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美国 COVID-19 疫情初期的儿童虐待报告:来自 NCANDS 的调查结果。

Child maltreatment reporting during the initial weeks of COVID-19 in the US: Findings from NCANDS.

机构信息

WRMA, Inc., a Trimetrix Company, Rockville, MD, USA.

Kempe Center, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.

出版信息

Child Abuse Negl. 2022 Dec;134:105929. doi: 10.1016/j.chiabu.2022.105929. Epub 2022 Oct 13.

Abstract

BACKGROUND

After the national COVID-19 emergency declaration in the U.S. in March 2020, child welfare agencies observed large reductions in maltreatment reporting.

OBJECTIVE

To quantify the impact of the COVID-19 pandemic on child maltreatment reporting nationally to inform policy for future emergencies.

PARTICIPANTS AND SETTING

Administrative data from the National Child Abuse and Neglect Data System (NCANDS) for 48 states for federal fiscal years (FFYs) 2017 through 2020.

METHODS

Analyses focused on reports to child protective services (CPS) between weeks 12 and 24 of calendar years 2017 through 2020 (mid-March through mid-June). Report sources of screened in and substantiated reports were compared with those during the prior year. Likelihood of a report being substantiated in 2020 compared with 2019 based on report source was calculated using odds ratios.

RESULTS

In 2020, CPS screened in 39 % fewer reports than during the same period in 2019 and the proportion of reports substantiated increased from 18 to 22 %. Reports from all report sources decreased, especially from education personnel (90 % decrease) and child daycare providers (65 % decrease). The odds for substantiation were significantly higher during 2020 than in 2019 for reports from all but three sources.

CONCLUSION

During the initial weeks following the national COVID-19 emergency declaration, the number of reports to CPS declined sharply at the national level and across all states, primarily in association with a large reduction in referrals from education sentinels. Explanations for the increase in percent of substantiation in the context of reduction of reports are considered.

摘要

背景

2020 年 3 月美国宣布全国进入 COVID-19 紧急状态后,儿童福利机构观察到虐待报告大幅减少。

目的

量化 COVID-19 大流行对全国范围内儿童虐待报告的影响,为未来的紧急情况提供政策信息。

参与者和设置

来自全国儿童虐待和忽视数据系统(NCANDS)的 48 个州的行政数据,时间范围为 2017 年至 2020 年的联邦财政年度(FFY)。

方法

分析重点是 2017 年至 2020 年日历年度的第 12 周至第 24 周(3 月中旬至 6 月中旬)向儿童保护服务(CPS)提交的报告。将筛查和证实报告的报告来源与前一年进行比较。使用优势比计算 2020 年与 2019 年相比报告来源的报告证实可能性。

结果

2020 年,CPS 筛查的报告比 2019 年同期减少了 39%,证实的报告比例从 18%增加到 22%。所有报告来源的报告都减少了,特别是来自教育人员(减少 90%)和儿童日托提供者(减少 65%)。与 2019 年相比,除三个来源外,2020 年所有来源的报告证实几率都显著增加。

结论

在全国 COVID-19 紧急状态宣布后的最初几周内,全国和所有州向 CPS 提交的报告数量急剧下降,主要与教育哨兵报告的转介大幅减少有关。考虑了报告减少背景下证实百分比增加的解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5d/9556910/548c5299a355/gr1_lrg.jpg

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