• 66% treated injuries from child abuse in 2003 compared to 54% in 1998, p<.001.
• 47% treated injuries from domestic violence in 2003 compared to 38% in 1998, p<.001.
• 65% treated injuries from community violence in 2003 compared to 41% in 1998, p<.001

* p<.01, for difference between survey years

• In both survey years, nearly all pediatricians believe they should screen for child abuse at regular health maintenance visits, however, slightly fewer so stated in 2003 (90% in 2003 v 93% in 1998, p<.01). The proportion of pediatricians who believe they should screen for other types of violence has significantly increased from 1998: 72% in 2003 v 66% in 1998 believe they should screen for domestic violence (p<.05) and 77% compared to 71% think they should screen for community violence (p<.01).

• In 2003, as in 1998, pediatricians express substantially more confidence in their ability to identify children at risk for and manage injuries due to child abuse than domestic violence and community violence; however, reported confidence in the ability to identify and treat victims of domestic and community violence has increased from 1998:

• In 2003, 43% of pediatricians say they are confident in their ability to identify children at risk for domestic violence compared to 37% in 1998 (p<.05) and 52% compared to 44% feel confident in their ability to manage patients injured as a result of domestic violence (p<.01).
  
  
• 41% in 2003 compared to 33% in 1998 are confident in their ability to identify children at risk for community violence and 40% compared to 33% are confident in their ability to advise children and parents on interpersonal violence prevention strategies (p<.001 and p<.01, respectively).
  
  
• Slightly fewer pediatricians in 2003 compared to 1998 say they are confident in their ability to identify children at risk of injury from child abuse (60% and 65%, p<.05); similar proportions in both years report confidence in managing patients injured as a result of child abuse (60% and 63%, n.s.).

• In both survey years, considerably more pediatricians feel they have had adequate professional training in the area of child abuse than in domestic or community violence. About 50% of pediatricians in both 2003 and 1998 feel their training in child abuse was sufficient; however, 30% in 2003 compared to 21% in 1998 say they have had adequate training in domestic violence (p<.001) and only 24% and 17% feel the same about their training in community violence (p<.001).

• Few pediatricians in both survey years think there is sufficient time in health maintenance visits to address violence prevention issues; however, while not directly comparable due to question wording differences, more pediatricians appear to be making the time in 2003 than in 1998. In 2003, 28% think there is sufficient time to address [any] violence prevention issues in health maintenance visits; in 1998, 17% thought there was sufficient time to address child abuse issues, 16% community violence issues and only 13% said there was time to address domestic violence issues

• In 2003, about one-third of pediatricians (35%) feel they adequately address violence prevention issues in their practice, up from 29% in 1998 (p<.05). Yet nearly two-thirds still feel they spend too little time on such issues (64% in 2003 v 71% in 1998).

• In both survey years, about the same proportion of pediatricians (38%) said they used the Injury Prevention Program (TIPP) in their practice. Compared to 1998, more pediatricians in 2003 say they would be "very likely" to use an Academy Violent Injury Prevention Program (VIPP) to aid in anticipatory guidance on reducing violent injuries (41% in 2003 v 35% in 1998, p<.05) and equal proportions in 2003 and 1998 (44%, 45%) say they would be "somewhat likely" to do so.