Assault Burn Injuries in Children in South Africa: Demographics, Risk Factors and Characteristics
Published online on May 15, 2026
Abstract
["Child Abuse Review, Volume 35, Issue 3, May/June 2026. ", "\nABSTRACT\nGlobally, 1%–25% of hospitalized child burns are nonaccidental, that is, due to violence or neglect. Such cases, especially violent burns, are noted for longer hospitalizations, more skin grafting and greater mortality. There is limited investigation of this debilitating phenomenon from Africa. A South African dataset from 19 major hospitals was used to describe the demographics and risk factors for violent burns and the associated injury characteristics for children 12 years and younger. The sample comprised 1316 child burn cases and the study applied logistic regression modelling with bootstrapping to examine the risk factors associated with child violent burns. The study indicates that 2.9% of child burns were the result of an assault, with 56.3% of assaultive burns male and 44.3% infants or toddlers. Violent burns were six times more likely due to chemical attacks and three times more likely to flames, rather than scalds. Violent injuries were more likely to affect more than 10% of the total body surface area, with full or partial thickness burns compared with superficial burns. The findings will enhance detection of child assault victims in South Africa, through the disproportionate chemical attacks, greater body surface area affected and greater burn depth of injuries.\n"]