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Maine Value:
Number of children who were victims of substantiated or indicated maltreatment per 1,000 children
Maine Rank:
Appears In:
Number of children who were victims of substantiated or indicated maltreatment per 1,000 children
US Value: 7.7
Top State(s): New Jersey: 1.6
Bottom State(s): Massachusetts: 16.5
Definition: Number of children who were victims of substantiated or indicated maltreatment per 1,000 children
Data Source and Years(s): U.S. Department of Health & Human Services, Children’s Bureau, Child Maltreatment Report Series, 2022
Suggested Citation: America's Health Rankings analysis of U.S. Department of Health & Human Services, Children’s Bureau, Child Maltreatment Report Series, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Approximately 600,000 children in the United States were subjected to maltreatment in 2021. Child victimization takes many forms, including sexual, physical and emotional abuse; in 2021, neglect was the most common form of child maltreatment. Most perpetrators are family members or known relatives — only 3.7% of child victimization perpetrators are someone other than the child’s relative.
While short- and long-term consequences may differ by the type of victimization, the negative impact on cognitive — and subsequent academic, social and emotional — development is consistent. Health outcomes associated with child victimization include increased risk of substance use, conduct disorders, anxiety, depression and being bullied or bullying others, as well as chronic or recurrent illnesses. The social and emotional effects of child victimization include a reduced ability to form attachments to their parents, process emotions and correctly assume others’ intentions.
There has been a decline in child maltreatment reports since 2020, partly because COVID-19 isolation and virtual schooling limited contact between children and mandated reporters and professionals trained to recognize abuse and neglect.
The lifetime economic burden of child maltreatment in the United States is estimated at $2.96 trillion. This estimate includes lost productivity, short- and long-term health care, child welfare, criminal justice, and special education costs.
The rate of victimization is higher among:
The Centers for Disease Control and Prevention has developed a technical package of evidence-based strategies for preventing child abuse and neglect at the community and state levels. Some of the strategies include:
The Child Welfare Information Gateway offers resources for child abuse prevention, including a list of evidence-based practices.
Children’s Bureau. 2023. “Child Maltreatment 2021.” Washington, D.C.: U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. https://www.acf.hhs.gov/cb/data-research/child-maltreatment.
Fortson, Beverly L., Joanne Klevens, Melissa T. Merrick, Leah K. Gilbert, and Sandra P. Alexander. 2016. “Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities.” Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. https://www.cdc.gov/violenceprevention/pdf/CAN-Prevention-Technical-Package.pdf.
Garfield, Rachel, and Priya Chidambaram. 2020. “Children’s Health and Well Being During the Coronavirus Pandemic.” Issue Brief. KFF. https://www.kff.org/coronavirus-covid-19/issue-brief/childrens-health-and-well-being-during-the-coronavirus-pandemic/.
Institute of Medicine and National Research Council. 2014. New Directions in Child Abuse and Neglect Research. Edited by Anne C. Petersen, Joshua Joseph, and Monica Feit. Washington, D.C.: National Academies Press. https://doi.org/10.17226/18331.
Klika, J. Bart, Janet Rosenzweig, and Melissa Merrick. 2020. “Economic Burden of Known Cases of Child Maltreatment from 2018 in Each State.” Child and Adolescent Social Work Journal 37 (3): 227–34. https://doi.org/10.1007/s10560-020-00665-5.
National Scientific Council on the Developing Child. 2020. “Connecting the Brain to the Rest of the Body: Early Childhood Development and Lifelong Health Are Deeply Intertwined.” Working Paper No. 15. Cambridge, MA: Center on the Developing Child at Harvard University. https://harvardcenter.wpenginepowered.com/wp-content/uploads/2020/06/wp15_health_FINALv2.pdf.
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