Pediatrics
May 2016, VOLUME 137 / ISSUE 5
http://pediatrics.aappublications.org/content/137/5?current-issue=y
.
Special Articles
Zika Virus Disease: A CDC Update for Pediatric Health Care Providers
Mateusz P. Karwowski, Jennifer M. Nelson, J. Erin Staples, Marc Fischer, Katherine E. Fleming-Dutra, Julie Villanueva, Ann M. Powers, Paul Mead, Margaret A. Honein, Cynthia A. Moore, Sonja A. Rasmussen
Pediatrics May 2016, 137 (5) e20160621; DOI: 10.1542/peds.2016-0621
.
Special Articles
The Challenges in Measuring Local Immunization Coverage: A Statewide Case Study
Elizabeth Wolf, Ali Rowhani-Rahbar, Jeffrey Duchin, M. Patricia DeHart, Douglas Opel
Pediatrics May 2016, 137 (5) e20153755; DOI: 10.1542/peds.2015-3755
Abstract
There are many forms of existing immunization surveillance in the United States and Washington state, but all are limited in their ability to provide timely identification of clusters of unimmunized individuals and assess the risk of vaccine-preventable diseases. This article aims to: (1) describe challenges to measuring immunization coverage at a local level in the United States using Washington State as a case study; and (2) propose improvements to existing surveillance systems that address the challenges identified.
.
Articles
Childhood Sexual Violence Against Boys: A Study in 3 Countries
Steven A. Sumner, James A. Mercy, Robert Buluma, Mary W. Mwangi, Louis H. Marcelin, They Kheam, Veronica Lea, Kathryn Brookmeyer, Howard Kress, Susan D. Hillis
Pediatrics May 2016, 137 (5) e20153386; DOI: 10.1542/peds.2015-3386
Abstract
BACKGROUND AND OBJECTIVE: Globally, little evidence exists on sexual violence against boys. We sought to produce the first internationally comparable estimates of the magnitude, characteristics, risk factors, and consequences of sexual violence against boys in 3 diverse countries.
METHODS: We conducted nationally representative, multistage cluster Violence Against Children Surveys in Haiti, Kenya, and Cambodia among males aged 13 to 24 years. Differences between countries for boys experiencing sexual violence (including sexual touching, attempted sex, and forced/coerced sex) before age 18 years were examined by using χ2 and logistic regression analyses.
RESULTS: In Haiti, Kenya, and Cambodia, respectively, 1459, 1456, and 1255 males completed surveys. The prevalence of experiencing any form of sexual violence ranged from 23.1% (95% confidence Interval [CI]: 20.0–26.2) in Haiti to 14.8% (95% CI: 12.0–17.7) in Kenya, and 5.6% (95% CI: 4.0–7.2) in Cambodia. The largest share of perpetrators in Haiti, Kenya, and Cambodia, respectively, were friends/neighbors (64.7%), romantic partners (37.2%), and relatives (37.0%). Most episodes occurred inside perpetrators’ or victims’ homes in Haiti (60.4%), contrasted with outside the home in Kenya (65.3%) and Cambodia (52.1%). The most common time period for violence in Haiti, Kenya, and Cambodia was the afternoon (55.0%), evening (41.3%), and morning (38.2%), respectively. Adverse health effects associated with violence were common, including increased odds of transactional sex, alcohol abuse, sexually transmitted infections, anxiety/depression, suicidal ideation/attempts, and violent gender attitudes.
CONCLUSIONS: Differences were noted between countries in the prevalence, characteristics, and risk factors of sexual violence, yet associations with adverse health effects were pervasive. Prevention strategies tailored to individual locales are needed.
.
Pediatrics Perspectives
Children and Solitary Confinement: A Call to Action
Mikah Owen, Jeffrey Goldhagen
Pediatrics May 2016, 137 (5) e20154180; DOI: 10.1542/peds.2015-4180
[Initial text]
In 2011, the United Nations (UN) issued a report calling for the abolishment of solitary confinement for juveniles because it “can amount to torture or cruel, inhuman or degrading treatment.”1 Although there is no universal definition of solitary confinement, the report defines it as “the physical and social isolation of individuals who are confined to their cell for 22 to 24 hours a day.”1 Juvenile detention facilities often use similar practices, isolating children for many, but Despite the UN report, the United States continues to apply the use of juvenile solitary confinement and isolation. Disturbingly, no federal statutes limit or prevent application of these practices to juveniles, and the majority of states do not have laws that explicitly limit their use.2 Most commonly, these solitary confinement and isolation practices are left to the discretion of juvenile housing facilities that vary in type (detention, group, residential treatment centers) and staff/resident ratios. These facilities, whether public or private, generally operate outside the purview of public accountability.
The extent to which solitary confinement and isolation of children is used in the United States is largely unknown…