Klevens Joanne, Luo Feijun, Xu Likang, Peterson Cora, Latzman Natasha E
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Inj Prev. 2016 Dec;22(6):442-445. doi: 10.1136/injuryprev-2015-041702. Epub 2016 Feb 11.
Paediatric abusive head trauma (AHT) is a leading cause of fatal child maltreatment among young children. Current prevention efforts have not been consistently effective. Policies such as paid parental leave could potentially prevent AHT, given its impacts on risk factors for child maltreatment. To explore associations between California's 2004 paid family leave (PFL) policy and hospital admissions for AHT, we used difference-in-difference analyses of 1995-2011 US state-level data before and after the policy in California and seven comparison states. Compared with seven states with no PFL policies, California's 2004 PFL showed a significant decrease in AHT admissions in both <1 and <2-year-olds. Analyses using additional data years and comparators could yield different results.
小儿虐待性头部外伤（AHT）是幼儿致命性虐待的主要原因。目前的预防措施并非一直有效。鉴于带薪育儿假等政策对虐待儿童风险因素的影响，这些政策有可能预防AHT。为了探究加利福尼亚州2004年的带薪家庭假（PFL）政策与AHT住院情况之间的关联，我们对加利福尼亚州及七个对照州在该政策实施前后的1995 - 2011年美国州级数据进行了双重差分分析。与七个没有PFL政策的州相比，加利福尼亚州2004年的PFL政策使得1岁以下和2岁以下儿童的AHT住院人数显著减少。使用更多数据年份和对照进行分析可能会得出不同结果。
