The Illinois Families Study: Child Well-Being

本研究的重点是两种特殊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的时间从事正规就业，在领取收入援助方面受到时间限制和制裁，并可能导致其家庭的保健覆盖面不稳定。 评估这种变化是否会导致一般虐待儿童的比例不同，特别是不同类型的忽视儿童，是这项研究的重点。 该项目的具体目标是评估儿童与（1）就业、（2）收入（动态）和（3）保健覆盖率之间的关系。 我们还将确定介导或缓和这种关系的因素，并扩大有关导致特定形式的儿童忽视的因果途径的知识。 我们还将包括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忽视儿童的发展影响。这项研究建立在伊利诺伊州家庭研究（IFS）。 IFS将在六年内跟踪1，500个家庭，研究福利和工作的影响，方法是进行年度调查，收集有关人口统计、就业、收入、养育子女、儿童保育、健康和家庭暴力的信息，并将收集有关福利、医疗补助、失业和社会服务使用情况的季度行政数据。 九个伊利诺伊州县已被选中的研究代表超过75%的伊利诺伊州TANF案件。 这项研究将涉及IFS儿童的子样本（首次访谈时500名2岁以下儿童）。 家长将在IFS第一次面试后6个月接受面谈，然后每年接受一次面谈。 访谈将侧重于儿童的发展和气质、育儿观念、家庭事故风险、基本需求的充足性和医疗保健。 将进行病历审查，以评估获得保健的机会和充分性，并查明其他被忽视的风险。 每个受试者的季度行政数据来自伊利诺伊州就业部的保险数据库、新雇员登记处和所有社会机构登记处（食品券、医疗补助、虐待儿童）。 来自伊利诺伊州儿童服务的持续集成数据库的数据也将被链接，该数据库描述了将个别儿童与公共服务（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）联系起来的完整关系网络。每种忽视结果的更可能的统计功效水平在双尾检验的0.72到0.94之间，在单尾检验的0.82到0.97之间。 这项研究将不仅依赖于正式的忽视指标，但将调查其他“非正式”的基础上操作的定义，环境，物理和监督忽视的指标。独立的衡量标准将包括人口统计学、父母特征、父母与子女的互动、父母与子女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，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。

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.