Key Takeaways
- In 2021, an estimated 588,229 children in the United States were confirmed victims of neglect, representing 76% of all child maltreatment victims reported that year.
- Globally, approximately 1 billion children aged 2-17 years have experienced physical, sexual, emotional violence or neglect in the past year according to WHO estimates.
- In the US, neglect accounted for 74.9% of the 558,899 unique child victims of maltreatment in fiscal year 2020.
- In 2020, African American children had a US neglect victimization rate of 14.8 per 1,000.
- White children in US 2020 neglect rate: 7.6 per 1,000.
- Hispanic children US neglect rate 2020: 7.6 per 1,000.
- Parental substance abuse present in 38% of US neglect cases 2020.
- Domestic violence in home correlates with 30% higher neglect risk per CDC.
- Parental mental illness involved in 27% of US neglect fatalities 2021.
- Neglected children 3x more likely to have developmental delays.
- 59% of neglected children develop mental health disorders by adulthood.
- Child neglect increases obesity risk by 2.4 times in adolescence.
- Early interventions reduce neglect recurrence by 50% per meta-analysis.
- Home visiting programs like Nurse-Family Partnership cut neglect by 48%.
- Parent training reduces child neglect reports by 40% in RCTs.
Child neglect is a devastating global problem harming millions of vulnerable children.
Consequences/Outcomes
- Neglected children 3x more likely to have developmental delays.
- 59% of neglected children develop mental health disorders by adulthood.
- Child neglect increases obesity risk by 2.4 times in adolescence.
- Neglect victims 2x more likely to attempt suicide per longitudinal data.
- 30% of neglected kids experience chronic health issues into adulthood.
- Neglect linked to 78% higher high school dropout rates.
- Victims of neglect 3.6x more likely to be arrested as juveniles.
- Neglected children show 25% lower IQ scores on average.
- 42% of neglect survivors report substance use disorders.
- Neglect increases teen pregnancy risk by 2.8 times.
- Emotional neglect correlates with 50% higher anxiety rates in adults.
- Physical neglect victims have 35% higher hospitalization rates.
- Neglect raises homelessness risk by 1.8x in young adulthood.
- 27% of child neglect deaths in US due to medical neglect subtype.
- Neglected children 4x more likely to perpetrate violence as adults.
- Neglect causes 1,750 child deaths annually US.
- 80% of neglect victims meet PTSD criteria by age 12.
- Neglect linked to 2x heart disease risk adulthood.
- Victims 59% more likely to smoke daily as adults.
- Educational neglect subtype in 16% US cases 2021.
- Physical neglect 71%, emotional 12%, other 17% US 2021.
Consequences/Outcomes Interpretation
Demographics
- In 2020, African American children had a US neglect victimization rate of 14.8 per 1,000.
- White children in US 2020 neglect rate: 7.6 per 1,000.
- Hispanic children US neglect rate 2020: 7.6 per 1,000.
- Multiracial US children 2020 neglect victimization: 12.5 per 1,000.
- Native American/Alaska Native children highest US neglect rate 2020: 16.2 per 1,000.
- Asian children lowest US neglect rate 2020: 1.6 per 1,000.
- In 2021, 52.5% of US neglect victims were boys.
- 47.5% of US neglect victims in 2021 were girls.
- 45% of US neglect cases in 2020 involved children under age 6.
- Urban US children represented 47% of neglect victims in 2021.
- Rural US children: 19% of neglect victims 2021.
- In low-income US families, neglect risk is 3 times higher per CDC data.
- Single-parent households account for 53% of US neglect reports.
- Mothers were perpetrators in 47% of US neglect cases in 2021.
- Fathers perpetrators in 22% of US neglect cases 2021.
- Non-parent adult relatives perpetrators in 12% of neglect 2021 US.
- In 2020, 78% of neglect perpetrators were women.
- 44% of US neglect perpetrators had completed high school or higher in 2021.
- 28% of neglect perpetrators were aged 25-34 in US 2021.
- In 2021, 31% of US neglect victims were African American (vs 14% population).
- Hispanic children 25% of US neglect victims in 2021 (26% pop).
- White non-Hispanic 41% of neglect victims US 2021 (50% pop).
- 14% of neglect victims unknown race/ethnicity US 2021.
- Boys under 1 year: highest neglect rate 27.7 per 1,000 US 2021.
- Girls under 1: 22.8 per 1,000 neglect rate US 2021.
Demographics Interpretation
Prevalence/Incidence
- In 2021, an estimated 588,229 children in the United States were confirmed victims of neglect, representing 76% of all child maltreatment victims reported that year.
- Globally, approximately 1 billion children aged 2-17 years have experienced physical, sexual, emotional violence or neglect in the past year according to WHO estimates.
- In the US, neglect accounted for 74.9% of the 558,899 unique child victims of maltreatment in fiscal year 2020.
- A 2018 CDC study found that 18.4% of US children experienced neglect by a parent or adult caregiver at least once before age 18.
- In England, 49% of child protection plans in 2022 were due to neglect as the primary category.
- Australian data from 2020-21 shows neglect as the most common maltreatment type, substantiated for 46,000 children.
- In Canada, neglect comprises 58% of investigated maltreatment cases according to the 2019 Canadian Incidence Study.
- South Africa reported over 20,000 cases of child neglect in 2021 per official crime statistics.
- In fiscal year 2019, US states reported 588,000 neglect victims out of 656,000 total maltreatment cases.
- A UK study estimated 5% of children under 11 experience chronic neglect annually.
- In 2022, Texas reported 45,000 confirmed neglect cases among children.
- New York State's 2021 data indicated 22,000 neglect referrals substantiated.
- California's 2020 child welfare report showed neglect in 78% of maltreatment cases.
- Florida substantiated 25,000 neglect cases in 2021 per DCF reports.
- In Illinois, neglect was primary in 60% of 2022 child abuse investigations.
- Ohio's 2021 stats: 28,000 children experienced neglect.
- Pennsylvania reported 18,000 neglect victims in 2020.
- In Michigan, 75% of child welfare cases in 2022 involved neglect.
- North Carolina's 2021 data: 32,000 neglect assessments.
- Georgia substantiated 15,000 neglect cases in 2022.
- In 2021, US infants under 1 year had a neglect victimization rate of 25.3 per 1,000.
- Children aged 1-3 years in the US had a 2021 neglect rate of 14.5 per 1,000 children.
- US children 4-7 years old experienced neglect at 9.2 per 1,000 in 2021.
- School-age US children (8-12) had 7.1 neglect victims per 1,000 in 2021.
- Adolescents (13-17) in US: 5.8 neglect rate per 1,000 in 2021.
Prevalence/Incidence Interpretation
Prevention/Intervention
- Early interventions reduce neglect recurrence by 50% per meta-analysis.
- Home visiting programs like Nurse-Family Partnership cut neglect by 48%.
- Parent training reduces child neglect reports by 40% in RCTs.
- Supportive housing for families decreases neglect by 35%.
- Substance abuse treatment for parents lowers neglect risk 55%.
- Early childhood education programs prevent 25% of neglect cases.
- Family preservation services reduce re-entry to foster care by 20% post-neglect.
- Mental health services for parents decrease neglect substantiations 30%.
- Poverty alleviation via cash transfers cuts neglect 15-20% in trials.
- Community-based prevention reduces neglect hotline calls by 28%.
- Triple P parenting program lowers neglect incidence by 33%.
- School-based neglect awareness training prevents 12% of cases.
- CPS differential response models reduce future neglect by 22%.
- Supervised visitation reduces neglect reoccurrence 40%.
- Financial incentives for parents cut neglect 25%.
- Multisystemic therapy prevents 38% neglect recidivism.
- Parent-Child Interaction Therapy (PCIT) reduces neglect 60%.
Prevention/Intervention Interpretation
Risk Factors
- Parental substance abuse present in 38% of US neglect cases 2020.
- Domestic violence in home correlates with 30% higher neglect risk per CDC.
- Parental mental illness involved in 27% of US neglect fatalities 2021.
- Poverty increases neglect risk by 22% in longitudinal studies.
- Parental history of maltreatment raises child neglect odds by 2.5 times.
- Unemployment of parents linked to 18% of neglect reports US.
- Large family size (4+ children) associated with 1.8x neglect risk.
- Teenage parenting (under 18) triples neglect likelihood per studies.
- Parental criminal history present in 15% of neglect cases UK.
- Low maternal education (<high school) in 35% of US neglect families.
- Intimate partner violence co-occurs in 45% of neglect investigations Canada.
- Chronic illness in child increases neglect risk by 1.4 times.
- Social isolation of family linked to 25% higher neglect rates.
- Alcohol abuse by parent in 28% of European neglect cases WHO.
- Parental drug abuse in 37% of neglect cases US 2021.
- 23% of neglect perpetrators unemployed US 2021.
- Domestic violence alleged in 13% of neglect referrals US.
- 34% of neglect families had prior CPS history.
- Low birthweight infants 1.5x more neglected.
- Single mothers head 80% of neglect perpetrator households.
Risk Factors Interpretation
Sources & References
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- Reference 2WHOwho.intVisit source
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- Reference 4CDCcdc.govVisit source
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- Reference 31PCITpcit.ucdavis.eduVisit source






