Trends in childhood violence and abuse exposure: evidence from 2 national surveys.

OBJECTIVE: To assess trends in children's exposure to abuse, violence, and crime victimizations. DESIGN: An analysis based on a comparison of 2 cross-sectional national telephone surveys using identical questions conducted in 2003 and 2008. SETTING: Telephone interview. PARTICIPANTS: Experiences of children aged 2 to 17 years (2030 children in 2003 and 4046 children in 2008) were assessed through interviews with their caretakers and the children themselves. Outcome Measure Responses to the Juvenile Victimization Questionnaire. RESULTS: Several types of child victimization were reported significantly less often in 2008 than in 2003: physical assaults, sexual assaults, and peer and sibling victimizations, including physical bullying. There were also significant declines in psychological and emotional abuse by caregivers, exposure to community violence, and the crime of theft. Physical abuse and neglect by caregivers did not decline, and witnessing the abuse of a sibling increased. CONCLUSION: The declines apparent in this analysis parallel evidence from other sources, including police data, child welfare data, and the National Crime Victimization Survey, suggesting reductions in various types of childhood victimization in recent years.

Lifetime assessment of poly-victimization in a national sample of children and youth.

OBJECTIVE: To use a lifetime assessment of victimization experiences to identify children and youth with high cumulative levels of victimization (poly-victims). Also to compare such children to other victims and non-victims, and assess the contribution of cumulative victimization to levels of psychological distress. DESIGN: A national sample of 1,467 children aged 2-17 recruited through random digit dialing and assessed via telephone interviews (with caretakers and youth themselves) about a comprehensive range of 33 types of victimization experiences in the previous year and at any time in their lives. RESULTS: Nearly 80% of the children and youth reported at least one lifetime victimization. The mean number of lifetime victimizations was 3.7 and the median 2.6. The total number of different lifetime victimizations was highly predictive of symptoms of current distress. The best linear prediction of distress on the basis of cumulative victimization entailed weighting child maltreatment and sexual assault by factors of 4 and 3 respectively compared to other victimizations. We proposed classifying poly-victims as those 10% of children and youth with the highest victimization scores, and calculating different thresholds for children at different ages. Poly-victims designated in this way had significantly more distress, more non-victimization adversities than other youth and were less likely to come from an intact family. CONCLUSION: Lifetime assessment of victimization has value as a means of identifying groups of highly victimized children and youth. PRACTICE IMPLICATIONS: This paper describes a procedure under which practitioners can assess for a group of children, termed "poly-victims," who have a very high burden of lifetime victimization. These children merit identification because they have high levels of psychological distress, some of the most serious victimization profiles, and a presumed vulnerability for further victimization.

Family structure variations in patterns and predictors of child victimization.

In a national probability sample of 1,000 children aged 10-17, youth from single parent and stepfamilies experienced higher rates of several different kinds of victimization compared with youth living with two biological parents. Youth in stepfamilies had the highest overall rates of victimization and the greatest risk from family perpetrators, including biological parents, siblings, and stepparents. Elevated risk in stepfamilies was fully explained by their higher levels of family problems. Victimization risk in single parent families was more affected by their lower socioeconomic status and residence in more violence neighborhoods and schools.