | 1.33 | 26.60** | 2.28 | 2.26** |
Severe injury | 49.90 | 44.55** | 0.27 | 0.03** | 24.49 | 0.28** | 5.65 | 113.00** | 31.59 | 31.28** |
Discharge status | ||||||||||
Discharged alive (reference) | 7.44 | — | 10.06 | — | 81.60 | — | 0.48 | — | 1.18 | — |
Hospitalized | 12.88 | 1.73** | 1.30 | 0.13** | 79.00 | 0.97** | 1.42 | 2.96** | 2.93 | 2.48** |
Death at the ED | 9.99 | 1.34 | 0.90 | 0.09** | 88.67 | 1.09** | 1.47 | 3.06* | 6.77 | 5.74** |
Note. ED = emergency department; NEDS = Nationwide Emergency Department Sample; MPP = mean predicted probability; RME = relative marginal effect. Estimated values were weighted to adjust for the complex sampling design of the NEDS data. Covariates not presented: year of ED visit; region. H0: The predicted probability of Y = 1 is the same for referent and comparator categories of an independent variable. Indices of fit: CPhysical = .862; CSexual = .749; CNeglect = .769; CPoly-victimization =.758; CAny Maltreatment =.682.
Only ED patients with nonmissing patient characteristic information were included (nunweighted = 167,028).
Only ED patients with nonmissing patient characteristic information were included (nunweighted = 13,490,344).
MPP is first predicted per ED patient, controlling for their respective covariate values, and then averaged across the entire sample population.
RME is the ratio of MPPs between comparator and referent categories of an independent variable.
p < .05.
p < .01.