Rereporting of child maltreatment: Does participation in other public sector services moderate the likelihood of a second maltreatment report?
Rereporting of child maltreatment: Does participation in other public sector services moderate the likelihood of a second maltreatment report?
复制标题
DOI：
10.1016/j.chiabu.2006.05.008
复制
发表时间：
2006-11-01
影响因子：
4.8
通讯作者：
Sapokaite, Lina
中科院分区：
文献类型：
--
作者：
Drake, Brett;Jonson-Reid, Melissa;Sapokaite, Lina
目的：本研究使用行政数据来追踪低收入城市儿童福利人群 (n = 4957) 中虐待行为的首次报告，同时控制其他公共服务的参与。服务系统的参与涉及以下领域：儿童福利、收入维持、特殊教育、少年法庭以及各种形式的医疗补助报销医疗或精神保健。本研究通过将服务维度添加到生态框架中进行分析，并通过比之前的调查（7.5 年）更长的时间跟踪复发情况来建立知识。方法：我们使用来自出生记录、儿童福利、收入维持、医疗补助、成人惩教、少年法庭、特殊教育、执法和人口普查来源的数据，将虐待儿童的重新报告建模为儿童、照顾者、服务和社区特征的函数。提出了双变量和多变量分析，后者使用 Cox 回归和稳健的三明治协方差矩阵估计来解释区域内的簇内依赖性。结果：双变量和多变量分析的关键结果包括，父母为高中毕业生和/或永久退出 AFDC 第一次学习的儿童的重新报告率较低（p
Objective: This study uses administrative data to track the first rereports of maltreatment in a low-income, urban child welfare population (n = 4957) while controlling for other public service involvement. Service system involvement is explored across the following sectors: Child Welfare, Income Maintenance, Special Education, Juvenile Court, and various forms of Medicaid-reimbursed medical or mental health care. This study builds knowledge by adding the services dimension to an ecological framework for analyses and by following recurrence for a longer period of time than prior investigations (7.5 years).Method: We model the rereporting of a child for maltreatment as a function of child, caregiver, service, and neighborhood characteristics using data from birth records, child welfare, income maintenance, Medicaid, adult corrections, juvenile court, special education, law enforcement, and census sources. Bivariate and multivariate analyses are presented, the latter using Cox regression with a robust sandwich covariance matrix estimate to account for the intracluster dependence within tracts.Results: Key results across bivariate and multivariate analyses included a lower rate of rereporting among children with parents who were high school graduates and/or permanently exited from the first spell on AFDC (p