THE ILLINOIS FAMILIES STUDY: CHILD WELL-BEING

伊利诺伊州家庭研究：儿童福祉

• 批准号: 6387761
• 负责人: JANE Louise HOLL
• 金额: $ 40.91万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-13 至 2004-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6387761
• 关键词: behavioral /social science research tag; child (0-11); child abuse; child physical development; child psychology; child rearing; clinical research; family; health care policy; health care service availability; human subject; longitudinal human study; public assistance; quality of life; socioeconomics

This study focuses on the etiology of two specific forms of child neglect: physical neglect and supervisory neglect. Welfare reform requires parents to spend more time in formal employment, subject them to time limits and sanctions on the receipt of income assistance, and may result in unstable health care coverage for their families. Assessing whether such changes results in a differential rate of child maltreatment in general, and different types of child neglect in particular, is the focus of this study. The specific aims of the project are to assess the relationship between child and (1) employment, (2) income (dynamics), and (3) health care coverage. We will also identify the factors that mediate or moderate such relationships and expand the knowledge about causal pathways leading to specific forms of child neglect. We will also include baseline assessments of child development so that future studies may assess the developmental impacts of these forms of child neglect. This study builds upon the Illinois Families Study (IFS). The IFS will follow 1,500 families over six-years to study the effects of welfare and work by conducting annual surveys to gather information about demographics, employment, income, parenting, child care, health, and domestic violence and will gather, quarterly administrative data about use of welfare, Medicaid, unemployment, and social services. Nine Illinois counties have been selected for the study representing over 75% of the Illinois TANF caseload. This study will involve a sub-sample of children the IFS (500 children <2 years at the first interview). A parent will be interviewed, in-person, 6 months after the first IFS interview and then annually. The interview will focus on child development and temperament, parenting beliefs, household accident risks, adequacy of basic needs, and health care . Medical chart reviews will be conducted to assess access and adequacy of health care and to identify additional risks for neglect. Quarterly administrative data from the Illinois Department of Employment's Insurance database, the New-Hire registry, and all social agency registries (Food Stamps, Medicaid, Child Abuse) will be linked for each subject. Data from a continuously integrated database of children's services in Illinois that depicts a full network of relationships linking individual children and public services (e.g. child protection, juvenile justice, Medicaid, special education, and mental health services) will also be linked. The more likely statistical power levels for each neglect outcome range from .72 to .94 for a two-tailed test, and from .82 to .97 for a one-tailed test. This study will not rely solely on formal indicators of neglect, but will investigate other "informal" indicators based on operationalized definitions of environmental, physical, and supervisory neglect. Independent measures will include demographics, parental characteristics, parent-child interaction, parent and child physical and mental health, and child development. The means, standard deviations, and ranges associated with each indicators will be reported, and for repeated measured, the average change from one interview to the next will be provided. The primary goal of the multivariate analyses is to determine which factors or combinations of factors place children at greater risk for child neglect and CPS intervention.

本研究重点关注两种特定形式的儿童忽视的病因：身体忽视和监督忽视。 福利改革要求父母花更多时间从事正式工作，对他们获得收入援助施加时间限制和制裁，并可能导致家庭医疗保健覆盖不稳定。 本研究的重点是评估这些变化是否会导致一般儿童虐待率的差异，特别是不同类型的儿童忽视的比率。 该项目的具体目标是评估儿童与 (1) 就业、(2) 收入（动态）和 (3) 医疗保健覆盖范围之间的关系。 我们还将确定调解或缓和这种关系的因素，并扩展有关导致特定形式的儿童忽视的因果途径的知识。 我们还将纳入儿童发展的基线评估，以便未来的研究可以评估这些形式的儿童忽视对发展的影响。这项研究以伊利诺伊州家庭研究 (IFS) 为基础。 IFS 将在六年内跟踪 1,500 个家庭，通过年度调查收集有关人口统计、就业、收入、养育、儿童保育、健康和家庭暴力的信息，研究福利和工作的影响，并将收集有关福利、医疗补助、失业和社会服务使用的季度行政数据。 伊利诺伊州 9 个县被选为研究对象，占伊利诺伊州贫困家庭临时援助 (TANF) 病例数的 75% 以上。 这项研究将涉及 IFS 儿童的子样本（500 名第一次访谈时小于 2 岁的儿童）。 家长将在第一次 IFS 面谈后 6 个月接受面对面面谈，然后每年一次。 访谈将重点关注儿童的发育和气质、养育信仰、家庭事故风险、基本需求的充足性以及医疗保健。 将进行医疗图表审查，以评估医疗保健的可及性和充分性，并确定忽视的额外风险。 来自伊利诺伊州就业保险数据库、新员工登记处和所有社会机构登记处（食品券、医疗补助、儿童虐待）的季度管理数据将针对每个主题进行链接。 来自伊利诺伊州儿童服务持续集成数据库的数据也将被链接起来，该数据库描述了连接个体儿童和公共服务（例如儿童保护、少年司法、医疗补助、特殊教育和心理健康服务）的完整关系网络。对于双尾检验，每个忽视结果更有可能的统计功效水平范围为 0.72 到 0.94，对于单尾检验，范围为 0.82 到 0.97。 这项研究将不仅仅依赖于正式的忽视指标，还将根据环境、物理和监督忽视的可操作定义来调查其他“非正式”指标。独立测量将包括人口统计、父母特征、亲子互动、父母和孩子的身心健康以及儿童发展。 将报告与每个指标相关的平均值、标准差和范围，并且对于重复测量，将提供从一次访谈到下一次访谈的平均变化。 多变量分析的主要目标是确定哪些因素或因素组合使儿童面临更大的儿童忽视和 CPS 干预风险。