Department of Pediatrics, University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, United States of America; Seattle Children's Research Institute, 1900 9th Ave, Seattle, WA 98101, United States of America.
Seattle Children's Research Institute, 1900 9th Ave, Seattle, WA 98101, United States of America.
Child Abuse Negl. 2022 Jan;123:105387. doi: 10.1016/j.chiabu.2021.105387. Epub 2021 Nov 15.
Children of teenage parents are at increased risk for child maltreatment but there is limited information about the risks teenage parenthood poses for maltreatment recurrence after prior Child Protective Service (CPS) involvement.
Determine whether children born to teenage parents are at increased risk of maltreatment re-referral to CPS compared to children born to older parents.
Children under 6 years with substantiated reports of parental maltreatment between 2002 and 2018 were identified from National Child Abuse and Neglect Data System (NCANDS) data.
Youngest known parental age at child's birth, in years, was categorized as <20, 20-24, 25-29, or ≥30 (referent group). The number of re-referrals within 5 years was the outcome of interest. Negative binomial regression analyses assessed whether being born to a teen parent was associated with a greater risk of re-referral.
In a study population of 2,680,961 children, having a teen parent, one aged 20-24 years, or 25-29 years at birth was associated with 19% (95% CI 1.18-1.19), 16% (95% CI 1.16-1.17), and 11% (95% CI 1.11-1.12) greater risk of re-referral compared to having a parent aged 30 years or older adjusting for child age, gender, race-ethnicity, state, and initial maltreatment type.
The small, but significant increased risk for re-referral to CPS for child maltreatment in young children with at least one teenage or young parent at the time of birth compared to children with older parents suggests that specifically targeting young parents with appropriate services when initially referred to CPS may help reduce the risk of maltreatment recurrence.
青少年父母的子女遭受虐待的风险增加，但关于青少年父母在儿童保护服务（CPS）介入之前对虐待复发的风险知之甚少。
确定与年长父母所生子女相比，青少年父母所生子女是否更有可能再次被 CPS 转介虐待。
从国家儿童虐待和忽视数据系统（NCANDS）数据中确定了 2002 年至 2018 年间有父母虐待确凿报告的 6 岁以下儿童。
将儿童出生时父母的最小已知年龄（以年为单位）分为<20、20-24、25-29 或≥30（参照组）。5 年内再次转介的数量是感兴趣的结果。负二项回归分析评估了青少年父母的孩子是否更有可能再次转介。
在一项 2680961 名儿童的研究人群中，有青少年父母（20-24 岁或 25-29 岁）的孩子与有 30 岁或以上父母的孩子相比，再次转介的风险分别增加了 19%（95%CI 1.18-1.19）、16%（95%CI 1.16-1.17）和 11%（95%CI 1.11-1.12），调整了儿童年龄、性别、种族-族裔、州和初始虐待类型。
与有年长父母的孩子相比，至少有一名青少年或年轻父母在出生时的幼儿再次被 CPS 转介虐待的风险略有增加，但具有统计学意义，这表明在最初转介 CPS 时，专门针对年轻父母提供适当的服务可能有助于降低虐待复发的风险。
