It's not "Just poverty": Educational, social, and economic functioning among young adults exposed to childhood neglect, abuse, and poverty
It's not "Just poverty": Educational, social, and economic functioning among young adults exposed to childhood neglect, abuse, and poverty
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DOI：
10.1016/j.chiabu.2020.104356
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发表时间：
2020-03-01
影响因子：
4.8
通讯作者：
Maguire-Jack, Kathryn
中科院分区：
文献类型：
--
作者：
Font, Sarah A.;Maguire-Jack, Kathryn
背景：忽视是儿童保护服务（CPS）调查中最常见的指控。研究人员和媒体质疑cps调查的忽视是否与贫困不同，以及如何不同。先前的研究受到自我报告或横断面测量、小样本和短观察期的限制。目的：(1)估计cps调查的忽视的“附加伤害”，净贫困暴露（深度和持续时间），对高中毕业、就业和收入、监禁和青少年父母；(2)评估虐待是否是比忽视更强的不良后果风险因素。参与者和环境：29,154名1993-1996年出生于威斯康星州密尔沃基县的人，他们要么接受食品援助，要么在16岁之前向CPS报告。方法：采用逻辑回归与丰富的社会和人口控制，我们比较了在儿童早期或青春期被CPS调查的忽视、虐待或虐待和忽视的个体与经历过贫困但没有CPS参与的个体。我们使用公共福利记录计算了整个样本在0至16岁之间的贫困持续时间和贫困深度的累积测量。结果：在所有领域中，被指控或证实被忽视的儿童的结果在统计上都明显比没有被指控虐待的贫困儿童差，与被指控或证实被虐待的儿童相似。效果大小因结果而异。结论：总的来说，这项研究表明，CPS对忽视的指控与贫困不同，是成年期不良后果的重要风险因素。
Background: Neglect is the most common allegation in Child Protective Services (CPS) investigations. Researchers and media have questioned whether and how CPS-investigated neglect differs from poverty. Prior studies are limited by self-reported or cross-sectional measures, small samples, and short observation periods.Objective: (1) To estimate the "added harm" of CPS-investigated neglect, net of poverty exposure (depth and duration), on high school completion, employment and earnings, incarceration, and teen parenthood; (2) To assess whether abuse is a stronger risk factor for adverse outcomes than neglect.Participants and Setting: 29,154 individuals born in 1993-1996 from Milwaukee County, WI, who either received food assistance or were reported to CPS before age 16.Method: Using logistic regression with a rich set of social and demographic controls, we compared individuals with CPS-investigated neglect, abuse, or both abuse and neglect in early childhood or adolescence to those who experienced poverty but not CPS involvement. We calculated cumulative measures of poverty duration and poverty depth between ages 0 and 16 for the full sample using public benefit records.Results: Outcomes among children with alleged or confirmed neglect were statistically significantly worse in all domains than impoverished children without maltreatment allegations, and similar to children with alleged or confirmed abuse. Effect sizes varied by outcome.Conclusions: Overall, this study suggests that CPS allegations of neglect are distinct from poverty and an important risk factor for adverse outcomes in adulthood.