Background: This study aims at investigating physical child abuse in Sweden
during 1986-1996, a period when alarm was being raised about an increased
number of police reports on physical child abuse. The study focuses on abus
e committed by a parent or carer and aims at analyzing the victim and the p
erpetrator, family environment, injuries and judicial consequences of physi
cal abuse. Method: All police reports on physical child abuse (0-14 years o
ld) in a designated police district in Sweden during 1986-1996 were examine
d, as well as any judicial proceedings that followed. Results: Our research
yielded three major findings. Firstly, a large part of the increased numbe
r of police reports had to do with violence outside the family: 145 childre
n (0.5 per 1000 children) were found abused within the families, by a paren
t or a carer. Secondly, there was a tendency toward males abusing boys and
females abusing girls, and the biological father was the most frequent susp
ected perpetrator. Thirdly, 20% of the police reports led to prosecutions,
and the investigations were time consuming. Known risk factors for physical
abuse, such as unemployment, violent spouse relations, substance and drug
abuse and poor mental health were found in several families, often among th
e prosecuted perpetrators. When examining incidence of physical abuse, Swed
en was comparable to the other Scandinavian countries, where legislation an
d social context are similar. Conclusions: The numbers of physically abused
children that have been reported to the police in Sweden has increased dur
ing the investigated period. Familiar risk factors are present in our study
, accompanied by new findings, such as, for instance, a gender preference t
owards the abuse victim.