Don't take candy from strangers." We all remember our parents passing on these words of wisdom with the hope that they would protect us from harm. Wouldn't it be wonderful if life were that simple? Unfortunately, children are at risk of abduction and sexual victimization, and most of the individuals who perpetrate these crimes are not perceived as strangers by their victims. Are traditional child safety messages effective, accurate, and complete? Do they adequately warn children about the threats to their safety? Do they unduly frighten children and parents? Are we giving children information that makes them more vulnerable to victimization rather than less? To answer these questions, the National Center for Missing and Exploited Children (NCMEC) reviewed existing research and its own data base of long-term abduction cases that do not involve family members. This review helped test long-standing child-protection messages while providing a basis for creating more effective messages. An Underreported Problem Child victimization is a large and underreported problem. Too many times, problems are not found because no one is looking for them. In recent years, we have finally begun to look:
"Stranger Danger" Dr. David Warden, psychologist at the University of Strathclyde in the United Kingdom, evaluated the efficacy of child safety programs. He emphasized that the responsibility to identify a potential assailant cannot be left to the child alone (Kent, 1990): No matter how intelligent the child, he or she does not see the world through skeptical adult Dr. Ray Wyre, a noted authority on the treatment of sex offenders and director of therapy at the Gracewell Institute in Birmingham, England, cautioned that "the first step in advising 'never talk to strangers' is to make sure that the child understands what a stranger is. Children might believe it means a person who looks odd, rather than someone they do not know." Dr. Wyre further observed that a child's image "of a stranger is different from an adult's. The person trying to ensnare them could seem caring and persuasive and not at all threatening. After ten seconds' chat, they are no longer a stranger to a child" (Rayment, 1991). On the HBO special "How to Raise a Street Smart Child" (1987), host Daniel J. Travanti asked, "Does your child know what a stranger is? The fact is most children just do not know. They think a stranger is someone threatening and evil. The problem with telling your children, 'don't talk to strangers' is that the bad guys don't always look bad." On the same cable program, young, elementary schoolchildren provided their definitions of a stranger:
The concept is clearly a difficult one for a child to grasp. A neighbor, a familiar face in a child's daily routine, or someone the child's parents know well enough to speak to or whose name the child knows is probably not regarded as a stranger. The Myth of the Stranger
In 1985, research conducted by Dr. Gene Abel of Emory University in Atlanta examined a group of sex offenders. Funded by the National Institute of Mental Health, Dr. Abel's research concluded that the typical sexual offender against children is male, begins molesting by age 15, engages in a variety of deviant behavior, and "molests an average of 117 youngsters, most of whom do not report the offense." Dr. Abel emphasized that offenders seek legitimate access to children, noting that "child molesters seek out jobs to access kids" (Abel, 1985). Case in Point OJJDP, in conjunction with NCMEC, the Federal Bureau of Investigation (FBI), and the University of Pennsylvania School of Nursing (1990), sponsored the Case in Point series. The series used case studies to profile and analyze the methods of offenders who victimized children. For example, the series reported on a study of 157 abducting and nonabducting child molesters at the Massachusetts Treatment Center (MTC) in Bridgewater, MA, which was established in 1959 for the evaluation and treatment of sexually dangerous persons. State law provides that a person found guilty of a sexual offense can be committed to MTC for terms of 1 day to life if judged sexually dangerous.
The study determined whether an offender was an abductor or a nonabductor based on detailed information in the offender's research file. Each offense was coded in terms of the place in which the offender initially encountered the victim and the place in which the offense actually took place. If the place of encounter and offense differed on 50 percent or more occasions for all known offenses, the offender was coded as an abductor. Offenders were coded as nonabductors when the place of encounter and offense differed on less than 50 percent of all known offenses. The MTC study examined a number of characteristics of child molesters (table 1). It is particularly significant to note the similarity of the MTC data to Groth and colleagues' results more than a decade earlier. The MTC study found that 66 percent of abducting child molesters and 80 percent of nonabducting child molesters were known to their victims.
Nonfamily Abductions In another study, NCMEC reviewed cases of nonfamily abduction (NFA). Because NCMEC serves as a resource center for law enforcement agencies and families in cases of missing and exploited children, its caseload is weighted toward long-term cases. If an abducted child is recovered quickly, the local agency is less likely to ask NCMEC for assistance. Therefore, the sample of cases chosen included the most serious child abduction cases in which there was the greatest threat to the child, including risk of loss of life, and in which the child was missing for a substantial period of time. The composition of this sample was such that it more likely included a higher share of abductions by "strangers." A sample of 260 NFA cases was selected. The following definitions were used:
All cases involving infants were eliminated due to the inability of the child to make a judgment about the abductor. Several other cases were eliminated due to subsequent information indicating that the cause of death was an accident or a suicide. The 260 NFA cases broke down as follows:
For purposes of further analysis, the 72 cases in which the child was recovered deceased and the abductor remained unknown were eliminated. In another 33 cases, NCMEC was unable to develop information sufficient to make a confident categorization. Of the 155 NFA cases chosen for final analysis, the child was recovered alive in 106 cases (68.4 percent). In 89 of these cases (84 percent), the child knew or was acquainted with the abductor to some extent. In 33 of the 49 cases in which the child was recovered deceased (67.3 percent), the child knew or was acquainted with the abductor; in 16 of these cases (32.7 percent), the child did not know the abductor (table 2).
Fueling Fear Highly publicized cases of child victimization serve to heighten fears among children and parents.
In 1991, Mayo Clinic pediatricians Gunnar B. Stickler, M.D., Daniel D. Broughton, M.D., and Anthony Alario, M.D., in conjunction with Margery Salter, Ph.D., published an extensive examination in Clinical Pediatrics (Stickler et al., 1991:527). The authors reported that 72 percent of parents feared "that their child will be kidnapped by a stranger" but noted that, "as in other violent crimes such as rape, physical abuse, and sexual abuse, a child is more likely to be abducted by someone known to the victim than by a stranger. Anticipatory guidance in these areas needs to be aimed more at interpersonal relationships than at 'stranger danger.'" Although intense media focus on the most extreme cases has led millions of Americans to define the missing and exploited children problem in terms of the rarest cases, some media have performed a public service by focusing national attention on the need for research, common definitions, and consistent reporting of missing children. Hidden Victims
Today, America has awakened to the problem of missing and exploited children. As Daniel J. Travanti observed in "How to Raise a Street Smart Child" (1987), "Ignorance scares a child more than knowledge does." The challenge is to create awareness of the risk faced by children and to avoid incomplete or inaccurate messages. NISMART provides an important starting point for understanding the full range of the problem. Armed with a more accurate picture of those who victimize children, we can provide more effective information to families to help parents keep their children safe. Rhetoric Versus Reality For generations, our fundamental messages to children have contained three basic premises.
Combating Fear With Facts America's families need not live in fear, but parents need to be fully informed about the dangers their children face and the most effective ways to educate them and guard them from harm. The key to child safety is communication. Children should recognize that "strangers" often do not look strange, and parents should recognize that most abductions and assaults involve an offender and victim who know each other. The exaggerated fears of "stranger danger" generated by lurid tabloid headlines need to be replaced with solid facts garnered from serious research. References Abel, G.G. 1985. The Evaluation of Child Molesters: Final Report to the Center on Antisocial and Violent Behavior. Rockville, MD: National Institute of Mental Health. Colburn, D. 1988. Child safety emphasis of national campaign. The Washington Post (January 22):A12. Feinberg, L. 1987. Poll of schoolchildren reflects satisfaction, positive attitudes. The Washington Post (March 11):A12. Finkelhor, D. 1994 (Summer/Fall). Current information on the scope and nature of child sexual abuse. The Future of Children: Sexual Abuse of Children 4(2):31-53. Finkelhor, D., Hotaling, G., and Sedlak, A. 1990 (May). Missing, Abducted, Runaway, and Thrownaway Children in America, Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. Geiser, R.L. 1979. Hidden Victims: The Sexual Abuse of Children. Boston, MA: Beacon Press. Greenfield, L.A. 1997 (February). Sex Offenses and Offenders. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, p. iii. Groth, N.A., Burgess, A.W., Birnbaum, H.J., and Gary, T.S. 1978. A study of the child molester myths and realities. Journal of the American Criminal Justice Association 41:17-22. Hanfland, K.A., Keppel, R.D., and Weis, J.G. 1997 (May). Case Management for Missing Children Homicide Investigation: Executive Summary. Olympia, WA: Office of the Attorney General, State of Washington and U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, p. 2. How to Raise a Street Smart Child. 1987. Videocassette. New York, NY: Home Box Office Video. Kantrowitz, B. 1997. Off to a good start: Why the first three years are so crucial to a child's development. Newsweek (Spring/Summer):8. Special Issue. Kent, A. 1990 (August 15). The reality of the nightmare. The Times (England). Masquire, K., and Pastore, A.L., eds. 1997. Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics -- 1996. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Assistance, pp. 210-211. National Victim Center. 1992 (April). Rape in America: A Report to the Nation. Arlington, VA: National Victim Center, p. 3. Rayment, T. 1991 (August 18). Stranger danger. The Sunday Times (England). Stickler, G.B., Salter, M., Broughton, D.D., and Alario, A. 1991. Parents' worries about children compared to actual risks. Clinical Pediatrics 30(9):522-528. U.S. Department of Justice, National Center for Missing and Exploited Children, Federal Bureau of Investigation, and University of Pennsylvania School of Nursing. 1990 (August). Case in Point, Special Edition. Arlington, VA: U.S. Department of Justice, National Center for Missing and Exploited Children, Federal Bureau of Investigation, and University of Pennsylvania School of Nursing.
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Showing posts with label 1998. Show all posts
Showing posts with label 1998. Show all posts
Keeping Children Safe: Rhetoric and Reality
Childhood Pedestrian Deaths During Halloween -- United States, 1975-1996
Publication date: 10/24/1997:CDC Warning:
This site is being maintained for historical purposes, but has had no new entries since October 1998. To find more recent articles, please visit the following:
* MMWR at http://www.cdc.gov/mmwr/mmwrsrch.htm
* CDC Web Search at http://www.cdc.gov/search.do
Table of Contents
A) Article
B) Editorial Note
C) References
Article
During 1995, pedestrian deaths accounted for approximately 15% of all motor-vehicle-related deaths sustained by children aged 0-19 years in the United States (1). Because of the levels of participation in Halloween-related activities by elementary and middle school-aged children, these children might be more likely to sustain pedestrian injuries on that evening than on other evenings. To characterize the occurrence of fatal pedestrian injury among children on Halloween, CDC analyzed mortality data from the Fatal Analysis Reporting System (FARS) of the National Highway Traffic Safety Administration (NHTSA) during 1975-1996. This report summarizes the results of the analysis and suggests measures to prevent Halloween-related pedestrian injuries and deaths among children. The findings indicate that the number of childhood pedestrian deaths increased fourfold among children on Halloween evenings when compared with all other evenings.
FARS is a record of all motor-vehicle crashes that occur on public roads in the United States and result in the death of an occupant or nonmotorist within 30 days. NHTSA compiles data from police crash reports, death certificates, coroner reports, hospital records, emergency medical system reports, state highway department information, and other sources. For this analysis, Halloween-related pedestrian deaths were defined as deaths resulting from motor-vehicle crashes on October 31 each year from 4 p.m. through 10 p.m. This time period was selected because most outdoor Halloween activities among persons aged 5-14 years occur during these hours.
During 1975-1996, from 4 p.m. through 10 p.m. on October 31, a total of 89 deaths occurred among pedestrians aged 5-14 years, compared with 8846 on all other evenings. Overall, among children aged 5-14 years, an average of four deaths occurred on Halloween during these hours each year, compared with an average of one death during these hours on every other day of the year.
Reported by: Div of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC.
Editorial Note
Editorial Note: The findings in this report indicate that, during 1975-1996, the number of deaths among young pedestrians was fourfold higher on Halloween evening when compared with the same time period during all other evenings of the year. This analysis may undercount the number of deaths because 1) FARS does not include off-road motor-vehicle crashes (e.g., crashes that occur in driveways, parking lots, and on sidewalks); 2) Halloween activities occasionally occur on another day, particularly if October 31 is a Sunday; and 3) some Halloween activities extend beyond 10 p.m.
Child pedestrian injuries result from an interrelated set of factors involving the driver, the child, and their surroundings. Halloween poses special environmental and behavioral risks compounded by the inherent limitations of the child's developmental stage. Most of the time children spend outdoors is during daylight hours; however, Halloween-related activities occur primarily after dark. This period of darkness is lengthened by the return to Standard Time, which immediately precedes Halloween. In addition, children engaged in door-to-door "trick or treat" activities frequently cross streets at midblock rather than at corners or crosswalks, a known risk factor for pedestrian collision (2). Black costumes can further limit the visibility of young pedestrians to drivers. Sensory acuity may be decreased by masks that can restrict peripheral vision and hearing. Attention to sensory input may be decreased because of distractions, including urges to acquire the best candy, shouts from other children, eye-catching costumes and decorations, and time pressure to acquire candy.
In addition to these holiday-specific problems, the pedestrian skills of children are limited by at least five factors related to their physical attributes (e.g., size and motor coordination) and developmental stage that impair their street-crossing skills until approximately age 12 years (3). First, young children may lack the physical ability to rapidly cross the street, and their short stature limits their visibility to drivers. Second, children are likely to choose the shortest rather than safest route across streets, often darting out at mid-block or entering the roadway between parked cars (4). Third, children normally disregard peripheral vision, have reduced attentiveness, localize sounds poorly, and lack sufficient impulse control (5). Fourth, young children do not evaluate potential traffic threats effectively; they cannot anticipate driver behavior, have less acute sensory perception, and process sensory information more slowly than adults (3,6). Fifth, children may engage in "magical thinking" that leads them to believe, for example, that they are protected from vehicular harm within the confines of a painted crosswalk (6,7).
Parents and caregivers of young children may overestimate the ability of their children to negotiate traffic independently (8), underscoring the need for constant adult supervision of school-aged children during trick-or-treat activities. Public health departments and schools should emphasize the importance of adult supervision and other injury-prevention measures just before Halloween (see box) (Table 1B).
References
1. NCHS. Vital statistics mortality data, underlying cause of death, 1995 {Machine-readable public-use data tapes}. Hyattsville, Maryland: US Department of Health and Human Services, Public Health Service, CDC, NCHS, 1997.
2. Snyder MB, Knoblauch RL. Pedestrian safety: the identification of precipitating factors and possible countermeasures. Washington, DC: US Department of Transportation, National Highway Traffic Safety Administration, 1971; publication no. DOT-HS-800-403.
3. Schieber RA, Thompson NJ. Developmental risk factors for childhood pedestrian injuries. Injury Prevention 1996;2:228-36.
4. Chapman AJ, Wade FM, Foot HC. Pedestrian accidents. Chichester, United Kingdom: John Wiley and Sons, 1982.
5. Wilson MH, Baker SP, Teret SP, Shock S, Garbarino J. Saving children, a guide to injury prevention. New York: Oxford University Press, 1991.
6. Piaget J. The child's concept of movement and speed. London: Routledge and Kegan Paul, 1970.
7. Pease K, Preston B. Road safety education for young children. Br J Educ Psychol 1967;37:305-13.
8. Dunne RG, Asher KN, Rivara FP. Behavioral and parental expectations of child pedestrians. Pediatrics 1992;89:486-90.
Table 1B
Safety Tips for Halloween Pedestrian Safety:
-- Parents should establish a route for children in a known
neighborhood.
-- Children should use flashlights, stay on sidewalks, and avoid
crossing yards.
-- Children should cross streets at the corner (using crosswalks
when they exist) and not between parked cars.
-- Children should stop at all corners and stay together in a group
before crossing.
-- Motorists should drive slowly, watch for children in the street
and on medians, and exit driveways and alleyways carefully.
-- Children should wear clothing that is bright, reflective, and
flame retardant.
-- Children should consider using face paint instead of masks, or
should wear masks that are well-fitting with eye- and ear-holes
that do not obscure sight or hearing; children should not wear
floppy hats or hats that will slide over the eyes.
-- To reduce the likelihood of tripping, children should not wear
long, baggy, or loose costumes or oversized shoes.
General Safety Planning
-- Parents should establish a curfew for older youth.
-- Children should only go to well-lit houses and remain on porches
rather than entering houses.
-- Children should travel in small groups and should be accompanied
by an adult.
-- Children should know their phone number and carry coins for
emergency telephone calls.
-- Children should have their names and addresses attached to their
costumes.
-- Children should bring treats home before eating them so parents
can inspect them.
-- Adults should prepare homes for trick-or-treaters by clearing
porches, lawns, and sidewalks and by placing jack-o-lanterns away
from doorways or landings.
-- Children should use costume knives and swords that are flexible,
not rigid or sharp.
-- Adults and children who are carving pumpkins should use stable,
flat surfaces with good lighting; draw and follow patterns on the
outside of the pumpkin instead of freehand carving; and use blunt
instruments with dull serrations specially designed for pumpkin
carving.
Sources: U.S. Consumer Product Safety Commission and the National SAFE KIDS Campaign.
Source: CDC Childhood Pedestrian Deaths During Halloween
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Don't take candy from strangers." We all remember our parents passing on these words of wisdom with the hope that they would protect us from harm. Wouldn't it be wonderful if life were that simple? Unfortunately, children are at risk of abduction and sexual victimization, and most of the individuals who perpetrate these crimes are not perceived as strangers by their victims. 
Research on the victim/offender relationship in child abduction/molestation cases is not new. Using a sample of 148 offenders who sexually assaulted youth and were sent for observation to a Massachusetts treatment facility, Groth and colleagues (1978) concluded that only 29 percent of the offenders studied were complete strangers to their child victims. In 71 percent of the cases, the offender and victim knew each other at least casually, and in 14 percent of the cases, the offender was a member of the child's immediate family.
In the MTC study, the term "child molester" was defined as someone whose sexual offenses were against victims under the age of 16. "Sexual offense" was defined as any sexually motivated assault involving physical contact with the victim. When the victim-age criterion was not sufficient (for example, because the offender was young or because of multiple victims of varying ages), several additional guidelines were used. Age discrepancy between offender and victim was considered, as was the predominant age of victims and any other victim age trends.
Child psychologist Robert L. Geiser (1979) observed in his introduction to Hidden Victims that "social problems have an uncanny ability to survive most attempts to remedy them. Their first line of defense is to hide from public awareness and then later to spring onto the scene as full-blown crises."