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Prevalence of Childhood Exposure to Violence, Crime, and Abuse: Results From the National Survey of Children’s Exposure to Violence
Open accessAbstract
IMPORTANCE: It is important to estimate the burden of and trends for violence, crime, and abuse in the lives of children. OBJECTIVE: To provide health care professionals, policy makers, and parents with current estimates of exposure to violence, crime, and abuse across childhood and at different developmental stages. DESIGN, SETTING, AND PARTICIPANTS: The National Survey of Children's Exposure to Violence (NatSCEV) includes a representative sample of US telephone numbers from August 28, 2013, to April 30, 2014. Via telephone interviews, information was obtained on 4000 children 0 to 17 years old, with information about exposure to violence, crime, and abuse provided by youth 10 to 17 years old and by caregivers for children 0 to 9 years old. MAIN OUTCOME AND MEASURE: Exposure to violence, crime, and abuse using the Juvenile Victimization Questionnaire. RESULTS: In total, 37.3% of youth experienced a physical assault in the study year, and 9.3% of youth experienced an assault-related injury. Two percent of girls experienced sexual assault or sexual abuse in the study year, while the rate was 4.6% for girls 14 to 17 years old. Overall, 15.2% of children and youth experienced maltreatment by a caregiver, including 5.0% who experienced physical abuse. In total, 5.8% witnessed an assault between parents. Only 2 significant rate changes could be detected compared with the last survey in 2011, namely, declines in past-year exposure to dating violence and lifetime exposure to household theft. CONCLUSIONS AND RELEVANCE: Children and youth are exposed to violence, abuse, and crime in varied and extensive ways, which justifies continued monitoring and prevention efforts.
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“Childhood adversities are widely prevalent and often co-occur in general populations (Kessler et al. 1997; Finkelhor et al. 2015).”
From Childhood adversity, adult stress, and the risk of major depression or generalized anxiety disorder in US soldiers: a test of the stress sensitization hypothesis (2017) · cites this paper as Finkelhor et al. 2015
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BackgroundEmerging Ideas: Is sibling aggression as scary as peer aggression in childhood and adolescence?
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Mixed Methods Illustration of Teachers’ Trauma-Informed Attitudes and Practice
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“Children and adolescents worldwide are subject to alarmingly high rates of sexual abuse, physical assaults, violent accidents, and other potentially traumatic events (PTEs), such as war and displacement (Finkelhor et al., 2015; Lewis et al., 2019).”
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Perkins, N. H., Shadik, J. A., Cales, M. A., & Ortiz, S. P. (2021) · Social Work Education · doi:10.1080/02615479.2021.1967311 · Cited by 8
“and antisocial behavior in children (Finkelhor et al., 2015) and adults (Khodabandeh et al.”
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“More than 60% of preschool age children in the U.S. are regularly cared for by non-parental caregivers (U.S. Census Bureau, 2013), and a growing literature shows the potential for non-parental child care (i.e., regular care provided by non-primary caregivers) to buffer the negative effects of early adversity on childr…”
InfluentialPotential challenges and future implications for trauma-informed approaches in schools
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“Notably, NH/PIs’ rates of childhood abuse substantially exceeded U.S. population rates with NH/PI women’s and men’s childhood sexual abuse rates of 22% and 21%, respectively, greatly surpassing the 14% and 6% sexual abuse rates for U.S. women and men, respectively (Finkelhor et al., 2015).”
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BackgroundInfluentialPsychosocial interventions for violence exposed youth – A systematic review
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“Children worldwide experience maltreatment and violence in their families, which increases their risk of developing serious mental illness (Felitti et al., 1998; Finkelhor et al., 2015; Kloppen et al., 2015).”
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“Similarly, the cross-national Violence Against Children Surveys (Chiang et al., 2016) reported lifetime prevalence rates of over 20% for sexual victimization and 50% for physical victimization in eight participating countries in Africa, the Caribbean, and Southeast Asia.”
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“Beyond fatal and nonfatal injuries, research estimates that 13% of youth aged 14–17 have heard gunshots or seen someone shot in their lifetime (Finkelhor et al. 2015).”
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“In a national study, the rate of child physical abuse was 5% and the rate of child emotional abuse was 9% (Finkelhor et al., 2015).”
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“Finkelhor et al. (2015) conducted a national survey with results indicating that in a single year, approximately 61% of children experienced direct exposure to at least one incident of violence, crime, or abuse.”
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“…childhood violence and then perpetrating violence in college dating relationships (e.g. Gover et al., 2008; Manchikanti Gómez, 2011), relies on static and categorical conceptions of childhood abuse, despite the possibility that forms of abuse change as children develop (Finkelhor et al., 2015).”
A meta-analytic review of child maltreatment and interoception
Ditzer, J., Woll-Weber, C. F. J., Burger, C., Ernst, A., Boehm, I., Garthus‐Niegel, S., & Zietlow, A. (2025) · Nature Mental Health · doi:10.1038/s44220-025-00456-w · Cited by 7
Parise, L. F., Sial, O. K., Warren, B. L., Sattler, C. R., Duperrouzel, J. C., Parise, E. M., & Bolaños‐Guzmán, C. A. (2020) · Psychopharmacology · doi:10.1007/s00213-020-05598-6 · Cited by 7
Lidchi, V., & Wiener, A. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104648 · Cited by 7
From Human Resources to Human Rights
Reichman, W., & Carr, S. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108348607.030 · Cited by 7
Evans, M. C., Duong, J. B., Morelli, N. M., Hong, K., Voss, C., Mendez, L., Garcia, J., Elzie, X., & Villodas, M. T. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605221081932 · Cited by 7
“…health outcomes (Fowler et al., 2009; Wright et al., 2017), ECV (both direct and indirect) has typically been measured separately from other forms of ACEs, which may lead to an underestimation of the full burden of the adversities children and adolescents experience (Finkelhor et al., 2015a).”
BackgroundCares, A. C., Khallouq, B. A. B., & Mukazhanova-Powell, K. (2023) · Journal of Family Violence · doi:10.1007/s10896-023-00602-x · Cited by 7
“IPV indirectly impacts millions of others, as 16% of children in the U.S. witness IPV in their lifetime (Finkelhor et al., 2015) and the economic burden of IPV victimization in the U.S. over the lifetime of the victims was estimated to be $3.6 trillion in 2014 dollars (Peterson et al., 2018).”
InfluentialEarly Childhood Violence Exposure Patterns in The Drakenstein Child Health Study (DCHS)
Tsunga, L., Lake, M. T., Halligan, S. L., Malcolm‐Smith, S., Hoffman, N., Heron, J., Zar, H. J., Fraser, A., Donald, K. A., & Stein, D. J. (2023) · Wellcome Open Research · doi:10.12688/wellcomeopenres.18598.2 · Cited by 7
“…that older boys reported more exposure to violence than girls (Falconer et al ., 2021; Kaminer et al ., 2013b; Kaminer et al ., 2013d; Shields et al ., 2008) whilst others found no differences in reported exposure to violence (Asagba et al ., 2021; Finkelhor et al ., 2015; Sternberg et al ., 2006).”
Routine Emergency Department Screening to Decrease Subsequent Physical Abuse
Lindberg, D. M., Peterson, R., Orsi, R., Chen, P. C. B., Kille, B., Rademacher, J., Hensen, C., Listman, D. A., & Ong, T. C. (2024) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2024.04.025 · Cited by 7
Nagy, L., Bergeron, S., Koós, M., Gewirtz‐Meydan, A., Vaillancourt‐Morel, M., Kraus, S. W., Potenza, M. N., Demetrovics, Z., Dupuis-Fortier, F., Ballester‐Arnal, R., et al. (2025) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100535 · Cited by 7
“Systematic reviews and meta-analyses report that 15 – 35 % of girls and 5 – 20 % of boys have experienced CSA worldwide (Andersson et al., 2020; Barth et al., 2013; Finkelhor et al., 2015; Kloppen et al., 2016; Ma, 2018; Pereda et al., 2009; Stoltenborgh et al., 2011).”
Childhood Victimization, Cognitive Schemas, and Unwanted Consensual Sex Among College Students
Goodman, L. C., Hamilton, L., Koerten, H. R., Mattei, G. M., Froemming, M. W., & Dubow, E. F. (2019) · International Journal of Sexual Health · doi:10.1080/19317611.2019.1595258 · Cited by 7
“However, many youth experience multiple types of victimization simultaneously or sequentially before the age of 18 (i.e., polyvictimization; Finkelhor et al., 2015).”
BackgroundHerrenkohl, T. I., Mersky, J. P., & Topitzes, J. (2019) · American Journal of Community Psychology · doi:10.1002/ajcp.12402 · Cited by 8
Matijczak, A., McDonald, S. E., O’Connor, K. E., George, N., Tomlinson, C. A., Murphy, J. L., Ascione, F. R., & Williams, J. H. (2020) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-020-00702-3 · Cited by 7
Cuellar, M. J., Coyle, S., & Weinreb, K. S. (2021) · Psychology in the Schools · doi:10.1002/pits.22560 · Cited by 7
McGuier, E. A., Kolko, D. J., & Dubowitz, H. (2021) · Aggression and Violent Behavior · doi:10.1016/j.avb.2021.101635 · Cited by 7
Hong, J. S., Lee, J., McCloskey, L. A., Victor, B. G., Wei, H.-S., & Voisin, D. R. (2021) · The Journal of Primary Prevention · doi:10.1007/s10935-021-00647-y · Cited by 7
Delaney, S., Hidalgo, A. P. C., White, T. J. H., Haneuse, S., Ressler, K. J., Tiemeier, H. W., & Kubzansky, L. D. (2021) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2021.101033 · Cited by 10
Gong, J., Zhou, L., Zhao, L., Zhang, S., Chen, Z., & Liu, J. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605211072221 · Cited by 7
“(Finkelhor et al., 2015).”
Aksoy, D., Simões, C., & Favre, C. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20095676 · Cited by 10
Giovanelli, A., Mondi, C., Reynolds, A., & Ou, S.-R. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.19372 · Cited by 5
Mental Illness Following Physical Assault Among Children
Archambault, É., Vigod, S. N., Brown, H. K., Lu, H., Fung, K., Shouldice, M., & Saunders, N. R. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.29172 · Cited by 7
Isaksson, M., Isaksson, J., Schwab‐Stone, M., & Ruchkin, V. V. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-00965-6 · Cited by 8
“Adolescents girls have an 8–10-fold higher risk of developing ED symptoms than boys [40], whereas CVE is more commonly reported by boys than girls [19, 29].”
BackgroundRisk factors for violence-related injuries in emergency departments: a Danish linkage study
Murphy, S., Kruse, M., Elklit, A., & Brink, O. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2019.1606627 · Cited by 7
Eddy, J. M., & Sneddon, D. (2019) · Prevention Science · doi:10.1007/s11121-019-01058-6 · Cited by 7
“Lifetime estimates for children aged 14 to 17 years are 18.1% for physical abuse and 23.9% for emotional abuse (Finkelhor et al. 2015).”
BackgroundInfluential‘Web of Violence’, Depression, and Impairment in a Clinical Sample of Adolescents
Benton, T. D., Jones, J. D., Julye, S., Butler, L. L., & Boyd, R. C. (2020) · Journal of Family Violence · doi:10.1007/s10896-020-00157-1 · Cited by 7
Alansari, K., Hammadi, Z. A., Jilani, N. Z., Vaux, H., Shadaksharaiah, J. H., Al‐Eissa, M. A., Saleheen, H. N., & Almuneef, M. A. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104745 · Cited by 7
Hsieh, H., Heinze, J. E., Caruso, E. C., Scott, B. A., West, B. T., Mistry, R., Eisman, A. B., Assari, S., Buu, A., & Zimmerman, M. A. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520969390 · Cited by 7
“In fact, in a nationally representative sample of youth, approximately 37% of adolescents aged 14–17 years old witnessed violence and 32% were physically assaulted during the study period between 2013 and 2014 (Finkelhor et al., 2015).”
BackgroundLee, S., Villagrana, M., & Tadesse, A. (2020) · Victims & Offenders · doi:10.1080/15564886.2020.1860174 · Cited by 7
“…child maltreatment, it was estimated that females are 30% more likely to experience childhood sexual abuse than their male counterparts at 5% (Finkelhor et al., 2015) even though there are no official reports of gender differences in experiences of child maltreatment (U.S. Department of…”
Background
Metadata
- Authors
- Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L.
- Affiliations
- Crimes Against Children Research Center, University of New Hampshire, Durham
- University of New Hampshire (US)
- Sewanee: The University of the South (US)
- Venue
- JAMA Pediatrics
- Publisher
- American Medical Association (AMA)
- Published
- 2015-08-01
- Volume
- 169
- Issue
- 8
- Pages
- 746
- ISSN
- 1072-4710 (ISSN-L)
- 2168-6203
- OpenAlex
- W1840653868
- Cited by
- 1,264
- References
- 33
- Citations by year
- 2026: 100 · 2025: 136 · 2024: 110 · 2023: 124 · 2022: 125 · 2021: 152 · 2020: 173 · 2019: 131 · 2018: 101 · 2017: 65 · 2016: 38 · 2015: 6
- FWCI
- 86.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- childhood exposure to violence, child abuse, physical assault, sexual assault, dating violence, witnessing domestic violence, prevalence trends, Juvenile Victimization Questionnaire, child and adolescent health
- MeSH terms
- Adolescent, Child, Child Abuse, Child, Preschool, Crime, Female, Humans, Infant, Interviews as Topic, Male, Surveys and Questionnaires, Sex Offenses, United States, Violence, Domestic Violence
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