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儿童保护服务机构报告的儿童阅读和算术能力:一项控制其他逆境的人口记录链接研究。

Reading and numeracy attainment of children reported to child protection services: A population record linkage study controlling for other adversities.

机构信息

School of Psychology and Counselling, and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia; School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.

School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.

出版信息

Child Abuse Negl. 2020 Mar;101:104326. doi: 10.1016/j.chiabu.2019.104326. Epub 2020 Jan 31.

Abstract

BACKGROUND

Maltreated children are at risk of poor educational outcomes, but also experience greater individual, family, and neighbourhood adversities that may obscure an understanding of relationships between child protection involvement and educational attainment.

OBJECTIVE

To examine associations between child protection involvement and 3rd- and 5th-grade reading and numeracy attainment, while controlling multiple other adversities.

PARTICIPANTS AND SETTING

Participants were 56,860 Australian children and their parents from the New South Wales Child Development Study with linked multi-agency records.

METHODS

Multinomial logistic regressions examined associations between level of child protection involvement (Out-Of-Home Care [OOHC] placement; substantiated Risk Of Significant Harm [ROSH]; unsubstantiated ROSH; non-ROSH; and no child protection report) and standardised tests of 3rd- and 5th-grade reading and numeracy. Fully adjusted models controlled demographic, pregnancy, birth, and parental factors, and early (kindergarten) developmental vulnerabilities on literacy and numeracy, and other developmental domains (social, emotional, physical, communication).

RESULTS

All children with child protection reports were more likely to attain below average, and less likely to attain above average, 3rd- and 5th-grade reading and numeracy, including children with reports below the ROSH threshold. Children with substantiated ROSH reports who were not removed into care demonstrated the worst educational attainment, with some evidence of protective effects for children in OOHC.

CONCLUSIONS

A cross-agency response to supporting educational attainment for all children reported to child protection services is required, including targeted services for children in OOHC or with substantiated ROSH reports, and referral of vulnerable families (unsubstantiated and non-ROSH cases) to secondary service organisations (intermediate intervention).

摘要

背景

受虐待儿童面临不良教育成果的风险,但他们也经历了更多的个人、家庭和社区逆境,这可能会掩盖对儿童保护介入与教育成就之间关系的理解。

目的

在控制多种其他逆境的情况下,研究儿童保护介入与 3 年级和 5 年级阅读和算术成绩之间的关联。

参与者和设置

新南威尔士州儿童发展研究的 56860 名澳大利亚儿童及其父母作为参与者,他们的信息与多机构记录相关联。

方法

多项逻辑回归检验了儿童保护介入水平(家庭外照料[OOHC]安置;有充分理由的重大伤害风险[ROSH];无充分理由的 ROSS;非 ROSS;无儿童保护报告)与 3 年级和 5 年级阅读和算术标准测试之间的关联。完全调整的模型控制了人口统计学、妊娠、分娩和父母因素,以及早期(幼儿园)在读写和计算能力以及其他发展领域(社会、情感、身体、沟通)的脆弱性。

结果

所有有儿童保护报告的儿童都更有可能获得低于平均水平的 3 年级和 5 年级阅读和算术成绩,而不太可能获得高于平均水平的成绩,包括那些报告低于 ROSS 阈值的儿童。有充分理由的 ROSH 报告但未被安置在护理机构的儿童表现出最差的教育成就,有证据表明 OOHC 中的儿童具有保护作用。

结论

需要对所有向儿童保护服务机构报告的儿童提供跨机构的支持教育成就的措施,包括针对 OOHC 儿童或有充分理由的 ROSH 报告的儿童的有针对性的服务,以及将弱势家庭(无充分理由和非 ROSS 案件)转介给二级服务组织(中级干预)。

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