Center for Social Services Research, University of California, Berkeley, USA.
Child Maltreat. 2011 Aug;16(3):163-74. doi: 10.1177/1077559511411179. Epub 2011 Jun 16.
This article presents a population-based study of early childhood injury mortality following a nonfatal allegation of maltreatment. Findings are based on a unique data set constructed by establishing child-level linkages between vital birth records, administrative child protective services records, and vital death records. These linked data reflect over 4.3 million children born in California between 1999 and 2006 and provide a longitudinal record of maltreatment allegations and death. Of interest was whether children reported for nonfatal maltreatment subsequently faced a heightened risk of unintentional and intentional injury mortality during the first 5 years of life. Findings indicate that after adjusting for risk factors at birth, children with a prior allegation of maltreatment died from intentional injuries at a rate that was 5.9 times greater than unreported children (95% CI [4.39, 7.81]) and died from unintentional injuries at twice the rate of unreported children (95% CI [1.71, 2.36]). A prior allegation to CPS proved to be the strongest independent risk factor for injury mortality before the age of five.
本研究基于一个独特的数据集，通过在生命记录、行政儿童保护服务记录和生命死亡记录之间建立儿童层面的联系，对儿童虐待非致死指控后的幼儿期伤害死亡率进行了一项基于人群的研究。这些关联数据反映了 1999 年至 2006 年间加利福尼亚州出生的超过 430 万名儿童，并提供了虐待指控和死亡的纵向记录。人们关注的是，在生命的前 5 年，被举报非致死性虐待的儿童是否面临更高的意外伤害死亡率风险。研究结果表明，在调整出生时的风险因素后，有虐待指控史的儿童因故意伤害而死亡的比率是未报告儿童的 5.9 倍（95%CI [4.39, 7.81]），因非故意伤害而死亡的比率是未报告儿童的 2 倍（95%CI [1.71, 2.36]）。CPS 的先前指控被证明是五岁前伤害死亡率的最强独立风险因素。
