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面对面授课复课对佛罗里达州受新冠疫情影响的儿童虐待和忽视趋势的影响。

The impact of the resumption of in-person school attendance on COVID-affected child abuse and neglect trends in Florida.

机构信息

University of Southern California, United States of America; County Welfare Directors Association of California.

出版信息

Child Abuse Negl. 2022 Jul;129:105658. doi: 10.1016/j.chiabu.2022.105658. Epub 2022 May 1.

Abstract

BACKGROUND

The COVID-19 pandemic has led to fewer child abuse and neglect (CAN) hotline calls, CAN investigations, and foster care entries across the U.S.

OBJECTIVE

To determine if there were decreases in CAN hotline calls, CAN investigations, foster care entries, and foster care exits in Florida (the largest among the few states that publishes monthly public data on the four areas) after the pandemic began, and to determine if there was any amelioration of these trends in Florida once schools had reopened for in-person learning.

METHODS

Secondary data analyses of administrative child welfare data from January 2010 to June 2021 from Florida were used. Spline regression equations were calculated for CAN hotline calls, CAN investigations, foster care entries, and foster care exits during three periods: 1) before the COVID-19 pandemic (January 2010 to February 2020); 2) after the pandemic, but before schools reopened (March 2020 to October 2020); and 3) after the pandemic and after schools reopened (November 2020 to June 2021).

RESULTS

Prior to the pandemic, there was a non-statistically significant increase of 1.35 hotline calls per 100,000 children per month (p = .478), a statistically significant increase of 0.01 investigations per 100,000 children per month (p < .001), a non-statistically significant increase of 0.01 foster care entries per 100,000 children per month (p = .415), and a statistically significant increase of 0.03 foster care exits per 100,000 children per month (p < .05). Once the pandemic started in March 2020, there were statistically significant decreases of 136.02 hotline calls per 100,000 children per month (p < .001), 102.84 investigations per 100,000 children per month (p < .001), 6.32 foster care entries per 100,000 children per month (p < .001) and 5.75 foster care exits per 100,000 children per month (p < .01). Once all schools reopened for in-person learning in November 2020, there continued to be statistically significant decreases of 47.86 hotline calls per 100,000 children per month (p < .05), 6.38 foster care entries per 100,000 children per month (p < .001) and 6.53 foster care exits per 100,000 children per month (p < .001). This suggests that there were an estimated 34,374 fewer CAN hotline calls, 2338 children who did not enter foster care, and 2587 youth residing in foster care (YRFC) whose foster care exits were delayed. The delay in foster care exits suggests that YRFC in Florida had stayed a combined cumulative equivalent of 477.1 years longer in care.

CONCLUSION

With the COVID-19 variants like Omicron continuing to wreak havoc in Florida, there will be a continued trend of decreasing CAN hotline calls, foster care entries and foster care exits even with in-person learning in all Florida schools. A real-time interoperable data system utilizing real-time predictive analytics must be developed in concert with the development of leaders and executives with advanced degrees in child welfare organizations who are able to maximize information from such systems.

摘要

背景

新冠疫情导致美国各地的儿童虐待和忽视(CAN)热线电话、CAN 调查和寄养进入减少。

目的

确定在疫情开始后,佛罗里达州(在少数公布四个领域每月公共数据的州中是最大的)的 CAN 热线电话、CAN 调查、寄养进入和寄养退出是否减少,以及一旦学校恢复面对面学习,佛罗里达州是否有任何趋势改善。

方法

使用来自佛罗里达州的 2010 年 1 月至 2021 年 6 月的儿童福利行政数据进行二次数据分析。在三个时期计算了 CAN 热线电话、CAN 调查、寄养进入和寄养退出的样条回归方程:1)新冠疫情前(2010 年 1 月至 2020 年 2 月);2)疫情后,但学校未重新开放(2020 年 3 月至 2020 年 10 月);3)疫情后和学校重新开放后(2020 年 11 月至 2021 年 6 月)。

结果

在疫情前,每月每 10 万名儿童的热线电话增加了 1.35 个(p=0.478),每月每 10 万名儿童的调查增加了 0.01 个(p<0.001),每月每 10 万名儿童的寄养进入增加了 0.01 个(p=0.415),每月每 10 万名儿童的寄养退出增加了 0.03 个(p<0.05)。一旦 2020 年 3 月疫情开始,每月每 10 万名儿童的热线电话减少了 136.02 个(p<0.001),每月每 10 万名儿童的调查减少了 102.84 个(p<0.001),每月每 10 万名儿童的寄养进入减少了 6.32 个(p<0.001),每月每 10 万名儿童的寄养退出减少了 5.75 个(p<0.01)。一旦 2020 年 11 月所有学校恢复面对面学习,每月每 10 万名儿童的热线电话继续减少 47.86 个(p<0.05),每月每 10 万名儿童的寄养进入减少 6.38 个(p<0.001),每月每 10 万名儿童的寄养退出减少 6.53 个(p<0.001)。这表明,佛罗里达州估计有 34374 个 CAN 热线电话减少,有 2338 名儿童没有进入寄养,有 2587 名 YRFC 的寄养退出被推迟。寄养退出的延迟表明,佛罗里达州的 YRFC 在护理中的累计等效时间延长了 477.1 年。

结论

随着新冠病毒变异株奥密克戎继续在佛罗里达州肆虐,即使所有佛罗里达州的学校都恢复了面对面学习,CAN 热线电话、寄养进入和寄养退出的趋势仍将继续下降。必须开发一个实时互操作的数据系统,利用实时预测分析,并与具有儿童福利组织高级学位的领导者和高管共同开发,以便从这些系统中最大限度地获取信息。

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