Derek S. Brown

The economic burden of child maltreatment in the United States and implications for prevention

OBJECTIVES To present new estimates of the average lifetime costs per child maltreatment victim and aggregate lifetime costs for all new child maltreatment cases incurred in 2008 using an incidence-based approach. METHODS This study used the best available secondary data to develop cost per case estimates. For each cost category, the paper used attributable costs whenever possible. For those categories that attributable cost data were not available, costs were estimated as the product of incremental effect of child maltreatment on a specific outcome multiplied by the estimated cost associated with that outcome. The estimate of the aggregate lifetime cost of child maltreatment in 2008 was obtained by multiplying per-victim lifetime cost estimates by the estimated cases of new child maltreatment in 2008. RESULTS The estimated average lifetime cost per victim of nonfatal child maltreatment is

The lifetime medical cost burden of overweight and obesity: implications for obesity prevention.

210,012 in 2010 dollars, including

Longitudinal rates of annual eye examinations of persons with diabetes and chronic eye diseases.

32,648 in childhood health care costs;

A randomized study of financial incentives to increase physical activity among sedentary older adults

10,530 in adult medical costs;

Individual and aggregate years-of-life-lost associated with overweight and obesity.

144,360 in productivity losses;

Health Care Costs Associated With Child Maltreatment: Impact on Medicaid

7,728 in child welfare costs;

The burden of child maltreatment in the East Asia and Pacific region

6,747 in criminal justice costs; and

Longitudinal analysis of the relationship between regular eye examinations and changes in visual and functional status

7,999 in special education costs. The estimated average lifetime cost per death is

Methods for Estimating Medical Expenditures Attributable to Intimate Partner Violence

1,272,900, including

Estimating older adults' preferences for walking programs via conjoint analysis.

14,100 in medical costs and