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利用行政数据更好地了解和解决儿童虐待问题:数据链接研究的范围综述。

Leveraging Administrative Data to Better Understand and Address Child Maltreatment: A Scoping Review of Data Linkage Studies.

机构信息

Department of Psychiatry, 2152University of Cambridge, Cambridge, UK.

12204University of Cambridge School of Clinical Medicine, Cambridge, UK.

出版信息

Child Maltreat. 2023 Feb;28(1):176-195. doi: 10.1177/10775595221079308. Epub 2022 Mar 3.

Abstract

BACKGROUND

This scoping review aimed to overview studies that used administrative data linkage in the context of child maltreatment to improve our understanding of the value that data linkage may confer for policy, practice, and research.

METHODS

We searched MEDLINE, Embase, PsycINFO, CINAHL, and ERIC electronic databases in June 2019 and May 2020 for studies that linked two or more datasets (at least one of which was administrative in nature) to study child maltreatment. We report findings with numerical and narrative summary.

RESULTS

We included 121 studies, mainly from the United States or Australia and published in the past decade. Data came primarily from social services and health sectors, and linkage processes and data quality were often not described in sufficient detail to align with current reporting guidelines. Most studies were descriptive in nature and research questions addressed fell under eight themes: descriptive epidemiology, risk factors, outcomes, intergenerational transmission, predictive modelling, intervention/service evaluation, multi-sector involvement, and methodological considerations/advancements.

CONCLUSIONS

Included studies demonstrated the wide variety of ways in which data linkage can contribute to the public health response to child maltreatment. However, how research using linked data can be translated into effective service development and monitoring, or targeting of interventions, is underexplored in terms of privacy protection, ethics and governance, data quality, and evidence of effectiveness.

摘要

背景

本范围综述旨在概述在儿童虐待背景下使用行政数据链接的研究,以增进我们对数据链接可能为政策、实践和研究带来的价值的理解。

方法

我们于 2019 年 6 月和 2020 年 5 月在 MEDLINE、Embase、PsycINFO、CINAHL 和 ERIC 电子数据库中搜索了将两个或多个数据集(至少有一个是行政性质的)链接起来以研究儿童虐待的研究。我们以数字和叙述性摘要的形式报告发现结果。

结果

我们纳入了 121 项研究,主要来自美国或澳大利亚,发表于过去十年。数据主要来自社会服务和卫生部门,链接过程和数据质量通常没有详细描述,无法与当前的报告指南保持一致。大多数研究为描述性研究,所研究的问题属于八个主题:描述性流行病学、风险因素、结果、代际传播、预测模型、干预/服务评估、多部门参与以及方法学考虑/进展。

结论

纳入的研究表明,数据链接可以通过多种方式为儿童虐待的公共卫生应对做出贡献。然而,关于隐私保护、伦理和治理、数据质量以及有效性证据,在使用链接数据进行有效的服务开发和监测或干预措施的针对性方面,研究的应用仍有待进一步探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/925a/9806482/39407184631d/10.1177_10775595221079308-fig1.jpg

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