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社区内报告和证实的儿童虐待流行率的不平等。

Neighborhood inequality in the prevalence of reported and substantiated child maltreatment.

机构信息

Department of Sociology, Harvard University, 33 Kirkland St., Cambridge, MA, 02138, USA.

出版信息

Child Abuse Negl. 2019 Apr;90:13-21. doi: 10.1016/j.chiabu.2019.01.014. Epub 2019 Jan 30.

DOI:10.1016/j.chiabu.2019.01.014
PMID:30716651
Abstract

BACKGROUND

Prior research documents spatial concentration in the incidence of child maltreatment reported to and confirmed by Child Protective Services (CPS), but without estimates of the prevalence of such reports, the extent of CPS contact in different communities is unknown.

OBJECTIVE

To estimate the prevalence of CPS reports during early childhood and substantiated investigations during childhood for children living in different types of neighborhoods.

PARTICIPANTS AND SETTING

Children who experienced CPS reports and substantiated investigations in Connecticut.

METHODS

This study uses synthetic cohort life tables to estimate the cumulative risk of CPS reports before age five and substantiated CPS investigations before age 18, by neighborhood poverty rate and neighborhood racial composition.

RESULTS

The analysis reveals substantial stratification in the prevalence of CPS contact by the demographic characteristics of children's residential neighborhoods. For example, while 7% of children in low-poverty neighborhoods (under 10% poor) experience a substantiated CPS investigation at some point during childhood at 2014 and 2015 rates, this risk more than doubles to 17% for their peers in moderate-poverty neighborhoods (10-20% poor) and more than triples to 26% for their peers in high-poverty neighborhoods (over 20% poor). Similar trends emerge when examining CPS reports in early childhood as well as when comparing neighborhoods with different proportions of White residents.

CONCLUSIONS

CPS reports and substantiated investigations are a widespread and disproportionately experienced life event for children in poor neighborhoods and children in non-White neighborhoods.

摘要

背景

先前的研究记录了儿童虐待事件向儿童保护服务(CPS)报告和确认的空间集中情况,但没有对这些报告的发生率进行估计,因此不同社区中 CPS 的接触程度尚不清楚。

目的

估计居住在不同类型社区的儿童在幼儿期和儿童期 CPS 报告和经证实调查的发生率。

参与者和设置

在康涅狄格州经历过 CPS 报告和经证实调查的儿童。

方法

本研究使用合成队列生命表,根据邻里贫困率和邻里种族构成,估计 5 岁前 CPS 报告和 18 岁前经证实的 CPS 调查的累积风险。

结果

分析表明,根据儿童居住社区的人口特征,CPS 接触的流行率存在很大的分层。例如,虽然在 2014 年和 2015 年的比率下,7%居住在低贫困社区(贫困率低于 10%)的儿童在儿童时期的某个时候经历了经证实的 CPS 调查,但这一风险在中等贫困社区(贫困率为 10-20%)的同龄儿童中增加了一倍多,达到 17%,在贫困率较高的社区(贫困率超过 20%)的同龄儿童中增加了两倍多,达到 26%。当检查幼儿期的 CPS 报告以及比较具有不同白人居民比例的社区时,也出现了类似的趋势。

结论

对于贫困社区的儿童和非白人社区的儿童来说,CPS 报告和经证实的调查是一种普遍存在且不成比例的生活事件。

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