{
  "abstract": "Objectives Children with developmental difficulties are more likely to be maltreated globally, but the associated factors for maltreatment of children with developmental difficulties in low- and middle-income countries (LMICs) are unknown. We aimed to determine the associates of child maltreatment in children with developmental difficulties (DDs) from Turkey, a middle-income country.Methods In a retrospective study design, of all children with DDs aged 0-18 years newly assessed at Ankara University School of Medicine, Department of Pediatrics, Developmental-Behavioral Pediatrics Division between Jan 2020-Aug 2024 and children who have legal records on any kind of maltreatment were recruited. Developmental risk factors were conceptualized according to bioecological theory.Results The sample comprised of 68 children who had a record on a kind of maltreatment (50% girls, median age: 31 (25-75%=9.0-47.8) months). Most of the families reported financial problems (73.5%) in the Expanded Guide for Monitoring Child Development. Twenty-two children (32.4%) had a chronic health condition, 37 (54.4%) had developmental delay. Emotional abuse was the most common maltreatment type (61.8%), followed by physical abuse (22.1%) and medical neglect (26.5%). Children with hearing loss and malnutrition experienced significantly more medical neglect (OR:6.9; 95% CI:1.1-41.4 and OR:7.2; 95% CI:1.9-26.7, respectively).Conclusions The results of this study showed that the most common legally reported maltreatment was emotional abuse for children with DDs from a tertiary care clinic, Turkey. Comprehensive research should be conducted on methods to prevent and detect all maltreatment types in children with DDs especially with hearing loss and malnutrition.",
  "authors": [
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey, Ankara, Turkey"
      ],
      "name": "Tugce Guzelkas"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey, Ankara, Turkey"
      ],
      "name": "Ezgi Ozalp Akin"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey, Ankara, Turkey"
      ],
      "name": "Bahar Bingoler Pekcici"
    }
  ],
  "title": "161 Associates of maltreatment in children with developmental difficulties and associated factors from a middle-income country, Turkey",
  "uid": "8aa2c8fd-364d-5d39-8e8c-4d8c6e278ecc"
}