behavior, discipline, safety and development. In the case of child abuse, primary prevention is defined as any intervention designed for the purpose of preventing child abuse before it occurs.
             In 1993, three million children in the United States were reported to have been abused. Thirty-five percent of these cases of child abuse were confirmed. Data from various reporting sources indicates that improved reporting could lead to a significant increase in the number of cases of child abuse verified by child protection agencies. The lack of verification does not indicate that abuse did not occur, only that it could not be verified. The facts are that each year 160,000 children suffer severe or life-threatening injury and 1,000 to 2,000 children die as a result of abuse. Of these deaths, 80 percent involve children younger than five years of age, and 40 percent involve children younger than one year of age. One out of every 20-murder victim is a child. Murder is the fourth leading cause of death in children from one to four years of age and the third leading cause of death in children from five to fourteen years of age.
             Deaths from abuse are under reported and some deaths classified as the result of accident and sudden infant death syndrome might be reclassified as the result of child abuse if comprehensive investigations were more routinely done. Most child abuse takes place in the home and is started by persons are know to and trusted by the child. Even though it has been widely publicized, abuse in day-care and foster-care setting accounts for only a small number of confirmed cases of child abuse. In 1996, only two percent of all confirmed cases of child abuse occurred in these settings. Child abuses if fifteen times more likely to occur in families where spousal abuse occurs. Children are three times more likely to be abused by their fathers than by their mothers. No differences have been found in the incidence of chi...