THIRTY YEAR FOLLOW-UP OF NEGLECTED CHILDREN

这是543个记录在案的儿童疏忽案例的样本。 30年后。所有病例当时都不到11岁。 疏忽/虐待被记录在案。忽视的案例将被比作照顾 有记录的性虐待(N=96)和有记录的身体虐待(N=110)和 匹配对照组(N=520)。评估将包括：(A)健康状况 和危害健康的行为；(B)经济生产力；(C)社区危害/ (D)过去和现在的服务利用情况和获得护理的机会。这 这项研究还将开发一种自我报告的忽视测量和评估 忽视的记忆与记录的忽视历史的对应。 在过去的研究中，对这一样本进行了类似的测量 自我报告儿童期性虐待和身体虐待。一些初步的 以前对这一人群的研究分析记录了相对 高度的健康担忧，暴露在随后的创伤生活事件中 (例如，强奸)导致创伤后应激障碍，以及相对较低的SES。在每个域中 在调查中，注意到了几个具体的假设。措施取自 以前的流行病学调查研究，包括国民健康 访谈调查、行为风险因素监测调查和 来自越南退伍军人再适应研究的社会支持措施。一些人 制定的问卷将发放给参与者，以衡量 自尊、心理控制点、应激性生活事件、应对和抑郁。 一些有限的神经行为评估也将完成。 社区特征将根据贫困人口普查数据进行评估，如 以及通过要求参与者描述他们在 面试。经济生产率将使用以下信息进行评估 收入、公共援助、住房面积等。制定了医疗保险计划 筛查将包括免疫功能和艾滋病毒状况。这个 分析计划详细而适当。将进行组内比较 必要时使用带协方差的MANOVA。功率分析表明足够 样本量，特别是因为CSA和CPA组将聚合为 许多分析。计划了分层的多重回归以及 分层线性建模。处理丢失数据的策略包括 描述。调查人员提出了适当的警告，不要过度 推广结果，因为当前的定义和实践 记录虐待和忽视儿童的做法与30年前有所不同。

This is a sample of 543 documented cases of child neglect followed 30 years later. All cases were less than 11 years of age at the time the neglect/ abuse was documented. Neglect cases will be compared to cares of documented sexual abuse (N= 96) and documented physical abuse (N = 110) and a matched comparison group (N = 520). Assessments will include: (a) health status and health risk behavior; (b) economic productivity; (c) neighborhood hazards/ toxins; and (d) past and present service utilization and access to care. This study will also develop a self-report measure of neglect and assess correspondence of memories of neglect with documented history of neglect. Similar measures were developed in past research with this sample with regard to self report of childhood sexual and physical abuse. Some preliminary analyses from previous studies of this population have documented relatively high levels of health concerns, exposure to subsequent traumatic life events (e.g., rape) leading to PTSD, and relatively low SES. Within each domain of inquiry, several specific hypotheses are noted. Measures are drawn from previous epidemiological survey research, including the National Health Interview Survey, the Behavioral Risk Factor Surveillance Survey, and the Social Support measure from the Vietnam Veterans Readjustment Study. Some established questionnaires will be administered to participants to measures self esteem, locus of control, stressful life events, coping, and depression. Some limited neurobehavioral assessments will be completed, as well. Neighborhood characteristics will be assessed from census data on poverty, as well as by asking participants to describe their neighborhood during an interview. Economic productivity will be assessed using information about income, public assistance, size of home, etc. Plans are in place for a medical screening that will include immunological functioning and HIV status. The analysis plans were detailed and appropriate. Group comparisons will be made using MANOVAs with covariance, as necessary. Power analyses indicate adequate sample size, especially since the CSA and CPA groups will be aggregated for many of the analyses. Hierarchical multiple regressions are planned, as well as hierarchical linear modeling. Strategies for dealing with missing data are described. The investigators make appropriate cautions against over generalizing the results since current definitions and practices for documenting child abuse and neglect differ from those used 30 years ago.