CE23-003 - A multi-level examination of social safety net accessibility as a modifiable structural condition contributing to violence against children

项目概要/摘要： 暴力是美国儿童发病和死亡的一个常见、昂贵和可预防的原因。 States.在贫困中长大的儿童更容易遭受暴力侵害。主 在美国，解决贫困问题的方法是提供社会服务。然而，这些安全网服务 为最需要他们的社区服务不足。安全网需求和 可获得性是一种结构性条件，可能是与暴力侵害妇女行为有关的健康问题的一个社会决定因素。 孩子需要进行严格的研究，如因果效应研究设计，以确定可改变的社区- 有针对性的预防水平因素。职业发展奖（K 01）的研究目标是 评估社区安全网可达性之间的关系，缓解的主要方法 贫困和暴力侵害儿童。这项拟议的研究利用了基于人群的纵向数据， 多种来源，包括新的关联行政数据和详细的人口普查一级的社会 服务可用性。拟议的研究活动将针对以下具体目标：1）确定， 社区层面，如果社区安全网的可及性与暴力侵害儿童指标有关 （儿童保护报告、儿童保护安置、与暴力有关的医疗接触和暴力- （2）在儿童一级，量化社区安全网可及性对儿童的因果影响， 与暴力有关的死亡率。为了实现这些目标，PI将接受培训 在严格的因果效应研究设计和跨领域的暴力预防研究的指导下， 这些领域的国家领导人。拟议的研究针对的是 CDC的国家伤害预防和控制中心的社区条件之间的关系， 使用具有强有力的科学前提的创新方法，打击暴力侵害儿童行为。完成 培训和研究活动将使PI成为独立的研究人员， 影响研究，可用于制定预防方案，并更好地解释 助长暴力侵害儿童行为的结构性条件。

Project Summary/Abstract: Violence is a common, costly, and preventable cause of morbidity and mortality for children in the United States. Violence against children occurs more frequently for children who grow up in poverty. The primary method of addressing poverty in the U.S. is the provision of social services. Yet, these safety net services underserve the communities that are the most in need of them. This mismatch between safety net need and accessibility is a structural condition that may be a social determinant of health related to violence against children. Rigorous research, such as causal effects study designs, is needed to identify modifiable community- level factors for targeted prevention. The proposed Career Development Award (K01) research goal is to evaluate the relationship between the community safety net accessibility, the primary method of alleviating poverty, and violence against children. The proposed study leverages population-based, longitudinal data from multiple sources, including novel linked administrative data and detailed census-tract-level data on social service availability. The proposed research activities will address the following specific aims: 1) determine, at the community level, if neighborhood safety net accessibility is related to violence against children indicators (child protection reports, child protection placements, violence-related medical encounters, and violence- related deaths); and 2) quantify, at the child-level, the causal impact of community safety net accessibility on violence-related mortality through the duration of childhood. To pursue these aims, the PI will receive training in rigorous causal effects study design and cross-cutting violence prevention research under the mentorship of national leaders in these areas. The proposed research study addresses the important research priority for the CDC’s National Center for Injury Prevention and Control of the relationship between community conditions and violence against children using an innovative approach with a strong scientific premise. Completion of the training and research activities will allow the PI to become an independent researcher who produces high- impact research that can be used in the development of prevention programming and to better explain the structural conditions that contribute to violence against children.