The recognition of child abuse as a troubling social and public health problem along with the documentation required by mandatory reporting laws have made possible the epidemiological investigation of risk factors association with child abuse. Child Abuse in the Deep South is a study of physical and sexual child abuse designed to measure the incidence of child abuse and neglect in the state of Alabama, identify the characteristics of confirmed abuse, and test the hypothesis that community size is a key, predictive variable in the surveillance, reporting, and caseworker determination of abuse. Child Abuse in the Deep South is based on a comprehensive review of more than seven thousand randomly selected narrative reports from the Alabama Central Registry.

A landmark finding in this study is that different combinations of cultural factors contribute to the physical and sexual abuse of black and white children in rural, small-town, and urban communities. The rates of abuse discovered and reported in small towns are revealed to be materially higher than those in rural or urbanized locations, especially for young white males, and the authors query whether this indicates higher rates of abuse or higher rates of reporting.

Child Abuse in the Deep South provides a quantitative benchmark that investigators and policy-makers will find invaluable on the path to defining at-risk populations, effective interventions, and treatments.