Untangling Risk of Maltreatment from Events of Maltreatment: An Analysis of the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008)

Untangling Risk of Maltreatment from Events of Maltreatment: An Analysis of the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008)
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DOI:
10.1007/s11469-011-9351-4
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发表时间:
2011-10-01
影响因子:
8
通讯作者:
Black, Tara
Black, Tara
中科院分区:
医学4区
文献类型:
--
作者:
Fallon, Barbara;Trocme, Nico;Black, Tara

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本文介绍了跨周期发生的方法的变化,加拿大报告的虐待和虐待儿童(CIS)的发病率研究,特别是概述了跟踪调查的家庭在CIS-2008年周期的虐待风险的儿童的理由。本文还介绍了对CIS-2008数据的分析,研究了侧重于虐待风险的调查和侧重于虐待事件的调查之间的差异。CIS-2008采用多阶段抽样设计。最后的样本选择阶段涉及确定儿童,(a)对这些儿童存在具体的虐待事件的关注,以及(B)没有具体的过去虐待的关注,但正在评估未来虐待的风险。本分析包括基于特定纳入标准的11,925项研究。进行了双变量和多变量分析,以更好地了解CIS-2008中的虐待和仅风险调查。与那些因未来风险而接受调查的家庭相比,因涉嫌虐待而接受调查的家庭更有可能生活在过度拥挤的家中,生活在至少一种家庭危险的存在下,并且没有钱购买基本必需品。年龄较小的儿童更有可能成为风险调查的对象。看护者酗酒、家庭危险和某些儿童功能问题与证实虐待的可能性增加有关。几个主要的照顾者功能问题与证实风险的决定以及家庭危险和过度拥挤有关。这项研究是对国家风险调查概况的首次探索。这些分析提供了一个机会,可以审查在风险调查和虐待儿童调查中儿童和家庭的情况差异,揭示了几个重要的差异。
This paper describes the methodological changes that occurred across cycles of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS), specifically outlining the rationale for tracking investigations of families with children at risk of maltreatment in the CIS-2008 cycle. This paper also presents analysis of data from the CIS-2008 examining the differences between those investigations focusing on risk of maltreatment and those investigations focusing on an incident of maltreatment. The CIS-2008 uses a multi-stage sampling design. The final sample selection stage involves identifying children for which (a) there was a concern of a specific incident of maltreatment, and (b) there was no specific concern of past maltreatment but the risk of future maltreatment was being assessed. The present analysis included 11,925 investigations based on specific inclusion criteria. Bivariate and multivariate analyses were conducted to better understand maltreatment and risk only investigations in the CIS-2008. Families investigated for alleged maltreatment, compared to those investigated for future risk, were more likely to live in a home that was overcrowded, live with the presence of at least one household hazard, and run out of money for basic necessities. Younger children were more likely to be the subject of a risk investigation. Caregiver alcohol abuse, household hazards, and certain child functioning issues were associated with an increased likelihood in a finding of substantiated maltreatment. Several primary caregiver functioning concerns were associated with the decision to substantiate risk, as well as household hazards and overcrowding. This study represents the first exploration of a national profile of risk only investigations. The analyses provided an opportunity to examine differences in the profile of children and families in risk only investigations and child maltreatment investigations, revealing several important differences.